The object of this study was to reveal the psychological distress amon
g survivors of Hodgkin's disease. Between 1985 and 1993, 55 patients w
ere treated for Hodgkin's disease at our small oncological unit. In De
cember 1994 all 49 survivors were mailed a questionnaire consisting of
the Impact-of-Event Scale and a visual-analogue scale measuring quali
ty of life, to which 42 patients responded (86%). Half of the patients
reported moderate to high levels of psychological distress. Scores pr
edicting significant stress response syndrome were revealed in 19% of
the patients. Women reported statistically significant lower psycholog
ical distress on the intrusion (P=0.025) and avoidance scale (P=0.047)
and a higher quality of life (P=0.032). In order to improve patients'
care and support, cases at risk should be identified. Among patients
with Hodgkin's disease, men seems to be at highest risk, This study sh
ould be helpful for developing supportive interventions for survivors
of Hodgkin's disease.