Comparing the meanings of living with advanced breast cancer between women resilient to distress and women with persistent distress: a qualitative study
Publication in refereed journal

香港中文大學研究人員

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其它資訊
摘要Background

Most women with advanced breast cancer (ABC) show little distress, but about one in ten show persistent distress over time. It remains unclear if meanings ascribed by patients to ABC differentiate these distress trajectories.

Study aims

This qualitative study (a) compared illness meanings of ABC between women with persistent psychological distress and those with low/transient distress, and (b) examined how illness meanings might influence coping strategies.

Methods

The sample was drawn from a prior quantitative study exploring psychological distress trajectories following ABC diagnosis. Overall, 42 Cantonese- or Mandarin-speaking Chinese women diagnosed with locally advanced or metastatic ABC were recruited based on their distress trajectory status (low-stable, transient, or persistent distress). Interviews were recorded, transcribed, and analyzed following grounded theory approach using simultaneous analysis.

Results

Women with persistent distress viewed their diagnosis as another blow in life, the illness was global, permeating every aspect of their life. Maladaptive rumination and thought suppression were common responses to illness demands. These women had poor social support. A sense of demoralization stood out in their narratives. In contrast, women with transient/low-stable distress encapsulated the illness, with minimum impacts of their life. They did not evidence dysfunctional repetitive thoughts. Living in a supportive environment, they were able to accept and/or live in the present-moment.

Conclusions

Rumination, thought suppression, social constraints, and pre-existing exposure to life stress may be potential risks for chronic distress in response to advanced breast cancer. Persistent and transient distress responses to cancer may have different underpinnings.
著者W. W. T. Lam, S. W. Yoon, W. K. Sze, A. W. Y. Ng, I. Soong, A. Kwong, D. Suen, J. Tsang, W. Yeo, K. Y. Wong, R. Fielding
期刊名稱Psycho-Oncology
出版年份2017
月份2
卷號26
期次2
出版社Wiley
出版地United Kingdom, Chichester
頁次255 - 261
國際標準期刊號1057-9249
電子國際標準期刊號1099-1611
語言英式英語
關鍵詞advanced breast cancer, qualitative study

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