A Qualitative Study on Coping Strategies of Chinese Women With Metastatic Breast Cancer Undergoing Chemotherapy

Guo, Yi-Qiang; Ju, Qing-Mei; You, Miaoning; Yusuf, Azlina; Wu, Ying; Soon, Lean Keng

doi:10.3389/fpsyg.2022.841963

Cited by 6 publications

(6 citation statements)

References 46 publications

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“…The findings of this study are in line with the results of previous studies which stated that patients had better awareness to worship God, pray, read scriptures, and have positive thoughts about God after a traumatic experience was diagnosed with cancer (44). A study of breast cancer patients who experienced metastases stated that spirituality helped them live to overcome fear and can live calmly even though cancer had spread (45). Cancer patients who have high realistic expectations, also have high spirituality as a means to deal with their disease (46).…”

Section: Based Onsupporting

confidence: 90%

Hope and psychological well-being after 5 years become breast cancer survivors: a Qualitative Study

Werdani

Prasetya²

2022

JNKI

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Background: Cancer is perceived as a deadly disease for most people, it will affect the hope and psychological well-being of long-term cancer survivors. Objectives: This study aimed to explore changes in hope and psychological well-being after 5 years become breast cancer survivors. Methods: This was a qualitative study with a phenomenological design. Samples were 23 breast cancer survivors in three health centers in Surabaya Indonesia taken by purposive sampling technique based on inclusion criteria. An in-depth interview was done when collecting the data. The interview was recorded with the permission of the participants. The data were inductively analyzed through conventional content analysis. Results: The participant has an age range of 41 – 70 years old, and most of them are no longer working since being diagnosed with cancer. This study found 4 themes consisting of the first theme was positive hope about cancer with 3 sub-themes: hope to recover, hope no recurrence occurs, and hope to be healthier, the second theme was a good future with 3 sub-themes: long life, back to work, and optimism, the third theme was positive psychological well-being with 3 sub-themes: positive thinking, self-control ability, happy feeling, the last theme was a close relationship with God with 2 sub-themes: grateful and pray, repentance. Conclusions: Breast cancer survivors who have been diagnosed for more than 5 years and have completed cancer therapy had a positive hope to recover, are optimistic about the future and are closer to God, this encourages the achievement of positive psychological well-being.

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Section: Based Onsupporting

confidence: 90%

Hope and psychological well-being after 5 years become breast cancer survivors: a Qualitative Study

Werdani

Prasetya²

2022

JNKI

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“…The present finding suggests that positive reframing coping protects MBC women from depression. Positive reframing of a negative encounter is a coping mechanism linked to depression, with positive reappraisal linked to reduced depressive symptoms [ 35 ]. The researcher suggested positive thinking can be used as a bulwark against hopelessness in life-threatening illnesses.…”

Section: Discussionmentioning

confidence: 99%

Depression, anxiety and stress among metastatic breast cancer patients on chemotherapy in China

Guo

You

et al. 2023

BMC Nurs

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Objective This study aimed to assess the level of depression, anxiety and stress among metastatic breast cancer (MBC) patients undergoing chemotherapy (CT) in Beijing, China. Methods A cross-sectional study was conducted on 176 MBC women receiving CT, selected by purposive sampling. Data were collected using self-administered questionnaires that included participants’ socio-demographic status, DASS-21 and Brief COPE. Data were analyzed using descriptive statistics and general linear regression analysis. Results The incidence of depression, anxiety and stress among MBC women were 52.3%, 60.2% and 36.9%, respectively. General linear regression showed that age, marital status, monthly income, physical functioning, emotional functioning, pain, dyspnea, and appetite loss were associated with depression. All variance determined the depression (R2) was 35.6%. Marital status, self-blame and behavioral disengagement were the predictors of stress and accounted for a 35.4% stress variance in MBC women. Conclusion Our study demonstrated depression, anxiety, and stress prevalence are high in MBC women. Assessment of psychological distress (depression, anxiety, and stress) is important to recognise MBC patients who need help and further medical and mental help support. This study’s findings can increasingly highlight that depression, anxiety, and stress are substantial problems in MBC patients. Therefore, psychological interventions are needed to reduce depression, anxiety, and stress for MBC patients.

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“…The supportive scaffold for women adapting to the new normal of living with MBC was their relationship with the HCP and the wider multidisciplinary team [MDT] [62]. The importance of clarity in autonomously making shared decisions was paramount, and the need for recognition of others' expertise within the multidisciplinary team [47].…”

Section: Health Care Professionals [Hcp]/patient Relationships and Sh...mentioning

confidence: 99%

“…Fourteen studies referred to this subtheme and focused on the importance of knowledgeable shared decision making for women with MBC; using easily understood language; it underlined the need for an open, honest relationship with doctors/HCPs and the wider MDT in charge of women's care. These studies further emphasised the importance of educating women on the transitions within the metastatic breast cancer disease trajectory and the necessity of including the palliative care experts and the broader multidisciplinary team to allow these women to make informed autonomous decisions about their care trajectory [20,40,41,44,47,50,51,53,55,[59][60][61][62][63].…”

Section: Plos Onementioning

confidence: 99%

Exploring the experiences of women living with metastatic breast cancer [MBC]: A systematic review of qualitative evidence

Lyons-Rahilly,

Meskell,

Carey

et al. 2024

PLoS ONE

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Purpose Metastatic breast cancer [MBC] is the leading cause of cancer death in women globally with no cure. Women diagnosed with MBC endure a catastrophic upheaval to multiple aspects of their life and a radically transformed future landscape. Evidence suggests that the provision of care for women living with metastatic breast cancer is inadequate, socially isolating and stigmatising. To date, this topic has received little research attention. To increase understanding of the experiences of women living with MBC, a synthesis of current evidence is required. This paper presents a review of qualitative evidence on women’s experiences of MBC. Methods A qualitative evidence synthesis [QES] was conducted to synthesise primary qualitative research on the experiences of women living with MBC. Searches were performed of electronic databases Medline, Medline Ovid, PsycINFO, Psych articles, PubMED, CINAHL Complete, Scopus and grey literature databases. The methodological quality of the included studies was appraised using a modified version of the Critical Appraisal Skills Programme [CASP]. Title, abstract, and full-text screening were undertaken. A ‘best fit’ framework approach using the ARC [Adversity, Restoration, Compatibility] framework was used to guide data extraction and synthesis. Confidence in the findings was assessed using the Grading of Recommendations Assessment, Development and Evaluation, Confidence in the Evidence from Reviews of Qualitative research [GRADE-CERQual]. Results 28 papers from 21 research studies containing 478 women’s experiences of living with MBC were deemed suitable for inclusion in this qualitative evidence synthesis. Findings are presented in a new conceptual framework RAAW [adapted from ARC] for women living with MBC under themes: Reality, Adversity, Adjustment and Wellbeing. Findings revealed that a diagnosis of MBC impacted every aspect of women’s lives; this is different to a diagnosis of early breast cancer. An overarching theme of lack of support extended across various facets of their lives. A lack of psychological, emotional, and psychosocial support was evident, with a critical finding that models of care were not fit for purpose. Deficits included a lack of information, knowledge, inclusion in shared decision-making and MDT support, specifically the need for palliative care/oncology support access. Some women living with MBC wanted to be identified as having a chronic illness not a life-limiting illness. Culture and socioeconomic standing influenced the availability of various types of support. The impact of treatment and symptoms had an adverse effect on women’s quality of life and affected their ability to adjust. Conclusion This review synthesised the qualitative literature on the experiences of women living with MBC. The ARC framework used in the synthesis was adapted to develop a revised conceptual framework titled RAAW to represent the evidence from this review on experiences for women living with MBC; Reality & Adversity: A diagnosis of MBC; Adjustment: Living with MBC; Wellbeing: Awareness, meaning, engagement [RAAW; MBC].

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A Qualitative Study on Coping Strategies of Chinese Women With Metastatic Breast Cancer Undergoing Chemotherapy

Cited by 6 publications

References 46 publications

Hope and psychological well-being after 5 years become breast cancer survivors: a Qualitative Study

Hope and psychological well-being after 5 years become breast cancer survivors: a Qualitative Study

Depression, anxiety and stress among metastatic breast cancer patients on chemotherapy in China

Exploring the experiences of women living with metastatic breast cancer [MBC]: A systematic review of qualitative evidence

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