Skip to main content
Log in

Coping experiences of women in the different phases of breast cancer

  • Original Article
  • Published:
Supportive Care in Cancer Aims and scope Submit manuscript

Abstract

Purpose

To understand the evolution of coping among women diagnosed with breast cancer over time, and the effect of age and family income on coping.

Method

Using a phenomenological qualitative study, data was collected through semi-structured interviews with sixteen women in a hospital in Barcelona (Spain) between January 2018 and June 2019. An analysis of thematic content and discursive profile was carried out, assisted by the Nvivo v.12 program.

Results

Coping strategies change according to the meaning of breast cancer in each phase and the age and family income. In the acute phase, multiple coping strategies are identified, and this variety was more frequent among the young women in the study. In the extended phase, planning, distancing, and seeking social support become important. The latter used during treatment by older women in the study, regardless of family income. In the follow-up phase, distancing stands out, but also the search for social support among young women with fewer resources.

Conclusions

Coping with breast cancer evolves according to the meaning that the disease receives in each phase. In addition, the analysis by discursive profile shows how the social support context is also related to the coping strategies in each phase.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

Data availability

The study database and the full results of the analysis can be consulted through the corresponding author.

Code availability

N/A

References

  1. GLOBOCAN (2018) Estimated age-standardized incidence rates (World) in 2018, all cancers, both sexes, all ages. In: World Heal. Organ. (WHO). Retrieved March 5, 2021, from: https://gco.iarc.fr/today/online-analysis-map?v=2018&mode=population&mode_population=continents&population=900&populations=900&key=asr&sex=0&cancer=39&type=0&statistic=5&prevalence=0&population_group=0&ages_group%5B%5D=0&ages_group%5B%5D=17&nb_items=5&gro

  2. Badana ANS, Marino VR, Templeman ME et al (2019) Understanding the roles of patient symptoms and subjective appraisals in well-being among breast cancer patients. Support Care Cancer 27:4245–4252. https://doi.org/10.1007/s00520-019-04707-2

    Article  PubMed  Google Scholar 

  3. Kugbey N, Meyer-Weitz A, Oppong Asante K (2019) Mental adjustment to cancer and quality of life among women living with breast cancer in Ghana. Int J Psychiatry Med 54:217–230. https://doi.org/10.1177/0091217418805087

    Article  PubMed  Google Scholar 

  4. Edward K, Chipman M, Giandinoto J, Robinson K (2019) Quality of life and personal resilience in the first two years after breast cancer diagnosis: systematic integrative review. Br J Nurs 28

  5. Mols F, Vingerhoets AJJM, Coebergh JW, Van De Poll-Franse LV (2005) Quality of life among long-term breast cancer survivors: a systematic review. Eur J Cancer 41:2613–2619. https://doi.org/10.1016/j.ejca.2005.05.017

    Article  PubMed  Google Scholar 

  6. Khoshnood Z, Iranmanesh S, Rayyani M, Dehghan M (2018) Body-mind healing strategies in patients with cancer: a qualitative content analysis. Asian Pacific J Cancer Prev 19:1691–1696. https://doi.org/10.22034/APJCP.2018.19.6.1691

  7. Drageset S, Lindstrøm TC, Ellingsen S (2020) “I have both lost and gained”. Norwegian survivors’ experiences of coping 9 years after primary breast cancer surgery. Cancer Nurs 43:E30–E37. https://doi.org/10.1097/NCC.0000000000000656

    Article  PubMed  Google Scholar 

  8. Cheng CT, Ho SMY, Liu WK et al (2019) Cancer-coping profile predicts long-term psychological functions and quality of life in cancer survivors. Support Care Cancer 27:933–941. https://doi.org/10.1007/s00520-018-4382-z

    Article  PubMed  Google Scholar 

  9. Folkman S, Lazarus RS, Dunkel-Schetter C et al (1986) Dynamics of a stressful encounter: cognitive appraisal, coping, and encounter outcomes. J Pers Soc Psychol 50:992–1003. https://doi.org/10.1037/0022-3514.50.5.992

    Article  CAS  PubMed  Google Scholar 

  10. Hajian S, Mehrabi E, Simbar M, Houshyari M (2017) Coping strategies and experiences in women with a primary breast cancer diagnosis. Asian Pacific J Cancer Prev 18:215–224. https://doi.org/10.22034/APJCP.2017.18.1.215

  11. Dunkel-schetter C, Feinstein LG, Taylor SE, Falke RL (1992) Patterns of coping with cancer. Heal Psychol 11:79–87

    Article  CAS  Google Scholar 

  12. Sanchez L, Fernandez N, Calle AP et al (2019) Long-term treatment for emotional distress in women with breast cancer. Eur J Oncol Nurs 42:126–133. https://doi.org/10.1016/j.ejon.2019.09.002

    Article  PubMed  Google Scholar 

  13. You J, Wang C, Rodriguez L et al (2018) Personality, coping strategies and emotional adjustment among Chinese cancer patients of different ages. Eur J Cancer Care (Engl) 27:1–9. https://doi.org/10.1111/ecc.12781

    Article  Google Scholar 

  14. Araújo Gonçalves CR, Bubach S, Costa Leite FM (2014) Câncer De Mama: Estratégias De Enfrentamento E Sua Relação com variáveis socioeconômicas. Ciência, Cuid e Saúde 13:690–696. https://doi.org/10.4025/cienccuidsaude.v13i4.1295

    Article  Google Scholar 

  15. Mingorance MJ, Arbinaga F, Márquez JC, Bayo-Calero J (2019) Coping strategies and self-esteem in women with breast cancer. An Psicol 35:188–194. https://doi.org/10.6018/analesps.35.2.336941

    Article  Google Scholar 

  16. Masià J, Merchán-Galvis SK et al (2019) Socio-economic impact on women diagnosed and treated for breast cancer: a cross-sectional study. Clin Transl Oncol 21:1736–1745. https://doi.org/10.1007/s12094-019-02185-w

    Article  PubMed  Google Scholar 

  17. Ferrell ABR, Dow KH, Grant M (1995) Measurement of the quality of life in cancer survivors. Springer 4:523–531

    CAS  Google Scholar 

  18. Lazarus RS, Folkman S (1984) Stress, appraisal, and coping. Springer Publishing Company, New York, NY

    Google Scholar 

  19. Mullan F (1985) Seasons of survival: reflections of a physician with cancer. N Engl J Med 313:270–273

    Article  CAS  Google Scholar 

  20. Tong A, Sainsbury P, Craig J (2007) Consolidated criterio for reporting qualitative research (COREQ): a 32- item checklist for interviews and focus group. Int J Qual Heal Care 19:349–357. https://doi.org/10.1093/intqhc/mzm042

    Article  Google Scholar 

  21. Moos RH, Holahan CJ (2007) Adaptative task and methods of coping with illnes and disability. In: Martz E, Livneh H (eds) Coping with chronic illness and disability. Springer-Verlag, New York, NY, pp 107–126

    Chapter  Google Scholar 

  22. Roussi P, Krikeli V, Hatzidimitriou C, Koutri I (2007) Patterns of coping, flexibility in coping and psychological distress in women diagnosed with breast cancer. Cognit Ther Res 31:97–109. https://doi.org/10.1007/s10608-006-9110-1

    Article  Google Scholar 

  23. Leyva-Pescador Y, Solano-Arellano G, Labrador-Ortega L, et al (2011) Nivel de adaptación y afrontamiento en las mujeres con cáncer de mama. Rev Cuid 2:. https://doi.org/10.15649/cuidarte.v2i1.44

  24. Drageset S, Lindstrøm TC, Underlid K (2010) Coping with breast cancer: between diagnosis and surgery. J Adv Nurs 66:149–158. https://doi.org/10.1111/j.1365-2648.2009.05210.x

    Article  PubMed  Google Scholar 

  25. Marcu A, Black G, Vedsted P et al (2017) Educational differences in responses to breast cancer symptoms: a qualitative comparative study. Br J Health Psychol 22:26–41. https://doi.org/10.1111/bjhp.12215

    Article  PubMed  Google Scholar 

  26. Hernández R, Calderon C, Carmona-bayonas A, et al (2019) Differences in coping strategies among young adults and the elderly with cancer. 426–434. https://doi.org/10.1111/psyg.12420

  27. Makabe R, Hull MM (2000) Components of social support among Japanese women with breast cancer. Oncol Nurs Nurs 27:1381–1390. https://doi.org/10.1097/ncc.0000000000000124

    Article  CAS  Google Scholar 

  28. Ballantyne PJ (2004) Social context and outcomes for the ageing breast cancer patient: considerations for clinical practitioners. J Clin Nurs 13:11–21. https://doi.org/10.1111/j.1365-2702.2004.00921.x

    Article  PubMed  Google Scholar 

  29. Yoo GJ, Levine EG, Aviv C et al (2010) Older women, breast cancer, and social support. Support Care Cancer 18:1521–1530. https://doi.org/10.1007/s00520-009-0774-4

    Article  PubMed  Google Scholar 

  30. Angarita FA, Zhang Y, Elmi M, Look Hong NJ (2020) Older women’s experience with breast cancer treatment: a systematic review of qualitative literature. Breast 54:293–302. https://doi.org/10.1016/j.breast.2020.11.009

    Article  PubMed  PubMed Central  Google Scholar 

  31. Colombino ICF, Sarri AJ, Castro IQ et al (2020) Factors associated with return to work in breast cancer survivors treated at the Public Cancer Hospital in Brazil. Support Care Cancer 28:4445–4458. https://doi.org/10.1007/s00520-019-05164-7

    Article  PubMed  Google Scholar 

  32. Vanderpool RC, Swanberg JE, Chambers MD (2013) A narrative review of the confluence of breast cancer and low-wage employment and its impact on receipt of guideline-recommended treatment. Glob Adv Heal Med 2:75–85. https://doi.org/10.7453/gahmj.2013.046

    Article  Google Scholar 

  33. Drageset S, Lindstrøm TC, Underlid K (2016) “I just have to move on”: women’s coping experiences and reflections following their first year after primary breast cancer surgery. Eur J Oncol Nurs 21:205–211. https://doi.org/10.1016/j.ejon.2015.10.005

    Article  PubMed  Google Scholar 

  34. Kvillemo P, Bränström R (2014) Coping with breast cancer: a meta-analysis. PLoS One 9:1–26. https://doi.org/10.1371/journal.pone.0112733

    Article  CAS  Google Scholar 

  35. Wonghongkul T, Moore SM, Musil C et al (2000) The influence of uncertainty in illness, stress appraisal, and hope on coping in survivors of breast cancer. Cancer Nurs 23:422–429. https://doi.org/10.1097/00002820-200012000-00004

    Article  CAS  PubMed  Google Scholar 

  36. Rodríguez Parra MJ, Zarazaga RME, López Martínez AE (2000) Represión emocional y estrategias de afrontamiento en dolor crónico oncológico. Psicothema 12:339–345

    Google Scholar 

  37. Danhauer SC, Crawford SL, Farmer DF, Avis NE (2009) A longitudinal investigation of coping strategies and quality of life among younger women with breast cancer. J Behav Med 32:371–379. https://doi.org/10.1007/s10865-009-9211-x

    Article  PubMed  Google Scholar 

  38. Wonghongkul T, Dechaprom N, Phumivichuvate L, Losawatkul S (2006) Uncertainty appraisal coping and quality of life in breast cancer survivors. Cancer Nurs 29:250–257. https://doi.org/10.1097/00002820-200605000-00014

    Article  PubMed  Google Scholar 

  39. Coyne E, Wollin J, Creedy DK (2012) Exploration of the family’s role and strengths after a young woman is diagnosed with breast cancer: views of women and their families. Eur J Oncol Nurs 16:124–130. https://doi.org/10.1016/j.ejon.2011.04.013

    Article  PubMed  Google Scholar 

  40. Díaz L& otros (2009) Análisis de los conceptos del modelo de adaptación de Callista Roy. Aquichan 2:19–23

    Google Scholar 

Download references

Acknowledgements

The authors wish to thank all the women who participated in our study and Carmen Trigueros and Enrique Rivera for their methodological contributions. Ms. Elena Torralba Martinez is a PhD candidate in Methodology of Biomedical Research and Public Health Program, Universitat Autònoma de Barcelona, Spain.

Author information

Authors and Affiliations

Authors

Contributions

Conception and design: Núria Codern-Bové and Elena Torralba Martínez.

Collection and assembly of data: Magda Ciendones Carbonell and Elena Torralba Martínez.

Data analysis and interpretation: Núria Codern-Bové, Magda Ciendones Carbonell, and Elena Torralba Martínez.

Manuscript writing: Elena Torralba Martínez: writing original draft; Núria Codern-Bové: supervision and writing review and editing; Magda Ciendones Carbonell, Elena de las Sia, and Cristian Pablo Segura Carrillo: writing review and editing.

Final approval of manuscript: All authors.

Accountable for all aspects of the work: All authors.

Corresponding author

Correspondence to Núria Codern-Bové.

Ethics declarations

Ethics approval

The study was approved by the Hospital’s Clinical Research Ethics Committee (CEIC) (IIBSP-CAM-2016–63).

Consent to participate

All participants signed the informed consent prior to information about the study and before participating in the interviews.

Consent for publication

All participants gave their consent to the use of their data in a publication.

Conflict of interest

The authors declare no competing interests.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Torralba-Martínez, E., Quintana, M.J., Carbonell, M.C. et al. Coping experiences of women in the different phases of breast cancer. Support Care Cancer 30, 197–206 (2022). https://doi.org/10.1007/s00520-021-06400-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00520-021-06400-9

Keywords

Navigation