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Psychological Influences of Individuals with Cancer in Remission

Abstract

We conducted a qualitative research study, interviewing 25 cancer survivors regarding their personal constructs of coping and adjustment of having cancer in remission. Two themes emerged from the data. One was that participants spoke of desires to engage each day with a carpe diem attitude. They shared numerous accounts of how life’s brevity became an experienced reality for them, and they wished to capitalize on what life offered daily. Second, the cancer survivors related deliberate alterations of their daily habits. Health became a more paramount concern for these individuals; and eating habits, sun exposure, exercise, and other similar measures were infused into new daily routines. We relate the findings to the broader psychological literature regarding coping, handling anxiety, and integrating physical and psychological health.

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References

  • Adams, E., McCann, L., Armes, J., Richardson, A., Stark, D., Watson, E., et al. (2011). The Experiences, Needs and Concerns of Younger Women with Breast Cancer: A Meta-ethnography’. Psycho-Oncology, 20, 851–861.

  • Alvesson, M. (2011). Interpreting Interviews. Thousand Oaks: Sage.

    Google Scholar 

  • Asai, M., Fujimori, M., Akizuki, N., Inagaki, M., Matsui, Y., & Uchitomi, Y. (2010). Psychologicalstates and coping strategies after bereavement among the spouses of cancer patients: A qualitative study’. Psycho-Oncology, 38–45.

  • Auerbach, C., & Siverstein, L. (2003). Qualitative Data: An Introduction to Coding and Analysis. New York: New York University Press.

    Google Scholar 

  • Bellizzi, K. M., & Blank, T. O. (2006). Predicting Posttraumatic Growth in Breast Cancer Survivors. Health Psychology, 25, 47–56.

    PubMed  Article  Google Scholar 

  • Berg, B. L. (2012). Qualitative Research Methods for the Social Sciences (8th ed.). Boston: Allyn & Bacon.

    Google Scholar 

  • Berrios, R., & Lucca, N. (2006). Qualitative Methodology in Counseling Research: Recent Contributions and Challanges for a new Century. Journal of Counseling and Development, 84, 174–186.

    Article  Google Scholar 

  • Bowen, G. A. (2008). Naturalistic Inquity and the Saturation Concept: A Research note’. Qualitative Inquiry, 8, 137–152.

    Google Scholar 

  • Breaden, K. (1997). Cancer and beyond: The question of survivorship. Journal of Advanced Nursing, 26, 978–984.

  • Bullen, K., Edwards, S., Marke, V., & Matthews, S. (2010). Looking Past the Obvious: Experiences of Altered Masculinity in Penile Cancer. Psycho-Oncology, 19, 933–940.

    PubMed  Article  Google Scholar 

  • Burke, N. J., Villero, O., & Guerra, C. (2012). Passing Through: Meanings of Survivorship and Support Among Filipinas with Breast Cancer. Qualitative Health Research, 22, 189–198.

    PubMed  Article  PubMed Central  Google Scholar 

  • Carbone, S., Walker, G., Burney, S., & Newton, F. (2009). The Symptom Recognition and Help- Seeking Experiences of men in Austrailia with Testicular Cancer: A Qualitative Study. Qualitative Research Journal, 9, 43–59.

    Article  Google Scholar 

  • Chenail, R. J. (2012a). Conducting Qualitative Data Analysis: Reading Line-by-Line, but Analyzing by Meaningful Qualitative units’. The Qualitative Report, 17, 266–269.

    Google Scholar 

  • Chenail, R. J. (2012b). Conducting qualitative analysis: Managing dynamic tensions within’. The Qualitative Report, 17, 1–6.

    Google Scholar 

  • Ching, S. S. Y., Martinson, I. M., & Wong, T. K. S. (2012). Meaning Making: Psychological Adjustment to Breast Cancer by Chinese Women. Qualitative Health Research, 22, 250–262.

    PubMed  Article  Google Scholar 

  • Collie, K., & Kante, A. (2011). Art Groups for Marginalized Women with Breast cancer’. Qualitative Health Research, 21, 652–661.

    PubMed  Article  Google Scholar 

  • Courneya, K. S., Frieenreich, C., Sela, R., Quinney, H., Rhodes, R., & Jones, L. (2004). Exercise Motivation and Adherence in Cancer Survivors After Participation in a Randomized Controlled Trial: An Attribution Theory Perspective. International Journal of Behavioral Medicine, 11, 8–17.

    PubMed  Article  Google Scholar 

  • Creswell, J. W. (2010). Research Design: Qualitative, Quantitative, and Mixed Methods. Thousand Oaks: Sage.

    Google Scholar 

  • Creswell, J. W. (2012). Qualitative Inquiry & Research: Choosing Among Five Approaches (3rd ed.). Thousand Oaks: Sage.

    Google Scholar 

  • Davey, M. P., Tubbs, C. Y., Kissil, K., & Nino, A. (2011). ‘We are Survivors too’: African-American youths’ Experiences of Coping with Parental Breast Cancer. Psycho-Oncology, 20, 77–87.

    PubMed  Article  Google Scholar 

  • Delmar, C. (2010). Generalizability” as Recognition: Reflections on a Foundational Problem in Qualitative Research. Qualitative Studies, 1, 115–128.

    Google Scholar 

  • Denford, S., Harcourt, D., Rubin, L., & Pusic, A. (2011). Understanding Normality: A Qualitative Analysis of Breast Cancer Patients Concepts of Normality After Mastectomy and Reconstructive Surgery. Psycho-Oncology, 20, 553–558.

    PubMed  Article  Google Scholar 

  • Ditrano, C. J., & Siverstein, L. (2006). Listening to parents’ Voices: Participatory Action Research in the Schools. Professional Psychology: Research and Practice, 4, 359–366.

    Article  Google Scholar 

  • Firmin, M. (2006). Using Interview Waves in Qualitative Phenomenological Research. In P. Brewer & M. Firmin (Eds.), Ethnographic and Qualitative Research in Education (pp. 175–181). New Castle: Cambridge Scholars Press.

    Google Scholar 

  • Fleming, L., Gillespie, S., & Espie, C. (2010). The Development and Impact of Insomnia on Cancer Survivors: A Qualitative Analysis. Psycho-Oncology, 19, 991–996.

    PubMed  Article  Google Scholar 

  • Foley, K. L. Farmer, D. F., Petronis, V. M., Smith, R. G., McGraw, S., Smith, K., et al. (2006). A qualitative exploration of the cancer experience among long-term survivors: Comparisons by cancer type, ethnicity gender, and age. Psycho-Oncology, 15, 248–258.

  • Ganeva, Z. (2012). Research on Quality of Attachment in Women with Breast Cancer. Psychological Thought, 5, 33–46.

    Article  Google Scholar 

  • Gay, L. R., Mills, G. E., & Airasian, P. (2009). Educational Research. Upper Saddle River: Pearson.

    Google Scholar 

  • Guest, G., Bunce, A., & Johnson, L. (2006). How Many Interviews are Enough? An Experimentwith Data Saturation Variability. Field Methods, 18, 59–82.

    Article  Google Scholar 

  • Haozous, E. A., Knobf, M. T., & Brant, J. M. (2011). Understanding the Cancer Pain Experience in American Indians of the Northern Plains. Psycho-Oncology, 20, 404–410.

    PubMed  Article  Google Scholar 

  • Hiroko, M., Risa, F., Akitoshi, H., Kazunari, Y., Misago, C., & Takeo, N. (2012). Characteristics of caregiver perceptions of end-of-life caregiving experiences in cancer survivorship: In-depth interview study. Psycho-Oncology, 21, 666–674.

  • Holge-Hazelton, B. (2011). Inquiries of Discomfort: Cancer Experiences in Young adulthood. Qualitative Studies, 2, 118–130.

    Google Scholar 

  • Holstein, J. A., & Gubruim, J. F. (2004). The Active Interview, in Qualitative Research, D Silverman (pp. 140–161). Thousand Oaks: Sage.

    Google Scholar 

  • Horgan, O., Holcombe, C., & Salmon, P. (2011). Experiencing Positive Change After a Diagnosis of Breast Cancer: A Grounded Theory Analysis. Psycho-Oncology, 20, 1116–1125.

    PubMed  Article  Google Scholar 

  • Jones, B. L., Parker-Raley, J., & Barczyk, A. (2011). Adolescent Cancer Survivors: Identity Paradox and the Need to belong. Qualitative Health Research, 21, 1033–1040.

    PubMed  Article  Google Scholar 

  • Kim, S., Ko, Y. H., & Jun, E. Y. (2012). The Impact of Breast Cancer on Mother-Child Relationships in Korea. Psycho-Oncology, 21, 640–646.

    PubMed  Article  Google Scholar 

  • Klassen, A. F., Gulati, S., Watt, L., Banerjee, A. T., Sung, L., Klaassen, R. J., et al. (2012). Immigrant to Canada, Newcomer to Childhood Cancer: A Qualitative Study of Challenges Faced by Immigrant parents’. Psycho-Oncology, 21, 558–562.

    PubMed  Article  Google Scholar 

  • Konradsen, H., Kirkevold, M., McCallin, A., Caye-Thomasen, P., & Zoffmann, V. (2012). Breaking the Silence: Integration of Facial Disfigurement After Surgical Treatment for Cancer’. Qualitative Health Research, 22, 1037–1046.

    PubMed  Article  Google Scholar 

  • Kopchak Sheehan, D. & Burke Draucker, C. (2011). Interaction patterns between parents with advanced cancer and their adolescent children. Psycho-Oncology, 20, 1108–1115.

  • Li, H., Chung, O., Ho, K., Chiu, S., & Lopez, V. (2011). Coping Strategies Used by Children Hospitalized with Cancer: An Exploratory Study. Psych0-Oncology, 20, 969–976.

    Google Scholar 

  • Liamputtong, P., & Ezzy, D. (2009). Qualitative Research Methods (3rd ed.). New York: Oxford University Press.

    Google Scholar 

  • Marshall, C., & Rossman, G. (2010). Designing Qualitative Research (5th ed.). Thousand Oaks: Sage.

    Google Scholar 

  • Matsuda, T., Aptel, I., Exbrayat, C., & Grosclaude, P. (203). Determinants of quality of life of bladder cancer survivors five years after treatment in France. International Journal of Urology, 10, 423–429.

  • Matthews, B. A., Baker, F., Hann, D. M., Denniston, M., & Smith, T. G. (2002). Health status and life satisfaction among breast cancer survivors peer support volunteers. Psycho-Oncology, 11, 199–211.

  • Maxwell, J. A. (2012). Qualitative Research Design (3rd ed.). Thousand Oaks: Sage.

    Google Scholar 

  • McCaughan, E., Parahoo, K., & Prue, G. (2011) Comparing cancer experiences among people with colorectal cancer: A qualitative study. Journal of Advance Nursing, 67, 2686–2695.

  • McLoone, J., Watts, K., Menzies, S., Meiser, B., Butow, P., & Kasparian, N. (2012). When the Risks are High: Psychological Adjustment Among Melanoma Survivors at High Risk of Developing New Primary. Qualitative Health Research, 22, 1102–1113.

    PubMed  Article  Google Scholar 

  • Mero-Jaffe, I. (2011). Is That What I Said?” Interview Transcript Approval by Participants: An Aspect of Ethics in Qualitative research’. International Journal of Qualitative Methods, 10, 231–247.

    Google Scholar 

  • Mulcahy, C. M., Parry, D. C., & Glover, T. D. (2010). The “Patient Patient”: The Trauma of Waiting and the Power of Resistance for People Living with Cancer. Qualitative Health Research, 20, 1062–1075.

    PubMed  Article  Google Scholar 

  • National Cancer Institute (2012). Available from: <www.cancer.gov>. [5 August 2012].

  • Raffanti, M. (2006). Grounded Theory in Educational Research: Exploring the Concept of “Groundedness. In M. Firmin & P. Brewer (Eds.), Ethnographic and Qualitative Research in Education (pp. 61–74). New Castle: Cambridge Scholars Press.

    Google Scholar 

  • Rivers, B. M., August, E. M., Gwede, C. K., Hart, A., Donovan, K. A., Pow-Sang, J. M., et al. (2011). Psychosocial Issues Related to Sexual Functioning Among African-American Prostate Cancer Survivors and Their Spouses. Psycho-Oncology, 20, 106–110.

  • Rodgers, B. (2008). Audit Trail. In L. Given (Ed.), The Sage Encyclopedia of Qualitative Research Methods (pp. 43–44). Thousand Oaks: Sage.

    Google Scholar 

  • Rubin, H., & Rubin, I. (1995). Qualitative Interviewing. Newbury Park: Sage.

    Google Scholar 

  • Saleh, M., Barlow-Stewart, K., Meiser, B., Tucker, K., Eisenbruch, M., & Kirk, J. (2012). Knowledge, Attitudes and Beliefs of Arabic-Australians Concerning Cancer. Psycho-Oncology, 21, 195–202.

    PubMed  Article  Google Scholar 

  • Schnur, J. B., Quellette, S. C., DiLorenzo, T. A., Green, S., & Montgomery, G. H. (2011). A Qualitative Analysis of Acute Skin Toxicity Among Breast Cancer Radiotherapy Patients. Psycho- Oncology, 20, 260–268.

    PubMed  Article  PubMed Central  Google Scholar 

  • Sheppard, V. B., Williams, K. P., Harrison, T. M., Jennings, Y., Lucas, W., Stephen, J., et al. (2010). Development of Decision-Support Intervention for Black Women with Breast Cancer. Psycho-Oncology, 19, 62–70.

  • Silverman, D. (2011). Interpreting Qualitative Data (4th ed.). Thousand Oaks: Sage.

    Google Scholar 

  • Sin, S. (2010). Considerations of Quality in Phenomenographic Research. International Journal of Qualitative Methods, 9, 305–319.

    Google Scholar 

  • Siverstein, L., Auerbach, C., & Levant, R. (2006). Using Qualitative Research to Strengthen Clinical Practice. Professional Psychology: Research and Practice, 37, 351–358.

    Article  Google Scholar 

  • Snobohm, C., Friedrichsen, M., & Heiwe, S. (2010). Experiencing one’s Body After a Diagnosis of Cancer—a Phenomenological Study of Young Adults. Psycho-Oncology, 19, 863–869.

    PubMed  Article  Google Scholar 

  • Thewes, B., Butow, P., Girgis, A., & Pendlebury, S. (2004). Assessment of Unmet Needs Among Survivors of Breast Cancer. Journal of Psychosocial Oncology, 22, 1–73.

    Article  Google Scholar 

  • Tracy, S. J. (2010). Qualitative Quality: Eight ‘big tent’ Criteria for Excellent Qualitative Research. Qualitative Inquiry, 16, 837–851.

    Article  Google Scholar 

  • Vivar, C. G., & McQueen, A. (2005). Informational and Emotional Needs of Long-Term Survivors of Breast Cancer. Journal of Advanced Nursing, 51, 520–528.

    PubMed  Article  Google Scholar 

  • Weiss, T. (2004). Correlates of Posttraumatic Growth in Married Breast Cancer Survivors. Journal of Social and Clinical Psychology, 23, 733–746.

    Article  Google Scholar 

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Correspondence to Michael W. Firmin.

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Firmin, M.W., Pathammavong, M.B., Johnson, C.B. et al. Psychological Influences of Individuals with Cancer in Remission. Psychol Stud 59, 289–298 (2014). https://doi.org/10.1007/s12646-014-0251-0

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  • DOI: https://doi.org/10.1007/s12646-014-0251-0

Keywords

  • Cancer
  • Survivorship
  • Quality of life
  • Behavioral health
  • Qualitative research