Surviving the Illness: A Phenomenological Study of Women Diagnosed With Cancer
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Abstract
Introduction: This study aims to understand female cancer sufferers’ coping mechanism after they resume work but continue to receive cancer treatment. Methods: A phenomenological approach was used for exploring how these women cope with cancer and their work and family responsibilities. Hence, the living experiences of cancer surviving women were gathered to provide an in-depth understanding of the issue. A total of 10 participants suffering from different types of cancer were selected for the interviews. Data were collected through interview sessions aided by social media. Daily activities were monitored from diagnosis until the subjects returned to work (12 months of monitoring). Results: Seven themes emerged: (1) lowering expectation, (2) ask help from others, (3) take charge and responsibilities, (4) engage in problem-solving, (5) letting go, (6) contribute back to society, (7) spiritual strengthening. The study provides an insight into these women’s coping abilities when maintaining their resilience on the journey to being proclaimed as survivors. Conclusion: The findings create awareness about how employed women manage to have work-life balance despite continuous cancer treatment. Family practitioners can use the study results as a guideline for helping women cope with the different tasks at home and office.
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Vrinten C, Mcgregor LM, Heinrich M, Wagner C, Waller J, Wardle J, et al. What do people fear about cancer? A systematic review and meta-synthesis of cancer fears in the general population. 2015;44(0).
National Institutes of Health part of the USD of H and HS. No Title. 2019.
Molina Y, Yi JC, Martinez-Gutierrez J, Reding KW, Yi-Frazier JP, Rosenberg AR. Resilience Among Patients Across the Cancer Continuum. Clin J Oncol Nurs. 2014;18(1):93–101.
Chan CMH, Wan Ahmad WA, Md Yusof M, Ho GF, Krupat E. Effects of depression and anxiety on mortality in a mixed cancer group: A longitudinal approach using standardised diagnostic interviews. Psychooncology. 2015;24(6):718–25.
Vachon MLS. Meaning, Spirituality, and Wellness in Cancer Survivors. Semin Oncol Nurs. 2008;24(3):218–25.
Tuffaha H, El-Saifi N, Chambers S, Scuffham P. New challenges in psycho-oncology: Economic evaluation of psychosocial services in cancer: Challenges and best practice recommendations. Psychooncology. 2019;28(1):3–10.
Bauereiß N, Obermaier S, Özünal SE, Baumeister H. Effects of existential interventions on spiritual, psychological, and physical well-being in adult patients with cancer: Systematic review and meta-analysis of randomised controlled trials. Psychooncology. 2018;27(11):2531–45.
Ray C, Lindop J, Gibson S. The concept of coping. Psychol Med. 1982;12:385–95.
Carver CS, Connor-smith J. Personality and Coping. Annu Rev Psychol. 2010;61:679–704.
Dias R, Santos RL, Sousa MFB de, Nogueira MML, Torres B, Belfort T, et al. Resilience of caregivers of people with dementia: a systematic review of biological and psychosocial determinants. Trends Psychiatry Psychother. 2015;37(1):12–9.
Gupta. EBAV. Coping Mechanisms. StatPearls Publishing LLC; 2021.
Sharif SP, Ahadzadeh AS, Perdamen HK. PT SC. Appl Nurs Res. 2017;
Southwick SM, Charney DS. The Science of Resilience: Implications for the Prevention and Treatment of Depression. Science (80- ). 2012;338(6103):79–82.
Kobau R, Seligman MEP, Peterson C, Diener E, Zack MM, Chapman D, et al. Mental health promotion in public health: perspectives and strategies from positive psychology. Am J Public Health. 2011;101(8):e1-9.
Wagnild G. A Review of the Resilience Scale. J Nurs Meas. 2009;17(2):105–13.
Prasad Vijay Barre GP, Rana1 S, Tiamongla. Stress and Quality of Life in Cancer Patients: Medical and Psychological Intervention. Indian J Psychol Med. 2019;41(2):138–43.
Ng CG, Mohamed S, See MH, Harun F, Dahlui M, Sulaiman AH. Anxiety , depression , perceived social support and quality of life in Malaysian breast cancer patients : a 1-year prospective study. Health Qual Life Outcomes. 2015;1–9.
Marie T, Steffens C, Carilli T, Hlubocky F, Quinn M, Fitchett G, et al. “ Let Go , Let God ”: A Qualitative Study Exploring Cancer Patients ’ Spirituality and Its Place in the Medical Setting. J Relig Health. 2019;(0123456789).
Allen JD, Savadatti S, Gurmankin Levy A. The transition from breast cancer “patient” to “survivor.” Psychooncology. 2009;18(1):71–8.
Schroevers, Maya J.Vicki S. Helgeson, Robbert Sanderman AVR. Type of social support matters for prediction of posttraumatic growth among cancer survivors. 2010;53(February 2009):46–53.
Kübler-ross E, Baker R, Paton J, Erskine O, Wilson M, Richardson FL, et al. Obituaries. BMJ Br Med J. 2004;329(September).
Sharif SP, Khanekharab J. External locus of control and quality of life among Malaysian breast cancer patients : The mediating role of coping strategies. 2017;7332(April).
Priscilla, Das, Hamidin, Awang, Azhar, Mohd Zain, Noorjan, Khin Ohnmar Naing, Salmiah, Mohd Said, Bahariah K. Coping styles in patients with haematological cancer in a Malaysian hospital. East Asian Arch Psychiatry. 2011;21(2):44–51.
Schroevers MJ, Teo I. The report of posttraumatic growth in Malaysian cancer patients: Relationships with psychological distress and coping strategies. Psychooncology. 2008;17(12):1239–46.
Carver CS, Scheier MF. Assessing Coping Strategies : A Theoretically Based Approach. 1989;56(2):267–83.
Lazarus, R. S., & Folkman S. Stress, Appraisal, and Coping. New York: Springer US; 1984.
Holahan CJ. Risk , Resistance , and Psychological Distress : A Longitudinal Analysis With Adults and Children. 1987;96:3–13.
Taleghani F. Coping with breast cancer in newly diagnosed Iranian women. 2006;
Henderson PD, Gore S V, Davis BL, Condon EH. Breast Cancer : A Qualitative Analysis. 2003;30(4):641–7.
Li J, Lambert VA. Coping strategies and predictors of general well-being in women with breast cancer in the People ’ s Republic of China. 2018;(2007):199– 204.
Su T, Azzani M, Tan F, Loh S. Breast cancer survivors: return to work and wage loss in selected hospitals in Malaysia. Support Care Cancer. 2018;26(5):1617–24.
Ministry of Health (Malaysia). National Cancer Registry Department National Cancer Institute , Ministry of Health. 2017.
Groenewald T. A Phenomenological Research Design Illustrated. Int J Qual Methods. 2017;3(1):42–55.
Leung L. Validity, reliability, and generalizability in qualitative research. J Fam Med Prim Care. 2015;4(3):324–327.
Alase A. The Interpretative Phenomenological Analysis ( IPA ): A Guide to a Good Qualitative Research Approach. Interpret Phenomenol Anal A Guid to a Good Qual Res Approach. 2017;5(2).
Finlay L. Journal of Phenomenological Psychology. J Phenomenol Psychol. 2008;39:1–32.
Tuohy D1, Cooney A, Dowling M, Murphy K SJ. An overview of interpretive phenomenology as a research methodology. Nurse Res. 2013;20(6):17– 20.
Seidman I. Interviewing as Qualitative Research seidman. Teachers College Press; 2006.
Merriam S. Qualitative research: a guide to design and implementation. John Wiley and sons.; 2009.
Charlick SJ, Mckellar L, Gordon AL, Pincombe J. The private journey : An interpretative phenomenological analysis of exclusive breastfeeding. Women and Birth. 2018;
Chen PY, Chang H. European Journal of Oncology Nursing The coping process of patients with cancer. Eur J Oncol Nurs. 2012;16(1):10–6.
Myrna A. A. Doumit, Huda Abu-Saad Huijer, Jane H. Kelley, Nagi El Saghir NN. Coping With Breast Cancer A Phenomenological Study KE. Cancer Nurs. 2010;33(2):33–9.
Isaksson J, Lilliehorn S, Salander P. Cancer patients ’ motives for psychosocial consultation – oncology social workers ’ perceptions of 226 patient cases. Psychooncology . 2018;46(0).
Ahmadi F, Atikah N, Hussin M. Religion , Culture and Meaning-Making Coping : A Study Among Cancer Patients in Malaysia. J Relig Health. 2019;58(6):1909–24.
Leensen MCJ, Groeneveld PRIF, Researcher P, Rejda T, Occupational O, Groenenboom PP, et al. Feasibility of a multidisciplinary intervention to help cancer patients return to work. Eur J Cancer Care (Engl). 2017;(March):1–16.
Michel G, Greenfield D, Absolom K, Eiser C. Satisfaction with follow-up consultations among younger adults treated for cancer : the role of quality of life and psychological variables. Psycho Oncol. 2011;822(May 2010):813–22.
Kim J, Han JY, Shaw B, Mctavish F, Gustafson D. The Roles of in Predicting Breast Cancer Patients ’ Emotional Well-being. J Health Psychol. 2010;
Pe´rez, John E., Amy Rex Smith, Rebecca L. Norris Katia M. CanenguezElizabeth F. Tracey SBD. Types of prayer and depressive symptoms among cancer patients : the mediating role of rumination and social supportymptoms among cancer patients : the mediating role of rumination and social support. J Behav Med. J Behav Med. 2011;34:519–30.
Deadman JM, Leinster SJ, Owens RG, Dewey ME, Slade PD. Taking responsibility for cancer treatment. Soc Sci Med. 2001;53:669–77.
Kumar CRS, Parashar N. Death anxiety , coping and spirituality among cancer patients. Indian J Posit Psychol. 2015;6(3):4937.
Mamani AGW De, Tuchman N, Duarte EA. Incorporating Religion/Spirituality Into Treatment for Serious Mental Illness. Cogn Behav Pract. 2010;17(4):348–57.