ABSTRACT
Work-Life Blending refers to the permeability and dissolution of boundaries between work and personal life, bringing these domains closer together. However, a comprehensive, holistic definition or conceptualisation of Work-Life-Blending is currently lacking. This research aims to address this gap by conducting a systematic literature review to define and clarify the concept. The primary objective is to identify the key factors and dimensions of Work-Life-Blending by reviewing the current state of research, and by offering a clear and precise conceptual framework to guide further research in developing measurable and concrete concepts. We conducted a systematic review following the PRISMA guidelines to achieve this, drawing on keyword-based searches. We searched for English or German manuscripts in the electronic databases Business Source Premier and PsycARTICLES, using keywords such as "blending," "blurring," "fusion," "Entgrenzung," "Verschmelzung," "Vermischung," "boundary," "border," or "demarcation" in combination with "work" and "life." From 1,400 screened references between 2000 and 2023, we identified 302 eligible articles. After applying exclusion criteria, 51 records were retained. Employing a holistic approach, we developed a coding scheme to analyse the articles focusing on antecedents, processes, and outcomes of Work-Life-Blending. Articles were prioritized based on their impact, relevance, and data content. Our analysis revealed a diverse field, and we adopted Clark's central concepts (2000) to categorize Work-Life Blending into four key areas: Domains, Borders, Individual, and Interindividual. Structural analysis allowed us to gain deeper insights into the multifaceted nature of the research field. Diversification was evident in studies exploring various aspects, such as the combination of dimensions (e.g., organizational and individual factors), correlations between factors (e.g., working conditions), and the introduction of new constructs (e.g., motivational processes). Our research addresses a significant knowledge gap in the field of Work-Life-Blending, making valuable contributions to the existing body of knowledge. By examining key categories and proposing an extended definition, this study provides a robust foundation for further investigations. As a result, we established a classification of the determinants. Given the high degree of diversification, we offer a comprehensive framework for future research, contributing to a deeper understanding of Work-Life Blending.
ABSTRACT
BACKGROUND: Although some studies suggest that breast-conserving therapy (BCT) shows better psychosocial outcomes than mastectomy in patients with primary breast cancer, little is known about the outcomes of these surgical options in recurrent breast cancer. We investigated differences in overall survival and re-recurrence rates as well as psychosocial outcomes among patients who underwent BCT or mastectomy after the diagnosis of recurrent breast cancer in a single-center setting. METHODS: 124 of 186 eligible patients who underwent surgical treatment for breast cancer recurrence completed the questionnaires on quality of life (EORTC QLQ-C30 and -BR23), fear of progression (PA-F-KF), anxiety and depression (HADS), and body image (BIS). RESULTS: Women after breast-conserving surgery (n = 46) showed significantly better outcomes than women after mastectomy (n = 61) with respect to body image (P < 0.001 in BIS and p < 0.001 in BR23), social functioning (p = 0.016), emotional functioning (p = 0.028), and role functioning (p = 0.043). There were no significant group differences regarding anxiety, depression, and fear of progression as well as re-recurrence and survival rates. Predictors of good quality of life were partnership (OR 2.46), higher monthly family income (OR 3.54), and higher professional qualification (OR 4.3) in our group of patients. DISCUSSION: Our results indicate that patients treated with breast-conserving therapy after recurrent breast cancer perceive lower impairments in body image and several aspects of quality of life than patients treated with mastectomy.