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Fear of Cancer Progression and Death Anxiety in Survivors of Advanced Colorectal Cancer: A Qualitative Study Exploring Coping Strategies and Quality of Life.
Lim, Chloe Yi Shing; Laidsaar-Powell, Rebekah C; Young, Jane M; Solomon, Michael; Steffens, Daniel; Blinman, Prunella; O'Loughlin, Scott; Zhang, Yuehan; Butow, Phyllis.
Afiliación
  • Lim CYS; Centre for Medical Psychology and Evidence-Based Decision-Making (CeMPED), School of Psychology, Faculty of Science, 4334The University of Sydney, Sydney, NSW, Australia.
  • Laidsaar-Powell RC; Centre for Medical Psychology and Evidence-Based Decision-Making (CeMPED), School of Psychology, Faculty of Science, 4334The University of Sydney, Sydney, NSW, Australia.
  • Young JM; Sydney School of Public Health, Faculty of Medicine and Health, 4334The University of Sydney, Sydney, NSW, Australia.
  • Solomon M; The Daffodil Centre, 4334The University of Sydney, a Joint Venture with Cancer Council NSW.
  • Steffens D; RPA Institute of Academic Surgery (IAS), Royal Prince Alfred Hospital and University of Sydney, Sydney, NSW, Australia.
  • Blinman P; Surgical Outcomes Research Centre (SOuRCe), 2205Royal Prince Alfred Hospital, Sydney Local Health District, Sydney, NSW, Australia.
  • O'Loughlin S; Faculty of Medicine and Health, Central Clinical School, 4334The University of Sydney, Sydney, NSW, Australia.
  • Zhang Y; Department of Colorectal Surgery, 2205Royal Prince Alfred Hospital, Sydney Local Health District, Sydney, NSW, Australia.
  • Butow P; Faculty of Medicine and Health, Central Clinical School, 4334The University of Sydney, Sydney, NSW, Australia.
Omega (Westport) ; : 302228221121493, 2022 Sep 20.
Article en En | MEDLINE | ID: mdl-36127158
ABSTRACT
This study aimed to examine coping strategies used by advanced colorectal cancer (CRC-A) survivors to manage death anxiety and fear of cancer progression, and links between these strategies and quality of life (QoL), distress, and death acceptance. Qualitative semi-structured interviews of 38 CRC-A survivors (22 female) were analysed via framework analysis. QoL and distress were assessed through the FACT-C and Distress Thermometer. Eleven themes were identified and mapped to active avoidance (keeping busy and distracted), passive avoidance (hoping for a cure), active confrontation (managing negative emotions; reaching out to others; focusing on the present; staying resilient), meaning-making (redefining one's identity; contributing to society; gaining perspective; remaining spiritual), and acceptance (accepting one's situation). Active confrontation (specifically utilising informal support networks) and meaning-making appeared beneficial coping strategies; more research is needed to develop and evaluate interventions which increase CRC-A survivors' use of these strategies to manage and cope with their death anxiety.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Qualitative_research Aspecto: Patient_preference Idioma: En Revista: Omega (Westport) Año: 2022 Tipo del documento: Article País de afiliación: Australia
Texto completo
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Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Qualitative_research Aspecto: Patient_preference Idioma: En Revista: Omega (Westport) Año: 2022 Tipo del documento: Article País de afiliación: Australia