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Quality of Life Research

Gepubliceerd in:

01-09-2022

Resilience process in individuals with colorectal cancer: a qualitative study

Auteurs: Yun-Jen Chou, Ya-Ching Wang, Been-Ren Lin, Shiow-Ching Shun

Gepubliceerd in: Quality of Life Research | Uitgave 3/2023

Abstract

Purpose

Resilience is a positive outcome in giving individuals strength to adapt to cancer and have better various aspects of health-related quality of life. However, research focusing on resilience in relation to colorectal cancer (CRC) is limited. Therefore, the aim of this study was to explore the process of resilience in individuals with CRC.

Method

Sixteen individuals diagnosed with stage Ι to III CRC within the last five years were recruited from a CRC surgical outpatient department in a medical center in Northern Taiwan. Semi-structured interviews were used to explore the resilience process of living with CRC. Recorded interviews were transcribed verbatim and were analyzed using modified grounded theory.

Findings

Resilience is a dynamic three-phase process, including impact of CRC, adaptation or maladaptation following CRC, and growth from CRC experience. Resilience strategies (i.e., attitude adjustment, developing personal strategies to conquer CRC and side effects, setting new goals in life, and viewing death as a normal process), avoidance behaviors, and passive waiting strategy were shown across the resilience process.

Conclusions

All individuals showed negative impacts during CRC diagnosis and treatments, but some individuals used the resilience strategies in helping to promote positive adjustment and redirect to develop their resilience process. Furthermore, resilient and maladaptive individuals may change the situation depending on which strategies are used and on the progression of CRC because resilience is dynamic. Oncology clinicians should help individuals use resilience strategies to smoothly go through the resilience process.

vorige artikel Flexible modeling of longitudinal health-related quality of life data accounting for informative dropout in a cancer clinical trial

volgende artikel The impact of restrictions on psychological outcomes in patients with inflammatory bowel disease on biological treatment during the coronavirus pandemic in Norway

World Health Organization. (2021). Global cancer observatory. Retrieved May 27, 2021, from https://gco.iarc.fr/databases.php

Hildebrandt, C., Mayer, H., & Koller, A. (2019). Experiences of patients with colorectal cancer from diagnosis until completion of treatment: A meta-ethnography approach. Psycho-Oncology, 28(2), 219–227. https://doi.org/10.1002/pon.4946CrossRefPubMed

Han, C. J., Yang, G. S., & Syrjala, K. (2020). Symptom experiences in colorectal cancer survivors after cancer treatments: A systematic review and meta-analysis. Cancer Nursing, 43(3), E132-e158. https://doi.org/10.1097/ncc.0000000000000785CrossRefPubMedPubMedCentral

Seiler, A., & Jenewein, J. (2019). Resilience in cancer patients. Frontiers in Psychiatry, 10(208), 1–35. https://doi.org/10.3389/fpsyt.2019.00208CrossRef

Molina, Y., Yi, J. C., Martinez-Gutierrez, J., Reding, K. W., Yi-Frazier, J. P., & Rosenberg, A. R. (2014). Resilience among patients across the cancer continuum: Diverse perspectives. Clinical Journal of Oncology Nursing, 18(1), 93–101. https://doi.org/10.1188/14.CJON.93-101CrossRefPubMedPubMedCentral

Stainton, A., Chisholm, K., Kaiser, N., Rosen, M., Upthegrove, R., Ruhrmann, S., & Wood, S. J. (2019). Resilience as a multimodal dynamic process. Early Intervention in Psychiatry, 13(4), 725–732. https://doi.org/10.1111/eip.12726CrossRefPubMed

Harms, C. A., Cohen, L., Pooley, J. A., Chambers, S. K., Galvão, D. A., & Newton, R. U. (2019). Quality of life and psychological distress in cancer survivors: The role of psycho-social resources for resilience. Psycho-Oncology, 28(2), 271–277. https://doi.org/10.1002/pon.4934CrossRefPubMed

Li, X., Chen, S., Zhang, J., Li, L., Li, Y., & Ye, M. (2021). Resilience process and its protective factors in long-term survivors after lung cancer surgery: A qualitative study. Supportive Care in Cancer, 29(3), 1455–1463. https://doi.org/10.1007/s00520-020-05633-4CrossRefPubMed

Zhang, T., Li, H., Liu, A., Wang, H., Mei, Y., & Dou, W. (2018). Factors promoting resilience among breast cancer patients: A qualitative study. Contemporary Nurse, 54(3), 293–303. https://doi.org/10.1080/10376178.2018.1502615CrossRefPubMed

10.

Zhang, Y., Joshy, G., Glass, K., & Banks, E. (2020). Physical functional limitations and psychological distress in people with and without colorectal cancer: Findings from a large Australian study. Journal of Cancer Survivorship, 14(6), 894–905. https://doi.org/10.1007/s11764-020-00901-yCrossRefPubMed

11.

Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349–357. https://doi.org/10.1093/intqhc/mzm042CrossRefPubMed

12.

Corbin, J. M., & Strauss, A. (1990). Grounded theory research: Procedures, canons, and evaluative criteria. Qualitative Sociology, 13(1), 3–21. https://doi.org/10.1007/BF00988593CrossRef

13.

Denzin, N., & Lincoln, Y. (2018). The Sage handbook of qualitative research. SAGE Publication.

14.

Eicher, M., Matzka, M., Dubey, C., & White, K. (2015). Resilience in adult cancer care: An integrative literature review. Oncology Nursing Forum, 42(1), E3-16. https://doi.org/10.1188/15.Onf.E3-e16CrossRefPubMed

15.

Zhang, Y. (2017). Uncertainty in illness: Theory review, application, and extension. Oncology Nursing Forum, 44(6), 645–649. https://doi.org/10.1188/17.ONF.645-649CrossRefPubMed

16.

Kurita, K., Garon, E. B., Stanton, A. L., & Meyerowitz, B. E. (2013). Uncertainty and psychological adjustment in patients with lung cancer. Psycho-oncology, 22(6), 1396–1401. https://doi.org/10.1002/pon.3155CrossRefPubMed

17.

Chou, Y. J., Lin, H. Y., Cooper, A. B., Lin, B. R., Jiang, J. K., Yanf, H. Y., Miaskowski, C., & Shun, S. C. (2022). A resilience model for patients with colorectal cancer: A structural equation modeling analysis. Cancer Nursing, 45(1), E83–E90. https://doi.org/10.1097/NCC.0000000000000882CrossRefPubMed

18.

Dunkley, D. M., Lewkowski, M., Lee, I. A., Preacher, K. J., Zuroff, D. C., Berg, J. L., Foley, J. E., Myhr, G., & Westreich, R. (2017). Daily stress, coping, and negative and positive affect in depression: Complex trigger and maintenance patterns. Behavior Therapy, 48(3), 349–365. https://doi.org/10.1016/j.beth.2016.06.001CrossRefPubMed

19.

Fitch, M. I., Nicoll, I., & Lockwood, G. (2020). Exploring the reasons cancer survivors do not seek help for their concerns: A descriptive content analysis. BMJ. https://doi.org/10.1136/bmjspcare-2020-002313CrossRef

20.

Tan, P. Y., Tien Tau, L. C., & Lai Meng, O. Y. (2015). Living with cancer alone? The experiences of singles diagnosed with colorectal cancer. Journal of Psychosocial Oncology, 33(4), 354–376. https://doi.org/10.1080/07347332.2015.1045678CrossRefPubMed

21.

Cohen, M., Baziliansky, S., & Beny, A. (2014). The association of resilience and age in individuals with colorectal cancer: An exploratory cross-sectional study. Journal of Geriatric Oncology, 5(1), 33–39. https://doi.org/10.1016/j.jgo.2013.07.009CrossRefPubMed

22.

American Society of Clinical Oncology. (2021). Colorectal Cancer: Risk Factors and Prevention. Retrieved May 1, 2021, from https://www.cancer.net/cancer-types/colorectal-cancer/risk-factors-and-prevention

23.

Ludolph, P., Kunzler, A. M., Stoffers-Winterling, J., Helmreich, I., & Lieb, K. (2019). Interventions to promote resilience in cancer patients. Deutsches Arzteblatt International, 51–52(51–52), 865–872.PubMed

24.

Ciombor, K. K., & Bekaii-Saab, T. (2013). Emerging treatments in recurrent and metastatic colorectal cancer. Journal of the National Comprehensive Cancer Network, 11(4), S18-27. https://doi.org/10.6004/jnccn.2013.0217CrossRefPubMedPubMedCentral

25.

Graça Pereira, M., Figueiredo, A. P., & Fincham, F. D. (2012). Anxiety, depression, traumatic stress and quality of life in colorectal cancer after different treatments: A study with Portuguese patients and their partners. European Journal of Oncology Nursing, 16(3), 227–232. https://doi.org/10.1016/j.ejon.2011.06.006CrossRefPubMed

Titel: Resilience process in individuals with colorectal cancer: a qualitative study
Auteurs: Yun-Jen Chou
Ya-Ching Wang
Been-Ren Lin
Shiow-Ching Shun
Publicatiedatum: 01-09-2022
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 3/2023
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-022-03242-8

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Abstract

Purpose

Method

Findings

Conclusions

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