TY - JOUR
T1 - Cervical cancer survivors
T2 - The experiences of the journey
AU - Shinan-Altman, Shiri
AU - Levkovich, Inbar
AU - Hamama-Raz, Yaira
N1 - Publisher Copyright:
© The Author(s), 2022.
PY - 2024/6/1
Y1 - 2024/6/1
N2 - Objective Cervical cancer affects survivors' overall coping. Yet, specifically emotional and behavioral expression patterns among cervical cancer survivors have barely been examined. In addition, no study has focused on survivors' experiences of sequences related to coping. Understanding these perceptions can help provide a tailored response and improve psycho-social interventions. The aim of this study was to gain a better understanding of the emotional and behavioral motives involved in coping with cervical cancer recovery. Methods Qualitative interviews were conducted with 15 survivors of cervical cancer (stages I and II), using a semi-structured in-depth questionnaire. The interviews were recorded, transcribed, and analyzed by three researchers using thematic analysis. Results Six main themes emerged: (i) Reasons and benefits for keeping the disease a secret or sharing it with others; (ii) When you get used to despair, there's also room for hope: Despair alongside hope; (iii) Self-guilt following the disease, but also knowing how to forgive yourself; (iv) Deep loneliness alongside a significant need for support; (v) Finding the way from passivity to activity; and (vi) When meaning in life is missing, and the importance of meaning when it is present. There was a balance between negative emotions and behaviors (despair, confidentiality, guilt, loneliness, passivity, lack of meaning) and positive emotions and behaviors (hope, openness, forgiveness, significant support, activity, meaning). Significance of the results The study revealed that in some cases cervical cancer coping during the recovery period moves across sequences. The women's narratives portray past difficulties as the reason for present psychological health, and their experience of a healthy present is intensified by their past difficulties. Implications for practice are discussed.
AB - Objective Cervical cancer affects survivors' overall coping. Yet, specifically emotional and behavioral expression patterns among cervical cancer survivors have barely been examined. In addition, no study has focused on survivors' experiences of sequences related to coping. Understanding these perceptions can help provide a tailored response and improve psycho-social interventions. The aim of this study was to gain a better understanding of the emotional and behavioral motives involved in coping with cervical cancer recovery. Methods Qualitative interviews were conducted with 15 survivors of cervical cancer (stages I and II), using a semi-structured in-depth questionnaire. The interviews were recorded, transcribed, and analyzed by three researchers using thematic analysis. Results Six main themes emerged: (i) Reasons and benefits for keeping the disease a secret or sharing it with others; (ii) When you get used to despair, there's also room for hope: Despair alongside hope; (iii) Self-guilt following the disease, but also knowing how to forgive yourself; (iv) Deep loneliness alongside a significant need for support; (v) Finding the way from passivity to activity; and (vi) When meaning in life is missing, and the importance of meaning when it is present. There was a balance between negative emotions and behaviors (despair, confidentiality, guilt, loneliness, passivity, lack of meaning) and positive emotions and behaviors (hope, openness, forgiveness, significant support, activity, meaning). Significance of the results The study revealed that in some cases cervical cancer coping during the recovery period moves across sequences. The women's narratives portray past difficulties as the reason for present psychological health, and their experience of a healthy present is intensified by their past difficulties. Implications for practice are discussed.
KW - Behavioral coping
KW - Cervical cancer
KW - Emotional coping
KW - Survivors
UR - http://www.scopus.com/inward/record.url?scp=85194111784&partnerID=8YFLogxK
U2 - 10.1017/S1478951522000785
DO - 10.1017/S1478951522000785
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C2 - 35975560
AN - SCOPUS:85194111784
SN - 1478-9515
VL - 22
SP - 563
EP - 570
JO - Palliative and Supportive Care
JF - Palliative and Supportive Care
IS - 3
ER -