Reframing: Psychological Adjustment of Chinese Women at the Beginning of the Breast Cancer Experience

2009 ◽  
Vol 19 (3) ◽  
pp. 339-351 ◽  
Author(s):  
Shirley S. Y. Ching ◽  
Ida M. Martinson ◽  
Thomas K. S. Wong
Keyword(s):  
Breast Cancer ◽  
Psychological Adjustment ◽  
Chinese Women ◽  
Cancer Experience

Meaning Making

2011 ◽  
Vol 22 (2) ◽  
pp. 250-262 ◽  
Author(s):  
Shirley S. Y. Ching ◽  
Ida M. Martinson ◽  
Thomas K. S. Wong
Keyword(s):  
Breast Cancer ◽  
Social Relationships ◽  
Meaning Making ◽  
Chinese Women ◽  
Hong Kong Chinese ◽  
Adjustment Process ◽  
Theory Method ◽  
Philosophy Of Life ◽  
Grounded Theory Method ◽  
Cancer Experience

Based on a study exploring the phenomenon of coping among Hong Kong Chinese women afflicted with breast cancer, from diagnosis to completion of treatment, we report the findings on meaning making by the informants. Using the grounded theory method, we conducted 35 interviews with 24 women suffering from breast cancer. Among them, we followed and interviewed 5 women thrice, from diagnosis to 3 months after completion of treatment. We noted the evolution of reframing as the key category in the adjustment process through which the women identified meaning at different points of time in the cancer experience, to achieve different outcomes. Chinese women identified a sustaining force from minimizing social disturbance during treatment. The integration of cancer into their lives after completion of treatment was achieved through positive transformation in their philosophy of life and social relationships. Nurses should aim to understand the cancer patients’ interpretation of the situation, explore personally meaningful sustaining forces, and reflect on their cancer experience.

scholarly journals Coping Profiles Differentiate Psychological Adjustment in Chinese Women Newly Diagnosed With Breast Cancer

2016 ◽  
Vol 16 (2) ◽  
pp. 196-204 ◽  
Author(s):  
Lingyan Li ◽  
Shichen Li ◽  
Yuping Wang ◽  
Jinyao Yi ◽  
Yanjie Yang ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Psychological Distress ◽  
Coping Strategies ◽  
Psychological Adjustment ◽  
Rural Areas ◽  
Latent Profile Analysis ◽  
Chinese Women ◽  
Stressful Events ◽  
Newly Diagnosed ◽  
Cognitive Coping

Objective. The study aimed to explore latent profiles of coping in Chinese women newly diagnosed with breast cancer and examine the differences of psychological distress, demographic, and medical characteristics across profiles. Methods. Latent profile analysis was used to identify 3 classes of copers based on data from 618 Chinese women newly diagnosed with breast cancer who completed questionnaires assessing their coping strategies and psychological distress. Results. “Adaptive coper,” reporting most use of adaptive cognitive coping strategies, behaviors of acceptance and shifting attention, and least use of maladaptive cognitive coping strategies, had the best psychological adjustment. “Negative coper,” characterized by most use of maladaptive cognitive coping strategies, least use of adaptive cognitive coping strategies except “putting in perspective,” and median levels of medical coping behaviors, had the worst psychological adjustment. “Inconsistent coper,” with great use of all cognitive coping strategies, and most behaviors of fighting against the disease, and fewest behaviors of attention shift, had relatively high levels of psychological distress. Younger age, less education, shorter time since diagnosis, widowed, living in rural areas, and undergoing chemotherapy are possible markers for patients with less adaptive coping patterns. Conclusions. Interventions should be developed according to the different coping profiles of patients, and the key group to target is “negative copers,” who may benefit from cognitive behavioral approaches that combine emotion, cognition and behavior, which could help them more effectively appraise and cope with stressful events.

Storytelling and the Cancer Experience: Predictors of Psychological Adjustment Among Young Survivors

2018 ◽  
Author(s):  
Stefanie C. Vuotto ◽  
Mary E. Procidano ◽  
Patricia Sewell ◽  
Tara Mccormack
Keyword(s):  
Psychological Adjustment ◽  
Young Survivors ◽  
Cancer Experience

Surgical management of breast cancer: Experience of the Central Sydney Area Health Service Breast X‐ray Programme, 1988‐1991

1994 ◽  
Vol 160 (10) ◽  
pp. 617-620 ◽  
Author(s):  
Richard I Harrison ◽  
David C Glenn ◽  
Frederick W Niesche ◽  
William G Patrick ◽  
George Ramsey‐Stewart ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Service ◽  
Surgical Management ◽  
X Ray ◽  
Area Health Service ◽  
Cancer Experience ◽  
Area Health

Association between dietary patterns and risk of breast cancer in Chinese female population: a latent class analysis

2020 ◽  
pp. 1-24
Author(s):  
Shang Cao ◽  
Shurong Lu ◽  
Jinyi Zhou ◽  
Zheng Zhu ◽  
Wei Li ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Latent Class Analysis ◽  
Dietary Patterns ◽  
Latent Class ◽  
Chinese Women ◽  
Premenopausal Women ◽  
Positive Association ◽  
Class Analysis ◽  
Female Population ◽  
Soy Foods

ABSTRACT Objective: To determine if specific dietary patterns are associated with breast cancer risk in Chinese women. Design: Latent class analysis (LCA) was performed to identify generic dietary patterns based on daily food-frequency data. Setting: The Chinese Wuxi Exposure and Breast Cancer Study (2013-2014). Participants: A population-based case-control study (695 cases, 804 controls). Results: Four dietary patterns were identified, Prudent, Chinese traditional, Western, and Picky, the proportion in the controls and cases were 0.30/0.32/0.16/0.23 and 0.29/0.26/0.11/0.33, respectively. Women in Picky class were characterized by higher extreme probabilities of non-consumption on specific foods, the highest probabilities of consumption of pickled foods, and the lowest probabilities of consumption of cereals, soy foods, and nuts. Compared with Prudent class, Picky class was associated with a higher risk (OR=1.42, 95%CI=1.06, 1.90), while the relevant association was only in post- (OR=1.44, 95%CI=1.01, 2.05) but not premenopausal women. The Western class characterized by high-protein, -fat, and -sugar foods, the Chinese traditional class characterized by typical consumption of soy foods and white meat over red meat, both of them showed no difference in BC risk compared with Prudent class did. Conclusions: LCA capture the heterogeneity of individuals embedded in the population, could be a useful approach in the study of dietary pattern and disease. Our results indicated that the Picky class might have a positive association with the risk of breast cancer.

scholarly journals An international mixed methods study to develop a new preference-based measure for women with breast cancer: the BREAST-Q Utility module

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Manraj N. Kaur ◽  
Anne F. Klassen ◽  
Feng Xie ◽  
Louise Bordeleau ◽  
Toni Zhong ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Mixed Methods ◽  
Conceptual Framework ◽  
Field Test ◽  
Well Being ◽  
Economic Evaluations ◽  
Structured Interviews ◽  
Image Appearance ◽  
Test Version ◽  
Cancer Experience

Abstract Background Generic preference-based measures (PBM), though commonly used, may not be optimal for use in economic evaluations of breast cancer interventions. No breast cancer-specific PBM currently exists, and the generic PBMs fail to capture the unique concerns of women with breast cancer (e.g., body image, appearance, treatment-specific adverse effects). Hence, the objective of this study was to develop a breast cancer-specific PBM, the BREAST-Q Utility module. Methods Women diagnosed with breast cancer (stage 0–4, any treatment) were recruited from two tertiary hospitals in Canada and one in the US. The study followed an exploratory sequential mixed methods approach, whereby semi-structured interviews were conducted and at the end of the interview, participants were asked to list their top five health-related quality of life (HRQOL) concerns and to rate the importance of each item on the BREAST-Q. Interviews were audio-recorded, transcribed verbatim, and coded. Constant comparison was used to refine the codes and develop a conceptual framework. Qualitative and quantitative data were triangulated to develop the content of the Utility module  that was refined through 2 rounds of cognitive debriefing interviews with women diagnosed with breast cancer and feedback from experts. Results Interviews were conducted with 57 women aged 55 ± 10 years. A conceptual framework was developed from 3948 unique codes specific to breasts, arms, abdomen, and cancer experience. Five top-level domains were HRQOL (i.e., physical, psychological, social, and sexual well-being) and appearance. Data from the interviews, top 5 HRQOL concerns, and BREAST-Q item ratings were used to inform dimensions for inclusion in the Utility module. Feedback from women with breast cancer (N = 9) and a multidisciplinary group of experts (N = 27) was used to refine the module. The field-test version of the HSCS consists of 10 unique dimensions. Each dimension is measured with 1 or 2 candidate items that have 4–5 response levels each. Conclusion The field-test version of the BREAST-Q Utility module was derived from extensive patient and expert input. This comprehensive approach ensured that the content of the Utility module is relevant, comprehensive, and includes concerns that matter the most to women with breast cancer.

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