Colorectal cancer: a qualitative study of coping strategies used by survivors, with associated social determinants

Archives of Public Health

Research

Sebastià March¹  Lorena Ruiz-Marcos²  Enriqueta Pujol-Ribera³  Antonio González-Herrera⁴  Magdalena Esteva⁵ 

[1] Cooperativa Aplica, Madrid, Spain;Faculty of Political Sciences and Sociology, Complutense University of Madrid, Pozuelo de Alarcón, Madrid, Spain;Fundació Institut Universitari per a la recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain;Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Spain;Gerència Territorial de Barcelona, Institut Català de La Salut, Barcelona, Spain;National School of Public Health (Carlos III Health Institute), Madrid, Spain;Primary Care Research Unit, Majorca Department of Primary Care, Baleares Health Service (IbSalut), Palma, Majorca, Spain;Health Research Institute of the Balearic Islands (IdISBa), Palma, Majorca, Spain;

关键词: Colorectal neoplasms;    Cancer survivors;    Adaptation;    Psychological;    Social determinants of health;    Psychology;    Positive;    Qualitative research;   

DOI  :  10.1186/s13690-023-01104-4

 received in 2022-08-12, accepted in 2023-05-06,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundColorectal cancer survivors have to develop coping strategies during the diagnosis and survivorship period. This study aims to identify coping strategies in patients with colorectal cancer, in particular the differences between coping strategies during the disease and throughout survival. It also aims to investigate the impact of some social determinants on coping strategies and critically reflect on the influence of positive psychology.MethodsQualitative study with in-depth interviews of a purposive sample of 21 colorectal cancer survivors in Majorca (Spain), developed between 2017–2019. Data was analysed using interpretive thematic analysis.ResultsWe observed different coping strategies during the stages of disease and survival. However, striving toward acceptance and adaptation when facing difficulties and uncertainty, predominate in both stages. Confrontational attitudes are also considered important, as well as encouraging positive rather than negative feelings, which are considered unhelpful and to be avoided.ConclusionsAlthough coping during illness and survival can be classified into common categories (problem and emotion-centred strategies), the challenges of these stages are faced differently. Age, gender and the cultural influence of positive psychology strongly influence both stages and strategies.

【 授权许可】

CC BY   
© The Author(s) 2023