Latina Breast Cancer Survivors' Lived Experiences: Diagnosis, Treatment, and Beyond
Latina Breast Cancer Survivors' Lived Experiences: Diagnosis, Treatment, and Beyond
复制标题
DOI：
10.1037/1099-9809.14.2.163
复制
发表时间：
2008-04-01
影响因子：
3.3
通讯作者：
French, Bryana
中科院分区：
文献类型：
--
作者：
Buki, Lydia P.;Garces, D. Marcela;French, Bryana
拉丁裔乳腺癌幸存者没有从社会心理干预措施的进步中受益。尽管他们的乳腺癌负担更大，但有关该人群的信息却很缺乏。这项定性研究考察了 18 名拉丁移民乳腺癌幸存者从诊断到长期生存的整个生存过程的经历。作者对处于急性期、再入期和长期生存期的女性进行了单独的焦点小组讨论。通过扎根理论分析，作者发现了 5 个体验主题：心理健康的认知、诊断的影响、治疗的影响、社会支持的需求以及新态度的发展。有些主题适用于所有生存阶段，而其他主题在特定阶段更为突出。在主题内，作者确定了一般文献中报道的经历（即化疗的衰弱作用）和独特的文化经历（即担心癌症诊断会导致死亡）。结果表明，针对每个生存阶段量身定制的治疗方法可能比一般干预措施更有效。这些发现有可能减少拉丁裔乳腺癌幸存者在利用心理社会治疗方面的健康差异。
Latina breast cancer survivors are not benefiting from advances in psychosocial interventions. Despite their greater breast cancer burden, there is a dearth of information about this population. This qualitative study examined the experiences of 18 immigrant Latina breast cancer survivors along the survivorship continuum, from diagnosis to long-term survivorship. The authors conducted separate focus groups with women in the acute, reentry, and long-term survivorship stages. Through grounded theory analysis, the authors uncovered 5 themes of experience: perceptions of psychological well-being, impact of diagnosis, impact of treatment, need for social support, and development of new attitudes. Some themes were applicable across all survivorship stages, whereas others were more salient at a particular stage. Within themes, the authors identified experiences reported in the general literature (i.e., the debilitating effect of chemotherapy) and distinct cultural experiences (i.e., fear that I cancer diagnosis leads to certain death). Results suggest that treatments tailored for each survivorship stage are more likely to be effective than generic interventions. These findings have the potential to lessen health disparities in utilization of psychosocial treatments by Latina breast cancer survivors.