Coping strategies and psychosocial resources among women living with metastatic breast cancer: A qualitative study.
Coping strategies and psychosocial resources among women living with metastatic breast cancer: A qualitative study.
复制标题
转移性乳腺癌女性的应对策略和社会心理资源：一项定性研究。
DOI：
10.1080/07347332.2023.2254754
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发表时间：
2023
影响因子：
2.1
通讯作者：
Moreno,PatriciaI
中科院分区：
文献类型：
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作者：
NoriegaEsquives,BlancaS;Walsh,EmilyA;Penedo,FrankJ;Thomas,JessicaL;Horner,FionaS;Torzewski,JoannaB;Gradishar,WilliamJ;Victorson,DavidE;Moreno,PatriciaI
目的尽管有更多的女性患有转移性乳腺癌(MBC)，但这一人群在癌症生存研究中的代表性不足。很少有研究评估患有MBC的女性如何应对她们的癌症经历。这项定性研究描述了女性多发性骨髓瘤患者的应对策略和心理社会资源利用情况。使用一般归纳法对记录进行分析。结果我们确定了12种应对策略和心理社会资源，并将其归类为5个主题：行为应对策略(即压力管理、积极应对和计划)；认知应对策略和心理资源(即认知重新评价、乐观、正念、积极思考和宗教应对)；存在主义取向应对(即接受、基于价值观的生活和认同整合)；回避(即回避性应对)；与人际资源和寻求社会支持(即社会支持)。结论MBC患者妇女使用几种投入和脱离应对策略，以及个人内和人际资源。这项研究提供了一些有益的视角，可以帮助发展心理社会干预措施。需要进一步的研究来评估不同亚群的MBC患者的应对策略和心理社会资源，并确定它们对癌症预后的影响。
ObjectiveDespite more women living with metastatic breast cancer (MBC), this population is underrepresented in cancer survivorship research. Few studies have assessed how women with MBC cope with their cancer experience. This qualitative study describes the coping strategies and psychosocial resources utilized by women living with MBC.MethodsTwenty-two women with MBC participated in four focus groups. Transcripts were analyzed using a general inductive approach. Codes derived from participants’ responses were subsequently condensed into themes.ResultsWe identified 12 coping strategies and psychosocial resources and grouped them into five themes:Behavioral Coping Strategies(i.e. stress management, active coping and planning);Cognitive Coping Strategies and Psychological Resources(i.e. cognitive reappraisal, optimism, mindfulness, positive thinking, and religious coping);Existential Approach-Oriented Coping(i.e. acceptance, values-based living, and identity integration);Avoidance(i.e. avoidant coping); andInterpersonal Resources and Seeking Social Support(i.e. social support).ConclusionsWomen living with MBC utilize several engagement and disengagement coping strategies, as well as intrapersonal and interpersonal resources. This study provides useful perspectives of women living with MBC that may inform the development of psychosocial interventions. Further research is needed to assess coping strategies and psychosocial resources across different subgroups of MBC patients and determine their impact on cancer outcomes.