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A grounded theory approach to understand the cancer-coping process
Vikki Knott1, Deborah Turnbull, Ian Olver
1Centre for Applied Psychology, University of Canberra, Faculty of Health, University of Canberra, Bruce, ACT 2601, Australia. vikki.knott@canberra.edu.au
British Journal of Health Psychology
|November 24, 2011
Summary
Understanding the social context of cancer is key to developing effective coping strategies. This study highlights how communication and social support influence cancer patients' adjustment and distress, suggesting new intervention avenues.
Area of Science:
- Psychosocial Oncology
- Qualitative Health Research
- Cancer Survivorship
Background:
- Traditional focus on individualistic cancer coping strategies (e.g., positivity) has limited intervention development.
- The lived experience and social context of cancer communication require further exploration.
Purpose of the Study:
- To investigate the 'lived experience' of cancer within its social context.
- To understand communication dynamics in cancer care and coping.
Main Methods:
- Semi-structured interviews with 20 cancer patients (13 female, 7 male, ages 44-73).
- Interviews supplemented by the Mini-International Neuropsychiatric Interview (M.I.N.I.).
- Glaser's constant comparative method for data analysis (open, selective, and theoretical coding).
Main Results:
- Fifty percent of participants met criteria for an Axis 1 diagnosis.
- Three emergent models: patient evaluation of care quality, communication in cancer coping, and coping characterized by loss and distress.
- Successful and unsuccessful coping attempts via communication were described.
Conclusions:
- The social environment significantly impacts the cancer-coping process.
- Interventions should focus on the social context to improve patient adjustment.
- Further research is needed to develop targeted interventions for cancer survivors.
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