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From “invincibility” to “normalcy”: Coping strategies of young adults during the cancer journey

Published online by Cambridge University Press:  27 February 2007

BAUKJE MIEDEMA
Affiliation:
Dalhousie University Family Medicine Teaching Unit, Fredericton, New Brunswick, Canada
RYAN HAMILTON
Affiliation:
Dalhousie University Family Medicine Teaching Unit, Fredericton, New Brunswick, Canada
JULIE EASLEY
Affiliation:
Dalhousie University Family Medicine Teaching Unit, Fredericton, New Brunswick, Canada

Abstract

Objective: Little research has been undertaken regarding the psychological impact of cancer on those stricken during the young adult years. Specifically, research on the coping strategies of young adults with cancer is limited.

Method: In this qualitative, Grounded Theory study, we did not set out to examine coping; rather, it emerged as a major phenomenon in the analysis of interview data from 15 young adults with cancer.

Results: These young adults used various coping strategies to come to terms with the cancer diagnosis, management of the illness, its treatment, and treatment sequelae. The coping strategies varied considerably from person to person, depended on the stage(s) of the illness, and were rooted in their precancer lives. We were able to discern a pattern of coping strategies used by most participants. The prevailing goal for all participants was to achieve what they called “normalcy.” For some, this meant major changes in their lives; for others it meant to “pick up” where they had left off before the cancer diagnosis.

Significance of results: To aid the understanding of the issues that influence coping, we have developed a model to illustrate the bidirectional nature and the complexities of the coping strategies as they relate to the phases of the disease and the disease treatment. The model also affirms Folkman and Lazarus' coping theory.

Type
Research Article
Copyright
© 2007 Cambridge University Press

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References

REFERENCES

Albritton, K. & Bleyer, W.A. (2003). The management of cancer in the older adolescent. European Journal of Cancer, 39, 25842599.Google Scholar
Aymanns, P., Filipp, S.H., & Klauer, T. (1995). Family support and coping with cancer: Some determinants and adaptive correlates. The British Journal of Social Psychology, 34, 107124.Google Scholar
Boman, K.K. & Bodegard, G. (2004). Life after cancer in childhood: Social adjustment and educational and vocational status of young-adult survivors. Journal of Pediatric Hematology/Oncology, 26, 354362.Google Scholar
Cancer Care Ontario. (2006). Cancer in Young Adults in Canada. Ottawa: Public Health Agency of Canada.
Carlsson, M., Arman, M., Backman, M., et al. (2005). Coping in women with breast cancer in complementary and conventional care over 5 years measured by the mental adjustment to cancer scale. Journal of Alternative and Complementary Medicine, 11, 441447.Google Scholar
Classen, C., Koopman, C., Angell, K., et al. (1996). Coping styles associated with psychological adjustment to advanced breast cancer. Health Psychology, 15, 434437.Google Scholar
Derdiarian, A.K. (1986). Informational needs of recently diagnosed cancer patients. Nursing Research, 35, 276281.Google Scholar
Dunn, J. & Steginga, S.K. (2000). Young women's experience of breast cancer: Defining young and identifying concerns. Psychooncology, 9, 137146.Google Scholar
Folkman, S. (1984). Personal control and stress and coping processes: A theoretical analysis. Journal of Personality and Social Psychology, 46, 839852.Google Scholar
Folkman, S. & Lazarus, R.S. (1980). An analysis of coping in a middle-aged community sample. Journal of Health and Social Behavior, 21, 219239.Google Scholar
Folkman, S. & Lazarus, R.S. (1988). The relationship between coping and emotion: Implications for theory and research. Social Science & Medicine, 26, 309317.Google Scholar
Hack, T.F. & Degner, L.F. (2004). Coping responses following breast cancer diagnosis predict psychological adjustment three years later. Psychooncology, 13, 235247.Google Scholar
Kyngas, H., Mikkonen, R., Nousiainen, E.M., et al. (2001). Coping with the onset of cancer: Coping strategies and resources of young people with cancer. European Journal of Cancer Care, 10, 611.Google Scholar
Langeveld, N.E., Grootenhuis, M.A., Voute, P.A., et al. (2003). No excess fatigue in young adult survivors of childhood cancer. European Journal of Cancer, 39, 204214.Google Scholar
Langeveld, N.E., Grootenhuis, M.A., Voute, P.A., et al. (2004). Quality of life, self-esteem and worries in young adult survivors of childhood cancer. Psychooncology, 13, 867881.Google Scholar
Langeveld, N.E., Stam, H., Grootenhuis, M.A., et al. (2002). Quality of life in young adult survivors of childhood cancer. Supportive Care in Cancer, 10, 579600.Google Scholar
Lazarus, R.S. (2006). Emotions and interpersonal relationships: Toward a person-centered conceptualization of emotions and coping. Journal of Personality, 74, 946.Google Scholar
Lazarus, R.S. & Folkman, S. (1984). Stress, Appraisal, and Coping. New York: Springer Publishing Co.
LoBiondo-Wood, G. & Haber, J. (2002). Nursing Research: Methods, Critical Appraisal, and Utilization (5th ed.). St. Louis, MO: Mosby-Year Book, Inc.
Meadows, A.T., McKee, L., & Kazak, A.E. (1989). Psychosocial status of young adult survivors of childhood cancer: A survey. Medical and Pediatric Oncology, 17, 466470.Google Scholar
Miedema, B., Easley, J., & Hamilton, R. (2006). Young adult cancer survivors' experiences with cancer diagnosis. Canadian Family Physician, 52, 1447.Google Scholar
Mullen, F. (1985). Seasons of a survivor: Reflections of a physicians with cancer. New England Journal of Medicine, 313, 270273.Google Scholar
National Cancer Institute. (2007). Dictionary of Cancer Terms. http://www.cancer.gov/templates/db_alpha.aspx?expand=S
Nichols, M.L. (1995). Social support and coping in young adolescents with cancer. Pediatric Nursing, 21, 235240.Google Scholar
Oeffinger, K.C. & Hudson, M.M. (2004). Long-term complications following childhood and adolescent cancer: Foundations for providing risk-based health care for survivors. CA: A Cancer Journal for Clinicians, 54, 208236.Google Scholar
Parle, M., Jones, B., & Maguire, P. (1996). Maladaptive coping and affective disorders among cancer patients. Psychological Medicine, 26, 735744.Google Scholar
Salander, P. (2000). Using beliefs and magical thinking to fight cancer distress—A case study. Psychooncology, 9, 4043.Google Scholar
Wu, X., Groves, F.D., McLaughlin, C.C., et al. (2005). Cancer incidence patterns among adolescents and young adults in selected US areas. Cancer Causes & Control, 16, 309320.Google Scholar