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Article: Adaptation process and psychosocial resources of Chinese colorectal cancer patients undergoing adjuvant treatment: A qualitative analysis

TitleAdaptation process and psychosocial resources of Chinese colorectal cancer patients undergoing adjuvant treatment: A qualitative analysis
Authors
KeywordsAdaptation
Cancer trajectory
Chinese
Colorectal cancer
Psychosocial resource changes
Issue Date2009
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807
Citation
Psycho-Oncology, 2009, v. 18 n. 9, p. 936-944 How to Cite?
AbstractObjectives: To examine how Chinese patients with colorectal cancer (CRC) dynamically adapt to diagnosis and treatment and explore how patients evolve and deploy different resources throughout the illness trajectory. Methods: Semi-structured interviews were conducted on a purposive sample of 16 histologically diagnosed Chinese CRC patients about to complete or who had very recently completed all treatment without recurrence. Recorded interviews were transcribed verbatim and analyzed by using grounded theory techniques. Results: Three major adaptation-related themes were identified: (1) utilization of medical resources, (2) transition of resource utilization, and (3) continuous resistance to demands. Initial prevailing fatalistic views of diagnosis associated predominantly with frequent medical surveillance and with respondents' weighting of treatment and expertise of medical professionals. As treatment progressed, there was a shift toward reliance on personal and social resources to field cancer-related demands concurrent with a gradual distancing from medical care. Upon treatment completion, fatalism re-emerged regarding disease recurrence, which, like diagnosis, was seen as not amenable to individual control, even with close adherence to medical follow-ups and dietary adjustment. Maintaining positive states of mind and good relationships with family and friends were cores strategies respondents adopted to preserve psychological well-being. Conclusions: Maintenance and enhancement of personal and social resources throughout the CRC trajectory may have considerably more utility than traditional descriptive studies hitherto suggested. Considering personal and social resources within dynamic rather than static models could avoid the pitfall of attributing maladaptive responses to initial dispositions and socioeconomic conditions that are seemingly unalterable and enduring over time. Copyright © 2008 John Wiley & Sons, Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/86622
ISSN
2015 Impact Factor: 3.256
2015 SCImago Journal Rankings: 1.904
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorHou, WKen_HK
dc.contributor.authorLam, WWTen_HK
dc.contributor.authorFielding, Ren_HK
dc.date.accessioned2010-09-06T09:19:18Z-
dc.date.available2010-09-06T09:19:18Z-
dc.date.issued2009en_HK
dc.identifier.citationPsycho-Oncology, 2009, v. 18 n. 9, p. 936-944en_HK
dc.identifier.issn1057-9249en_HK
dc.identifier.urihttp://hdl.handle.net/10722/86622-
dc.description.abstractObjectives: To examine how Chinese patients with colorectal cancer (CRC) dynamically adapt to diagnosis and treatment and explore how patients evolve and deploy different resources throughout the illness trajectory. Methods: Semi-structured interviews were conducted on a purposive sample of 16 histologically diagnosed Chinese CRC patients about to complete or who had very recently completed all treatment without recurrence. Recorded interviews were transcribed verbatim and analyzed by using grounded theory techniques. Results: Three major adaptation-related themes were identified: (1) utilization of medical resources, (2) transition of resource utilization, and (3) continuous resistance to demands. Initial prevailing fatalistic views of diagnosis associated predominantly with frequent medical surveillance and with respondents' weighting of treatment and expertise of medical professionals. As treatment progressed, there was a shift toward reliance on personal and social resources to field cancer-related demands concurrent with a gradual distancing from medical care. Upon treatment completion, fatalism re-emerged regarding disease recurrence, which, like diagnosis, was seen as not amenable to individual control, even with close adherence to medical follow-ups and dietary adjustment. Maintaining positive states of mind and good relationships with family and friends were cores strategies respondents adopted to preserve psychological well-being. Conclusions: Maintenance and enhancement of personal and social resources throughout the CRC trajectory may have considerably more utility than traditional descriptive studies hitherto suggested. Considering personal and social resources within dynamic rather than static models could avoid the pitfall of attributing maladaptive responses to initial dispositions and socioeconomic conditions that are seemingly unalterable and enduring over time. Copyright © 2008 John Wiley & Sons, Ltd.en_HK
dc.languageengen_HK
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5807en_HK
dc.relation.ispartofPsycho-Oncologyen_HK
dc.rightsPsycho-Oncology. Copyright © John Wiley & Sons Ltd.en_HK
dc.subjectAdaptationen_HK
dc.subjectCancer trajectoryen_HK
dc.subjectChineseen_HK
dc.subjectColorectal canceren_HK
dc.subjectPsychosocial resource changesen_HK
dc.subject.meshAsian Continental Ancestry Group - psychology-
dc.subject.meshChemotherapy, Adjuvant - psychology-
dc.subject.meshColorectal Neoplasms - ethnology - psychology - therapy-
dc.subject.meshIllness Behavior-
dc.subject.meshRadiotherapy, Adjuvant - psychology-
dc.titleAdaptation process and psychosocial resources of Chinese colorectal cancer patients undergoing adjuvant treatment: A qualitative analysisen_HK
dc.typeArticleen_HK
dc.identifier.emailHou, WK:en_HK
dc.identifier.emailLam, WWT: wwtlam@hku.hken_HK
dc.identifier.emailFielding, R: fielding@hku.hken_HK
dc.identifier.authorityHou, WK=rp01481en_HK
dc.identifier.authorityLam, WWT=rp00443en_HK
dc.identifier.authorityFielding, R=rp00339en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1002/pon.1457en_HK
dc.identifier.pmid19090497-
dc.identifier.scopuseid_2-s2.0-70450209539en_HK
dc.identifier.hkuros163152en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-70450209539&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume18en_HK
dc.identifier.issue9en_HK
dc.identifier.spage936en_HK
dc.identifier.epage944en_HK
dc.identifier.isiWOS:000270160100004-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridHou, WK=35147323500en_HK
dc.identifier.scopusauthoridLam, WWT=7203022022en_HK
dc.identifier.scopusauthoridFielding, R=7102200484en_HK

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