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Investigating resilience in breast cancer: a mixed-methods approach

Journal Article


Abstract


  • Background:

    Psychological resilience has recently emerged as a topic of

    interest among psycho-oncology researchers and clinicians. Although this

    concept has been discussed with increasing frequency, the investigation and

    application of resilience in the cancer context is still in its infancy. Resilience

    has been conceptualised as a contextual phenomenon that manifests as

    maintenance or recovery of well-being amidst adversity, with adaptive goal-

    based coping processes proposed to underpin this phenomenon. This study

    aimed to apply a goal-based model of resilience to women with early-stage

    breast cancer and to determine whether adaptive goal processes of assimila-

    tion and accommodation underpin the maintenance or recovery of psycho-

    logical well-being in the six months following diagnosis.

    Methods:

    The study utilised a longitudinal mixed-methods design. Self-

    report questionnaires were administered at four time-points post-surgery, in

    conjunction with semi-structured phone interviews. To date, complete data

    has been collected from 14 women; the fi

    nal sample size will be approxi-

    mately 50 women.

    Results:

    Preliminary data analysis reveals that women with early-stage

    breast cancer hold important goals in life and that these goals are differen-

    tially impacted by cancer-related circumstances. Women who make adjust-

    ments to their goals or situation when encountering goal interference seem

    to be better able to continue goal pursuit and maintain a general sense of

    well-being and control. Longitudinal data will be further analysed with

    latent growth modelling and logistic regression. Cross-sectional and longi-

    tudinal interview data will be analysed for themes indicative of adaptive

    goal-based coping.

    Conclusions:

    Preliminary fi

    ndings indicate that a goal-based model of resil-

    ience has utility for understanding how resilience can be manifested in the

    context of breast cancer. This model has the potential to inform the psycho-

    social care of patients by enabling clinicians to better identify factors that

    may support or detract from the manifestation of resilience in the context

    of breast cancer diagnosis, surgery and adjuvant treatment.

UOW Authors


  •   Stefanic, Natalie (external author)
  •   Caputi, Peter
  •   Iverson, Donald C.
  •   Lane, Lisbeth (external author)
  •   Oades, Lindsay G. (external author)

Publication Date


  • 2012

Citation


  • Stefanic, N., Caputi, P., Iverson, D. C., Lane, L. G. & Oades, L. G. (2012). Investigating resilience in breast cancer: a mixed-methods approach. Asia-Pacific Journal Of Clinical Oncology, 8 (Supplement S3), 295-295.

Ro Metadata Url


  • http://ro.uow.edu.au/sspapers/45

Number Of Pages


  • 0

Start Page


  • 295

End Page


  • 295

Volume


  • 8

Issue


  • Supplement S3

Abstract


  • Background:

    Psychological resilience has recently emerged as a topic of

    interest among psycho-oncology researchers and clinicians. Although this

    concept has been discussed with increasing frequency, the investigation and

    application of resilience in the cancer context is still in its infancy. Resilience

    has been conceptualised as a contextual phenomenon that manifests as

    maintenance or recovery of well-being amidst adversity, with adaptive goal-

    based coping processes proposed to underpin this phenomenon. This study

    aimed to apply a goal-based model of resilience to women with early-stage

    breast cancer and to determine whether adaptive goal processes of assimila-

    tion and accommodation underpin the maintenance or recovery of psycho-

    logical well-being in the six months following diagnosis.

    Methods:

    The study utilised a longitudinal mixed-methods design. Self-

    report questionnaires were administered at four time-points post-surgery, in

    conjunction with semi-structured phone interviews. To date, complete data

    has been collected from 14 women; the fi

    nal sample size will be approxi-

    mately 50 women.

    Results:

    Preliminary data analysis reveals that women with early-stage

    breast cancer hold important goals in life and that these goals are differen-

    tially impacted by cancer-related circumstances. Women who make adjust-

    ments to their goals or situation when encountering goal interference seem

    to be better able to continue goal pursuit and maintain a general sense of

    well-being and control. Longitudinal data will be further analysed with

    latent growth modelling and logistic regression. Cross-sectional and longi-

    tudinal interview data will be analysed for themes indicative of adaptive

    goal-based coping.

    Conclusions:

    Preliminary fi

    ndings indicate that a goal-based model of resil-

    ience has utility for understanding how resilience can be manifested in the

    context of breast cancer. This model has the potential to inform the psycho-

    social care of patients by enabling clinicians to better identify factors that

    may support or detract from the manifestation of resilience in the context

    of breast cancer diagnosis, surgery and adjuvant treatment.

UOW Authors


  •   Stefanic, Natalie (external author)
  •   Caputi, Peter
  •   Iverson, Donald C.
  •   Lane, Lisbeth (external author)
  •   Oades, Lindsay G. (external author)

Publication Date


  • 2012

Citation


  • Stefanic, N., Caputi, P., Iverson, D. C., Lane, L. G. & Oades, L. G. (2012). Investigating resilience in breast cancer: a mixed-methods approach. Asia-Pacific Journal Of Clinical Oncology, 8 (Supplement S3), 295-295.

Ro Metadata Url


  • http://ro.uow.edu.au/sspapers/45

Number Of Pages


  • 0

Start Page


  • 295

End Page


  • 295

Volume


  • 8

Issue


  • Supplement S3