Fear of Cancer Progression and Death Anxiety in Survivors of Advanced Colorectal Cancer: A Qualitative Study Exploring Coping Strategies and Quality of Life

被引：0

作者：

Lim, Chloe Yi Shing ^{[1
]}

Laidsaar-Powell, Rebekah C. ^{[1
]}

Young, Jane M. ^{[2
,3
]}

Solomon, Michael ^{[4
,5
,6
,7
,8
]}

Steffens, Daniel ^{[6
,7
]}

Blinman, Prunella ^{[9
]}

O'Loughlin, Scott ^{[10
]}

Zhang, Yuehan ^{[11
]}

Butow, Phyllis ^{[1
]}

Adv CRC Survivorshipauthorship Grp

机构：

[1] Univ Sydney, Fac Sci, Ctr Med Psychol & Evidence Based Decis Making CeMP, Sch Psychol, Level 6 North,Chris OBrien Lifehouse C39Z, Sydney, NSW 2006, Australia

[2] Univ Sydney, Fac Med & Hlth, Sydney Sch Publ Hlth, Sydney, NSW, Australia

[3] Univ Sydney, Daffodil Ctr, Joint Venture Canc Council NSW, Woolloomooloo, Australia

[4] Royal Prince Alfred Hosp, RPA Inst Acad Surg IAS, Sydney, NSW, Australia

[5] Univ Sydney, SYDNEY, NSW, Australia

[6] Royal Prince Alfred Hosp, Sydney Local Hlth Dist, Surg Outcomes Res Ctr SOuRCe, Sydney, NSW, Australia

[7] Univ Sydney, Fac Med & Hlth, Cent Clin Sch, SYDNEY, NSW, Australia

[8] Royal Prince Alfred Hosp, Sydney Local Hlth Dist, Dept Colorectal Surg, Sydney, NSW, Australia

[9] Concord Repatriat Gen Hosp, Sydney Local Hlth Dist, Concord Canc Ctr, Sydney, NSW, Australia

[10] Macarthur Hosp, Ramsay Mental Hlth, Sydney, NSW, Australia

[11] Australian Natl Univ, Natl Ctr Epidemiol & Populat Hlth, Canberra, ACT, Australia

来源：

OMEGA-JOURNAL OF DEATH AND DYING | 2025年 / 90卷 / 03期

关键词：

bowel cancer; cancer survivorship; death acceptance; fear of cancer recurrence; qualitative interviews; PERITONEAL METASTASES; CARE; THERAPY; INTERVENTIONS; MANAGEMENT;

D O I：

暂无

中图分类号：

B84 [心理学];

学科分类号：

04 ; 0402 ;

摘要：

This study aimed to examine coping strategies used by advanced colorectal cancer (CRC-A) survivors to manage death anxiety and fear of cancer progression, and links between these strategies and quality of life (QoL), distress, and death acceptance. Qualitative semi-structured interviews of 38 CRC-A survivors (22 female) were analysed via framework analysis. QoL and distress were assessed through the FACT-C and Distress Thermometer. Eleven themes were identified and mapped to active avoidance (keeping busy and distracted), passive avoidance (hoping for a cure), active confrontation (managing negative emotions; reaching out to others; focusing on the present; staying resilient), meaning-making (redefining one's identity; contributing to society; gaining perspective; remaining spiritual), and acceptance (accepting one's situation). Active confrontation (specifically utilising informal support networks) and meaning-making appeared beneficial coping strategies; more research is needed to develop and evaluate interventions which increase CRC-A survivors' use of these strategies to manage and cope with their death anxiety.

引用

页码：1325 / 1362

页数：38

共 57 条

[1] A systematic review of interventions for family caregivers who care for patients with advanced cancer at home [J].

Ahn, Soojung ;

Romo, Rafael D. ;

Campbell, Cathy L. .

PATIENT EDUCATION AND COUNSELING, 2020, 103 (08) :1518-1530

[2]

Al-Busaidi Zakiya Q, 2008, Sultan Qaboos Univ Med J, V8, P11

[3]

American Cancer Society, 2022, CAR FAM

[4] Peritoneal metastases of colorectal origin treated by cytoreduction and HIPEC: An overview [J].

Arjona-Sanchez, Alvaro ;

Javier Medina-Fernandez, Francisco ;

Cristobal Munoz-Casares, Francisco ;

Casado-Adam, Angela ;

Manuel Sanchez-Hidalgo, Juan ;

Rufian-Pena, Sebastian .

WORLD JOURNAL OF GASTROINTESTINAL ONCOLOGY, 2014, 6 (10) :407-412

[5]

Barbour RS, 2000, J EVAL CLIN PRACT, V6, P155

[6] Symptom Monitoring With Patient-Reported Outcomes During Routine Cancer Treatment: A Randomized Controlled Trial [J].

Basch, Ethan ;

Deal, Allison M. ;

Kris, Mark G. ;

Scher, Howard I. ;

Hudis, Clifford A. ;

Sabbatini, Paul ;

Rogak, Lauren ;

Bennett, Antonia V. ;

Dueck, Amylou C. ;

Atkinson, Thomas M. ;

Chou, Joanne F. ;

Dulko, Dorothy ;

Sit, Laura ;

Barz, Allison ;

Novotny, Paul ;

Fruscione, Michael ;

Sloan, Jeff A. ;

Schrag, Deborah .

JOURNAL OF CLINICAL ONCOLOGY, 2016, 34 (06) :557-+

[7]

Best L., 2000, The Cochrane Database of Systematic Reviews, V2000, DOI [10.1002/14651858.CD001545, DOI 10.1002/14651858.CD001545, 10.1016/s0197-2456(01)00152-0]

[8]

Bray F, 2018, CA-CANCER J CLIN, V68, P394, DOI [10.3322/caac.21492, 10.3322/caac.21609]

[9]

Butow P., 2021, Acceptability and appropriateness of a clinical pathway for managing anxiety and depression in cancer patients: A mixed methods study of staff perspectives

[10] Clinical pathway for the screening, assessment and management of anxiety and depression in adult cancer patients: Australian guidelines [J].

Butow, Phyllis ;

Price, Melanie A. ;

Shaw, Joanne M. ;

Turner, Jane ;

Clayton, Josephine M. ;

Grimison, Peter ;

Rankin, Nicole ;

Kirsten, Laura .

PSYCHO-ONCOLOGY, 2015, 24 (09) :987-1001

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