Coping With Breast Cancer Survivorship in Chinese Women The Role of Fatalism or Fatalistic Voluntarism

被引:44
作者
Cheng, Huilin
Sit, Janet W. H. [1 ]
Twinn, Sheila F. [1 ]
Cheng, Karis K. F.
Thorne, Sally [2 ]
机构
[1] Chinese Univ Hong Kong, Nethersole Sch Nursing, Hong Kong, Hong Kong, Peoples R China
[2] Univ British Columbia, Sch Nursing, Vancouver, BC V5Z 1M9, Canada
关键词
Cancer; Chinese; Coping and adaptation; Culture survivorship; Fatalism; Fatalistic voluntarism; Self-care; PSYCHOLOGICAL ADJUSTMENT; OLDER-ADULT; HEALTH; STRESS; PREVENTION; BEHAVIOR; LIFE;
D O I
10.1097/NCC.0b013e31826542b2
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: The existing knowledge on fatalism in the field of cancer has arisen largely from the cancer prevention and screening literature. Little is known about the role of fatalism in cancer survivorship, particularly within Chinese population. Objective: This study aimed to explore the role of fatalism in coping with breast cancer survivorship in Chinese women. Methods: In-depth interviews were conducted on 29 participants selected from those who attended a local cancer self-help organization in China. Interview transcripts were transcribed and analyzed using qualitative content analysis. Results: Although they actively engaged in emotional regulation and self-care management to cope with survivorship, participants believed in fatalism and accepted their inability to change the final outcome of cancer. Such contradictory behavioral and cognitive aspects of coping reported by participants highlighted the role of a complex belief system involving Ming in positively influencing the interpretation of fatalism and the actual coping efforts taken. Conclusions: Findings suggest that fatalism related to coping in the Chinese context combined 2 elements: fatalistic belief in and acceptance of the way things are as well as the exertion of personal efforts over the situation. As such, it seems more effectively depicted in terms of the emerging concept "fatalistic voluntarism." Implications for Practice: When planning intervention for Chinese population, incorporating fatalistic voluntarism as a cognitive belief system in the process of adaptation to survivorship may be more culturally relevant for facilitating their coping behaviors.
引用
收藏
页码:236 / 244
页数:9
相关论文
共 44 条
[1]   Understanding the breast cancer experience of Asian American women [J].
Ashing, KT ;
Padilla, G ;
Tejero, J ;
Kagawa-Singer, M .
PSYCHO-ONCOLOGY, 2003, 12 (01) :38-58
[2]  
Berg B., 2009, Qualitative Research Methods for the Social Science
[3]   Conformity with nature: A theory of Chinese American elders' health promotion and illness prevention processes [J].
Chen, YLD .
ADVANCES IN NURSING SCIENCE, 1996, 19 (02) :17-26
[4]   Stress and coping of Hong Kong Chinese family members during a critical illness [J].
Chui, Winter Y-Y ;
Chan, Sally W-C .
JOURNAL OF CLINICAL NURSING, 2007, 16 (02) :372-381
[5]   The Relevance of Fatalism in the Study of Latinas' Cancer Screening Behavior: A Systematic Review of the Literature [J].
de los Monteros, Karla Espinosa ;
Gallo, Linda C. .
INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, 2011, 18 (04) :310-318
[6]   Cancer-related health worries and psychological distress among older adult, long-term cancer survivors [J].
Deimling, GT ;
Bowman, KF ;
Sterns, S ;
Wagner, LJ ;
Kahana, B .
PSYCHO-ONCOLOGY, 2006, 15 (04) :306-320
[7]   Coping among older-adult, long-term cancer survivors [J].
Deimling, GT ;
Wagner, LJ ;
Bowman, KF ;
Sterns, S ;
Kercher, K ;
Kahana, B .
PSYCHO-ONCOLOGY, 2006, 15 (02) :143-159
[8]   Awareness and barriers to use of cancer support and information resources by HMO patients with breast, prostate, or colon cancer: Patient and provider perspective [J].
Eakin, EG ;
Strycker, LA .
PSYCHO-ONCOLOGY, 2001, 10 (02) :103-113
[9]  
Ferlay J., GLOBOCAN 2008 CANC I
[10]   Fatalism or Destiny? A Qualitative Study and Interpretative Framework on Dominican Women's Breast Cancer Beliefs [J].
Florez, Karen R. ;
Aguirre, Alejandra N. ;
Viladrich, Anahi ;
Cespedes, Amarilis ;
De la Cruz, Ana Alicia ;
Abraido-Lanza, Ana F. .
JOURNAL OF IMMIGRANT AND MINORITY HEALTH, 2009, 11 (04) :291-301