"The Uncertainty Is What Is Driving Me Crazy": The Tripartite Model of Uncertainty in the Adolescent and Young Adult Cancer Context

被引:31
作者
Donovan, Erin E. [1 ]
Brown, Laura E. [1 ]
LeFebvre, Leah [2 ]
Tardif, Sarah [1 ]
Love, Brad [3 ]
机构
[1] Univ Texas Austin, Dept Commun Studies, Moody Coll Commun, Austin, TX 78712 USA
[2] Univ Wyoming, Commun & Journalism Dept, Laramie, WY 82071 USA
[3] Univ Texas Austin, Moody Coll Commun, Dept Advertising & Publ Relat, Austin, TX 78712 USA
关键词
QUALITY-OF-LIFE; BREAST-CANCER; SOCIAL SUPPORT; MANAGEMENT INTERVENTION; INFORMATION-SEEKING; AFRICAN-AMERICAN; COMMUNICATION; SURVIVORS; ILLNESS; PROSTATE;
D O I
10.1080/10410236.2014.898193
中图分类号
G2 [信息与知识传播];
学科分类号
05 ; 0503 ;
摘要
Building on scholarship indicating that uncertainty is a fundamental component of the cancer experience, this study focuses on an understudied population: adolescents and young adults (AYAs) with cancer. Because AYAs' health outcomes lag behind those of older and younger people with cancer, scholars have recommended that the subjective experiences of AYAs be better understood. Using the tripartite model of uncertainty sources as a guiding framework, we analyzed naturally occurring messages from an online discussion forum for AYA cancer survivors. The majority of messages communicating uncertainty expressed medical uncertainty regarding the complexities of understanding treatment options and sequelae. Results indicated that several overarching areas of AYA uncertainty correspond to themes reported by other cancer populations, but that some distinctive concerns arise amid the normative complexities of late adolescence and young adulthood.
引用
收藏
页码:702 / 713
页数:12
相关论文
共 60 条
[1]  
Arnett JJ, 2000, AM PSYCHOL, V55, P469
[2]  
Babrow AS, 2001, J COMMUN, V51, P553, DOI 10.1111/j.1460-2466.2001.tb02896.x
[3]   Watching, waiting and uncertainty in prostate cancer [J].
Bailey, Donald E., Jr. ;
Wallace, Meredith ;
Mishel, Merle H. .
JOURNAL OF CLINICAL NURSING, 2007, 16 (04) :734-741
[4]   Avoiding Health Information [J].
Barbour, Joshua B. ;
Rintamaki, Lance S. ;
Ramsey, Jason A. ;
Brashers, Dale E. .
JOURNAL OF HEALTH COMMUNICATION, 2012, 17 (02) :212-229
[5]   Communication and cancer? Part II: Conversation analysis [J].
Beach, WA ;
Anderson, JK .
JOURNAL OF PSYCHOSOCIAL ONCOLOGY, 2003, 21 (04) :1-22
[6]  
Berger C.R., 1979, Language and social psychology, P122
[7]  
Berger C.R., 1982, Language and social knowledge: uncertainty in interpersonal relations
[8]   Cancer in older adolescents and young adults: Epidemiology, diagnosis, treatment, survival, and importance of clinical trials [J].
Bleyer, WA .
MEDICAL AND PEDIATRIC ONCOLOGY, 2002, 38 (01) :1-10
[9]  
Brashers D E, 1998, J Assoc Nurses AIDS Care, V9, P66, DOI 10.1016/S1055-3290(98)80078-2
[10]  
Brashers Dale E, 2003, Issues Ment Health Nurs, V24, P497, DOI 10.1080/01612840305292