Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-27T12:51:43.705Z Has data issue: false hasContentIssue false

The appraisal of positive life changes following cancer diagnosis: An interview study

Published online by Cambridge University Press:  29 June 2006

KAZUE KOMURA
Affiliation:
Graduate School of Human Sciences, Osaka, Japan
JOHN R. HEGARTY
Affiliation:
School of Psychology, Keele University, Staffordshire, UK

Abstract

Objective: This research examines positive life changes that cancer patients may experience following their diagnosis. Although cancer is often believed to have negative impacts on the life of patients, positive impacts have been also discussed empirically. This study focuses on cancer patients' appraisal of positive life changes following their diagnosis and examines how and in which fields they recognize their lives as positively changed based on the study of Petrie et al. (1999).

Methods: A total of eight cancer patients in a cancer support group participated in this research. A group discussion and semistructured interviews were conducted. Content analysis was applied.

Results: The content analysis produced insights into the seven types of cancer-related life changes: improved empathy, greater knowledge about health, renewed recognition of life, change in personal life priorities, greater appreciation of health and life, improved close relationships, and healthy lifestyle change. Negative life changes were also reported.

Significance of the research: This research showed that cancer patients tended to find and appraise their own positive life changes following cancer. The categorization of positive life changes basically supported that of Petrie et al. (1999), but produced an original category: renewed recognition of life. Positive life changes might be seen as a natural process that encourages patients' adjustment to cancer. Understanding positive impacts of cancer could be important in capturing the life-sized features of cancer patients. Future research could expand the view of the impacts of cancer and demonstrate how people recognize them as benefits.

Type
Research Article
Copyright
© 2006 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Andrykowski, M.A., Curran, S.L., Studts, J.L., et al. (1996). Psychosocial adjustment and quality of life in women with breast cancer and benign breast problems: A controlled comparison. Journal of Clinical Epidemiology, 49, 827834.Google Scholar
Antoni, M.H., Lehman, J.M., Kilbourn, K.M., et al. (2001). Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer. Health Psychology, 20, 2032.Google Scholar
Collins, R.L., Taylor, S.E., & Skokan, L.A. (1990). A better world or a shattered vision? Changes in life perspectives following victimization. Social Cognition, 8, 263285.Google Scholar
Cordova, M.J., Cunningham, L.L.C., Carlson, C.R., et al. (2001). Posttraumatic growth following breast cancer: A controlled comparison study. Health Psychology, 20, 176185.Google Scholar
Cotton, S.P., Levine, E.G., Fitzpatrick, C.M., et al. (1999). Exploring the relationships among spiritual well-being, quality of life, and psychological adjustment in women with breast cancer. Psycho-Oncology, 8, 429438.Google Scholar
Hamera, E.K. & Shontz, F.C. (1978). Perceived positive and negative effects of life-threatening illness. Journal of Psychosomatic Research, 22, 419424.Google Scholar
Heijmans, M. (1999). The role of patients' illness representations in coping and functioning with Addison's disease. British Journal of Health Psychology, 4, 137149.Google Scholar
Houck, K., Avis, N.E., Gallant, J.M., et al. (1999). Quality of life in advanced ovarian cancer: Identifying specific concerns. Journal of Palliative Medicine, 2, 397402.Google Scholar
Kreitler, S., Chaitchik, S., Rapoport, Y., et al. (1993). Life satisfaction and health in cancer patients, orthopedic patients and healthy individuals. Social Science and Medicine, 36, 547556.Google Scholar
Mast, M.E. (1998). Survivors of breast cancer: Illness uncertainty, positive reappraisal, and emotional distress. Oncology Nursing Forum, 25, 555562.Google Scholar
Ogden, J. (2000). Health Psychology: A Textbook, 2nd ed. Buckingham: Open University Press.
Peterson, C. (2000). The future of optimism. American Psychologist, 55, 4455.Google Scholar
Petrie, K.J., Buick, D.L., Weinman, J., et al. (1999). Positive effects of illness reported by myocardial infraction and breast cancer patients. Journal of Psychosomatic Research, 47, 537543.Google Scholar
Schaefer, J.A. & Moos, R.H. (1992). Life crises and personal growth. In Personal Coping: Theory, Research and Application, Carpenter, B.N. (ed.), pp. 149251. Westport: Praeger Publishers.
Scheier, M.F. & Carver, C.S. (1985). Optimism, coping and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4, 219247.Google Scholar
Scheier, M.F. & Carver, C.S. (1992). Effects of optimism on psychological and physical well-being: Theoretical overview and empirical update. Cognitive Therapy and Research, 16, 201228.Google Scholar
Schou, I., Ekeberg, O., & Ruland, C.M. (2005). The mediating role of appraisal and coping in the relationship between optimism-pessimism and quality of life. Psycho-Oncology, 14, 718727.Google Scholar
Sears, S.R., Stanton, A.L., & Danoff-Burg, S. (2003). The yellow brick road and the emerald city: Benefit finding, positive reappraisal coping, and posttraumatic growth in women with early-stage breast cancer. Health Psychology, 22, 487497.Google Scholar
Shontz, F.C. (1975). The Psychological Aspects of Physical Illness and Disability. London: Collier MacMillan Publishers.
Taylor, S.E. (1983). Adjustment to threatening events: A theory of cognitive adaptation. American Psychologist, 38, 11611173.Google Scholar
Taylor, S.E. (2000). Transformation of tragedy among women surviving breast cancer. Oncology Nursing Forum, 27, 781788.Google Scholar
Taylor, S.E. & Armor, D.A. (1996). Positive illusions and coping with adversity. American Psychologist, 38, 11611173.Google Scholar
Taylor, S.E. & Brown, J.D. (1988). Illusions and well-being: A social psychological perspective on mental health. Psychological Bulletin, 103, 193210.Google Scholar
Taylor, S.E. & Brown, J.D. (1994). Positive illusions and well-being revisited: Separating fact from fiction. Psychological Bulletin, 116, 2127.Google Scholar
Taylor, S.E., Lerner, J.S., Sherman, D.K., et al. (2003). Are self-enhancing cognitions associated with healthy or unhealthy biological profiles? Journal of Personality and Social Psychology, 85, 605615.Google Scholar
Taylor, S.E., Lichtman, R., & Wood, J. (1984). Attributions, beliefs about control, and adjustment to breast cancer. Journal of Personality and Social Psychology, 46, 489502.Google Scholar
Thompson, S.C., Sobolew-Shubin, A., Galbraith, M.E., et al. (1993). Maintaining perceptions of control: Finding perceived control in low-control circumstances. Journal of Personality and Social Psychology, 64, 293304.Google Scholar
Zemore, R., Rinholm, J., Shepel, L.F., et al. (1989). Some social and emotional consequences of breast cancer and mastectomy: A consent analysis of 87 interviews. Journal of Psychosocial Oncology, 7, 3345.Google Scholar