Next Article in Journal
Do Health Professionals Need Additional Competencies for Stratified Cancer Prevention Based on Genetic Risk Profiling?
Next Article in Special Issue
Comorbidities and Quality of Life among Breast Cancer Survivors: A Prospective Study
Previous Article in Journal
Barriers Prevent Patient Access to Personalized Therapies Identified by Molecular Tumor Profiling of Gynecologic Malignancies
Previous Article in Special Issue
Establishing and Sustaining a Prospective Screening Program for Breast Cancer-Related Lymphedema at the Massachusetts General Hospital: Lessons Learned
Article Menu

Export Article

Open AccessArticle
J. Pers. Med. 2015, 5(2), 174-190; doi:10.3390/jpm5020174

Perspectives of the Breast Cancer Survivorship Continuum: Diagnosis through 30 Months Post-Treatment

1
Sinclair School of Nursing, Ellis Fischel Cancer Center, University of Missouri-Columbia, DC 116.05 Suite 408 Mizzou North, University of Missouri, Columbia, MO 65211, USA
2
Boromarajonani College of Nursing Buddhachinaraj, Muang, Phitsanulok 65000, Thailand
*
Author to whom correspondence should be addressed.
Academic Editor: Stephen B. Liggett
Received: 13 March 2015 / Revised: 12 May 2015 / Accepted: 22 May 2015 / Published: 28 May 2015
(This article belongs to the Special Issue Long-term Cancer Survivorship)
View Full-Text   |   Download PDF [624 KB, uploaded 28 May 2015]

Abstract

This study explored breast cancer survivors’ perspectives regarding their experiences of the survivorship continuum from diagnosis through 30 months post-treatment. The sample included women (N = 379) with newly-diagnosed breast cancer undergoing treatment at a Midwestern university-affiliated cancer center. Semi-structured interviews were conducted using the Lymphedema and Breast Cancer Questionnaire at time of diagnosis, post-operatively, quarterly during the first year, and then semi-annually thereafter through 30 months post-treatment. A mixed-methodology was used to analyze participants’ comments. Themes central to long-term survivorship experiences included social support, positive worldviews, breast cancer and lymphedema health literacy, religious/spiritual beliefs, self-empowerment, and recovery expectations. These themes were consistent with a psychoneuroimmunological model of health in which psychosocial variables mediate stress and influence health outcomes. Qualitative data showed that social support and positive worldviews were the two themes with the most significant impact on long-term breast cancer survivorship experiences. Survivors expressed a need to advance their health care literacy in order to share ownership of breast cancer and lymphedema treatment decisions. Since breast cancer is an immune-mediated disease, long-term survivorship planning should address psychosocial factors that influence the long-term psychological distress associated with immune dysfunction. View Full-Text
Keywords: breast cancer; health literacy; long-term survivorship; psychoneuroimmunology; self-empowerment; social support; spiritual/religious beliefs; worldview breast cancer; health literacy; long-term survivorship; psychoneuroimmunology; self-empowerment; social support; spiritual/religious beliefs; worldview
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

Scifeed alert for new publications

Never miss any articles matching your research from any publisher
  • Get alerts for new papers matching your research
  • Find out the new papers from selected authors
  • Updated daily for 49'000+ journals and 6000+ publishers
  • Define your Scifeed now

SciFeed Share & Cite This Article

MDPI and ACS Style

Hulett, J.M.; Armer, J.M.; Stewart, B.R.; Wanchai, A. Perspectives of the Breast Cancer Survivorship Continuum: Diagnosis through 30 Months Post-Treatment. J. Pers. Med. 2015, 5, 174-190.

Show more citation formats Show less citations formats

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
J. Pers. Med. EISSN 2075-4426 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top