Psychological coping in female breast cancer patients from a Metropolitan Lima hospital

Authors

DOI:

https://doi.org/10.17843/rpmesp.2022.394.12322

Keywords:

Coping Strategies, Inpatients, Pregnant Women, Breast Neoplasms, Qualitative Research

Abstract

Objective. To understand the psychological coping strategies in female patients with breast cancer from a hospital in Metropolitan Lima. Materials and methods. This was a qualitative research with a reflexive thematic analysis design. Sixteen women with breast cancer between 35 and 65 years of age were interviewed. Data was analyzed with the ATLAS.ti 22 software. Results. Three psychological coping strategies were described: emotional coping, which was found more frequently, includes the support of important people, religious coping, and focusing on positive consequences, which leads to a positive reinterpretation
and progressive acceptance of the disease; active coping, characterized by diligent action, following indications,
and seeking professional support. Finally, avoidance coping, which focuses on negative elements, postponement of the coping process and cognitive and behavioral distractions, the latter being of utmost relevance to balance the activities in the patients’ daily lives. Conclusions. Participants used emotional coping strategies more frequently, since they tried to increase positive emotions, accompanied by religious and environmental support. In addition, they also used active coping strategies, since they focused their
actions to receive medical attention and treatment, leaving aside other activities; in spite of this, they used strategies to take their focus off the condition and thus detach themselves from their worries.

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References

World Health Organization [Internet]. Breast cancer; 2021 [Citado 10 de Dic 2022]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/breast-cancer.

World Health Organization: International Agency for Research on Cancer [Internet].Estimated number of new cases in 2020, breast, female, all ages; 2021 [Citado 10 de Dic 2022]. Disponible en: https://gco.iarc.fr/today/online-analysis-table?v=2020&mode=population&mode_population=-countries&population=900&populations=900&key=asr&sex=2&cancer=20&type=0&statistic=5&prevalence=0&population_group=0&ages_group%5B%5D=0&ages_group%5B%5D=17&group_cancer=0&include_nmsc=0&include_nmsc_other=1.

World Health Organization: International Agency for Research on Cancer [Internet]. Estimated number of new cases in 2020, breast, female, ages 35-64; 2021 [Citado 10 de Dic 2022]. Disponible en: https://gco.iarc.fr/today/online-analysis-table?v=2020&mode=population&mode_population=-countries&population=900&populations=900&key=asr&sex=2&cancer=20&type=0&statistic=5&prevalence=0&population_group=0&ages_group%5B%5D=7&ages_group%5B%5D=12&group_cancer.

Dinapoli L, Colloca G, Di Capua B, Valentini V. Psychological Aspects to Consider in Breast Cancer Diagnosis and Treatment. Curr Oncol Rep. 2021;23(3):38. doi: 10.1007/s11912-021-01049-3.

Instituto Nacional del Cáncer [Internet]. Cómo se diagnostica el cáncer; 2019 [Citado 10 de Dic 2022]. Disponible en: https://www.cancer.gov/espanol/cancer/diagnostico-estadificacion/diagnostico.

Cancer.net: American American Society of Clinical Oncology [Internet]. Tomar decisiones respecto al tratamiento contra el cáncer; 2018 [Citado 10 de Dic 2022]. Disponible en: https://www.cancer.net/es/desplazarse-por-atención-del-cáncer/cómo-se-trata-el-cáncer/tomar-decisiones-respecto-del-tratamiento-contra-el-cáncer.

Gonzalez GC. Afrontamiento y apoyo social ante el diagnóstico reciente de cáncer de mama [tesis de licenciatura]. Lima: Facultad de Letras y Ciencias Humanas, Pontificia Universidad Católica del Perú; 2018. Disponible en: http://tesis.pucp.edu.pe/repositorio/bitstream/handle/20.500.12404/12242/Gonzalez_Castillo_Afrontamiento_apoyo_social1.pdf?sequence=1&isAllowed=y .

Correa M. Impacto psicológico frente al diagnóstico de cáncer de mama: primeras reacciones emocionales. Index Enferm. 2017; 26(4): 299-302.

Arrieta IR, Cárdenas JE, García MM, Gaviria A. Afrontamiento y calidad de vida en mujeres con cáncer de seno: revisión bibliográfica una mirada desde la psicología de la salud. Rev. Univ Catol. Luis Amigó, 2019; (3):115-26. doi: 10.21501/25907565.3261.

Ortiz N, Maldonado L. Cáncer de mama: Una mirada desde los procesos de afrontamiento psicológicos [tesis de pregrado]. Bogotá: Facultad de Ciencias Humanas, Universidad Cooperativa de Colombia; 2019. Disponible en: https://repository.ucc.edu.co/bitstream/20.500.12494/13745/1/2019_afrontamiento_cancer_mama.pdf .

Cerquera A, Matajira Y, García E, Vásquez E. Estrategias de afrontamiento en pacientes diagnosticados con cáncer de mama y el papel del psicólogo. Rev Psicol GEPU, 2017;8(2):144–54.

Jang M, Kim J. A structural model for stress, coping, and psychosocial adjustment: A multi-group analysis by stages of survivorship in Korean women with breast cancer. Eur J Oncol Nurs, 2018;(33):41–8. doi: 10.1016/j.ejon.2018.01.004.

Cancer.net: American Society of Clinical Oncology [Internet]. De qué manera el cáncer afecta la vida familiar; 2018. [Citado 10 de Dic 2022]. Disponible en: https://www.cancer.net/es/asimilacion-con-cancer/dialogo-sobre-el-cáncer/de-que-manera-el-cancer-afecta-la-vida-familiar.

Valderrama M, Sánchez R. Trastornos de ansiedad y depresión en relación con la calidad de vida de pacientes con cáncer de mama en estadio localmente avanzado o diseminado. Rev Colomb Psiquiatr. 2017;47(4):211–20. doi: 10.1016/j.rcp.2017.04.003.

Massicotte V, Ivers H, Savard J. COVID-19 Pandemic Stressors and Psychological Symptoms in Breast Cancer Patients. Curr Oncol.

;(28):294–300. doi: 10.3390/curroncol28010034.

Lazarus R, Folkman S. Estrés y procesos cognitivos. Barcelona, España; 1986.

Ruiz Doria SC, Valencia Jimenez NN, Ortega Montes JE. Condiciones de vida y estrategias de afrontamiento de las mujeres con cáncer de mama en Córdoba, Colombia. An Psicol [Internet]. 2020;36(1):46–55. doi: 10.6018/analesps.351701.

Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: A theoretically based approach. J Pers Soc Psychol. 1989;56(2):267–83. doi: 10.1037/0022-3514.56.2.267.

Medina MP. Afrontamiento y optimismo disposicional en pacientes mujeres con cáncer de mama [tesis de licenciatura]. Lima: Facultad de Letras y Ciencias Humanas, Pontificia Universidad Católica del Perú; 2017. Disponible en: https://tesis.pucp.edu.pe/repositorio/bitstream/handle/20.500.12404/9108/MEDINA_OLANO_AFRONTAMIENTO_Y_OPTIMISMO_DISPOSICIONAL_EN_PACIENTES_MUJERES_CON_CANCER_DE_MAMA.pdf?sequence=1&isAllowed=y.

Moreno M, Gutiérrez D, García R. Afrontamiento al cáncer de mama en pacientes diagnosticadas. Enfermería Investiga [Internet]. 2017 [Citado 10 de Dic 2022];2(1):1–6. Disponible en: https://revistas.uta.edu.ec/erevista/index.php/enfi/article/view/756/784.

Acosta-Zapata E, López-Ramón C, Martínez-Cortés ME, Zapata-Vázquez R. Funcionalidad familiar y estrategias de afrontamiento en pacientes con cáncer de mama. Horiz Sanitario. 2017;16(2):139–48. doi: 10.19136/hs.v16i2.1629.

Lostaunau V, Torrejón C, Cassaretto M. Estrés, afrontamiento y calidad de vida relacionada a la salud en mujeres con cáncer de mama. Actual en Psicol. 2017;31(122):75. doi: 10.15517/ap.v31i122.25345.

Columbus CD. Apoyo emocional que brinda el profesional de enfermería y el afrontamiento de los pacientes con cáncer de mama de 30 a 50 años de la Unidad de Quimioterapia de la Clínica Oncosalud. [tesis de licenciatura]. Lima: Facultad de Medicina, Universidad Nacional Mayor de San Marcos; 2017. Disponible en: https://cybertesis.unmsm.edu.pe/bitstream/handle/20.500.12672/6970/Columbus_vc.pdf?sequence=3&isAllowed=y

Creswell J, Poth CN. Qualitative inquiry and Research design: Choosing among five approaches (4th ed.). SAGE; 2018.

Braun V, Clarke V. Can I use TA? Should I use TA? Should I not use TA? Comparing reflexive thematic analysis and other pattern-based qualitative analytic approaches. Couns Psychother Res. 2021;21(1):37–47. doi: 10.1002/capr.12360.

Robinson OC. Sampling in Interview-Based Qualitative Research: A Theoretical and Practical Guide. Qual Res Psycho. 2014;11(1):25-41. doi: 10.1080/14780887.2013.801543.

Saldaña J. The Coding Manual for Qualitative Researchers. London: Sage Publications; 2013.

Miles MB, Huberman AM, Saldaña J. Qualitative Data Analysis. A Methods Sourcebook. Arizona State University: Sage Publications; 2013.

Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-357.

Mertens D. Research and Evaluation in Education and Psychology: Integrating Diversity with Quantitative, Qualitative, and Mixed Methods. Washington, United States: Sage Publications; 2015.

Ben Kei D. Empirical verification of the “TACT” framework for teaching rigour in qualitative research methodology. Qual Res J. 2018;18(3):262–75. doi: 10.1108/QRJ-D-17-00012.

Prieto-Rodríguez MA, March-Cerdá JC, Martín-Barato A, Escudero-Carretero M, López-Doblas M, Luque-Martín N. Repercusiones del

confinamiento por COVID-19 en pacientes crónicos de Andalucía. Gac Sanit. 2022;36(2): 139-145. doi: 10.1016/j.gaceta.2020.11.001.

Mokhtari L, Markani AK, Khalkhali HR, Feizi A. The perceived social support by Iranian women with breast cancer: a qualitative study. Support Care Cancer. 2021;30(1):941–9. doi: 10.1007/s00520-021-06478-1.

Srivastava J, Kaushik S, Tewari M, Shukla H. Mediating role of affective experiences in the relationship between perceived social support and life satisfaction among breast cancer patients. Indian J Palliat Care. 2021;27(1):76–82. doi: 10.4103/IJPC.IJPC_106_20.

Published

2022-12-22

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Section

Original Article

How to Cite

1.
Rivera-Cruzatt FD, Cubillas-Espinoza PP, Malvaceda-Espinoza EL. Psychological coping in female breast cancer patients from a Metropolitan Lima hospital. Rev Peru Med Exp Salud Publica [Internet]. 2022 Dec. 22 [cited 2024 May 23];39(4):400-7. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/12322

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