Determinants of altered life perspectives among older-adult long-term cancer survivors.

Abstract:

BACKGROUND:In the recent literature on cancer survivorship, positive changes are emphasized in the aftermath of trauma. However, there is insufficient research on older-adult survivors and more complex transformations. OBJECTIVE:Consistent with nursing researchers' views about the duality of cancer survivor experiences, this research examined both positive and negative posttraumatic transformations (PTTs) among long-term survivors. Demographic, stress, and appraisal-related predictors of transformations were considered. METHODS:Using cross-sectional survey design, interviews were conducted with 288 survivors of breast, colorectal, and prostate cancer. The sample, obtained from a hospital tumor registry, was 58% female, 33% African American, and 67% white (mean age, 72.5 [SD, 7.6] years). Demographic characteristics, cumulative stress exposure, appraisals of stress, and self-reported PTTs were measured. RESULTS:Most respondents reported diverse transformations attributed to their illness experience. Demographic characteristics and stress appraisals were more strongly associated with PTT outcomes than was cumulative stress exposure. Appraisals of the cancer experience as stressful, as generating worry, and as stigmatizing were significantly associated with diverse PTT outcomes. CONCLUSION:Many long-term older cancer survivors report PTT reflecting altered perspectives on life. Posttraumatic transformations are related to the view that cancer is a continuing worrisome and stigmatizing experience. IMPLICATIONS FOR PRACTICE:Nurses have a unique opportunity to discuss with patients the potentially life-changing nature of the cancer experience in a manner that allows for understanding and acceptance of complex changes, incorporating benefit finding along with acknowledgement of loss and suffering. This type of discussion can enhance cancer survivors' mental health.

journal_name

Cancer Nurs

journal_title

Cancer nursing

authors

Kahana B,Kahana E,Deimling G,Sterns S,VanGunten M

doi

10.1097/NCC.0b013e3181fa56b0

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

209-18

issue

3

eissn

0162-220X

issn

1538-9804

pii

00002820-201105000-00008

journal_volume

34

pub_type

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