文章基本信息

标题：Returning to work: The cancer survivor’s transformational journey of adjustment and coping
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作者：Antoni Barnard ; Loraine Clur ; Yvonne Joubert 等
期刊名称：International Journal of Qualitative Studies on Health and Well-being
电子版ISSN：1748-2631
出版年度：2016
卷号：11
期号：1
页码：32488
DOI：10.3402/qhw.v11.32488
语种：English
出版社：Taylor & Francis
摘要：Abstract The aim of this study was to explore cancer survivors’ return to work (RTW) experience with a specific focus on the adjustment and coping process underlying their journey. The study was conducted in the Southern Cape, South Africa, with eight cancer survivors having returned to work following successful treatment of various types of cancer. Unstructured interviews were conducted and data were analysed following the principles of hermeneutic phenomenological reflection and analysis. Four themes emerged, representing the changing adjustment responses and coping during the RTW journey. Participants evolve from being overwhelmed with emotions and applying avoidant coping to seeking understanding and positive affectivity in their attempt to comprehend the reality of their situation. Participants’ external locus of control change to a more active approach and problem-solving orientation, demonstrating a need to take control and responsibility. Ultimately, adjustment and coping become most constructive when cancer survivors resolve to re-assess life and self through meaning-making, resulting in renewed appreciation of life, appropriate life style changes, and regained confidence in their relational role. A process perspective is proposed to facilitate an understanding of, and working with, cancer survivors’ transition through the RTW journey towards optimal coping phases.
关键词：Cancer survivor ; return to work ; adjustment ; avoidant coping ; emotion-focussed coping ; problem-focussed coping ; meaning-making ; well-being