Kent School of Social Work, University of Louisville, Louisville, KY, USA.
Grace Abbott School of Social Work, University of Nebraska at Omaha, Omaha, NE, USA.
J Psychosoc Oncol. 2021;39(1):17-34. doi: 10.1080/07347332.2020.1814933. Epub 2020 Sep 2.
Financial hardship can be a major cause of distress among persons with cancer, resulting in chronic stress and impacting physical and emotional health. This paper provides an analysis of the lived experience of cancer patients' financial hardship from diagnosis to post-treatment.
In-depth interviews were conducted with 26 cancer survivors who reported financial hardship during and/or after treatment. The interviews were analyzed using Dedoose as an organizational tool, the life course perspective as an organizing theoretical framework, and a thematic analysis tool to answer our research questions. Our analysis identified that timing and sequencing of life transitions and stress proliferation furthered the process of financial stress over time.
Cancer survivors do not experience financial toxicity as a singular process; the experience can be quite different depending on age and life transitions.
PRACTICE/POLICY IMPLICATIONS: These findings provide psychosocial oncology providers with a framework for identifying patients at risk for financial distress and addressing the critical needs related to their life stage.
经济困难可能是癌症患者的主要困扰原因，导致慢性压力，并影响身体和心理健康。本文从诊断到治疗后分析癌症患者经济困难的真实体验。
对 26 名癌症幸存者进行深入访谈，这些幸存者在治疗期间和/或治疗后报告了经济困难。使用 Dedoose 作为组织工具、生活历程视角作为组织理论框架以及主题分析工具对访谈进行分析，以回答我们的研究问题。我们的分析发现，生活过渡的时机和顺序以及压力扩散随着时间的推移进一步加剧了财务压力的过程。
癌症幸存者并没有将财务毒性视为一个单一的过程；根据年龄和生活过渡的不同，体验可能会有很大的不同。
实践/政策意义：这些发现为肿瘤心理医生提供了一个框架，用于识别有财务困境风险的患者，并满足与他们的生活阶段相关的关键需求。
