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Exploring narratives on PTG in cancer patients in active vs remission phases of disease: what about a peritraumatic growth?

作者信息

Fioretti Chiara, Faggi David, Caligiani Lucia

机构信息

Department of Education, Languages, Intercultures, Literatures and Psychology, University of Florence, Firenze, Italy.

Psycho-oncology Unit, USL Toscana Centro, Firenze, Italy.

出版信息

Eur J Cancer Care (Engl). 2020 Oct 8:e13338. doi: 10.1111/ecc.13338.

DOI:10.1111/ecc.13338
PMID:33090534
Abstract

OBJECTIVE

The present study aims to explore post-traumatic growth in cancer patients comparing the active phase, when patients undergo different treatments, and the remission phase, characterised by periodic follow-ups and gradually return to lives outside the hospital world.

METHODS

69 cancer patients (36 in active phase and 33 in remission phase) completed an online survey narrating their growth experience related to cancer disease. A modelling emergent theme analysis was implemented for narratives of both group by means of T-Lab software.

RESULTS

Four themes emerged for narratives of active phase group: 'the time of illness and the time of life (saturating the 46% of words)', 'the meaning-seeking' (21%), 'to find oneself in a battle (21%)' and 'to learn by battling' (12%). Remission phase group themes concerned 'the time of life' (40%), 'the seismic experience' (31%), 'to care for the Self and for others' (15%) and 'strength from vulnerability' (14%).

CONCLUSIONS

Remission group narratives are close to PTG as defined in scientific literature, while patients in the active phase of disease narrated PTG as the attempt of including illness in their life trajectory and learning from the battle against cancer. Author suggests the definition of peritraumatic growth as a transformation process parallel to treatment phase.

摘要

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