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更好的自己?对女性癌症幸存者过度关注“健康饮食”的体验的阐释现象学分析。

A Better Me? An Interpretative Phenomenological Analysis of the Experiences of Female Cancer Survivors' Heightened Preoccupation With 'Healthy Eating'.

机构信息

Department of Psychology, School of Arts and Social Sciences, City, University of London, London, UK.

出版信息

Qual Health Res. 2024 Jul;34(8-9):768-782. doi: 10.1177/10497323231224777. Epub 2024 Jan 16.

Abstract

The end of treatment is known to be a particularly challenging time for many cancer survivors as they transition to coping with their condition independently. They may engage in health behaviours, such as implementing drastic dietary changes to manage the side effects of treatment they have undergone or as a way to assuage their anxiety. Understanding cancer survivors' heightened preoccupation with healthy eating is therefore fundamental to our understanding of the psychological phenomenology of cancer. This study explored how people who have developed a heightened preoccupation with healthy eating after a cancer diagnosis make sense of this change. Eight participants were recruited through social media. They each engaged in a semi-structured interview over Zoom concerning their changed relationship with food following cancer. Their accounts were then analysed using interpretative phenomenological analysis (IPA). The article focuses on four group experiential themes arising from the analysis: Open and Enlightened About Food, Becoming a Better Me?, Developing a New Passion for Nutrition, and Becoming Consumed by Food. The themes that arose from the analysis speak to the experience of becoming a 'better' person from having lived through cancer and developed a new relationship with food. Instead of seeing illness as a loss, several of the participants reported a positive shift linked to having developed an interest in healthy eating, something which became central to their identity. However, others experienced their new engagement with healthy eating as a preoccupation that engulfed them. These findings are discussed in light of existing theory and research, and their clinical implications are outlined. Areas for future research are also suggested.

摘要

治疗结束后,许多癌症幸存者在独立应对病情时会面临特别具有挑战性的时期。他们可能会采取健康行为,例如实施剧烈的饮食改变来处理他们所经历的治疗副作用,或者以此来缓解焦虑。因此,了解癌症幸存者对健康饮食的过度关注,对于我们理解癌症的心理现象学至关重要。本研究探讨了在癌症诊断后对健康饮食产生过度关注的人如何理解这种变化。通过社交媒体招募了 8 名参与者。他们每人都通过 Zoom 进行了一次半结构化访谈,内容涉及癌症后他们与食物的关系变化。然后,使用解释现象学分析(IPA)对他们的叙述进行了分析。本文重点关注从分析中得出的四个小组经验主题:对食物持开放和开明的态度、成为更好的自己?、对营养产生新的热情、以及被食物吞噬。分析中出现的主题反映了从癌症中幸存下来并与食物建立新关系后成为“更好”的人的体验。一些参与者没有将疾病视为损失,而是报告了与对健康饮食的兴趣相关的积极转变,这成为了他们身份的核心。然而,其他人则认为他们对健康饮食的新参与是一种让他们陷入困境的过度关注。本文结合现有理论和研究讨论了这些发现,并概述了其临床意义。还提出了未来研究的领域。

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