Abbas Mardani, Maryam Maleki, Nasrin Hanifi, Hannele Turunen, Mojtaba Vaismoradi
{"title":"Coping strategies for fear of cancer recurrence among breast cancer survivors: a systematic review and thematic synthesis of qualitative studies.","authors":"Abbas Mardani, Maryam Maleki, Nasrin Hanifi, Hannele Turunen, Mojtaba Vaismoradi","doi":"10.1007/s00520-025-09503-9","DOIUrl":null,"url":null,"abstract":"<p><strong>Aim: </strong>Breast cancer (BC) is the most common cancer in women, and many survivors experience fear of cancer recurrence (FCR). This study aimed to explore and integrate qualitative evidence on the coping strategies BC survivors use to manage FCR.</p><p><strong>Methods: </strong>A systematic review and thematic synthesis of qualitative studies was conducted. Six databases including PubMed, Scopus, CINAHL, Web of Science, PsycInfo, and Embase were searched without any time restrictions using predefined keywords. Inductive thematic synthesis was conducted to identify key coping strategies used by BC survivors.</p><p><strong>Results: </strong>Sixteen studies were included, identifying four themes of coping strategies: \"seeking support,\" \"transforming health behaviors and lifestyle\" \"avoidance and emotional detachment\", and \"building resilience and emotional strength\". Each encompassed sub-themes.</p><p><strong>Conclusion: </strong>This review identified various coping strategies used by BC survivors to manage the FCR. They highlight the complexity and diversity of responses to FCR, rather than assessing their effectiveness. The findings underscore the importance of understanding coping mechanisms within the context of survivorship care, which can inform future research on their short- and long-term impacts. Healthcare providers should consider individualized approaches that acknowledge the nuanced nature of coping strategies used by BC survivors.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 6","pages":"459"},"PeriodicalIF":2.8000,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Supportive Care in Cancer","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00520-025-09503-9","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Aim: Breast cancer (BC) is the most common cancer in women, and many survivors experience fear of cancer recurrence (FCR). This study aimed to explore and integrate qualitative evidence on the coping strategies BC survivors use to manage FCR.
Methods: A systematic review and thematic synthesis of qualitative studies was conducted. Six databases including PubMed, Scopus, CINAHL, Web of Science, PsycInfo, and Embase were searched without any time restrictions using predefined keywords. Inductive thematic synthesis was conducted to identify key coping strategies used by BC survivors.
Results: Sixteen studies were included, identifying four themes of coping strategies: "seeking support," "transforming health behaviors and lifestyle" "avoidance and emotional detachment", and "building resilience and emotional strength". Each encompassed sub-themes.
Conclusion: This review identified various coping strategies used by BC survivors to manage the FCR. They highlight the complexity and diversity of responses to FCR, rather than assessing their effectiveness. The findings underscore the importance of understanding coping mechanisms within the context of survivorship care, which can inform future research on their short- and long-term impacts. Healthcare providers should consider individualized approaches that acknowledge the nuanced nature of coping strategies used by BC survivors.
目的:乳腺癌(BC)是女性中最常见的癌症,许多幸存者对癌症复发(FCR)感到恐惧。本研究旨在探讨和整合BC幸存者管理FCR的应对策略的定性证据。方法:对定性研究进行系统综述和专题综合。检索PubMed、Scopus、CINAHL、Web of Science、PsycInfo、Embase等6个数据库,使用预定义关键词,不受时间限制。通过归纳性主题综合来确定BC幸存者使用的关键应对策略。结果:纳入16项研究,确定了应对策略的四个主题:“寻求支持”、“转变健康行为和生活方式”、“回避和情感超然”、“建立弹性和情感力量”。每一个都包含分主题。结论:本综述确定了BC幸存者管理FCR的各种应对策略。它们强调了应对FCR的复杂性和多样性,而不是评估其有效性。研究结果强调了在生存护理背景下理解应对机制的重要性,这可以为未来研究其短期和长期影响提供信息。医疗保健提供者应该考虑个性化的方法,承认BC幸存者使用的应对策略的细微差别。
期刊介绍:
Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease.
Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.