Mental health in people living with and beyond colorectal cancer: A patient-oriented constructivist grounded theory.

Autor: Cheng V; Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada.; Collaboration for Outcomes Research and Evaluation, Vancouver, British Columbia, Canada., McTaggart-Cowan H; Cancer Control Research, BC Cancer, Vancouver, British Columbia, Canada.; Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada., Loree JM; Cancer Control Research, BC Cancer, Vancouver, British Columbia, Canada.; Division of Medical Oncology, Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada., Murphy RA; Cancer Control Research, BC Cancer, Vancouver, British Columbia, Canada.; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada., Barnes M; Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada.; Patient Research Partner, Vancouver, British Columbia, Canada., Bechthold H; Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada.; Patient Research Partner, Vancouver, British Columbia, Canada., Jansen N; Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada.; Patient Research Partner, Vancouver, British Columbia, Canada., De Vera MA; Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada.; Collaboration for Outcomes Research and Evaluation, Vancouver, British Columbia, Canada.; Centre for Health Evaluation and Outcome Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
Jazyk: angličtina
Zdroj: Cancer medicine [Cancer Med] 2024 Sep; Vol. 13 (17), pp. e70203.
DOI: 10.1002/cam4.70203
Abstrakt: Background: With the burden of colorectal cancer in Canada, there is a need to address the psycho-oncologic challenges, including mental health. This study aims to explore the lived mental health experiences in patients with CRC across the phases of the CRC care continuum.
Methods: We employed a patient-oriented constructivist grounded theory design and recruited English speaking participants ≥18 years, diagnosed with CRC within the last 10 years, residing in Canada. We collected data through semi-structured individual interviews using a guide co-constructed with patient research partners. Data collection and analysis were iterative, employed theoretical sampling, and culminated in a theoretical model.
Results: Twenty-eight participants diagnosed with CRC (18 females, 10 males), aged 18-63 years at time of diagnosis were interviewed, with representation across all CRC stages. There were 10 participants (36%) in treatment, 12 participants (43%) in follow-up, and 6 participants (21%) in the beyond phase. We constructed a patient-oriented theory illustrating the dynamic nature between one's self-identity and their mental health experiences across the CRC care continuum. Mental health experiences encompass emotional and cognitive-behavioral responses, expressed differently across phases. Mental health care experiences are also shaped by barriers, facilitators, and individual contextual factors, all of which influence their access to care.
Conclusion: Our theory provides insight into the mental health experiences of patients with CRC across phases of the CRC care continuum. Understanding patients' emotional and cognitive-behavioral responses and care experiences can help identify opportunities to integrate mental health into CRC care.
(© 2024 The Author(s). Cancer Medicine published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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