View in EDS HTML Full Text PDF Full Text

Locally advanced breast cancer (LABC) and delayed care: a qualitative analysis of psychosocial factors.

Saved in:
Bibliographic Details
Title: Locally advanced breast cancer (LABC) and delayed care: a qualitative analysis of psychosocial factors.
Authors: Saita, Emanuela, Acquati, Chiara, Molgora, Sara, Vagnini, Denise, Piccolo, Eleonora Maria, Valenti, Francesco, Stratta, Gregorio, Grassi, Massimo Maria
Source: Psychology, Health & Medicine. Feb2023, Vol. 28 Issue 2, p408-418. 11p. 2 Charts, 1 Graph.
Subjects: Health services accessibility, Social support, Motivation (Psychology), Social networks, Interviewing, Cognition, Treatment delay (Medicine), Qualitative research, Decision making, Thematic analysis, Emotions, Psychological adaptation, Anxiety, Breast tumors, Symptoms
Geographic Terms: Italy
Abstract: The literature has extensively documented how delayed access to health care services in the context of cancer can result from subjective characteristics, dysfunctional coping styles, barriers to care, or procrastination. However, limited research has investigated the psychosocial experience of women diagnosed with Locally Advanced Breast Cancer (LABC). This qualitative study aimed at understanding cognitive, emotional and relational factors associated with delayed access to care and treatment decision-making. In-depth interviews with 14 Italian women were conducted. A thematic analysis of elementary contexts using T-LAB was used to identify the association between emerging clusters and participants' coping styles as measured by the Mini-MAC. Five clusters were identified: 'relationships', 'ineluctability', 'disease', 'surgery', and 'diagnosis'. The 'relationships' cluster was characterized by elevated rates of Fighting Spirit (p < 0.01) while Anxious Preoccupation was associated with 'surgery' (p < 0.01). Findings contribute to explain individual and relational variables related to delay seeking care of LABC patients by illustrating the interplay of personal motivations and social networks' characteristics. Evidence from this work expands current understanding of the interplay of factors contributing to delays in seeking medical attention and may be utilized to inform strategies to timely identify women at greater risk. [ABSTRACT FROM AUTHOR]
Copyright of Psychology, Health & Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 161831237
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Locally advanced breast cancer (LABC) and delayed care: a qualitative analysis of psychosocial factors.
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Saita%2C+Emanuela%22&quot;&gt;Saita, Emanuela&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Acquati%2C+Chiara%22&quot;&gt;Acquati, Chiara&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Molgora%2C+Sara%22&quot;&gt;Molgora, Sara&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Vagnini%2C+Denise%22&quot;&gt;Vagnini, Denise&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Piccolo%2C+Eleonora+Maria%22&quot;&gt;Piccolo, Eleonora Maria&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Valenti%2C+Francesco%22&quot;&gt;Valenti, Francesco&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Stratta%2C+Gregorio%22&quot;&gt;Stratta, Gregorio&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Grassi%2C+Massimo+Maria%22&quot;&gt;Grassi, Massimo Maria&lt;/searchLink&gt;
– Name: TitleSource
  Label: Source
  Group: Src
  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Psychology%2C+Health+%26+Medicine%22&quot;&gt;Psychology, Health &amp; Medicine&lt;/searchLink&gt;. Feb2023, Vol. 28 Issue 2, p408-418. 11p. 2 Charts, 1 Graph.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Health+services+accessibility%22&quot;&gt;Health services accessibility&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Social+support%22&quot;&gt;Social support&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Motivation+%28Psychology%29%22&quot;&gt;Motivation (Psychology)&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Social+networks%22&quot;&gt;Social networks&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Interviewing%22&quot;&gt;Interviewing&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cognition%22&quot;&gt;Cognition&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Treatment+delay+%28Medicine%29%22&quot;&gt;Treatment delay (Medicine)&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Qualitative+research%22&quot;&gt;Qualitative research&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Decision+making%22&quot;&gt;Decision making&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Thematic+analysis%22&quot;&gt;Thematic analysis&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Emotions%22&quot;&gt;Emotions&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Psychological+adaptation%22&quot;&gt;Psychological adaptation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Anxiety%22&quot;&gt;Anxiety&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Breast+tumors%22&quot;&gt;Breast tumors&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Symptoms%22&quot;&gt;Symptoms&lt;/searchLink&gt;
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Italy%22&quot;&gt;Italy&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The literature has extensively documented how delayed access to health care services in the context of cancer can result from subjective characteristics, dysfunctional coping styles, barriers to care, or procrastination. However, limited research has investigated the psychosocial experience of women diagnosed with Locally Advanced Breast Cancer (LABC). This qualitative study aimed at understanding cognitive, emotional and relational factors associated with delayed access to care and treatment decision-making. In-depth interviews with 14 Italian women were conducted. A thematic analysis of elementary contexts using T-LAB was used to identify the association between emerging clusters and participants&#39; coping styles as measured by the Mini-MAC. Five clusters were identified: &#39;relationships&#39;, &#39;ineluctability&#39;, &#39;disease&#39;, &#39;surgery&#39;, and &#39;diagnosis&#39;. The &#39;relationships&#39; cluster was characterized by elevated rates of Fighting Spirit (p &lt; 0.01) while Anxious Preoccupation was associated with &#39;surgery&#39; (p &lt; 0.01). Findings contribute to explain individual and relational variables related to delay seeking care of LABC patients by illustrating the interplay of personal motivations and social networks&#39; characteristics. Evidence from this work expands current understanding of the interplay of factors contributing to delays in seeking medical attention and may be utilized to inform strategies to timely identify women at greater risk. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Psychology, Health &amp; Medicine is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=161831237
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/13548506.2022.2073379
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 408
    Subjects:
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Social support
        Type: general
      – SubjectFull: Motivation (Psychology)
        Type: general
      – SubjectFull: Social networks
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Cognition
        Type: general
      – SubjectFull: Treatment delay (Medicine)
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Decision making
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Emotions
        Type: general
      – SubjectFull: Psychological adaptation
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Breast tumors
        Type: general
      – SubjectFull: Symptoms
        Type: general
      – SubjectFull: Italy
        Type: general
    Titles:
      – TitleFull: Locally advanced breast cancer (LABC) and delayed care: a qualitative analysis of psychosocial factors.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Saita, Emanuela
      – PersonEntity:
          Name:
            NameFull: Acquati, Chiara
      – PersonEntity:
          Name:
            NameFull: Molgora, Sara
      – PersonEntity:
          Name:
            NameFull: Vagnini, Denise
      – PersonEntity:
          Name:
            NameFull: Piccolo, Eleonora Maria
      – PersonEntity:
          Name:
            NameFull: Valenti, Francesco
      – PersonEntity:
          Name:
            NameFull: Stratta, Gregorio
      – PersonEntity:
          Name:
            NameFull: Grassi, Massimo Maria
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 02
              Text: Feb2023
              Type: published
              Y: 2023
          Identifiers:
            – Type: issn-print
              Value: 13548506
          Numbering:
            – Type: volume
              Value: 28
            – Type: issue
              Value: 2
          Titles:
            – TitleFull: Psychology, Health & Medicine
              Type: main
ResultId 1