persuasion, adaptation, and double identity: qualitative study on the psychological impact of a screen-detected colorectal cancer diagnosis
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ID: 229197
2018
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Abstract
The NHS Bowel Cancer Screening Programme (BCSP) is aimed at reducing colorectal cancer (CRC) mortality through early detection within a healthy population. This study explores how 5 people (three females) experience and make sense of their screen-detected diagnosis and the psychological implications of this diagnostic pathway. A biographical narrative interview method was used, and transcripts were analysed using a thematic analysis with a phenomenological lens. Themes specifically relating to posttreatment experience and reflections are reported here: Do it: being living proof, Resisting the threat of recurrence, Rationalising bodily change, and Continuing life—“carrying on normally.” Participants described their gratefulness to the BCSP, motivating a strong desire to persuade others to be screened. Furthermore, participants professed a duality of experience categorised by the normalisation of life after diagnosis and treatment and an identification of strength post cancer, as well as a difficulty adjusting to the new changes in life and a contrasting identity of frailty. Understanding both the long- and short-term impacts of a CRC diagnosis through screening is instrumental to the optimisation of support for patients. The results perhaps highlight a particular target for psychological distress reduction, which could reduce the direct and indirect cost of cancer to the patient.
| Reference Key |
mcgregor2018gastroenterologypersuasion,
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| Authors | ;Lesley M. McGregor;Sara Tookey;Rosalind Raine;Christian von Wagner;Georgia Black |
| Journal | colloids and surfaces a: physicochemical and engineering aspects |
| Year | 2018 |
| DOI |
10.1155/2018/1275329
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