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Emotional responses to the experience of cancer 'alarm' symptoms

Whitaker, KL, Cromme, S, Winstanley, K, Renzi, C and Wardle, J (2015) Emotional responses to the experience of cancer 'alarm' symptoms EUROPEAN JOURNAL OF CANCER CARE, 24. p. 29.

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Abstract

Objective: To qualitatively explore associations between emotional responses to experience of cancer 'alarm' symptoms and help-seeking in a community sample of adults. Method: Interviewees (n=62) were recruited from a community sample (n=2042) of adults aged ≥50 years, who had completed a health survey that included a list of cancer alarm symptoms. Participants who had reported an alarm symptom both at baseline and 3-month follow-up (n=271), and who had consented to contact (n=215), constituted the pool for invitations to interview. Results: Over a third of participants (37%) described an emotional response to their symptom experience. In all these cases, there was evidence of awareness of the risk of cancer. Emotional responses were usually either classified as mild ('worry') or severe ('fear'). Worry was often described in the context of a desire to seek medical help, either to rule out cancer or to minimise patient delay. In contrast, the 'fear' group described associations with death, the perceived incurability of cancer, and the consequence of a cancer diagnosis. Where the emotional reaction was fear, medical contact was seen as something to be avoided either because it had no value or because it was preferable not to be told a diagnosis. Conclusion: In this community sample, worry about the possibility of cancer was associated with help-seeking, either for reassurance or as part of a 'sensible' strategy to deal with the risk. In contrast, fear was associated with avoiding help-seeking or even thinking about cancer, which could lead to prolonged help-seeking intervals.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences
Authors :
AuthorsEmailORCID
Whitaker, KLUNSPECIFIEDUNSPECIFIED
Cromme, SUNSPECIFIEDUNSPECIFIED
Winstanley, KUNSPECIFIEDUNSPECIFIED
Renzi, CUNSPECIFIEDUNSPECIFIED
Wardle, JUNSPECIFIEDUNSPECIFIED
Date : 1 September 2015
Identification Number : 10.1002/pon.3964
Uncontrolled Keywords : Science & Technology, Life Sciences & Biomedicine, Oncology, Health Care Sciences & Services, Nursing, Rehabilitation
Related URLs :
Additional Information : © 2015 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd.This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Depositing User : Symplectic Elements
Date Deposited : 13 Oct 2015 17:55
Last Modified : 13 Oct 2015 17:55
URI: http://epubs.surrey.ac.uk/id/eprint/808803

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