The interplay between ovarian cancer and social relationships: an analysis of patients' metaphors.

IF 2.4 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Psychology & Health Pub Date : 2024-11-01 Epub Date: 2023-02-21 DOI:10.1080/08870446.2023.2180149

Lorenzo Montali, Joanne Brooker, Elisabetta Camussi, Parris Davenport, Elisabetta Ronco, Lyndel Shand, Edoardo Zulato, Tess Knight

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Abstract

Objective: Research showed that ovarian cancer poses unique challenges to patients' care experiences and that patients' social networks could affect their care path significantly. The present study aimed to analyse the metaphors that patients used to signify the impact of the illness on their social relationships and the role of relationships in dealing with cancer.

Design: Following a qualitative description approach we conducted 38 semi-structured interviews with Australian (14) and Italian (24) women diagnosed at different stages of ovarian cancer.

Results: The analysis identified four themes bringing together the meanings expressed by participants' metaphors: Lack of comprehension and communication; Isolation, marginalisation, and self-isolation; Discrepancy between the private and public self; and Social relationships as empowerment resources.

Conclusion: The polysemic nature of patients' metaphors captures both the empowering and especially disempowering role of social relationships in dealing with ovarian cancer. Results also show that metaphors are used to make sense of the impact of ovarian cancer on social relationships and to express different strategies for managing patients' networks.

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卵巢癌与社会关系之间的相互作用：对患者隐喻的分析。

目的：研究表明，卵巢癌给患者的护理经历带来了独特的挑战，而患者的社交网络会对其护理路径产生重大影响。本研究旨在分析患者在表达疾病对其社会关系的影响时所使用的隐喻，以及人际关系在应对癌症时所扮演的角色：设计：采用定性描述的方法，我们对澳大利亚（14 位）和意大利（24 位）不同阶段的卵巢癌女性患者进行了 38 次半结构化访谈：结果：分析确定了四个主题，汇集了参与者隐喻所表达的意义：缺乏理解和沟通；孤立、边缘化和自我隔离；私人自我和公共自我之间的差异；作为赋权资源的社会关系：结论：患者隐喻的多义性捕捉到了社会关系在处理卵巢癌问题上的赋权作用和特别是失权作用。研究结果还表明，隐喻被用来解释卵巢癌对社会关系的影响，并表达管理患者网络的不同策略。

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来源期刊

Psychology & Health Multiple-

CiteScore

7.30

自引率

3.00%

发文量

期刊介绍： Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.