Lived experiences of young adults facing a recent diagnosis of cancer: A phenomenological study

Abstract Introduction Young adulthood is a period of prosperity and freshness characterized by developmental achievement, which can be inhibited by various diseases such as cancer. Typically considered a terminal disease, if diagnosed in young adulthood, cancer may trigger a tremendous psychosomatic...

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Main Authors: Mehraban Shahmari, Alireza Nikbakht Nasrabadi, Elaheh Rezaie, Seemin Dashti, Elhameh Nasiri, Leily Zare
Format: Article
Language:English
Published: Wiley 2023-10-01
Series:Health Expectations
Subjects:
Online Access:https://doi.org/10.1111/hex.13793
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author Mehraban Shahmari
Alireza Nikbakht Nasrabadi
Elaheh Rezaie
Seemin Dashti
Elhameh Nasiri
Leily Zare
author_facet Mehraban Shahmari
Alireza Nikbakht Nasrabadi
Elaheh Rezaie
Seemin Dashti
Elhameh Nasiri
Leily Zare
author_sort Mehraban Shahmari
collection DOAJ
description Abstract Introduction Young adulthood is a period of prosperity and freshness characterized by developmental achievement, which can be inhibited by various diseases such as cancer. Typically considered a terminal disease, if diagnosed in young adulthood, cancer may trigger a tremendous psychosomatic shock. The nature of facing a recent cancer diagnosis affects the whole coping process. Addressing young adults' experiences at the confirmation point of cancer diagnosis will facilitate supporting them through the early recognition of probable problems in the future. Therefore, the present study aimed to analyse the lived experiences of young adults facing a recent cancer diagnosis. Methods This qualitative study adopted an interpretive phenomenology design. In this study, 12 patients (with an age range of 20–40) were selected using the purposive sampling method. Data collection was done through in‐depth, semistructured interviews. The data were analysed following the method proposed by Diekelmann et al. Findings Three main themes and nine subthemes were extracted from the data: (1) spiritual detachment and then acceptance through spirituality in the form of denial and then forced acceptance, sense of guilt and spiritual help‐seeking, and anger towards God and then humbleness, (2) the shock of facing an extraordinary life shaped by disturbed role‐play and unusual lifestyle, (3) anticipatory anxiety concerning the sense of rejection, negative perspective towards future, inability to afford the costs and worries about the future of the family members. Conclusion This was the first study providing significant insights into the experiences of young adults facing a recent cancer diagnosis. The diagnosis of cancer can shadow all aspects of young adults' lives. The findings of the present study empower healthcare professionals to provide newly diagnosed young adults with appropriate health services. Patient Contributions To identify and recruit the participants, we explained the objectives of the present study to the unit managers either by phone or in person. The participants were approached and interviewed by three authors. Participation was voluntary and the participants received no financial contribution for their time.
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spelling doaj.art-0c085490f698445491b42315961229822023-09-08T04:49:55ZengWileyHealth Expectations1369-65131369-76252023-10-012651874188210.1111/hex.13793Lived experiences of young adults facing a recent diagnosis of cancer: A phenomenological studyMehraban Shahmari0Alireza Nikbakht Nasrabadi1Elaheh Rezaie2Seemin Dashti3Elhameh Nasiri4Leily Zare5Department of Medical‐Surgical, School of Nursing and Midwifery Ardabil University of Medical Sciences Ardabil IranSchool of Nursing and Midwifery Tehran University of Medical Science Tehran IranHematology Department, Imam Khomeini Hospital Ardabil University of Medical Sciences Ardabil IranHealth Education and Promotion Department, Faculty of Health Tabriz University of Medical Sciences Tabriz IranSchool of Nursing and Midwifery Ardabil University of Medical Sciences Ardabil IranDepartment of Medical‐Surgical, School of Nursing and Midwifery Tehran University of Medical Sciences Tehran IranAbstract Introduction Young adulthood is a period of prosperity and freshness characterized by developmental achievement, which can be inhibited by various diseases such as cancer. Typically considered a terminal disease, if diagnosed in young adulthood, cancer may trigger a tremendous psychosomatic shock. The nature of facing a recent cancer diagnosis affects the whole coping process. Addressing young adults' experiences at the confirmation point of cancer diagnosis will facilitate supporting them through the early recognition of probable problems in the future. Therefore, the present study aimed to analyse the lived experiences of young adults facing a recent cancer diagnosis. Methods This qualitative study adopted an interpretive phenomenology design. In this study, 12 patients (with an age range of 20–40) were selected using the purposive sampling method. Data collection was done through in‐depth, semistructured interviews. The data were analysed following the method proposed by Diekelmann et al. Findings Three main themes and nine subthemes were extracted from the data: (1) spiritual detachment and then acceptance through spirituality in the form of denial and then forced acceptance, sense of guilt and spiritual help‐seeking, and anger towards God and then humbleness, (2) the shock of facing an extraordinary life shaped by disturbed role‐play and unusual lifestyle, (3) anticipatory anxiety concerning the sense of rejection, negative perspective towards future, inability to afford the costs and worries about the future of the family members. Conclusion This was the first study providing significant insights into the experiences of young adults facing a recent cancer diagnosis. The diagnosis of cancer can shadow all aspects of young adults' lives. The findings of the present study empower healthcare professionals to provide newly diagnosed young adults with appropriate health services. Patient Contributions To identify and recruit the participants, we explained the objectives of the present study to the unit managers either by phone or in person. The participants were approached and interviewed by three authors. Participation was voluntary and the participants received no financial contribution for their time.https://doi.org/10.1111/hex.13793cancerphenomenologyqualitative researchrecent diagnosisyoung adulthood
spellingShingle Mehraban Shahmari
Alireza Nikbakht Nasrabadi
Elaheh Rezaie
Seemin Dashti
Elhameh Nasiri
Leily Zare
Lived experiences of young adults facing a recent diagnosis of cancer: A phenomenological study
Health Expectations
cancer
phenomenology
qualitative research
recent diagnosis
young adulthood
title Lived experiences of young adults facing a recent diagnosis of cancer: A phenomenological study
title_full Lived experiences of young adults facing a recent diagnosis of cancer: A phenomenological study
title_fullStr Lived experiences of young adults facing a recent diagnosis of cancer: A phenomenological study
title_full_unstemmed Lived experiences of young adults facing a recent diagnosis of cancer: A phenomenological study
title_short Lived experiences of young adults facing a recent diagnosis of cancer: A phenomenological study
title_sort lived experiences of young adults facing a recent diagnosis of cancer a phenomenological study
topic cancer
phenomenology
qualitative research
recent diagnosis
young adulthood
url https://doi.org/10.1111/hex.13793
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