Changes of narrative meaning-making markers during the different phases of breast cancer treatment for women below 50 years old

Introduction The onset of breast cancer is considered a potential traumatic event associated with physical and psychological effects, in particular when it occurs at the age below 50. The literature lacks a longitudinal narrative exploration of breast cancer experience of young women. Participants...

Full description

Bibliographic Details
Main Authors: Maria Luisa Martino, Daniela Lemmo, Anna Gargiulo, Daniela Barberio, Valentina Abate, Franca Avino, Maria Francesca Freda
Format: Article
Language:English
Published: Termedia Publishing House 2021-04-01
Series:Health Psychology Report
Subjects:
Online Access:https://hpr.termedia.pl/Changes-of-narrative-meaning-making-markers-r-nduring-the-different-phases-of-breast,134513,0,2.html
_version_ 1828119313420124160
author Maria Luisa Martino
Daniela Lemmo
Anna Gargiulo
Daniela Barberio
Valentina Abate
Franca Avino
Maria Francesca Freda
author_facet Maria Luisa Martino
Daniela Lemmo
Anna Gargiulo
Daniela Barberio
Valentina Abate
Franca Avino
Maria Francesca Freda
author_sort Maria Luisa Martino
collection DOAJ
description Introduction The onset of breast cancer is considered a potential traumatic event associated with physical and psychological effects, in particular when it occurs at the age below 50. The literature lacks a longitudinal narrative exploration of breast cancer experience of young women. Participants and procedure Using the narrative device as a diachronic tool aimed at promoting semiotic connection processes during the different phases of the therapeutic path, the authors constructed an ad hoc narrative interview to explore the meaning-making processes of 10 breast cancer patients below 50 years old during three turning-point phases: pre-hospitalization (T1); postoperative counseling (T2); and adjuvant therapy (T3). The research took place at National Cancer Institute Pascale of Naples. Through an ad hoc qualitative methodology, this study identifies the prevailing modes with which the five narrative meaning-making functions are articulated in the repeated narrative during the three phases. Results The findings capture the patterns of change of narrative meaning-making markers during the illness experience, highlighting both integrated modes of connections between aspects of experience over time and moments of block in specific critical phases for women under 50. Conclusions From a clinical health psychology point of view the results suggest the promotion of integration between the synchrony of the medical path and the diachrony of the subjective experience of women to support resources for adapting to experience.
first_indexed 2024-04-11T13:46:17Z
format Article
id doaj.art-88038685169d4fe4b6bbf44bc32ce2fe
institution Directory Open Access Journal
issn 2353-4184
2353-5571
language English
last_indexed 2024-04-11T13:46:17Z
publishDate 2021-04-01
publisher Termedia Publishing House
record_format Article
series Health Psychology Report
spelling doaj.art-88038685169d4fe4b6bbf44bc32ce2fe2022-12-22T04:21:03ZengTermedia Publishing HouseHealth Psychology Report2353-41842353-55712021-04-01101586710.5114/hpr.2021.105363134513Changes of narrative meaning-making markers during the different phases of breast cancer treatment for women below 50 years oldMaria Luisa Martino0Daniela Lemmo1Anna Gargiulo2Daniela Barberio3Valentina Abate4Franca Avino5Maria Francesca Freda6University of Naples Federico II, Naples, ItalUniversity of Naples Federico II, Naples, ItalUniversity of Naples Federico II, Naples, ItalClinical Psychology Unit, National Cancer Institute “Fondazione G. Pascale”, Naples, ItalyClinical Psychology Unit, National Cancer Institute “Fondazione G. Pascale”, Naples, ItalyBreast Surgery, National Cancer Institute “Fondazione G. Pascale”, Naples, ItalyUniversity of Naples Federico II, Naples, ItalIntroduction The onset of breast cancer is considered a potential traumatic event associated with physical and psychological effects, in particular when it occurs at the age below 50. The literature lacks a longitudinal narrative exploration of breast cancer experience of young women. Participants and procedure Using the narrative device as a diachronic tool aimed at promoting semiotic connection processes during the different phases of the therapeutic path, the authors constructed an ad hoc narrative interview to explore the meaning-making processes of 10 breast cancer patients below 50 years old during three turning-point phases: pre-hospitalization (T1); postoperative counseling (T2); and adjuvant therapy (T3). The research took place at National Cancer Institute Pascale of Naples. Through an ad hoc qualitative methodology, this study identifies the prevailing modes with which the five narrative meaning-making functions are articulated in the repeated narrative during the three phases. Results The findings capture the patterns of change of narrative meaning-making markers during the illness experience, highlighting both integrated modes of connections between aspects of experience over time and moments of block in specific critical phases for women under 50. Conclusions From a clinical health psychology point of view the results suggest the promotion of integration between the synchrony of the medical path and the diachrony of the subjective experience of women to support resources for adapting to experience.https://hpr.termedia.pl/Changes-of-narrative-meaning-making-markers-r-nduring-the-different-phases-of-breast,134513,0,2.htmlhealth implicationsbreast cancerunder-fifty womennarrative meaning-makingtrauma experiencebreast cancernarrativemeaningmakingmedical treatmentsturning-point phaseswomenunder fiftyclinical implications
spellingShingle Maria Luisa Martino
Daniela Lemmo
Anna Gargiulo
Daniela Barberio
Valentina Abate
Franca Avino
Maria Francesca Freda
Changes of narrative meaning-making markers during the different phases of breast cancer treatment for women below 50 years old
Health Psychology Report
health implications
breast cancer
under-fifty women
narrative meaning-making
trauma experience
breast cancer
narrative
meaningmaking
medical treatments
turning-point phases
women
under fifty
clinical implications
title Changes of narrative meaning-making markers during the different phases of breast cancer treatment for women below 50 years old
title_full Changes of narrative meaning-making markers during the different phases of breast cancer treatment for women below 50 years old
title_fullStr Changes of narrative meaning-making markers during the different phases of breast cancer treatment for women below 50 years old
title_full_unstemmed Changes of narrative meaning-making markers during the different phases of breast cancer treatment for women below 50 years old
title_short Changes of narrative meaning-making markers during the different phases of breast cancer treatment for women below 50 years old
title_sort changes of narrative meaning making markers during the different phases of breast cancer treatment for women below 50 years old
topic health implications
breast cancer
under-fifty women
narrative meaning-making
trauma experience
breast cancer
narrative
meaningmaking
medical treatments
turning-point phases
women
under fifty
clinical implications
url https://hpr.termedia.pl/Changes-of-narrative-meaning-making-markers-r-nduring-the-different-phases-of-breast,134513,0,2.html
work_keys_str_mv AT marialuisamartino changesofnarrativemeaningmakingmarkersduringthedifferentphasesofbreastcancertreatmentforwomenbelow50yearsold
AT danielalemmo changesofnarrativemeaningmakingmarkersduringthedifferentphasesofbreastcancertreatmentforwomenbelow50yearsold
AT annagargiulo changesofnarrativemeaningmakingmarkersduringthedifferentphasesofbreastcancertreatmentforwomenbelow50yearsold
AT danielabarberio changesofnarrativemeaningmakingmarkersduringthedifferentphasesofbreastcancertreatmentforwomenbelow50yearsold
AT valentinaabate changesofnarrativemeaningmakingmarkersduringthedifferentphasesofbreastcancertreatmentforwomenbelow50yearsold
AT francaavino changesofnarrativemeaningmakingmarkersduringthedifferentphasesofbreastcancertreatmentforwomenbelow50yearsold
AT mariafrancescafreda changesofnarrativemeaningmakingmarkersduringthedifferentphasesofbreastcancertreatmentforwomenbelow50yearsold