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Supportive Care in Cancer

Erschienen in:

01.11.2012 | Original Article

Surrender as a form of active acceptance among breast cancer survivors receiving Psycho-Spiritual Integrative Therapy

verfasst von: Lisa Rosequist, Kathleen Wall, Diana Corwin, Jeanne Achterberg, Cheryl Koopman

Erschienen in: Supportive Care in Cancer | Ausgabe 11/2012

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Abstract

Purpose

The purpose of this study was to describe a domain of spiritual coping known as “surrender,” as experienced among women diagnosed with breast cancer who participated in Psycho-Spiritual Integrative Therapy (PSIT). Surrender is a concept similar to active acceptance, which has been studied extensively, but surrender in the context of spiritual supportive care has received little attention.

Methods

After participating in PSIT, which includes exercises in surrender, 23 participants completed an open-ended questionnaire about their experiences of surrender. Twelve women whose responses were most complete and expressive were selected to be analyzed for this study. A thematic analysis was conducted to better understand how surrender experiences may contribute to supportive care.

Results

Four distinct themes were identified: experience of surrender, facilitation of surrender, inhibition of surrender, and ease and completeness of surrender. Although the manifestations of surrender varied, women were consistent in describing these experiences positively.

Conclusions

These findings build upon previous evidence that spirituality, optimism, and active acceptance have a positive impact on well-being in cancer patients. The findings provide insight into the usefulness of PSIT for women with breast cancer and inform future research on the intervention.

Butler L, Koopman C, Classen C, Spiegel D (1999) Traumatic stress, life events, and emotional support among women with advanced breast cancer. Health Psychol 18:555–560PubMedCrossRef

Shapiro S, Lopez A, Schwartz G, Bootzin R, Figueredo A, Braden C, Kurker S (2001) Quality of life and breast cancer: relationship to psychosocial variables. J Clin Psychol 57(4):501–519PubMedCrossRef

Harmer V (2006) The psychological implications of breast cancer. Practice Nurse 32(6):44–49

Moadel A, Morgan C, Fatone A, Grennan J, Carter J, Laruffa G, Skummy A, Dutcher J (1999) Seeking meaning and hope: self-reported spiritual and existential needs among an ethnically-diverse cancer patient population. Psychooncology 8(5):378–385PubMedCrossRef

LeMay K, Wilson K (2008) Treatment of existential distress in life-threatening illness: a review of manualized interventions. Clin Psychol Rev 28:472–493PubMedCrossRef

Gall T, Cornblat M (2002) Breast cancer survivors give voice: a qualitative analysis of spiritual factors in long-term adjustment. Psychooncology 11:524–535PubMedCrossRef

Stanton AL, Danoff-Burg S, Huggins ME (2002) The first year after breast cancer diagnosis: hope and coping strategies as predictors of adjustment. Psychooncology 11:93–102PubMedCrossRef

Sanderson C, Linehan M (1999) Acceptances and forgiveness. In: Miller WR (ed) Integrating spirituality into treatment. American Psychological Association, Washington, DC

Hayes SC (2004) Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behav Ther 35(4):639–665CrossRef

10.

Astin JA, Anton-Culver H, Schwartz CE, Shapiro DH Jr, McQuade J, Breuer AM, Taylor TH, Lee H, Kurosaki T (1999) Sense of control and adjustment to breast cancer: the importance of balancing control coping styles. Behav Med 25(3):101–109PubMedCrossRef

11.

Astin JA, Shapiro SL, Schwartz CE, Shapiro DH (2001) “The courage to change and the serenity to accept”—further comments on fighting spirit and breast cancer. Adv Mind-Body Med 17:142–146PubMed

12.

Cole BS, Pargament K (1999) Spiritual surrender: a paradoxical path to control. In: Miller WR (ed) Integrating spirituality into treatment: resources for practitioners. American Psychological Association, Washington, DC

13.

Pargament K (1997) The psychology of religion and coping: theory, research, practice. Guilford, New York

14.

Wall K, Corwin D, Koopman C (2012) Reaping fruits of spirituality through Psycho-Spiritual Integrative Therapy during cancer recovery. In: Plante TG (ed) Religion, spirituality, and positive psychology: understanding the psychological fruits of faith. Praeger/Greenwood, Westport (in press)

15.

Garlick M, Wall K, Corwin D, Koopman C (2011) Psycho-Spiritual Integrative Therapy for women with primary breast cancer. J Clin Psychol Med Settings 18:78–90PubMedCrossRef

16.

Park C, Folkman S (1997) Meaning in the context of stress and coping. Rev Gen Psychol 1(2):115–144CrossRef

17.

Miovic M (2004) An introduction to spiritual psychology: overview of the literature, East and West. Harvard Rev Psychiatry 12:105–115CrossRef

18.

Kabat-Zinn J (2003) Mindfulness-based stress reduction (MBSR). Constructivism Hum Sci 8(2):73–107

19.

Hayes S, Follette V, Linehan M (2004) Mindfulness & acceptance: expanding the cognitive behavioral tradition. Guilford, New York

20.

Oman D, Hedberg J, Thoresen C (2006) Passage meditation reduces perceived stress in health professionals: a randomized, controlled trial. J Consult Clin Psychol 74(4):714–719PubMedCrossRef

21.

Carlson L, Ursuliak Z, Goodey E, Angen M, Speca M (2001) The effects of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients: 6-month follow-up. Support Care Cancer 9(2):112–123PubMedCrossRef

22.

Speca M, Carlson L, Goodey E, Angen M (2000) A randomized, wait-list controlled clinical trial: the effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosom Med 62(5):613–622PubMed

23.

Emmons R, Colby P, Kaiser H (1998) When losses lead to gains: personal goals and the recovery of meaning. In: Wong P, Fry P (eds) The human quest for meaning: a handbook of psychological research and clinical applications. Lawrence Erlbaum Associates, Inc, Mahwah, pp 163–178

24.

Wallace B, Shapiro S (2006) Mental balance and well-being: building bridges between Buddhism and western psychology. Am Psychol 61:690–701PubMedCrossRef

25.

Garland F, Gaylord S, Park J (2009) The role of mindfulness in positive reappraisal. Explore 5(1):37–44PubMedCrossRef

26.

Flinders T, Oman D, Flinders CL (2007) The eight-point program of passage meditation: health effects of a comprehensive program. In: Plante TG, Thoresen CE (eds) Spirit, science, and health: how the spiritual mind fuels physical wellness. Praeger, Westport, pp 72–93

27.

Merriam-Webster (2011) Merriam-Webster on-line dictionary. Available at http://www.merriam-webster.com/

28.

Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psychol 3:77–101CrossRef

29.

Boyatzis R (1998) Transforming qualitative information: thematic analysis and code development. Sage, Thousand Oaks

30.

Aronson J (1994) A pragmatic view of thematic analysis. The Qualitative Report 2(1). Available at http://www.nova.edu/ssss/QR/BackIssues/QR2-1/aronson.html. Accessed 2 January 2012

31.

Shapiro D, Astin J (1998) Control therapy: an integrated approach to psychotherapy, health, and healing. Wiley, New York

32.

Mackenzie MJ, Carlson LE, Speca M (2005) Mindfulness-based stress reduction (MBSR) in oncology. Evid Based Integrat Med 2(3):139–145CrossRef

33.

David D, Montgomery G, Boybjerg D (2006) Relations between coping responses and optimism–pessimism in predicting anticipatory psychological distress in surgical breast cancer. Pers Individ Differ 40:203–213CrossRef

34.

Scheier M, Weintraub J, Carver C (1986) Coping with stress: divergent strategies of optimists and pessimists. J Pers Soc Psychol 51(6):1257–1264PubMedCrossRef

35.

Varner A (2004) Spirituality and religion among lesbian women diagnosed with cancer: a qualitative study. J Psychosoc Oncol 22(1):75–89CrossRef

36.

Acklin MW, Brown EC, Mauger PA (1983) The role of religious values in coping with cancer. J Relig Health 22(4):322–333CrossRef

37.

Ashing-Giwa K, Padilla G, Tejero J, Kraemer J, Wright K, Coscarelli A, Hills D, Clayton S, Williams I (2004) Understanding the breast cancer experience of women: a qualitative study of African American, Asian American, Latina and Caucasian cancer survivors. Psychooncology 13:408–428PubMedCrossRef

38.

Blinderman C, Cherny N (2005) Existential issues do not neccessarily result in existential suffering: lessons from cancer patients in Israel. Palliat Med 19:371–380PubMedCrossRef

39.

Koenig H, Larson D, Larson S (2001) Religion and coping with serious medical illness. Ann Pharmacother 35(3):352–359PubMedCrossRef

40.

Feher S, Maly R (1999) Coping with breast cancer in later life: the role of religious faith. Psychooncology 8:408–416PubMedCrossRef

41.

Park C (2006) Exploring relations among religiousness, meaning, and adjustments to lifetime and current stressful encounters in later life. Anxiety Stress Coping 19(1):33–45CrossRef

42.

Breitbart W (2001) Spirituality and meaning in supportive care: spirituality- and meaning-centered group psychotherapy interventions in advanced cancer. Support Care Cancer 10(4):1–15

43.

Coyle J (2001) Towards a framework for exploring the relationship between spirituality and health. J Adv Nurs 37(6):589–597CrossRef

Titel: Surrender as a form of active acceptance among breast cancer survivors receiving Psycho-Spiritual Integrative Therapy
verfasst von: Lisa Rosequist
Kathleen Wall
Diana Corwin
Jeanne Achterberg
Cheryl Koopman
Publikationsdatum: 01.11.2012
Verlag: Springer-Verlag
Erschienen in: Supportive Care in Cancer / Ausgabe 11/2012
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-012-1406-y

Springer Medizin

Surrender as a form of active acceptance among breast cancer survivors receiving Psycho-Spiritual Integrative Therapy

Abstract

Purpose

Methods

Results

Conclusions

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Update Onkologie

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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