Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/25844
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Seeking, accepting and declining help for emotional distress in cancer: A systematic review and thematic synthesis of qualitative evidence (Forthcoming/Available Online)
Authors: Carolan, Clare
Smith, Annetta
Davies, Gareth R
Forbat, Liz
Contact Email: clare.carolan@uhi.ac.uk
Keywords: cancer
emotional
psychological
supportive care
Issue Date: 8-Jun-2017
Citation: Carolan C, Smith A, Davies GR & Forbat L (2017) Seeking, accepting and declining help for emotional distress in cancer: A systematic review and thematic synthesis of qualitative evidence (Forthcoming/Available Online), European Journal of Cancer Care.
Abstract: Many individuals affected by cancer who experience emotional distress report not wanting help. This review aims to understand why individuals affected by cancer seek, accept or decline help for emotional distress and what influences these actions. A systematic review and thematic synthesis of the qualitative literature was conducted. Using pre-defined search terms, four electronic databases were searched from January 2000 to May 2016. Pre-determined inclusion and exclusion criteria were then applied. Identified papers were quality appraised. In total, 32 papers were included in the synthesis. Four themes emerged from data synthesis: attaining normality—the normality paradox; being emotionally literate; perceptions of help; needs-support gap. Attaining normality is ideographic, context dependent and temporally situated; some individuals maintain normality by not seeking/declining help whereas others seek/accept help to achieve a new normality. Thus, attaining normality paradoxically functions to explain both why individuals sought/accepted help or did not seek/declined help. Data indicate that a context dependent, systems thinking approach is merited to enhance psychosocial care. In particular, clinicians must actively explore the personal context of an individual's distress to ensure that help desired and help offered are mutually understood. Further research must address the limitations of the current evidence base to advance theoretical understanding.
DOI Link: http://dx.doi.org/10.1111/ecc.12720
Rights: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.

Files in This Item:
File Description SizeFormat 
EJCC R2.pdf1.03 MBAdobe PDFUnder Embargo until 9/6/2018     Request a copy

Note: If any of the files in this item are currently embargoed, you can request a copy directly from the author by clicking the padlock icon above. However, this facility is dependent on the depositor still being contactable at their original email address.



This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.