Abstract
Research suggests that the experience of cancer is diverse rather than homogeneous. The strong emotions and stress associated with cancer lead to a search for coping strategies. Men with different types of cancer utilise physical, psychological, interpersonal, and spiritual strategies. Despite the research, the specific adaptation and coping strategies used by men with testicular cancer have rarely been studied. We focused on the adaptation and coping strategies of newly diagnosed patients (n = 17) with testicular cancer in Slovakia. For this purpose, we conducted a longitudinal qualitative study based on semi-structured interviews before, during and after chemotherapy. The verbatim transcribed interviews were analysed using ideal type analysis with a focus on typology formation and trajectory analysis in narrative approaches. The main types of psychological adaptation and strategies were grouped into 4 trajectories: the psychological barrier between the self and the illness as a coping mechanism; realistic optimism; meaning-making; and the complicated process of adaptation. The differences in adaptation were related to the patients’ emotional state before the disease, previous unprocessed life events, a death in the family during treatment, but also to the metastatic nature of the disease or the recurrence of testicular cancer. These results can help healthcare providers identify those at higher risk for complicated adaptation.
Funding source: the European Regional Development Fund project “Systematic public research infrastructure - Biobank for cancer and rare diseases
Award Identifier / Grant number: 313011AFG5
-
Research ethics: The Ethics Committee of the National Cancer Institute in Bratislava and the Ethics Committee of the Centre for Social and Psychological Sciences of the Slovak Academy of Sciences have approved this study. The procedures used in this study are in accordance with the principles of the Declaration of Helsinki.
-
Informed consent: Written informed consent was obtained from all individual participants included in this study.
-
Competing interests: The authors declare that they have no conflicts of interest.
-
Data availability: The data supporting the results of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.
References
Anderson, Roger T., Lauren C. Peres, Fabian Camacho, Elisa V. Bandera, Ellen Funkhouser, Patricia G. Moorman, Lisa E. Paddock, et al.. 2019. “Individual, Social, and Societal Correlates of Health-Related Quality of Life Among African American Survivors of Ovarian Cancer: Results from the African American Cancer Epidemiology Study.” Journal of Women’s Health 28 (2): 284–93. https://doi.org/10.1089/jwh.2018.7025.Suche in Google Scholar
Barnett, Marie, G. McDonnell, A. DeRosa, T. Schuler, E. Philip, L. Peterson, et al.. 2016. “Psychosocial Outcomes and Interventions Among Cancer Survivors Diagnosed during Adolescence and Young Adulthood (AYA): A Systematic Review.” Journal of Cancer Survivorship 10 (5): 814–31. https://doi.org/10.1007/s11764-016-0527-6 (Accessed Apr 11, 2020).Suche in Google Scholar
Beutler, Larry E., Rudolf H. Moos, and Geoffrey Lane. 2003. “Coping, Treatment Planning, and Treatment Outcome: Discussion.” Journal of Clinical Psychology 59 (10): 1151–67. https://doi.org/10.1002/jclp.10216.Suche in Google Scholar
Biesecker, Barbara B., Lori H. Erby, Samuel Woolford, Jessica Young Adcock, Julie S. Cohen, Amanda Lamb, Katie V. Lewis, Megan Truitt, Amy Turriff, and Bryce B. Reeve. 2013. “Development and Validation of the Psychological Adaptation Scale (PAS): Use in Six Studies of Adaptation to a Health Condition or Risk.” Patient Education and Counseling 93 (2): 248–54. https://doi.org/10.1016/j.pec.2013.05.006.Suche in Google Scholar
Boeije, H. R. 2009. Analysis in Qualitative Research.Suche in Google Scholar
Bradford, Natalie, Christine Cashion, Lucy Holland, Rosyln Henney, and Rick Walker. 2021. “Coping with Cancer: A Qualitative Study of Adolescent and Young Adult Perspectives.” Patient Education and Counseling 105 (July): 974–81. https://doi.org/10.1016/j.pec.2021.07.034.Suche in Google Scholar
Buffart, L. M., D. A. Galvão, J. Brug, M. J. M. Chinapaw, and R. U. Newton. 2014. “Evidence-Based Physical Activity Guidelines for Cancer Survivors: Current Guidelines, Knowledge Gaps and Future Research Directions.” Cancer Treatment Reviews 40 (2): 327–40. https://doi.org/10.1016/j.ctrv.2013.06.007.Suche in Google Scholar
Bultz, Barry D., Brian Kelly, Zeev Rosberger, Caitlin Forbes, Cindy Railton, Tavener Meredith, Christopher Lloyd, Igor Stukalin, Bennett White, and Fiona S. M. Schulte. 2024. “Uncovering the Unspoken’: A Narrative Analysis of Patients’ Experiences with Testicular Cancer.” Supportive Care in Cancer 32 (9). https://doi.org/10.1007/s00520-024-08770-2.Suche in Google Scholar
Carver, Charles S., Michael F. Scheier, and Jagdish K. Weintraub. 1989. “Assessing Coping Strategies: A Theoretically Based Approach.” Journal of Personality and Social Psychology 56 (2): 267–83. https://doi.org/10.1037//0022-3514.56.2.267.Suche in Google Scholar
Carver, Charles S., Christina Pozo, Suzanne D. Harris, Victoria Noriega, Michael F. Scheier, David S. Robinson, Alfred S. Ketcham, Frederick L. Moffat, and Kimberley C. Clark. 1993. “How Coping Mediates the Effect of Optimism on Distress: A Study of Women with Early Stage Breast Cancer.” Journal of Personality and Social Psychology 65 (2): 375–90. https://doi.org/10.1037/0022-3514.65.2.375.Suche in Google Scholar
Chovanec, Michal, Jakob Lauritsen, Mikkel Bandak, Christoph Oing, Gry Gundgaard Kier, Michael Kreiberg, Josephine Rosenvilde, Thomas Wagner, Carsten Bokemeyer, and Gedske Daugaard. 2021. “Late Adverse Effects and Quality of Life in Survivors of Testicular Germ Cell Tumour.” Nature Reviews Urology 18 (4): 227–45. https://doi.org/10.1038/s41585-021-00440-w.Suche in Google Scholar
Czerw, Aleksandra I., Urszula Religioni, Andrzej Deptała, and Bożena Walewska-Zielecka. 2016. “Assessment of Pain, Acceptance of Illness, Adjustment to Life with Cancer, and Coping Strategies in Colorectal Cancer Patients.” Gastroenterology Review 2: 96–103. https://doi.org/10.5114/pg.2015.52561.Suche in Google Scholar
Dickens, Elena, and Samreen Ahmed. 2018. “Principles of Cancer Treatment by Chemotherapy.” Surgery (Oxford) 36 (3): 134–8. https://doi.org/10.1016/j.mpsur.2017.12.002.Suche in Google Scholar
Derakshan, Nazanin, Michael W. Eysenck, and Lynn B. Myers. 2007. “Emotional Information Processing in Repressors: The Vigilance–Avoidance Theory.” Cognition & Emotion 21 (8): 1585–614. https://doi.org/10.1080/02699930701499857.Suche in Google Scholar
GLOBOCAN. 2022. “Statistics at a Glance, 2022 Top 5 Most Frequent Cancers.” https://gco.iarc.who.int/media/globocan/factsheets/populations/900-world-fact-sheet.pdf.Suche in Google Scholar
Goodwin, Belinda C., Nicholas Ralph, Michael J. Ireland, Melissa K. Hyde, John L. Oliffe, Jeff Dunn, and Suzanne Chambers. 2019. “The Role of Masculinities in Psychological and Emotional Help Seeking by Men with Prostate Cancer.” Psycho-Oncology 29 (2): 356–63. https://doi.org/10.1002/pon.5264.Suche in Google Scholar
Håland, Hilde, Signe Berit Bentsen, and Astrid Karin Berland. 2016. “Erfaringer Med Diagnostisering Og Behandling Av Testikkelkreft.” Sykepleien Forskning (1). https://doi.org/10.4220/sykepleienf.2016.59327.Suche in Google Scholar
Hoyt, Michael A., Christian J. Nelson, Katie Darabos, Amanda Marín-Chollom, and Annette L. Stanton. 2017. “Mechanisms of Navigating Goals after Testicular Cancer: Meaning and Emotion Regulation.” Psycho-Oncology 26 (6): 747–54. https://doi.org/10.1002/pon.4068.Suche in Google Scholar
Hvidt, N. C., T. B. Mikkelsen, A. D. Zwisler, J. B. Tofte, and E. Assing Hvidt. 2019. “Spiritual, Religious, and Existential Concerns of Cancer Survivors in a Secular Country with Focus on Age, Gender, and Emotional Challenges.” Supportive Care in Cancer 27 (12): 4713–21. https://doi.org/10.1007/s00520-019-04775-4.Suche in Google Scholar
Kristjanson, L., C. Ng, L. Oldham, L. Wilkes, K. White, and L. Maher. 2006. “The Impact and Responses of Men Who Have Experienced Testicular Cancer.” The Australian Journal of Cancer Nursing 7 (1): 10–7.Suche in Google Scholar
Krok, Dariusz, and Ewa Telka. 2018. “Meaning in Life in Cancer Patients: Relationships with Illness Perception and Global Meaning Changes.” Health Psychology Report 6 (2): 171–82, https://doi.org/10.5114/hpr.2018.71636.Suche in Google Scholar
Langelier, David Michael, Colleen Jackson, William Bridel, Christopher Grant, and S. Nicole Culos-Reed. 2021. “Coping Strategies in Active and Inactive Men with Prostate Cancer: A Qualitative Study.” Journal of Cancer Survivorship 16 (April): 421–31. https://doi.org/10.1007/s11764-021-01037-3.Suche in Google Scholar
Lazarus, Richard S., and Susan Folkman. 1984. Stress, Appraisal, and Coping. New York: Springer Publishing Company.Suche in Google Scholar
Lie, Nataskja-Elena Kersting, Torill Marie Bogsnes Larsen, and May Aasebø Hauken. 2017. “Coping with Changes and Uncertainty: A Qualitative Study of Young Adult Cancer Patients’ Challenges and Coping Strategies during Treatment.” European Journal of Cancer Care 27 (6): e12743. https://doi.org/10.1111/ecc.12743.Suche in Google Scholar
Li, Mingmei, and Karen Caeyenberghs. 2018. “Longitudinal Assessment of Chemotherapy-Induced Changes in Brain and Cognitive Functioning: A Systematic Review.” Neuroscience & Biobehavioral Reviews 92 (September): 304–17. https://doi.org/10.1016/j.neubiorev.2018.05.019.Suche in Google Scholar
Lincoln, Yvonna S., and Egon G. Guba. 1986. “But Is it Rigorous? Trustworthiness and Authenticity in Naturalistic Evaluation.” New Directions for Program Evaluation 1986 (30): 73–84. https://doi.org/10.1002/ev.1427.Suche in Google Scholar
Mardani, Abbas, Mansoureh Ashghali Farahani, Alice Khachian, and Mojtaba Vaismoradi. 2023. “Fear of Cancer Recurrence and Coping Strategies Among Prostate Cancer Survivors: A Qualitative Study.” Current Oncology 30 (7): 6720–733. https://doi.org/10.3390/curroncol30070493.Suche in Google Scholar
Marton, Giulia, Dario Monzani, Laura Vergani, Silvia Francesca Maria Pizzoli, and Gabriella Pravettoni. 2020. “Optimism Is a Strategy for Making a Better Future.” European Psychologist 27 (1): 1–21. https://doi.org/10.1027/1016-9040/a000422.Suche in Google Scholar
Matheson, Lauren, Mary Boulton, Verna Lavender, Andrew Protheroe, Sue Brand, Marta Wanat, and Eila Watson. 2015. “Dismantling the Present and Future Threats of Testicular Cancer: A Grounded Theory of Positive and Negative Adjustment Trajectories.” Journal of Cancer Survivorship 10 (1): 194–205. https://doi.org/10.1007/s11764-015-0466-7.Suche in Google Scholar
McRae, Kateri. 2016. “Cognitive Emotion Regulation: A Review of Theory and Scientific Findings.” Current Opinion in Behavioral Sciences 10 (10): 119–24. https://doi.org/10.1016/j.cobeha.2016.06.004.Suche in Google Scholar
Montiel, Corentin, Nathalie Bedrossian, André Myre, Asher Kramer, Alexia Piché, Meghan H. Mcdonough, Catherine M. Sabiston, Anika Petrella, Lise Gauvin, and Isabelle Doré. 2024. “In My Mind, it Was Just Temporary’: A Qualitative Study of the Impacts of Cancer on Men and Their Strategies to Cope.” American Journal of Men’s Health 18 (1). https://doi.org/10.1177/15579883231215153.Suche in Google Scholar
Muszalik, Marta, I. Repka, G. Puto, J. Kowal-Skałka, and K. Kędziora-Kornatowska. 2021. “Assessment of Functional Status and Quality of Life of Elderly Patients Undergoing Radiotherapy and Radiotherapy Combined with Chemotherapy–A Cross-Sectional Study.” Clinical Interventions in Aging 16: 9–18. https://doi.org/10.2147/CIA.S281871.Suche in Google Scholar
Niedzwiedz, Claire L., Knifton Lee, Kathryn A. Robb, Srinivasa Vittal Katikireddi, and Daniel J. Smith. 2019. “Depression and Anxiety Among People Living with and beyond Cancer: A Growing Clinical and Research Priority.” BMC Cancer 19 (1). https://doi.org/10.1186/s12885-019-6181-4.Suche in Google Scholar
O’Neill, C., E. McCaughan, C. J. Semple, and A. Ryan. 2018. “Fathers’ Experiences of Living with Cancer: A Phenomenological Study.” European Journal of Cancer Care 27 (1): e12492. https://doi.org/10.1111/ecc.12492.Suche in Google Scholar
Rincones, Orlando, Allan Ben Smith, Sayeda Naher, Rebecca Mercieca-Bebber, and Martin Stockler. 2021. “An Updated Systematic Review of Quantitative Studies Assessing Anxiety, Depression, Fear of Cancer Recurrence or Psychological Distress in Testicular Cancer Survivors.” Cancer Management and Research 13 (May): 3803–16. https://doi.org/10.2147/cmar.s198039.Suche in Google Scholar
Religioni, Urszula, Aleksandra Czerw, and Andrzej Deptała. 2015. “Acceptance of Cancer in Patients Diagnosed with Lung, Breast, Colorectal and Prostate Carcinoma.” DOAJ (DOAJ: Directory of Open Access Journals) 44 (8): 1135–42.Suche in Google Scholar
Rutskij, Robert, Torfinn Gaarden, Roy Bremnes, Olav Dahl, Arnstein Finset, Sophie D. Fossa, Olbjorn Klepp, Oystein Sorebo, Erik Wist, and Alv A. Dahl. 2010. “A Study of Coping in Long-Term Testicular Cancer Survivors.” Psychology, Health & Medicine 15 (2): 146–58. https://doi.org/10.1080/13548501003623955.Suche in Google Scholar
Ryan, Sean J., and Michael A. Hoyt. 2018. “Adult Self-Image and Well-Being after Testicular Cancer: The Role of Agency and Meaning.” Psychology & Health 33 (8): 1049–61. https://doi.org/10.1080/08870446.2018.1456659.Suche in Google Scholar
Saboonchi, Fredrik, Lena-Marie Petersson, Kristina Alexanderson, Richard Bränström, and Agneta Wennman-Larsen. 2015. “Expecting the Best and Being Prepared for the Worst: Structure, Profiles, and 2-Year Temporal Stability of Dispositional Optimism in Women with Breast Cancer.” Psycho-Oncology 25 (8): 957–63. https://doi.org/10.1002/pon.4045.Suche in Google Scholar
Salifu, Yakubu, Kathryn Almack, and Glenys Caswell. 2023. “Out of the Frying Pan into the Fire’: A Qualitative Study of the Impact on Masculinity for Men Living with Advanced Prostate Cancer.” Palliative Care and Social Practice 17 (January). https://doi.org/10.1177/26323524231176829.Suche in Google Scholar
Shneerson, C., T. Taskila, R. Holder, S. Greenfield, I. Tolosa, S. Damery, and N. Gale. 2015. “Patterns of Self-Management Practices Undertaken by Cancer Survivors: Variations in Demographic Factors.” European Journal of Cancer Care 24 (5): 683–94. https://doi.org/10.1111/ecc.12252.Suche in Google Scholar
Schroevers, Maya J., Vicki S. Helgeson, Robbert Sanderman, and Adelita V. Ranchor. 2010. “Type of Social Support Matters for Prediction of Posttraumatic Growth Among Cancer Survivors.” Psycho-Oncology 19 (1): 46–53. https://doi.org/10.1002/pon.1501.Suche in Google Scholar
Sirois, Fuschia M., Danielle S. Molnar, and Jameson K. Hirsch. 2015. “Self-Compassion, Stress, and Coping in the Context of Chronic Illness.” Self and Identity 14 (3): 334–47. https://doi.org/10.1080/15298868.2014.996249.Suche in Google Scholar
Skoogh, J., G. Steineck, E. Cavallin-Ståhl, U. Wilderäng, U. K. Håkansson, B. Johansson, and U. Stierner. 2011. “Feelings of Loss and Uneasiness or Shame after Removal of a Testicle by Orchidectomy: A Population-Based Long-Term Follow-Up of Testicular Cancer Survivors.” International Journal of Andrology 34 (2): 183–92. https://doi.org/10.1111/j.1365-2605.2010.01073.x.Suche in Google Scholar
Smith, Allan Ben, Phyllis Butow, Ian Olver, Tim Luckett, Peter Grimison, Guy C. Toner, Martin R. Stockler, et al.. 2015. “The Prevalence, Severity, and Correlates of Psychological Distress and Impaired Health-Related Quality of Life Following Treatment for Testicular Cancer: A Survivorship Study.” Journal of Cancer Survivorship 10 (2): 223–33. https://doi.org/10.1007/s11764-015-0468-5.Suche in Google Scholar
Solomon, Patricia, Stephanie Nixon, Virginia Bond, Cathy Cameron, and Nicole Gervais. 2020. “Two Approaches to Longitudinal Qualitative Analyses in Rehabilitation and Disability Research.” Disability and Rehabilitation 42 (24): 3566–72. https://doi.org/10.1080/09638288.2019.1602850.Suche in Google Scholar
Spendelow, Jason S., Louise A. Adam, and Bryony R. Fairhurst. 2017. “Coping and Adjustment in Informal Male Carers: A Systematic Review of Qualitative Studies.” Psychology of Men and Masculinity 18 (2): 134–43. https://doi.org/10.1037/men0000049.Suche in Google Scholar
Stapley, Emily, Sally O’Keeffe, and Nick Midgley. 2022. “Developing Typologies in Qualitative Research: The Use of Ideal-type Analysis.” International Journal of Qualitative Methods 21 (21). https://doi.org/10.1177/16094069221100633.Suche in Google Scholar
Tong, Allison, Peter Sainsbury, and Jonathan Craig. 2007. “Consolidated Criteria for Reporting Qualitative Research (COREQ): A 32-Item Checklist for Interviews and Focus Groups.” International Journal for Quality in Health Care 19 (6): 349–57. https://doi.org/10.1093/intqhc/mzm042.Suche in Google Scholar
Trecarten, Shaun, Iyer Anand, Mukund Bhandari, Chethan Ramamurthy, and Deepak Pruthi. 2024. “MP12-02 Financial Toxicity and Quality of Life Post Chemotherapy for Testicular Germ Cell Tumors.” The Journal of Urology 211 (5S). https://doi.org/10.1097/01.ju.0001009376.16371.fb.02.Suche in Google Scholar
Waller, Maureen R., Lenna Nepomnyaschy, Daniel P. Miller, and Mingo Meaghan. 2020. “Using a Narrative Approach to Analyze Longitudinal Mixed Methods Data.” Journal of Mixed Methods Research 15 (2): 261–83. https://doi.org/10.1177/1558689820953237.Suche in Google Scholar
Wenger, Lisa M., and John L. Oliffe. 2013. “Men Managing Cancer: A Gender Analysis.” Sociology of Health & Illness 36 (1): 108–22. https://doi.org/10.1111/1467-9566.12045.Suche in Google Scholar
Wolanin, Agata. 2021. “Selected Variables Related to The Quality of Life In Cancer.” Humanities and Social Sciences Quarterly 28 (2): 101–12, https://doi.org/10.7862/rz.2021.hss.18.Suche in Google Scholar
Supplementary Material
This article contains supplementary material (https://doi.org/10.1515/humaff-2024-0103).
© 2025 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Research Articles
- The Four Causes Revisited: A Scholastic Framework for Analyzing Human Affairs
- A Qualitative Longitudinal Study on the Adaptation and Coping Strategies of Men with Testicular Cancer
- The Review of Female’s Intrasexual Competition of Birth and Motherhood in Digital Media
- Farmer-Herder Crises, Uncivil Discourses and the Politics of Nigeria’s Security Responses
- The Journey of Interest: Philosophical and Ethical Development from Ancient Rejection to the Modern Financial Crisis
- On the Need to Rethink the Way We Understand Growth: Media Evidence on Economic Growth as an Empty Signifier
- Understanding Predictors of Trust in Science Among University Students: Examining Scientific Reasoning, Cognitive Reflection, Education, and Personal Experiences with the Scientific Community
- The Moderating Role of Gender in Perceived Discrimination Levels and Political Participation of Turkish Women
Artikel in diesem Heft
- Frontmatter
- Research Articles
- The Four Causes Revisited: A Scholastic Framework for Analyzing Human Affairs
- A Qualitative Longitudinal Study on the Adaptation and Coping Strategies of Men with Testicular Cancer
- The Review of Female’s Intrasexual Competition of Birth and Motherhood in Digital Media
- Farmer-Herder Crises, Uncivil Discourses and the Politics of Nigeria’s Security Responses
- The Journey of Interest: Philosophical and Ethical Development from Ancient Rejection to the Modern Financial Crisis
- On the Need to Rethink the Way We Understand Growth: Media Evidence on Economic Growth as an Empty Signifier
- Understanding Predictors of Trust in Science Among University Students: Examining Scientific Reasoning, Cognitive Reflection, Education, and Personal Experiences with the Scientific Community
- The Moderating Role of Gender in Perceived Discrimination Levels and Political Participation of Turkish Women