|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|
Davies, Gareth R
|Citation:||Carolan C, Smith A, Davies GR & Forbat L (2018) Seeking, accepting and declining help for emotional distress in cancer: A systematic review and thematic synthesis of qualitative evidence. European Journal of Cancer Care, 27 (2), Art. No.: e12720. https://doi.org/10.1111/ecc.12720.|
|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.|
|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. This is the peer reviewed version of the following article: Carolan CM, Smith A, Davies GR, Forbat L. Seeking, accepting and declining help for emotional distress in cancer: A systematic review and thematic synthesis of qualitative evidence. European Journal of Cancer Care 2018;27:e12720, which has been published in final form at https://doi.org/10.1111/ecc.12720 . This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.|
|EJCC R2.pdf||Fulltext - Accepted Version||1.2 MB||Adobe PDF||View/Open|
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