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dc.contributor.authorCarolan, Clareen_UK
dc.contributor.authorSmith, Annettaen_UK
dc.contributor.authorDavies, Gareth Ren_UK
dc.contributor.authorForbat, Lizen_UK
dc.description.abstractMany 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.en_UK
dc.relationCarolan 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.
dc.rightsThis 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 . This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.en_UK
dc.subjectsupportive careen_UK
dc.titleSeeking, accepting and declining help for emotional distress in cancer: A systematic review and thematic synthesis of qualitative evidenceen_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[EJCC R2.pdf] Publisher requires embargo of 12 months after formal publication.en_UK
dc.citation.jtitleEuropean Journal of Cancer Careen_UK
dc.type.statusAM - Accepted Manuscripten_UK
dc.contributor.affiliationHealth Sciences Western Isles - LEGACYen_UK
dc.contributor.affiliationHealth Sciences Western Isles - LEGACYen_UK
dc.contributor.affiliationUniversity of the Highlands and Islandsen_UK
dc.contributor.affiliationFaculty of Social Sciencesen_UK
dc.subject.tagCancer and Palliative Careen_UK
dc.subject.tagQualitative evidence synthesisen_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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