Cognitive and Situational Precipitants of Loneliness Among Patients With Cancer: A Qualitative Analysis

dc.contributor.authorAdams, Rebecca N.
dc.contributor.authorMosher, Catherine E.
dc.contributor.authorAbonour, Rafat
dc.contributor.authorRobertson, Michael J.
dc.contributor.authorChampion, Victoria L.
dc.contributor.authorKroenke, Kurt
dc.contributor.departmentDepartment of Psychology, School of Scienceen_US
dc.date.accessioned2017-03-27T18:38:14Z
dc.date.available2017-03-27T18:38:14Z
dc.date.issued2016-03
dc.description.abstractPURPOSE/OBJECTIVES: To identify situations and thoughts that may precipitate or protect against loneliness experienced by patients with cancer. RESEARCH APPROACH: Qualitative. SETTING: The hematology/oncology clinic at the Indiana University Melvin and Bren Simon Cancer Center, an outpatient oncology center in Indianapolis. PARTICIPANTS: Purposive sample of 15 patients undergoing treatment for multiple myeloma or non-Hodgkin lymphoma. METHODOLOGIC APPROACH: Individual, semistructured qualitative interviews were conducted. Theoretical thematic analysis was used to analyze interview data. FINDINGS: Factors that appeared to precipitate loneliness included several situations (e.g., physical isolation, social constraints such as criticism) and thoughts (e.g., unmet expectations for visits or questions about health, belief that others do not understand their cancer experience). Several situations (e.g., social support, normal routine) and thoughts (e.g., beliefs that time alone is desirable and that others' discomfort with cancer-related discussions is normative) appeared to protect against loneliness. Certain social situations were loneliness-inducing for some patients and not for others, suggesting that patients' thoughts about their situations, rather than the situations themselves, have the greatest impact on their loneliness. CONCLUSIONS: The current study fills gaps in loneliness theory by identifying cancer-related situations and thoughts that patients associate with their loneliness. Consistent with theory, patients reported feeling lonely when they had negative thoughts about their social situations. INTERPRETATION: Findings inform nursing assessment and intervention strategies to incorporate into care plans. For instance, when conducting assessments, nurses should be more attentive to patients' satisfaction with their social environment than actual characteristics of the environment. Normalizing patients' experiences and encouraging positive thoughts about others' behavior may reduce patients' loneliness.en_US
dc.eprint.versionAuthor's manuscripten_US
dc.identifier.citationAdams, R. N., Mosher, C. E., Abonour, R., Robertson, M. J., Champion, V. L., & Kroenke, K. (2016). Cognitive and Situational Precipitants of Cancer Patients’ Loneliness: A Qualitative Analysis. Oncology Nursing Forum, 43(2), 156–163. http://doi.org/10.1188/16.ONF.156-163en_US
dc.identifier.issn1538-0688en_US
dc.identifier.urihttps://hdl.handle.net/1805/12122
dc.language.isoen_USen_US
dc.publisherOncology Nursing Societyen_US
dc.relation.isversionof10.1188/16.ONF.156-163en_US
dc.relation.journalOncology Nursing Forumen_US
dc.rightsPublisher Policyen_US
dc.sourcePMCen_US
dc.subjectCognitionen_US
dc.subjectLonelinessen_US
dc.subjectpsychologyen_US
dc.subjectLymphoma, Non-Hodgkinen_US
dc.subjectMultiple Myelomaen_US
dc.subjectPatientsen_US
dc.titleCognitive and Situational Precipitants of Loneliness Among Patients With Cancer: A Qualitative Analysisen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
nihms790756.pdf
Size:
126.17 KB
Format:
Adobe Portable Document Format
Description:
Author's manuscript
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.88 KB
Format:
Item-specific license agreed upon to submission
Description: