Exploring Dimensions of Coping in Advanced Colorectal Cancer: Implications for Patient-Centered Care

Abstract

Promoting patient-centered care from diagnosis to end of life requires a better understanding of physical, psychological, social, and spiritual coping factors in advanced cancer. Using qualitative methods, the authors explored diagnosis, care planning, and treatment experiences of individuals with metastatic colorectal cancer (N = 26). The main physical factors salient to patients during all care phases included symptoms and physical functioning. Key psychological factors included persistent uncertainty and a range of emotions that varied by care phase. Participants also relied heavily on social and spiritual factors for guidance. Results highlight the complex nature of coping with advanced cancer and the resources needed to facilitate high-quality care.

KEYWORDS:

• metastatic colorectal cancer
• quality of life
• qualitative

Acknowledgments

This study was funded by a grant from the Center for Health Disparities Research at the Medical University of South Carolina. The authors would like to thank the clinicians who provided assistance in recruitment efforts for this study. Katherine R. Sterba was supported by a Mentored Research Scholar Grant in Applied and Clinical Research, MRSG-12-221-01-CPPB from the American Cancer Society.