Self-transformation as a factor in the self-esteem and well-being of breast cancer survivors

Janet Carpenter, Dorothy Y. Brockopp, Michael A. Andrykowski

Research output: Contribution to journalArticle

87 Citations (Scopus)

Abstract

Diagnosis with a life-threatening illness can lead to many changes in one's self. These changes, called self-transformation, are not well understood. The present study used triangulation of methods and measures to (i) describe individual differences in self-transformation among breast cancer survivors, (ii) examine factors associated with self-transformation in breast cancer survivors, and (iii) examine the relationships between self-transformation and self-esteem and well-being in breast cancer survivors and age-matched comparison women without cancer. Cancer survivors (n = 60) participated in structured interviews and both survivors and comparison women (n = 60) completed a set of questionnaires. Narrative analysis revealed three categories of transformation among breast cancer survivors: positive transformation, minimal transformation and feeling stuck. These groups differed by age, marital status and income, but not by disease or treatment variables. Breast cancer survivors in the positive transformation group had significantly higher self-esteem and well-being in comparison with (i) survivors grouped as feeling stuck and (ii) age-matched counterparts without cancer. Cancer survivors who reported feeling stuck had significantly lower self-esteem and well-being than the other groups of survivors and lower well-being in comparison with healthy women of the same age. Findings provide support for the concept of self-transformation and a new understanding of disease, demographic and treatment factors associated with the concept. Findings also suggest that self-transformation may be a factor in the self-esteem and well-being of breast cancer survivors.

Original languageEnglish (US)
Pages (from-to)1402-1411
Number of pages10
JournalJournal of Advanced Nursing
Volume29
Issue number6
DOIs
StatePublished - Jun 1999
Externally publishedYes

Fingerprint

Self Concept
Survivors
Breast Neoplasms
Emotions
Neoplasms
Ego
Marital Status
Individuality
Age Groups
Demography
Interviews

Keywords

  • Breast cancer
  • Growth
  • Measure triangulation
  • Method triangulation
  • Psychosocial adjustment
  • Self
  • Self-esteem
  • Survivorship
  • Transition
  • Well-being

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Self-transformation as a factor in the self-esteem and well-being of breast cancer survivors. / Carpenter, Janet; Brockopp, Dorothy Y.; Andrykowski, Michael A.

In: Journal of Advanced Nursing, Vol. 29, No. 6, 06.1999, p. 1402-1411.

Research output: Contribution to journalArticle

Carpenter, Janet ; Brockopp, Dorothy Y. ; Andrykowski, Michael A. / Self-transformation as a factor in the self-esteem and well-being of breast cancer survivors. In: Journal of Advanced Nursing. 1999 ; Vol. 29, No. 6. pp. 1402-1411.
@article{ff02aad456ba4d7f9c6ca36f876b7db1,
title = "Self-transformation as a factor in the self-esteem and well-being of breast cancer survivors",
abstract = "Diagnosis with a life-threatening illness can lead to many changes in one's self. These changes, called self-transformation, are not well understood. The present study used triangulation of methods and measures to (i) describe individual differences in self-transformation among breast cancer survivors, (ii) examine factors associated with self-transformation in breast cancer survivors, and (iii) examine the relationships between self-transformation and self-esteem and well-being in breast cancer survivors and age-matched comparison women without cancer. Cancer survivors (n = 60) participated in structured interviews and both survivors and comparison women (n = 60) completed a set of questionnaires. Narrative analysis revealed three categories of transformation among breast cancer survivors: positive transformation, minimal transformation and feeling stuck. These groups differed by age, marital status and income, but not by disease or treatment variables. Breast cancer survivors in the positive transformation group had significantly higher self-esteem and well-being in comparison with (i) survivors grouped as feeling stuck and (ii) age-matched counterparts without cancer. Cancer survivors who reported feeling stuck had significantly lower self-esteem and well-being than the other groups of survivors and lower well-being in comparison with healthy women of the same age. Findings provide support for the concept of self-transformation and a new understanding of disease, demographic and treatment factors associated with the concept. Findings also suggest that self-transformation may be a factor in the self-esteem and well-being of breast cancer survivors.",
keywords = "Breast cancer, Growth, Measure triangulation, Method triangulation, Psychosocial adjustment, Self, Self-esteem, Survivorship, Transition, Well-being",
author = "Janet Carpenter and Brockopp, {Dorothy Y.} and Andrykowski, {Michael A.}",
year = "1999",
month = "6",
doi = "10.1046/j.1365-2648.1999.01027.x",
language = "English (US)",
volume = "29",
pages = "1402--1411",
journal = "Journal of Advanced Nursing",
issn = "0309-2402",
publisher = "Wiley-Blackwell",
number = "6",

}

TY - JOUR

T1 - Self-transformation as a factor in the self-esteem and well-being of breast cancer survivors

AU - Carpenter, Janet

AU - Brockopp, Dorothy Y.

AU - Andrykowski, Michael A.

PY - 1999/6

Y1 - 1999/6

N2 - Diagnosis with a life-threatening illness can lead to many changes in one's self. These changes, called self-transformation, are not well understood. The present study used triangulation of methods and measures to (i) describe individual differences in self-transformation among breast cancer survivors, (ii) examine factors associated with self-transformation in breast cancer survivors, and (iii) examine the relationships between self-transformation and self-esteem and well-being in breast cancer survivors and age-matched comparison women without cancer. Cancer survivors (n = 60) participated in structured interviews and both survivors and comparison women (n = 60) completed a set of questionnaires. Narrative analysis revealed three categories of transformation among breast cancer survivors: positive transformation, minimal transformation and feeling stuck. These groups differed by age, marital status and income, but not by disease or treatment variables. Breast cancer survivors in the positive transformation group had significantly higher self-esteem and well-being in comparison with (i) survivors grouped as feeling stuck and (ii) age-matched counterparts without cancer. Cancer survivors who reported feeling stuck had significantly lower self-esteem and well-being than the other groups of survivors and lower well-being in comparison with healthy women of the same age. Findings provide support for the concept of self-transformation and a new understanding of disease, demographic and treatment factors associated with the concept. Findings also suggest that self-transformation may be a factor in the self-esteem and well-being of breast cancer survivors.

AB - Diagnosis with a life-threatening illness can lead to many changes in one's self. These changes, called self-transformation, are not well understood. The present study used triangulation of methods and measures to (i) describe individual differences in self-transformation among breast cancer survivors, (ii) examine factors associated with self-transformation in breast cancer survivors, and (iii) examine the relationships between self-transformation and self-esteem and well-being in breast cancer survivors and age-matched comparison women without cancer. Cancer survivors (n = 60) participated in structured interviews and both survivors and comparison women (n = 60) completed a set of questionnaires. Narrative analysis revealed three categories of transformation among breast cancer survivors: positive transformation, minimal transformation and feeling stuck. These groups differed by age, marital status and income, but not by disease or treatment variables. Breast cancer survivors in the positive transformation group had significantly higher self-esteem and well-being in comparison with (i) survivors grouped as feeling stuck and (ii) age-matched counterparts without cancer. Cancer survivors who reported feeling stuck had significantly lower self-esteem and well-being than the other groups of survivors and lower well-being in comparison with healthy women of the same age. Findings provide support for the concept of self-transformation and a new understanding of disease, demographic and treatment factors associated with the concept. Findings also suggest that self-transformation may be a factor in the self-esteem and well-being of breast cancer survivors.

KW - Breast cancer

KW - Growth

KW - Measure triangulation

KW - Method triangulation

KW - Psychosocial adjustment

KW - Self

KW - Self-esteem

KW - Survivorship

KW - Transition

KW - Well-being

UR - http://www.scopus.com/inward/record.url?scp=0033141770&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033141770&partnerID=8YFLogxK

U2 - 10.1046/j.1365-2648.1999.01027.x

DO - 10.1046/j.1365-2648.1999.01027.x

M3 - Article

C2 - 10354235

AN - SCOPUS:0033141770

VL - 29

SP - 1402

EP - 1411

JO - Journal of Advanced Nursing

JF - Journal of Advanced Nursing

SN - 0309-2402

IS - 6

ER -