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Supportive Care in Cancer
Published in: Supportive Care in Cancer 3/2018

01-03-2018 | Original Article

As if the disease was not enough: coping with the financial consequences of cancer

Authors: Barbara Head, Lesley Harris, Karen Kayser, Amy Martin, Lisa Smith

Published in: Supportive Care in Cancer | Issue 3/2018

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Abstract

Purpose

The goal of this research was to understand how cancer survivors cope with the financial consequences of their disease.

Methods

Twenty-six cancer survivors who self-identified as having experienced financial hardship related to their disease were interviewed. Transcripts of these interviews were analyzed using constructivist grounded theory approach. An analysis of codes related to coping strategies was conducted, and findings were stratified based on established coping theories (Lazarus and Folkman and Moos and Holahan) previously applied to coping with serious/chronic illnesses.

Results

Participants used both person-oriented/emotion-focused and task/problem-focused coping skills to confront the financial consequences of their disease trajectory. Problem-focused skills included dealing with debt, accessing financial assistance, making lifestyle changes, seeking information and education, altering treatment protocols, being proactive, and negotiating insurance. Emotion-focused tasks included using personal strengths, expressing emotion, accessing social support, being determined, and taking care of oneself. Results were further analyzed using Moos and Holahan’s framework of coping skills; examples of each of these coping skills were identified in the interview data.

Conclusions

Facing serious financial ramifications due to a cancer diagnosis calls forth coping skills and tasks that can be categorized using coping theories traditionally applied to coping with the illness itself. Cancer patients are often confronted with dual threats: the physical and emotional impact of the illness and the loss of financial security and the lifestyle that they have worked to maintain. Interventions with cancer survivors should include facilitating effective coping with the financial implications of the disease.
Literature
1.
2.
3.
4.
5.
Sharp L, Carsin AE, Timmons A (2012) Associations between cancer-related financial stress and strain and psychological well-being among individuals living with cancer. Psycho-Oncology 22:745–755CrossRefPubMed
6.
Himmelstein DU, Thorne D, Warren E, Woolhandler S (2009) Medical bankruptcy in the United States, 2007: results of a national study. Am J Med 122(8):741–746CrossRefPubMed
7.
Kim H, Yoon W, Zurlo KA (2012) Health shocks, out-of-pocket medical expenses and consumer debt among middle-aged and older Americans. J Consum Aff 46(3):357–380CrossRef
8.
Shankaran V, Jolly S, Blough D, Ramsey SD (2012) Risk factors for financial hardship in patients receiving adjuvant chemotherapy for colon cancer. Popul-Based Explor Anal J Clin Oncol 30(14):1608–1614
9.
Amir Z, Wilson K, Hennings J, Young A (2012) The meaning of cancer: implications for family finances and consequent impact on lifestyle, activities, roles and relationships. Psycho-Oncology 21:1167–1174CrossRefPubMed
10.
11.
Zafar S, Peppercorn JM, Schrag D (2013) The financial toxicity of cancer treatment: a pilot study assessing out-of-pocket expenses and the insured cancer patient’s experience. Oncologist 18(4):381–390CrossRefPubMedPubMedCentral
12.
Wagner L, Lacey MD (2003) The hidden costs of cancer care: an overview with implications and referral resources for oncology nurses. Clin J Oncol Nurs 8(3):279–286CrossRef
13.
National Patient Advocate Foundation (2014) Medical debt, medical bankruptcy and the impact on patients. National Patient Advocate Foundation, Washington, D.C.
14.
Timmons A, Gooberman-Hill R, Sharp L (2013) “It’s at a time in your life when you are most vulnerable”: a qualitative exploration of the financial impact of a cancer diagnosis and implications for financial protection in health. PLoS One 8(11):e77549CrossRefPubMedPubMedCentral
15.
Bradley S, Sherwood PR, Donovan HS, Hamilton R, Rosenzweig M, Hricik A, Newberry A, Bender C (2007) I could lose everything: understanding the cost of a brain tumor. J Neurooncol 85:329–338CrossRefPubMed
16.
Lazarus RS, Folkman S (1984) Stress, appraisal, and coping. Springer, New York
17.
Larsen PD, Hummel FI (2009) Adaptation. In: Lubkin IM, Larsen PD (eds) Chronic illness: impact and intervention. Seventh edn. jones and Bartlett Boston, pp 67–81
18.
Folkman S, Moskowitz JT, Ozer EM, Park CL (1997) Positive meaningful events and coping in the context of HIV/AIDS. In: Gottlieb BH (ed) Coping with chronic stress. Plenum, New York, pp 293–314CrossRef
19.
Shim M, Kollar LMM, Roberts L, Gustafson D (2015) Communication competence, psychological well-being, and the mediating role of coping efforts among women with breast cancer: cross-sectional and longitudinal experience. Women Health 55(4):400–418CrossRefPubMedPubMedCentral
20.
Moos RH, Holahan CJ (2007) Adaptive tasks and methods of coping with illness and disability. In: Martz E, Livneh H (eds) Coping with chronic illness and disability. Springer, New York, pp 107–128CrossRef
21.
De Souza JA, Yap BJ, Hlubocky FJ, Wroblewski K, Ratain MJ, Cella DF, Daugherty CK (2014) The development of a financial toxicity patient-reported outcome in cancer: the COST measure. Cancer (0008543X) 120(20):3245–3253CrossRef
22.
De Souza JA, Yap BJ, Wroblewski K, Blinder V, Araujo FS, 516 Hlubocky FJ, Nicholas LH, O’Connor JM, Brockstein B, Ratain 517 MJ, Daugherty CK, Cella DF (2017) Measuriing financial toxicity as a clinically relevant patient-reported outcome: the validation of the Comprehensive Score for financial Toxicity. Cancer 123(3): 476–484
23.
Charmaz K (2014) Constructing grounded theory: a practical guide through qualitative analysis. Sage, London
24.
25.
Cohen J (1960) A coefficient of agreement for nominal scales. Educ Psychol Meas 20(1):37–46CrossRef
26.
De Vries H, Elliot MN, Kanouse DE, Teleki SS (2008) Using pooled kappa to summarize interrater agreement across many items. Field Methods 20(3):272–282CrossRef
27.
Landis JR, Koch GG (1977) The measurement of observer agreement for categorical data. Biometrics 33(1): 159–174.
28.
Corbin J, Strauss A (2014) Basics of qualitative research: techniques and procedures for developing grounded theory. Sage, Thousand Oaks, CA
29.
Franks HM, Roesch SC (2006) Appraisals and coping in people living with cancer: a meta-analysis. Psycho-Oncology 15(12):1027–1037 1011CrossRefPubMed
30.
Thomson TG, Rydahl-Hansen S, Wagner L (2010) A review of potential factors relevant to coping in patients with advanced cancer. J Clin Nurs 19:3410–3426CrossRef
31.
32.
Metadata
Title
As if the disease was not enough: coping with the financial consequences of cancer
Authors
Barbara Head
Lesley Harris
Karen Kayser
Amy Martin
Lisa Smith
Publication date
01-03-2018
Publisher
Springer Berlin Heidelberg
Published in
Supportive Care in Cancer / Issue 3/2018
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-017-3918-y

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