title: Strength through adversity: bereaved cancer carers' accounts of rewards and personal growth from caring.
abstract: OBJECTIVE
  Many studies have identified negative and distressing consequences experienced by informal cancer carers, but less attention has been given to positive and beneficial aspects of caring. This qualitative study examined the positive aspects of caring as subjectively constructed by bereaved informal cancer carers, a group of individuals who are in a position to make sense of their caring experiences as a coherent whole.
  
  
  METHODS
  Twenty-three bereaved informal cancer carers were interviewed, and their accounts were analyzed using a thematic analytical approach from a phenomenological perspective.
  
  
  RESULTS
  The participants were able to identify positive and beneficial aspects of caring. These included the discovery of personal strength, through adversity, acceptance, and necessity; the deepening of their relationship with the person for whom they cared; and personal growth through altered relationships with others and altered perspectives on living. Many participants gave accounts of focusing on these positive benefits when they reflected on their caring experiences.
  
  
  CONCLUSIONS
  We concluded that benefit finding in the face of adverse events serves an important function in allowing individuals to incorporate difficult experiences into their worldview in a meaningful way, thus maintaining positive beliefs about the world. This has implications for the development of interventions for informal cancer carers and for those who are bereaved following caring.
authors.affiliation: Gender, Culture, and Health Research Unit: PsyHealth, School of Psychology, University of Western Sydney, New South Wales, Australia.
authors.forename: W K Tim
authors.initials: WK
authors.lastname: Wong
authors.forename: Jane
authors.initials: J
authors.lastname: Ussher
authors.forename: Janette
authors.initials: J
authors.lastname: Perz
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D001315:Australia; D001601:Bereavement; D017028:Caregivers / Q000523:psychology*; D003430:Cross-Sectional Studies; D005260:Female; D006701:Home Nursing / Q000523:psychology*; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D009042:Motivation; D020380:Needs Assessment; D009369:Neoplasms / Q000451:nursing*; D010166:Palliative Care; D010555:Personality Inventory; D036301:Qualitative Research; D012201:Reward; D012944:Social Support; D011795:Surveys and Questionnaires; D013727:Terminal Care