title: Negative and positive life changes following treatment completion: Chinese breast cancer survivors' perspectives.
abstract: OBJECTIVE
  Although we acknowledge the negative and positive aspects of the cancer survivorship experience, we have little information on this issue from the perspective of Chinese breast cancer survivors. This study aimed to explore the perceptions of negative and positive life changes following treatment completion among this population.
  
  
  METHODS
  Using purposive sampling, 29 breast cancer survivors were selected from the attendees of a local cancer self-help organization in middle China and proceeded with semi-structured in-depth interviews. Each interview was transcribed verbatim and analyzed using directed content analysis.
  
  
  RESULTS
  Two predetermined categories were identified to represent participant perception of the breast cancer survivorship experience, namely, negative life changes and positive life changes. The first category included fear of recurrence, symptom experience, poor body image, altered sexuality and intimacy, and financial burden. The second category consisted of new life perspective, personal growth, and enhanced relationships with family.
  
  
  CONCLUSIONS
  Our findings contribute to the emerging evidence on the duality of breast cancer survivorship. This enhanced understanding of the specific negative and positive changes experienced by Chinese breast cancer survivors can assist health professionals in addressing survivorship issues by designing appropriate interventions to minimize negative consequences and enhance positive growth.
authors.affiliation: School of Nursing, The Hong Kong Polytechnic University, Hom Hung, Hong Kong, China. eileen.cheng@polyu.edu.hk.
authors.forename: Huilin
authors.initials: H
authors.lastname: Cheng
authors.affiliation: The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong, China.
authors.forename: Janet W H
authors.initials: JWH
authors.lastname: Sit
authors.affiliation: Alice Lee Centre for Nursing Studies, National University of Singapore, National University Hospital System, Singapore, Singapore.
authors.forename: Karis K F
authors.initials: KKF
authors.lastname: Cheng
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000523:psychology* / Q000628:therapy*; D002681:China; D005260:Female; D006801:Humans; D008875:Middle Aged; D036301:Qualitative Research; D011788:Quality of Life; D017741:Survivors / Q000523:psychology*
keywords: Breast cancer; Chinese; Qualitative research; Survivorship