title: "I just have to move on": Women's coping experiences and reflections following their first year after primary breast cancer surgery.
abstract: OBJECTIVE
  The purpose of this qualitative follow-up study was to describe women's individual coping experiences and reflections following their first year after primary breast cancer surgery.
  
  
  METHODS
  Using a qualitative descriptive design, we collected data through individual interviews with ten women at a Norwegian university hospital between August 2007 and April 2008. We employed Kvale's method of qualitative meaning condensation analysis.
  
  
  RESULTS
  Themes identified were: existential concerns and finding meaning, ways of thinking and feeling about the disease, taking action, and returning to normal life. Most women experienced an increased appreciation of life and greater confidence in themselves, were more caring and compassionate towards others, and focused more on their life priorities. Their family and close relationships became more important. They accepted their situation and made the best of it. Positive thinking, physical activity, self-care, nature, hobbies and work helped. Generally, they were optimistic despite a fear of cancer recurrence and uncertainty about their future. The women wanted to return to a "normal" and healthy life by distancing themselves from both the cancer environment and information about cancer.
  
  
  CONCLUSIONS
  Uncertainty and anxiety about a potential future cancer relapse was a major undercurrent one year following surgery. Our findings emphasize the richness in these women's coping strategies, their different coping profiles and different needs, as well as some general adaptive strategies, which all fluctuated over time. Not all managed to cope equally well. Through awareness of these women's individual experiences and coping strategies, healthcare professionals can enhance these women's coping endeavours.
authors.affiliation: Faculty of Health and Social Sciences, Bergen University College, Inndalsveien 28, N-5063 Bergen, Norway; Betanien University College, Vestlundveien 19, N-5145 Fyllingsdalen, Norway. Electronic address: sigrunn.drageset@hib.no.
authors.forename: Sigrunn
authors.initials: S
authors.lastname: Drageset
authors.affiliation: Faculty of Psychology, University of Bergen, Christies gt. 12, N-5020 Bergen, Norway. Electronic address: torill.lindstom@psysp.uib.no.
authors.forename: Torill Christine
authors.initials: TC
authors.lastname: Lindstrøm
authors.affiliation: Faculty of Health and Social Sciences, Bergen University College, Møllendalsveien 6, N-5009 Bergen, Norway. Electronic address: kjell.underlid@hib.no.
authors.forename: Kjell
authors.initials: K
authors.lastname: Underlid
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D001943:Breast Neoplasms / Q000523:psychology* / Q000601:surgery*; D004644:Emotions; D004645:Empathy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009664:Norway; D010549:Personal Satisfaction; D012649:Self Concept; D013997:Time Factors
keywords: Breast cancer; Coping; Follow-up; Healthcare professionals; Interviews; Post-surgery; Qualitative research