Living with breast cancer: A qualitative exploration of psychological distress and coping among women in an Indian tertiary care setting
Abhishek Basu, Ipsita PaluiObjectives:
To explore the nature of psychological distress and coping strategies among women with breast cancer across early to advanced stages receiving treatment at a tertiary care government hospital in India.
Material and Methods:
This qualitative, exploratory study was conducted after approval from the Institutional Ethics Committee (IEC/2024/12). Twenty women with breast cancer across early to advanced stages, including metastatic disease, undergoing active treatment, were recruited using purposive sampling. In-depth, one-to-one semi-structured interviews were conducted in the local language. Interviews were audio-recorded, transcribed verbatim, translated into English, and analyzed using thematic analysis.
Results:
Participants reported substantial emotional, physical, and social distress irrespective of disease stage. Four major themes emerged: (1) emotional shock and persistent fear following diagnosis, (2) treatment-related suffering and altered body image, (3) disruption of familial and social roles, and (4) coping through family support, faith, and gradual acceptance. Distress was shaped by prolonged treatment, uncertainty regarding outcomes, and concerns related to family responsibilities and future security.
Conclusion:
Women with breast cancer experience multidimensional psychological distress across early to advanced stages of disease. Family support and spirituality are central coping mechanisms. Integration of structured psychosocial support into routine oncology care is essential to improve patient well-being.