Psychosocial issues of newly diagnosed gynaecological cancer patients: a qualitative study
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20253904Keywords:
Anxiety, Expectations, Information needs, Psychosocial, Qualitative study, Gynaecological cancerAbstract
Background: The diagnosis of cancer generates significant anxiety and uncertainty. We aimed to identify the psychosocial needs and priorities of women newly diagnosed with gynaecological cancers.
Methods: The study employed a qualitative research design. In-depth interviews were conducted with patients and their attendants to explore their anxieties, information needs, expectations, and treatment priorities. After obtaining informed written consent, 16 patients were included. Data analysis was performed through conventional qualitative content analysis, following a descriptive-explorative approach. This process involved extracting codes, categories, and themes to better understand the patients' experiences.
Results: The content analysis of the transcripts brought forth five themes: 1) cause of cancer and its effects, 2) information needs and expectations, 3) concerns about prognosis and family, 4) dependence versus independence and 5) faith and hope in God. In our setting, patients with gynaecological cancer had low information needs regarding their disease stage and treatment options. They trusted their healthcare providers and preferred not to burden themselves with potentially distressing information. They sought information on prognosis and the chance of cure. Concerns about finances and daily living were prevalent, while worries about sexual activity were less common. Spiritual issues affected many and included despondency and faith in God.
Conclusions: Understanding patients' information needs and anxieties will enhance their care and treatment adherence.
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References
International Agency for Research on Cancer (IARC). GLOBOCAN 2022: India fact sheet. 2022. Available at: https://gco.iarc.who.int/media/globocan/factsheets/populations/356-india-fact-sheet.pdf. Accessed on 24 September 2025
Rajkumar D, Veeraiah S, Sudhakar R, Ganeshrajah S. Perceived psychosexual dimensions of cervical cancer survivors in India-An exploratory study. Psychooncology. 2022;31(10):1745-52. DOI: https://doi.org/10.1002/pon.6021
Brahmbhatt T, Desai G. The unmet need of psycho-oncology services for integrated cancer care in India: a review. Int J Community Med Public Health. 2023;10(4):1603-8. DOI: https://doi.org/10.18203/2394-6040.ijcmph20230950
Pancholi M, Patidar H, Desai S, Dhakad VK, Behal S. Spectrum of psychosocial dimensions of cancer in Indian scenario: an analytic review. Int J Health Sci. 2022;6(S2):6055-65. DOI: https://doi.org/10.53730/ijhs.v6nS2.6574
Muckaden M, Marathe M, Tulshan R, Carvalho M, Pinto M. Psychosocial issues faced by women with incurable cervical cancer in India - how can we help? Indian J Palliat Care. 2005;11(2):94. DOI: https://doi.org/10.4103/0973-1075.19185
Faller H, Brähler E, Härter M, Keller M, Schulz H, Wegscheider K, et al. Unmet needs for information and psychosocial support in relation to quality of life and emotional distress: A comparison between gynecological and breast cancer patients. Patient Educ Couns. 2017;100(10):1934-42. DOI: https://doi.org/10.1016/j.pec.2017.05.031
Miller BE, Pittman B, Strong C. Gynecologic cancer patients’ psychosocial needs and their views on the physician’s role in meeting those needs. Int J Gynecol Cancer. 2003;13(2):111-9. DOI: https://doi.org/10.1046/j.1525-1438.2003.13001.x
Hansen DG, Larsen PV, Holm LV, Rottmann N, Bergholdt SH, Søndergaard J. Association between unmet needs and quality of life of cancer patients: a population-based study. Acta Oncol Stockh Swed. 2013;52(2):391-9. DOI: https://doi.org/10.3109/0284186X.2012.742204
Marano G, Mazza M. Impact of gynecological cancers on women’s mental health. World J Psychiatry. 2024;14(9):1294-300. DOI: https://doi.org/10.5498/wjp.v14.i9.1294
Colorafi KJ, Evans B. Qualitative Descriptive Methods in Health Science Research. HERD. 2016;9(4):16-25. DOI: https://doi.org/10.1177/1937586715614171
Toubassi D, Himel D, Winton S, Nyhof-Young J. The Informational Needs of Newly Diagnosed Cervical Cancer Patients Who Will Be Receiving Combined Chemoradiation Treatment. J Cancer Educ. 2007;21(4):263-8. DOI: https://doi.org/10.1080/08858190701347937
Nicolaije KAH, Husson O, Ezendam NPM, Vos MC, Kruitwagen RFPM, Lybeert MLM, et al. Endometrial cancer survivors are unsatisfied with received information about diagnosis, treatment and follow-up: A study from the population-based profiles registry. Patient Educ Couns. 2012;88(3):427-35. DOI: https://doi.org/10.1016/j.pec.2012.05.002
Watts S, Prescott P, Mason J, McLeod N, Lewith G. Depression and anxiety in ovarian cancer: a systematic review and meta-analysis of prevalence rates. BMJ Open. 2015;5(11):e007618. DOI: https://doi.org/10.1136/bmjopen-2015-007618
Yildiz Y, Akyol M, Alacacioglu A, Kucukzeybek Y, Asık N, Taskaynatan H, et al. Sexual satisfaction, anxiety, depression and quality of life amoung Turkish gynecological cancer patients. Ann Oncol. 2016;27:vi306. DOI: https://doi.org/10.1093/annonc/mdw374.38
Guidozzi F, Guidozzi D. God, spirituality and religion in women dying from gynecological cancer. Climacteric. 2022;25(3):215-9. DOI: https://doi.org/10.1080/13697137.2021.1948995