Experiences of South Asian Women with Breast Cancer: Coping via 'Strength through Connection'

The aim of this qualitative study was to gain a better understanding of how British South Asian women cope with breast cancer. The NICE (2004) Guidance suggests
that appropriate psychological support should be available for all patients through all stages of their treatment from diagnosis to end-of-life. A literature review indicated a
paucity of UK based studies on which to base practice. In order to understand the coping experience of this group, ten female South Asian patients being treated for
breast cancer were recruited for in-depth semi-structured interviews, which were recorded and transcribed. Data were analysed using constructivist grounded theory to
produce a model conceptualising the resources or processes that this group used in order to cope with breast cancer. Analysis elucidated 'Strength through Connection'
as the core category, and four main categories: a) Being in mind, b) Wearing a positive cap, c) Preserving relational identity, and d) Realigning values. Facets of the
extant coping literature support these findings but much of this research is not from an ethno-cultural perspective. The pattern of coping found in this study can be viewed
holistically within a cultural framework and interpreted as predominantly collectivist coping, thereby highlighting the significance of connectedness. Clinicians are encouraged to be better informed regarding cultural differences and preferences in coping, and recommendations are made for counselling psychology practice. The need for further research to meet the NICE (2004) Guidance is highlighted.

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