Younger women’s experiences of deciding against delayed breast reconstruction post-mastectomy following breast cancer: An interpretative phenomenological analysis
Journal article
Holland, Fiona G., Archer, Stephanie and Montague, Jane 2014. Younger women’s experiences of deciding against delayed breast reconstruction post-mastectomy following breast cancer: An interpretative phenomenological analysis. Journal of Health Psychology. https://doi.org/10.1177/1359105314562085
| Authors | Holland, Fiona G., Archer, Stephanie and Montague, Jane |
|---|---|
| Abstract | Most women do not reconstruct their breast(s) post-mastectomy. The experiences of younger women who maintain this decision, although important to understand, are largely absent in the research literature. This interview-based study uses interpretative phenomenological analysis to explore the experiences of six women, diagnosed with primary breast cancer in their 30s/40s, who decided against delayed reconstruction. Findings reported here focus on one superordinate theme (decision-making) from a larger analysis, illustrating that the women’s drive to survive clearly influenced their initial decision-making process. Their tenacity in maintaining their decision is highlighted, despite non-reconstruction sometimes being presented negatively by medical teams. Patient-centred support recommendations are made. |
| Keywords | Breast cancer; Decision making; Interpretative phenomenological analysis; Mastectomy; Reconstruction |
| Year | 2014 |
| Journal | Journal of Health Psychology |
| Publisher | SAGE Publications |
| ISSN | 1359-1053 |
| Digital Object Identifier (DOI) | https://doi.org/10.1177/1359105314562085 |
| Web address (URL) | http://hdl.handle.net/10545/552484 |
| An error occurred getting the license - uri. | |
| hdl:10545/552484 | |
| Publication dates | 16 Dec 2014 |
| Publication process dates | |
| Deposited | 07 May 2015, 14:46 |
| Rights | An error occurred on the license name. |
| Contributors | University of Derby |
| File | File Access Level Controlled |
| File | File Access Level Open |
| File | File Access Level Open |
| File | File Access Level Open |
| File | File Access Level Open |
Permalink -
https://repository.derby.ac.uk/item/947vw/younger-women-s-experiences-of-deciding-against-delayed-breast-reconstruction-post-mastectomy-following-breast-cancer-an-interpretative-phenomenological-analysis
Download files
148
total views0
total downloads6
views this month0
downloads this month
Export as
Related outputs
Allestree Park Rewilding: Qualitative evaluation report
Holland, F. 2025. Allestree Park Rewilding: Qualitative evaluation report. Derbyshire Wildlife Trust.Evaluation report for Generation Green 2. Assessing the impact of nature based short courses for young people
Harvey, C., Holland, F. and Barnes, C. 2025. Evaluation report for Generation Green 2. Assessing the impact of nature based short courses for young people. Derby, UK University of Derby.Allestree Park Community Rewilding Project : Evaluation of baseline community conversations 2023-24
Holland, F. and Clarke, K. 2024. Allestree Park Community Rewilding Project : Evaluation of baseline community conversations 2023-24. University of Derby."I came here and it flows": An interpretative phenomenological analysis of low-income residents' experiences with allotment gardening.
Furlong, R., Harvey, C., Holland, F. and Hallam, J. 2024. "I came here and it flows": An interpretative phenomenological analysis of low-income residents' experiences with allotment gardening. Urban Forestry and Urban Greening. 104, pp. 1-8. https://doi.org/10.1016/j.ufug.2024.128646.‘It was a whole other world’: the impact of residential outdoor trips on nature connectedness and wellbeing in young people
Holland, F., C. Harvey, E. Ferris, R. Furlong and S. Gibson 2024. ‘It was a whole other world’: the impact of residential outdoor trips on nature connectedness and wellbeing in young people. Journal of Adventure Education and Outdoor Learning. pp. 1-20. https://doi.org/10.1080/14729679.2024.2350972Connecting Families with Nature: A Nature Connectedness Activity Handbook
Holland, F., Harvey, C. and Barnes, C. 2024. Connecting Families with Nature: A Nature Connectedness Activity Handbook.A report highlighting the experiences of peer supporters who deliver, and parents who receive, one-to-one perinatal peer support through Connected CIC
Dace, A., Barnes, C. and Montague, J. 2024. A report highlighting the experiences of peer supporters who deliver, and parents who receive, one-to-one perinatal peer support through Connected CIC. Derby University of Derby. https://doi.org/10.48773/q4w64Bringing the Inside Out and the Outside in: The Therapeutic Relationship in Compassion Focused Therapy Chairwork
Bell, T., Montague, J., Elander, J., Pugh, M. and Gilbert, P. 2023. Bringing the Inside Out and the Outside in: The Therapeutic Relationship in Compassion Focused Therapy Chairwork. OBM Integrative and Complementary Medicine. 8 (3), pp. 1-21. https://doi.org/10.21926/obm.icm.2303037Carlton Marshes Visitor Centre Report. An evaluation report for Suffolk Wildlife Trust 2023.
Harvey, C. and Holland, F. 2023. Carlton Marshes Visitor Centre Report. An evaluation report for Suffolk Wildlife Trust 2023. Derby Centre for Psychological Research, University of Derby. https://doi.org/10.48773/q001qEvaluation Report for Generation Green. Assessing the Impact of Short Residential Courses for Young People.
Holland, F., Harvey, C., Gibson, S. and Furlong, R. 2023. Evaluation Report for Generation Green. Assessing the Impact of Short Residential Courses for Young People. Derby, UK. University of Derby.Wild Tots and Wild Babies: An evaluation report for Suffolk Wildlife Trust.
Harvey, C. and Holland, F. 2023. Wild Tots and Wild Babies: An evaluation report for Suffolk Wildlife Trust. Derby, UK. University of Derby.Evaluation Report for Generation Green. Assessing the Impact of Single Day Short Courses for Young People
Holland, F., Harvey, C. and Furlong, R. 2023. Evaluation Report for Generation Green. Assessing the Impact of Single Day Short Courses for Young People. Derby, UK. University of Derby.Young Wardens’ Voices: An Evaluation Report for Suffolk Wildlife Trust.
Holland, F., Harvey, C. and Furlong, R. 2023. Young Wardens’ Voices: An Evaluation Report for Suffolk Wildlife Trust. Derby, UK. University of Derby.Parental involvement in child protection services and parenting experience as a drug or alcohol using parent: an interpretative phenomenological analysis
Goddard, K., Montague, J. and Elander, J. 2023. Parental involvement in child protection services and parenting experience as a drug or alcohol using parent: an interpretative phenomenological analysis. British Journal of Social Work. pp. 1-19. https://doi.org/10.1093/bjsw/bcad092Practice implications of phenomenological research with substance-using parents whose children were subject to social care interventions
Goddard, K., Montague, J. and Elander, J. 2023. Practice implications of phenomenological research with substance-using parents whose children were subject to social care interventions. Drugs, Habits and Social Policy. 24 (1), pp. 53-67. https://doi.org/10.1108/DHS-08-2021-0043Impact of a two day ‘Introduction to Motivational Interviewing’ training
Holland, F. and Harvey, C. 2022. Impact of a two day ‘Introduction to Motivational Interviewing’ training. Derby, UK. University of Derby.Wild Wellbeing Hub. An Evaluation Report for Derbyshire Wildlife Trust.
Harvey, C., Holland, F. and Furlong, R. 2022. Wild Wellbeing Hub. An Evaluation Report for Derbyshire Wildlife Trust. Derby, UK. University of Derby.Wild at Heart. An Evaluation Report for Sheffield and Rotherham Wildlife Trust
Harvey, C., Holland, F. and Furlong, R. 2022. Wild at Heart. An Evaluation Report for Sheffield and Rotherham Wildlife Trust. Derby, UK. University of Derby.Natural Connections. An Evaluation Report for Birmingham and the Black Country Wildlife Trust
Harvey, C., Holland, F. and Furlong, R. 2022. Natural Connections. An Evaluation Report for Birmingham and the Black Country Wildlife Trust. Derby, UK University of Derby.Creating Nature Networks in North Manchester. An Evaluation Report for The Wildlife Trust for Lancashire, Manchester and North Merseyside.
Harvey, C., Holland, F. and Furlong, R. 2022. Creating Nature Networks in North Manchester. An Evaluation Report for The Wildlife Trust for Lancashire, Manchester and North Merseyside. Derby, UK University of Derby.A summary report of the four Wildlife Trust projects funded by Cadent
Harvey, C., Holland, F. and Furlong, R. 2022. A summary report of the four Wildlife Trust projects funded by Cadent. Derby, UK University of Derby.Factors Influencing Successful Coping among Crime Scene Investigation (CSI) Personnel: Recruiting for Resilience – A Mixed Methods Study
Craven, H. P., Hallmark, M., Holland, F. and Maratos, F. 2022. Factors Influencing Successful Coping among Crime Scene Investigation (CSI) Personnel: Recruiting for Resilience – A Mixed Methods Study. Journal of Police and Criminal Psychology. pp. 1-20. https://doi.org/10.1007/s11896-022-09521-xYoung peoples’ lived experiences of shifts between face-to-face and smartphone interactions: An interpretative phenomenological analysis
Childs, C. and Holland, F. 2022. Young peoples’ lived experiences of shifts between face-to-face and smartphone interactions: An interpretative phenomenological analysis. Journal of Youth Studies. https://doi.org/10.1080/13676261.2022.2101356Factors Influencing Successful Coping among Crime Scene Investigation (CSI) Personnel: Recruiting for Resilience - A Mixed Methods Study
Helen Craven, Michelle Hallmark, Fiona Holland and Maratos, F. 2022. Factors Influencing Successful Coping among Crime Scene Investigation (CSI) Personnel: Recruiting for Resilience - A Mixed Methods Study. Journal of Police and Criminal Psychology. 37, p. 549–568. https://doi.org/10.1007/s11896-022-09521-x
An Interpretative Phenomenological Analysis exploring the experiences of mothers who relate to the term ‘Gender Disappointment’
Young, Nina, Hallam, Jenny, Jackson, Jessica, Barnes, Christopher and Montague, Jane 2021. An Interpretative Phenomenological Analysis exploring the experiences of mothers who relate to the term ‘Gender Disappointment’. Journal of health visiting. https://doi.org/10.12968/johv.2021.9.11.470Multiple emotions, multiple selves: compassion focused therapy chairwork
Bell, Tobyn, Montague, Jane, Elander, James and Gilbert, Paul 2021. Multiple emotions, multiple selves: compassion focused therapy chairwork. The Cognitive Behaviour Therapist. 14. https://doi.org/10.1017/s1754470x21000180Exploring Buddhism as a ‘Tool’ to Support Well-Being: An Interpretative Phenomenological Analysis of Western Adopters’ Experiences
Laurent, N., Holland, F. and Sheffield, D. 2021. Exploring Buddhism as a ‘Tool’ to Support Well-Being: An Interpretative Phenomenological Analysis of Western Adopters’ Experiences. Pastoral Psychology. 20 (471), p. 485. https://doi.org/10.1007/s11089-021-00962-5An exploration of primary school teachers’ maths anxiety using interpretative phenomenological analysis
Dove, Jane, Montague, Jane and Hunt, Thomas, E 2021. An exploration of primary school teachers’ maths anxiety using interpretative phenomenological analysis. International Online Journal of Primary Education.Development and testing of the Nature Connectedness Parental Self-Efficacy (NCPSE) scale
Barnes, Christopher, Holland, Fiona G., Harvey, Caroline and Wall, S. 2021. Development and testing of the Nature Connectedness Parental Self-Efficacy (NCPSE) scale. Urban Forestry and Urban Greening. 65 (2021), pp. 1-8. https://doi.org/10.1016/j.ufug.2021.127343Embedding compassionate micro skills of communication in higher education: implementation with psychology undergraduates
Harvey, Caroline, Maratos, Frances, Montague, Jane, Gale, Maggie, Gilbert, Theo and Clark, Karen 2020. Embedding compassionate micro skills of communication in higher education: implementation with psychology undergraduates. British Psychological Society.Expanding hermeneutic horizons: Working as multiple researchers and with multiple participants
Montague, Jane, Phillips, Elly, Holland, Fiona and Archer, Stephanie 2020. Expanding hermeneutic horizons: Working as multiple researchers and with multiple participants. Journal of Research Methods in Medicine and Health Sciences. https://doi.org/10.1177/2632084320947571“Suddenly you are King Solomon”: Multiplicity, transformation and integration in compassion focused therapy chairwork
Bell, Tobyn, Montague, Jane, Elander, James and Gilbert, Paul 2020. “Suddenly you are King Solomon”: Multiplicity, transformation and integration in compassion focused therapy chairwork. Journal of Psychotherapy Integration. https://doi.org/10.1037/int0000240Experiences of enhanced recovery after surgery in general gynaecology patients: An interpretative phenomenological analysis.
Phillips, Elly, Archer, Stephanie, Montague, Jane and Bali, Anish 2019. Experiences of enhanced recovery after surgery in general gynaecology patients: An interpretative phenomenological analysis. Health Psychology Open. https://doi.org/10.1177%2F2055102919860635‘A definite feel-it moment’: Embodiment, externalization and emotion during chair-work in compassion-focused therapy
Bell, Tobyn, Montague, Jane, Elander, James and Gilbert, Paul 2019. ‘A definite feel-it moment’: Embodiment, externalization and emotion during chair-work in compassion-focused therapy. Counselling and Psychotherapy Research. https://doi.org/10.1002/capr.12248Evaluation of a compassionate mind training intervention with school teachers and support staff
Maratos, Frances, Montague, Jane, Ashra, Hajra, Welford, Mary, Wood, Wendy, Barnes, Christopher, Sheffield, David and Gilbert, Paul 2019. Evaluation of a compassionate mind training intervention with school teachers and support staff. Mindfulness. 10, p. 2245–2258. https://doi.org/10.1007/s12671-019-01185-9Development of a compassion-based training for cancer (CforC) curriculum for female breast cancer patients in stages I-III and cancer survivors. Origins, rationale and initial observations.
Wahl, Julia, Sheffield, David, Maratos, Frances A. and Archer, Stephanie 2018. Development of a compassion-based training for cancer (CforC) curriculum for female breast cancer patients in stages I-III and cancer survivors. Origins, rationale and initial observations. Mindfulness & Compassion.Thresholds of size: An interpretative phenomenological analysis of childhood messages around food, body, health and weight.
Holland, Fiona G., Peterson, Karin and Archer, Stephanie 2018. Thresholds of size: An interpretative phenomenological analysis of childhood messages around food, body, health and weight. Critical Dietetics.Worlds within worlds: a strategy for using interpretative phenomenological analysis with focus groups
Phillips, Eleanor, Montague, Jane and Archer, Stephanie 2016. Worlds within worlds: a strategy for using interpretative phenomenological analysis with focus groups. Qualitative Research in Psychology. https://doi.org/10.1080/14780887.2016.1205692“A peculiar time in my life”: making sense of illness and recovery with gynaecological cancer
Phillips, Eleanor, Montague, Jane and Archer, Stephanie 2017. “A peculiar time in my life”: making sense of illness and recovery with gynaecological cancer. International Journal of Qualitative Studies on Health and Well-being. https://doi.org/10.1080/17482631.2017.1364603The business of the body
Holland, Fiona G. 2015. The business of the body. International Therapist.'Do you mean I'm not whole?: Exploring the role of support in womens experiences of mastectomy without reconstruction
Archer, Stephanie, Holland, Fiona G. and Montague, Jane 2016. 'Do you mean I'm not whole?: Exploring the role of support in womens experiences of mastectomy without reconstruction. Journal of Health Psychology. https://doi.org/10.1177/1359105316664135Managing multiple goals during fertility treatment: An interpretative phenomenological analysis
Phillips, Elly, Elander, James and Montague, Jane 2013. Managing multiple goals during fertility treatment: An interpretative phenomenological analysis. Journal of Health Psychology. https://doi.org/10.1177/1359105312474915An interpretative phenomenological analysis of men’s and women’s coping strategy selection during early IVF treatment
Phillips, Elly, Elander, James and Montague, Jane 2014. An interpretative phenomenological analysis of men’s and women’s coping strategy selection during early IVF treatment. Journal of Reproductive and Infant Psychology. https://doi.org/10.1080/02646838.2014.915391Choosing not to reconstruct- post mastectomy: Exploring younger women’s experiences
Holland, Fiona G. 2016. Choosing not to reconstruct- post mastectomy: Exploring younger women’s experiences. Nursing Network News.Teaching in higher education: An interpretive phenomenological analysis
Holland, Fiona G. 2014. Teaching in higher education: An interpretive phenomenological analysis. Sage. https://doi.org/10.4135/978144627305014528646Play Wild Evaluation Report
Harvey, C. and Holland, F. 2017. Play Wild Evaluation Report. Derby University of Derby.The effect of creative psychological interventions on psychological outcomes for adult cancer patients: a systematic review of randomised controlled trials
Archer, Stephanie, Buxton, Sarah and Sheffield, David 2014. The effect of creative psychological interventions on psychological outcomes for adult cancer patients: a systematic review of randomised controlled trials. Psycho-Oncology. https://doi.org/10.1002/pon.3607A thematic analysis investigating the factors affecting students’ decision making regarding their eating behaviours.
Large, Katie and Montague, Jane 2015. A thematic analysis investigating the factors affecting students’ decision making regarding their eating behaviours. Social Psychological Review."I'm 100% for it! I'm a convert!" Women's experiences of a yoga programme during treatment for gynaecological cancer; an interpretative phenomenological analysis
Archer, Stephanie, Phillips, Elly, Montague, Jane, Bali, Anish and Sowter, Heidi M. 2014. "I'm 100% for it! I'm a convert!" Women's experiences of a yoga programme during treatment for gynaecological cancer; an interpretative phenomenological analysis. Complementary therapies in medicine. https://doi.org/10.1016/j.ctim.2014.12.003How to deliver an effective senior exercise class
Holland, Fiona G. and Meeks, Sara 2009. How to deliver an effective senior exercise class. SportEx Health.Body talk
Holland, Fiona G. 2011. Body talk. International Therapist.The accordian and the deep bowl of spaghetti: Eight researchers' experiences of using IPA as a methodology
Wagstaff, Chris, Jeong, Hyeseung, Nolan, Maeve, Wilson, Tony, Tweedlie, Julie, Phillips, Elly, Senu, Halia and Holland, Fiona G. 2014. The accordian and the deep bowl of spaghetti: Eight researchers' experiences of using IPA as a methodology. The Qualitative Report.Body image: instrument or ornament?
Holland, Fiona G. 2009. Body image: instrument or ornament? Sport Ex Dynamics.Working out of the ‘toolbox’: an exploratory study with complementary therapists in acute cancer care
McLaren, Natasha, Mackereth, Peter, Hackman, Eileen and Holland, Fiona G. 2013. Working out of the ‘toolbox’: an exploratory study with complementary therapists in acute cancer care. Complementary Therapies in Clinical Practice. https://doi.org/10.1016/j.ctcp.2013.11.002"I'm 100% for it! I'm a convert!": Women's experiences of a yoga programme during treatment for gynaecological cancer; an interpretative phenomenological analysis.
Archer, Stephanie, Phillips, Elly, Montague, Jane, Bali, Anish and Sowter, Heidi M. 2015. "I'm 100% for it! I'm a convert!": Women's experiences of a yoga programme during treatment for gynaecological cancer; an interpretative phenomenological analysis. Complementary therapies in medicine. https://doi.org/10.1016/j.ctim.2014.12.003Treatment beyond treatment: exploring the effects of two complementary interventions on patient reported outcomes of gynaecological cancer
Archer, Stephanie 2013. Treatment beyond treatment: exploring the effects of two complementary interventions on patient reported outcomes of gynaecological cancer. PhD Thesis https://doi.org/10.48773/9346wAn exploration of the experience of mental health service users when they decide they would like to change or withdraw from prescribed medications
Gale, Corinne, Baldwin, Laurence, Staples, Vicki, Montague, Jane and Waldram, Dave 2012. An exploration of the experience of mental health service users when they decide they would like to change or withdraw from prescribed medications. Journal of Psychiatric and Mental Health Nursing. https://doi.org/10.1111/j.1365-2850.2011.01860.xMapping the components of the telephone conference: an analysis of tutorial talk at a distance learning institution
Horton-Salway, M., Montague, Jane, Wiggins, S. and Seymour-Smith, S. 2012. Mapping the components of the telephone conference: an analysis of tutorial talk at a distance learning institution. Discourse Studies. https://doi.org/10.1177/1461445608096571