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Kero, Anneli
Publications (10 of 20) Show all publications
Lilliehorn, S., Kero, A., Hamberg, K. & Salander, P. (2013). Breast Cancer Experience Through the Body: A Consecutive, Six-Year Longitudinal Study of 24 Women. Paper presented at 15th World Congress of Psycho-Oncology, 4–8 November 2013, Rotterdam, The Netherlands. Psycho-Oncology, 22, 334-334
Open this publication in new window or tab >>Breast Cancer Experience Through the Body: A Consecutive, Six-Year Longitudinal Study of 24 Women
2013 (English)In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 22, p. 334-334Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

BACKGROUND: Breast cancer is a disruptive s bodies in body experiences in a life context are not sufficiently acknowledged in breast cancer research. Due to the increasing number of breast cancer survivors, longitudinal studies that pay attention to long-term experiences of the body are of vital importance in order to gain knowledge valuable for rehabilitation initiatives. This study is a contribution.

four women were consecutively included in a prospective project and repeatedly interviewed during 6 years from ending hospitalised treatment. The qualitative analysis was made by means of thematic narrative analysis. Out of the interviews individual narratives were constructed s body experience over time. The narratives were repeatedly read to identify possible common thematic elements across participants of how the body appeared to the women and to discern processes of how this developed over time. Three main processes were found in the analysis.

RESULTS: Common to all women was to initially experience the body as surviving. Survival was key target and bodily complaints were thus measured and valued in favour of that. When back to a new everyday life after treatment five women quickly experienced their bodies as comprehensible. They had undergone a minimum of treatments. 19 women reported more complaints and experienced the body as broken, fragile and as incomprehensible. With time and regained function most came to experience their bodies as comprehensible. Three women, however, met with more bodily decline than they could reconcile, they eventually disassociated from their bodies.

CONCLUSIONS: This study makes a unique contribution by mapping out how breast cancer patients experience and value their bodies over 6 years from ending hospitalised treatment. The findings are considered from a phenomenological perspective and reflect how the women “discovered” and handled their bodies as something they had, the bodies were seen as separated from themselves while altering and changing due to side effects. The processes of establishing liveable body relations differed depending on treatment impact and ability to incorporate body changes as part of themselves. The findings are discussed in relation to theories of bodynormativity and biographical continuity.

RESEARCH IMPLICATIONS: The study clarifies that experiences and valuations of body alterations and side effects shifts over time. It indicates the importance of further studies to carefully consider this transition over time and interpret selfassessments of body experience in relation to treatment (on-going/completed) and overall life context (on sick-leave/working).

CLINICAL IMPLICATIONS: This study highlights the impact of side effects, especially from endocrine treatment, on breast cancer patients’ everyday life. We find it reasonable to suggest that physicians take a quite humble stand when discussing the treatment options. In cases of massive side effects, it must be possible to end treatment without this causing excessive worries for disease progression.

Place, publisher, year, edition, pages
John Wiley & Sons, 2013
National Category
Cancer and Oncology Sociology
Identifiers
urn:nbn:se:umu:diva-82803 (URN)10.1111/j.1099-1611.2013.3394 (DOI)000325687200527 ()
Conference
15th World Congress of Psycho-Oncology, 4–8 November 2013, Rotterdam, The Netherlands
Note

Special Issue: Abstracts of the IPOS 15th World Congress of Psycho-Oncology, 4–8 November 2013, Rotterdam, The Netherlands

ACKNOWLEDGEMENT OF FUNDING: This study was supported by grants from the Swedish Association for Cancer and Traffic Victims (CTRF).

Available from: 2013-11-12 Created: 2013-11-11 Last updated: 2018-06-08Bibliographically approved
Lilliehorn, S., Hamberg, K., Kero, A. & Salander, P. (2013). Meaning of work and the returning process after breast cancer: a longitudinal study of 56 women. Scandinavian Journal of Caring Sciences, 27(2), 267-274
Open this publication in new window or tab >>Meaning of work and the returning process after breast cancer: a longitudinal study of 56 women
2013 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, no 2, p. 267-274Article in journal (Refereed) Published
Abstract [en]

Background: An increasing number of women survive breast cancer and a majority return to work. However, findings based on mean values may conceal individual processes that need to be better understood to discuss meaningful rehabilitation.

Aim: The purpose of this paper is to describe the sick-leave pattern of a group of Swedish women with primary breast cancer but foremost to explore their ideas about what motivates and discourages their return to work.

Method: Fifty-six women were repeatedly interviewed over a period of 18 to 24 months. Interview sections that clearly illustrated the women’s experiences and ideas about work were categorized using the comparative similarities-differences technique.

Findings: The average length of sick leave was 410 days (range 0-942). Six months after the first day of sick leave, 29% worked at least their previous service grade. At 12 months, 55%, and at 18 months 57% did so. Those treated with chemotherapy had in average more than twice as large sick leave as those who did not. Three categories emerged. ‘Motives for not returning to work’ consists of four sub-categories: ‘I’m still too fragile to return to work’; ‘My workplace is a discouraging place’; ‘I took an opportunity to pause’ and ‘I’ve lost the taste for work’. ‘Motives for returning’ consists of two sub-categories: ‘Work generates and structures my everyday life’ and ‘I miss my workplace’. Finally, ‘Transition in work approach’ reflects a changed approach to work.

Conclusion: The meaning of work varies over time, but first and foremost work was regarded as an important part of the healing process as it restores the disruption of everyday life. Guidelines cannot be reduced to a linear relationship with biomedical variables but the individual context of everyday life must be considered.

Place, publisher, year, edition, pages
Hoboken: Wiley-Blackwell, 2013
Keywords
Activity, breast cancer, chemotherapy, everyday life, guidelines, sick leave, working life
National Category
Nursing Cancer and Oncology
Research subject
Psychology
Identifiers
urn:nbn:se:umu:diva-54647 (URN)10.1111/j.1471-6712.2012.01026.x (DOI)000318815700009 ()
Available from: 2012-05-03 Created: 2012-05-03 Last updated: 2018-06-08Bibliographically approved
Salander, P., Lilliehorn, S., Hamberg, K. & Kero, A. (2011). The impact of breast cancer on living an everyday life 4.5-5 years post-diagnosis: a qualitative prospective study of 39 women. Acta Oncologica, 50(3), 399-407
Open this publication in new window or tab >>The impact of breast cancer on living an everyday life 4.5-5 years post-diagnosis: a qualitative prospective study of 39 women
2011 (English)In: Acta Oncologica, ISSN 0284-186X, E-ISSN 1651-226X, Vol. 50, no 3, p. 399-407Article in journal (Refereed) Published
Abstract [en]

Background. The survival of women with breast cancer has improved. There are many studies available describing different aspects of how the illness and its treatment affect the women. Usually these studies are cross-sectional and focus on assessments of a sample of women at a single point in time during post-treatment. These studies are important but of limited value if we are interested in understanding more about breast cancer in a life context. The present study is a contribution.

Methods. A consecutive sample of 39 women was followed up by means of repeated thematic interviews about how they lived their lives, from the end of radiation therapy to a point four years later, i.e. 4.5–5 years post diagnosis.

Results. Four different groups of women emerged. Largely, the first group evaluated the cancer initiated transformation of their lives in a positive way. The breast cancer helped them depart from a career treadmill or to positive interpersonal experiences. In the second group the cancer and its treatment seemed to pass without marked traces. The cancer made a difference for the third group, but both in positive and negative ways. A different life perspective or improved relationships were weighted against troublesome side effects from treatment. Finally, in the fourth group a bodily decline due to side effects and other health problems was predominant and this obstructed their chances of living a good life.

Discussion. The narratives showed that being diseased by breast cancer has different impacts depending on how the woman lives her life – it is very much a matter of transition in a life context. The results are furthermore discussed in relation to adaptation and coping theory.

Place, publisher, year, edition, pages
Informa Plc., 2011
National Category
Gender Studies Social Work
Identifiers
urn:nbn:se:umu:diva-38974 (URN)10.3109/0284186X.2010.547216 (DOI)
Available from: 2011-01-13 Created: 2011-01-13 Last updated: 2018-06-08Bibliographically approved
Lilliehorn, S., Hamberg, K., Kero, A. & Salander, P. (2010). Admission into a helping plan: a watershed between positive and negative experiences in breast cancer. Psycho-Oncology, 19(8), 806-813
Open this publication in new window or tab >>Admission into a helping plan: a watershed between positive and negative experiences in breast cancer
2010 (English)In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 19, no 8, p. 806-813Article in journal (Refereed) Published
Abstract [en]

Cancer patients are in an exposed situation that raises certain psychosocial needs in contact with health care. Previous studies have mainly investigated these needs by assessments on predefined categories.Objective: The purpose of the present study is, from the patients' perspective, to identify breast cancer patients' psychosocial needs, and to synthesise them in a model reflecting the core of these needs.Methods: Seventy-one patients treated with radition therapy were consecutively included and repeatedly interviewed about their experiences of health care. 'Critical incidents' where identified from the interviews and analysed due to the similarities-differences technique in grounded theory.Results: Four categories of needs where detected: 'access', 'information', 'treatment', and 'how approached'. These categories and their properties merged into a core category - 'admission into a helping plan'. These findings are well understood in terms of attachment theory. In times of immanent danger and stress people strive to fina a 'safe haven' to attach to. Cancer patients' 'safe haven' can be described as 'a helping plan'. It is not the result of a separate patient-caregiver relationship but is created by a pattern of individual experiences from all kind of contacts with the health-care system as a whole.Conclusions: The presented model of patients needs as converging into 'admission into a helping plan' may serve as an easily comprehendible model for caregivers, guiding them to contribute to the patient's feeling of security and trust, and thus to the patient's own 'hoope work'.

Place, publisher, year, edition, pages
Wiley, 2010
Keywords
breast cancer, psycho-oncology, patient perspective, attachment theory, critical incident
National Category
Social Work
Research subject
Psychology
Identifiers
urn:nbn:se:umu:diva-26065 (URN)10.1002/pon.1619 (DOI)000280897400002 ()19771573 (PubMedID)
Available from: 2009-09-22 Created: 2009-09-22 Last updated: 2018-06-08Bibliographically approved
Kero, A., Lalos, A. & Wulff, M. (2010). Home abortion - experiences of male involvement. European journal of contraception & reproductive health care, 15(4), 264-270
Open this publication in new window or tab >>Home abortion - experiences of male involvement
2010 (English)In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 15, no 4, p. 264-270Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To gain knowledge about the male partner's experience of being present during an induced home abortion. METHODS: Twenty-three couples, whose male partner had been present when the woman aborted at home, were interviewed one to two weeks post-abortion. RESULTS: Each of the men supported his partner in her decision to have a home abortion, as this gave him the possibility of being near and of caring for her needs on the expulsion day. All the men were present and all their partners confirmed that they had been supportive. Half the men had been anxious prior to the expulsion, but most considered that their experiences during the expulsion had been 'easier than expected' and their dominant feeling was one of relief. CONCLUSIONS: Abortion is an important life event. When taking place at home, it increases the possibility for the couple to share the experience. Sharing an abortion may have a positive impact on those men who lack a sense of responsibility regarding reproductive issues, such as contraceptive use. This could facilitate society's efforts to involve men as a target group in this field. Designing an abortion policy that caters for the needs of both partners is a challenge.

Place, publisher, year, edition, pages
London: Informa Plc, 2010
Keywords
Medical abortion, Home abortion, Men, Male partner, Couple, Male experiences, Male involvement
Identifiers
urn:nbn:se:umu:diva-36775 (URN)10.3109/13625187.2010.485257 (DOI)000280900400006 ()20809674 (PubMedID)
Available from: 2010-10-11 Created: 2010-10-11 Last updated: 2018-06-08Bibliographically approved
Kero, A., Lalos, A. & Wulff, M. (2010). Why shouldn't one report on women's positive feelings with regard to abortion? [Letter to the editor]. European journal of contraception & reproductive health care, 15(2), 150-151
Open this publication in new window or tab >>Why shouldn't one report on women's positive feelings with regard to abortion?
2010 (English)In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 15, no 2, p. 150-151Article in journal, Letter (Other academic) Published
Place, publisher, year, edition, pages
Informa Healthcare, 2010
National Category
Obstetrics, Gynecology and Reproductive Medicine Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-42140 (URN)10.3109/13625181003706604 (DOI)000275584800009 ()20230341 (PubMedID)
Available from: 2011-04-06 Created: 2011-04-06 Last updated: 2018-06-08Bibliographically approved
Kero, A., Lalos, A. & Wulff, M. (2009). Home abortion implies radical changes for women. The European journal of contraception and reproductive health care, 14(5), 324-333
Open this publication in new window or tab >>Home abortion implies radical changes for women
2009 (English)In: The European journal of contraception and reproductive health care, ISSN 1362-5187, Vol. 14, no 5, p. 324-333Article in journal (Refereed) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:umu:diva-27619 (URN)10.3109/13625180903128609 (DOI)
Available from: 2009-11-12 Created: 2009-11-12 Last updated: 2018-06-08Bibliographically approved
Lilliehorn, S., Hamberg, K., Kero, A. & Salander, P. (2008). Critical incidents in contact with healthcare reflecting the needs of women with breast cancer. In: Psycho-Oncology (pp. S10).
Open this publication in new window or tab >>Critical incidents in contact with healthcare reflecting the needs of women with breast cancer
2008 (English)In: Psycho-Oncology, 2008, p. S10-Conference paper, Published paper (Other academic)
Identifiers
urn:nbn:se:umu:diva-10438 (URN)10.1002/pon (DOI)
Available from: 2008-09-10 Created: 2008-09-10 Last updated: 2018-06-09Bibliographically approved
Kero, A. & Lalos, A. (2006). Mäns upplevelser och reaktioner före och efter abort. In: Inducerad abort. : Svensk förening för obstetrik och gynekologi arbets och referensgrupp för familjeplanering, Stockholm
Open this publication in new window or tab >>Mäns upplevelser och reaktioner före och efter abort
2006 (Swedish)In: Inducerad abort, Svensk förening för obstetrik och gynekologi arbets och referensgrupp för familjeplanering, Stockholm , 2006Chapter in book (Other academic)
Place, publisher, year, edition, pages
Svensk förening för obstetrik och gynekologi arbets och referensgrupp för familjeplanering, Stockholm, 2006
Identifiers
urn:nbn:se:umu:diva-14421 (URN)
Available from: 2008-01-11 Created: 2008-01-11 Last updated: 2018-06-09Bibliographically approved
Kero, A. (2005). Abort - en tabubelagd rättighet: kvinnors mångbottnade upplevelser rymmer både lättnad och smärta. Läkartidningen, 48(102), 3677-3680
Open this publication in new window or tab >>Abort - en tabubelagd rättighet: kvinnors mångbottnade upplevelser rymmer både lättnad och smärta
2005 (Swedish)In: Läkartidningen, Vol. 48, no 102, p. 3677-3680Article in journal (Refereed) Published
Abstract [sv]

Abort förekommer i alla samhällsgrupper, och abortmotiven avspeglar kvinnors (och mäns) behov av ett planerat föräldraskap. Abort är inte bara accepterad som en principiell rättighet utan också integrerad bland kvinnor som ett möjligt alternativ vid en oönskad graviditet. Kvinnors upplevelser av abort är mångbottnade. Att göra abort ses som ett ansvarstagande och upplevs som en lättnad. Detta behöver inte utesluta etiska reflektioner eller parallella smärtsamma känslor. Så länge abort främst uppmärksammas som en nödlösning bland vissa riskgrupper och inte som ett fenomen som avspeglar reproduktiva förväntningar, upprätthålls bilden av abort som något tabubelagt. Osynliggörandet av kvinnors komplexa överväganden och upplevelser i samband med abort bidrar till att myter om abort lever vidare.

Place, publisher, year, edition, pages
Stockholm: Sveriges läkarförbund, 2005
National Category
Obstetrics, Gynecology and Reproductive Medicine Social Work
Identifiers
urn:nbn:se:umu:diva-12845 (URN)
Note

På webbsidan: Nr 0548, 29 november 2005

Available from: 2007-11-30 Created: 2007-11-30 Last updated: 2018-06-09Bibliographically approved
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