A Qualitative Longitudinal Study on the Adaptation and Coping Strategies of Men with Testicular Cancer

Research suggests that the experience of cancer is diverse rather than homogeneous. The strong emotions and stress associated with cancer lead to a search for coping strategies. Men with different types of cancer utilise physical, psychological, interpersonal, and spiritual strategies. Despite the research, the specific adaptation and coping strategies used by men with testicular cancer have rarely been studied. We focused on the adaptation and coping strategies of newly diagnosed patients (n = 17) with testicular cancer in Slovakia. For this purpose, we conducted a longitudinal qualitative study based on semi-structured interviews before, during and after chemotherapy. The verbatim transcribed interviews were analysed using ideal type analysis with a focus on typology formation and trajectory analysis in narrative approaches. The main types of psychological adaptation and strategies were grouped into 4 trajectories: the psychological barrier between the self and the illness as a coping mechanism; realistic optimism; meaning-making; and the complicated process of adaptation. The differences in adaptation were related to the patients' emotional state before the disease, previous unprocessed life events, a death in the family during treatment, but also to the metastatic nature of the disease or the recurrence of testicular cancer. These results can help healthcare providers identify those at higher risk for complicated adaptation.