People with cancer may suffer negative psychosocial outcomes due to the challenges of cancer. LGBTQ2S+ people routinely experience negative psychosocial outcomes in health care settings, but have showcased resilience in the face of discrimination; however, this has never been studied in a cancer context. Thus, this study aims to assess coping and resilience in LGBTQ2S+-identifying people diagnosed with cancer using a strengths-based approach. A qualitative exploratory design was used. Ten self-identified LGBTQ2S+ people who have completed their cancer treatment were recruited. Participants completed clinical, health, and demographic questionnaires and, subsequently, semi-structured qualitative interviews. Conceptualizations of coping and resilience in the semi-structured interviews were analyzed using interpretative phenomenological analysis (IPA). Participants were members of various gender identities and sexual orientations. In addition to identifying needed LGBTQ2S+-specific resources, four narratives emerged: support networks, regaining control in life, conflicting identities, and traditional coping methods. Most participants’ cancer journeys were characterized by a ‘Second Coming-Out’ phenomenon, where LGBTQ2S+ people with cancer use coping strategies, similar to those used when coming out, to produce resilience throughout their cancer journey. This work provides exploratory insight into LGBTQ2S+ people with cancer, but more research is required with a larger sample.
癌症患者可能因疾病挑战而遭受负面心理社会后果。LGBTQ2S+群体在医疗环境中常经历此类负面结果，但面对歧视时展现出韧性；然而，这一现象尚未在癌症背景下得到研究。因此，本研究旨在采用优势视角评估确诊癌症的LGBTQ2S+群体的应对方式与心理韧性。研究采用质性探索设计，招募了十位已完成癌症治疗的自我认同为LGBTQ2S+的参与者。参与者首先完成临床、健康及人口统计学问卷，随后接受半结构化质性访谈。通过解释现象学分析法对访谈中应对方式与心理韧性的概念化表达进行解析。参与者涵盖多元性别认同与性取向群体。除明确LGBTQ2S+群体特需资源外，研究提炼出四大叙事主题：支持网络、重获生活掌控感、身份认同冲突及传统应对方式。多数参与者的抗癌历程呈现"二次出柜"现象——LGBTQ2S+癌症患者运用类似初次出柜的应对策略，在抗癌过程中构建心理韧性。本研究为理解LGBTQ2S+癌症群体提供了探索性视角，未来需扩大样本进行更深入的研究。
肿瘤(癌症)患者之家