Emotional Journey of Breast Cancer Patients: A Nominal Group Technique Analysis
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Abstract
This study explores the emotional acceptance process of breast cancer patients in Malaysia using the Nominal Group Technique (NGT) to understand and support patients' emotional journeys from diagnosis through treatment. The study categorizes and rates five stages of emotional acceptance: behavioral acceptance, non-acceptance, willingness-to-accept, passive acceptance, and transcendence-of-acceptance, using a sample of 11 breast cancer survivors. The results show a non-linear route to emotional acceptance, with the participants reaching the greatest consensus at the transcendence-of-acceptance level. In addition to potentially guiding more effective support treatments. This research provides a comprehensive knowledge of emotional acceptance in breast cancer patients.
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Copyright (c) 2024 Ahmad Saharrudin Mat Akir, Engku Mardiah Engku Kamarudin, Noor Syamilah Zakaria, Afdal

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References
Ahmad, S., et al. (2022). Cultural influences on breast cancer experiences and decision-making among Malaysian women. Asian Pacific Journal of Cancer Prevention, 23(5), 1689-1697.
Al Mahyijari, N., Moshtohry, A., Al Mamari, R., & Al Farsi, M. (2022). Practical considerations and challenges in establishing a de novo integrative holistic cancer care service in a national cancer center. International Journal of Research in Psychiatry 2022; 2(1): 26-31
Andriani, A. D. (2022). Therapeutic communication on self healing therapy in patients with Priority PTM. *Communicatus: Jurnal Ilmu Komunikasi, 6*(2), 233-250.
Bhoo-Pathy, N., et al. (2023). Breast cancer in Asia: The challenge and response. The Lancet Oncology, 24(5), e270-e280.
Bhushan, A., Gonsalves, A., & Menon, J. U. (2021). Current state of breast cancer diagnosis, treatment, and theranostics. Pharmaceutics, 13*(5), 72.
Cardoso, F., et al. (2023). 6th ESO-ESMO international consensus guidelines for advanced breast cancer (ABC 6). Annals of Oncology, 34(8), 720-739.
Carreira, H., et al. (2023). Mental health and quality of life in breast cancer survivors: A systematic review. Journal of Cancer Survivorship, 17(2), 547-559.
Chen, L., & Nakamura, Y. (2022). Comparing face-to-face and online support groups for emotional acceptance in breast cancer patients: A Nominal Group Technique study. Journal of Cancer Survivorship, 16(3), 512-525.
Chen, S. Q., Liu, J. E., Li, Z., & Su, Y. L. (2017). The process of accepting breast cancer among Chinese women: A grounded theory study. *European Journal of Oncology Nursing, 28*, 77-85.
Gonzalez-Hernandez, E., Garcia-Palacios, A., & Hoffman, H. G. (2022). Factors influencing emotional acceptance in breast cancer survivors :A Nominal Group Technique analysis. Psycho-Oncology, 31(5), 721-730.
Hong, R., & Xu, B. (2022). Breast cancer: an up‐to‐date review and future perspectives. *Cancer Communications, 42*(10), 913-936.
Hosseini, F., Alavi, N. M., Mohammadi, E., & Sadat, Z. (2021). Motivation for healing in cancer patients: A qualitative study. *Iranian Journal of Nursing and Midwifery Research, 26*(6), 555-561.
Koutsopoulou, S., & Papadopoulos, C. (2024). Emotional barriers to treatment engagement in breast cancer patients: A Nominal Group Technique study. European Journal of Cancer Care, 33(1), e13645.
Larsson, G., Mattsson, S., & Sjöström, B. (2023). Emotional acceptance and patient involvement in breast cancer treatment decisions: A Nominal Group Technique investigation. Patient Education and Counseling, 106(3), 634-643.
Li, Q., Lin, Y., Xu, Y., & Zhou, H. (2021). The role of emotional acceptance in quality of life and psychological distress of breast cancer patients: A systematic review. Breast Cancer Research and Treatment, 185(1), 1-15.
Mazzocco, K., Masiero, M., Carriero, M. C., & Pravettoni, G. (2019). The role of emotions in cancer patients’ decision-making. Ecancermedicalscience, 13.
Nguyen, T. H., & Pham, L. T. (2021). Caregiver strategies for supporting emotional acceptance in breast cancer patients: A Nominal Group Technique study. Cancer Nursing, 44(6), 484-494.
Novirianthy, R., Syukri, M., Gondhowiardjo, S., Suhanda, R., Mawapury, M., Pranata, A., & Renaldi, T. (2023). Treatment acceptance and its associated determinants in cancer patients: A systematic review. Narra J, 3(3).
Ośmiałowska, E., Staś, J., Chabowski, M., & Jankowska-Polańska, B. (2022). Illness perception and quality of life in patients with breast cancer. Cancers, 14(5), 1214.
Patel, S., & Roberts, K. (2024). Developing a framework for emotional acceptance interventions in breast cancer care: A mixed-methods approach using Nominal Group Technique. Journal of Psychosocial Oncology, 42(1), 78-92.
Sew Boon Lui, Fitri Suraya Mohamad, Chris Cheng, Katijah Bujang, Dayang Rawdiah Awang Mahmud, Dayang Mariani Abang Zain (2020). Anda ada kanser? Apa Yang Harus Dilakukan. Universiti Malaysia Sarawak Kota Samarahan.
Sharma, R., Gupta, S., & Mehta, A. (2023). Tracking emotional acceptance trajectories in breast cancer patients: A longitudinal Nominal Group Technique study. Supportive Care in Cancer, 31(8), 401-412.
Sung, H., et al. (2021). Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 71(3), 209-249.
Thakur, M., Sharma, R., Mishra, A. K., & Singh, K. R. (2021). Prevalence and psychobiological correlates of depression among breast cancer patients. Indian Journal of Surgical Oncology, 12, 251-257.
Wang, L., Chen, J., & Liu, Y. (2023). Barriers to emotional acceptance among newly diagnosed breast cancer patients: A Nominal Group Technique analysis. Journal of Advanced Nursing, 79(3), 1098-1110.
Wennerberg, C., Schildmeijer, K., Hellström, A., & Ekstedt, M. (2021). Patient experiences of self-care management after radical prostatectomy. *European Journal of Oncology Nursing, 50*, 101894.
Wilkinson, L., & Gathani, T. (2022). Understanding breast cancer as a global health concern. *The British Journal of Radiology, 95*(1130), 20211033.
Yamamoto, S., Takahashi, M., & Ito, M. (2022). The impact of emotional acceptance on symptom management in breast cancer patients: A Nominal Group Technique study. Supportive Care in Cancer, 30(6), 5123-5132.
Yusoff, J., Ismail, A., Abd Manaf, M. R., Ismail, F., Abdullah, N., Muhammad, R., ... & Mat Zin, R. R. (2022). Quality of life of women with breast cancer in a tertiary referral university hospital. *Health and Quality of Life Outcomes, 20*(1), 15.