Monday, June 22, 2009

Cancer: A Silver Lining?

"Benefit-Finding" Helps Cancer Patients and Survivors see Positives Amidst Struggles

MAYWOOD, Ill. – Cancer—the word resonates in people’s nightmares and strikes fear in the hearts of millions. Can there be a positive side amidst the panic, anxiety and hopeless feelings that often accompany the word? The answer is yes according to Dr. Patricia Mumby, associate professor Loyola University Chicago Stritch School of Medicine Psychiatry and Behavioral Neurosciences Department and director of Loyola Cardinal Bernadine Cancer Center Psychosocial Oncology Service.

“When we first ask people to find something good about having cancer they pause and give us a puzzled look, but a majority of cancer survivors and patients can find positives. The longer it’s been since their diagnosis the more positives they can find,” said Mumby. “It’s amazing to watch as they look for benefits. They mentally make a shift and start to have a broader perspective. People who can find positives early on often have less anxiety overall.”

Though research is preliminary, staff at the Loyola University Health System Cardinal Bernadine Cancer Center have discovered that finding benefits and positives in the cancer experience may improve a patient’s quality of life and relationships with others. They appear to have a greater appreciation for life, deeper spirituality and often find changes in their life values. It can also build self-esteem and self-confidence.

“People who are going through cancer treatments have to face challenges head-on and when they are able to master them and move forward, that builds self-esteem. Coping and adapting to life stresses builds self-confidence,” said Mumby.

Another commonly found positive is that people who are being treated for cancer improve their health behaviors, often making them healthier then they were before their diagnosis.

“Some of the behaviors people have prior to their cancer treatment may put them at risk for recurrence, secondary types of cancer or other health issues. Cancer can be a scary wake-up call causing people to change many of their unhealthy behaviors and may help them to realize the importance of taking care of themselves,” said Mumby.

According to Mumby a recent study of health outcomes and quality of life of breast cancer survivors at Loyola showed that 49 percent of women in the study smoked prior to their diagnosis. Following treatment only 9 percent continued the habit.

“We would of course like the number to be zero, but the decrease in smoking among these women was significant and a very positive thing,” said Mumby.

Initially the benefit-finding process can be difficult as patients work through their anxiety, try to adjust to all the changes and cope with the idea that their lives will never be the same. Over time they begin to see that good has come out the difficult journey. Many find that they have a healthier perspective on relationships. Some have significant life, career or education changes.

Silvia Durkin, a Schaumburg resident, wife and mother of two, was the picture in the dictionary of self-sacrifice. She was always thinking of others, sometimes to the detriment of herself. When a lump in her breast turned out to be cancer her life was turned inside out.

“When I found out I had cancer it was like an explosion that shook me to the core. I didn’t know where to go or what do. I like to be in control, but when the diagnosis was cancer I thought I had lost control of my own body and that was really difficult,” said Durkin. “But it was what I needed to get me out of my ingrained habits. Though I’d always been active and a healthy eater I started to break out of my old habits and learn more about different types of exercise and eating a variety of foods. When I met with Dr. Mumby she encouraged me to start doing something for myself.”

That something was Pilates and yoga classes. Durkin found she really enjoyed them and was a star pupil. Now, cancer free, Silvia has become a Pilates instructor at the studio at the request of the owner.

“I would never have even considered taking classes let alone being an instructor before I had cancer. We get so boxed into our lives that it sometimes takes a kick in the butt to get us out,” said Durkin.

She’s also found that it has encouraged her to help others in a healthier way and that she hopes her experience will give someone else facing a similar situation hope.

“This really made me reach into myself and take a look at the big picture. Good things and bad things happen and we need to find positives in every bump in the road,” said Durkin.

“People need time to process their experience. Benefit-finding helps people contemplate and reflect over the whole experience and put things into perspective: this is where I was and this is where I am now,” said Mumby.

This is especially true for cancer survivors like Durkin.

“The transition into long-term cancer survivor has received little attention, but with 12 million cancer survivors and the number continuing to grow these issues will become more and more important,” said Mumby. “Having had cancer will always be a part of their lives, but the question is where do they go from here? Benefit-finding helps them look at the experience and to see how far they’ve come and to take pride in that. It also shows them life is still out there and there is more for them to do.”

About Loyola University Health System

Loyola University Health System (LUHS) is part of Trinity Health. Based in the western suburbs of Chicago, LUHS is a quaternary care system with a 61-acre main medical center campus, the 36-acre Gottlieb Memorial Hospital campus and more than 30 primary and specialty care facilities in Cook, Will and DuPage counties. Loyola University Medical Center’s campus is conveniently located in Maywood, 13 miles west of Chicago’s Loop and 8 miles east of Oak Brook, Ill. At the heart of the medical center campus is a 559-licensed-bed hospital that houses a Level 1 Trauma Center, a Burn Center and the Ronald McDonald® Children's Hospital of Loyola University Medical Center. Also on campus are the Cardinal Bernardin Cancer Center, Loyola Outpatient Center, Center for Heart & Vascular Medicine and Loyola Oral Health Center as well as Loyola University Chicago Stritch School of Medicine, Loyola University Chicago Marcella Niehoff School of Nursing and the Loyola Center for Fitness. Loyola's Gottlieb campus in Melrose Park includes the 255-licensed-bed community hospital, the Professional Office Building housing 150 private practice clinics, the Adult Day Care, the Gottlieb Center for Fitness, Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park.

Trinity Health is a national Catholic health system with an enduring legacy and a steadfast mission to be a transforming and healing presence within the communities we serve. Trinity is committed to being a people-centered health care system that enables better health, better care and lower costs. Trinity Health has 88 hospitals and hundreds of continuing care facilities, home care agencies and outpatient centers in 21 states and 119,000 employees.