Psychological Well-Being Intention among Breast Cancer Survivors: A Systematic Literature Review and Walker–Avant Concept Analysis
DOI:
https://doi.org/10.54133/ajms.v10i1.2527Keywords:
Breast cancer survivors, Concept analysis , Psychological well-being , Walker and AvantAbstract
Background: Psychological well-being is crucial for breast cancer survivors, yet psychological well-being remains inconsistently conceptualized in literature and is often treated as a static psychological outcome rather than a dynamic process. Objective: This study aimed to clarify the concept of psychological well-being among breast cancer survivors by identifying its defining attributes, antecedents, consequences, and empirical referents using the Walker and Avant concept analysis framework. Methods: A systematic review of PubMed, ScienceDirect, Google Scholar, and ProQuest was conducted following PRISMA guidelines, and seven articles were analyzed using the Walker and Avant concept analysis method. Results: Psychological well-being intention is conceptualized as a multidimensional, motivational, and adaptive process rather than a passive psychological state. Key attributes include self-acceptance, emotional regulation, adaptive coping, social connectedness, meaning in life, autonomy, and adaptive capacity; antecedents involve illness-related stressors and personal resources, while consequences include positive psychological adaptation, improved quality of life, emotional stability, and treatment engagement. Conclusions: Psychological well-being intention represents an intentional and goal-directed process that underpins survivors’ capacity to adapt to breast cancer as a chronic condition. This clarification offers a theoretical basis for evidence-based interventions to support long-term psychological adaptation in breast cancer survivors.
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