Authentic experiences of social reintegration in breast cancer patients: A qualitative study

Abstract

Background

Breast cancer survivors often face substantial challenges in social reintegration, the process of resuming roles, relationships, and community participation after treatment. However, existing research has largely focused on Western contexts, with limited attention to how cultural factors shape these experiences in non-Western settings, particularly in China.

Objective

To explore breast cancer survivors’ experiences of social reintegration and provide insights for developing culturally sensitive interventions.

Methods

A qualitative study was conducted between June and November 2024. Using purposive sampling, we recruited 16 breast cancer survivors. Data from in-depth, semi-structured interviews were analyzed using Braun and Clarke's reflexive thematic analysis approach.

Results

Four major themes were identified: (a) reorganization of personal capabilities, including recovery of physical function, enhancement of psychological resilience, improvement of skills and knowledge, and enhancement of self-efficacy; (b) continuation of productive activities, including recovery of work capacity and workplace reintegration, and return to family roles; (c) regular participation in social activities, including construction and expansion of social networks, participation in public service and volunteering, and cultivation and demonstration of interests; and (d) reconstruction of post-cancer identities, including remodeling of self-identity, lifestyle adjustment and integration, and spiritual and emotional growth.

Conclusions

The findings highlight the need to comprehensively consider survivors’ personal experiences and social support when developing more effective social reintegration intervention programs. Future research should further explore the effectiveness of various intervention strategies to facilitate better integration and adaptation among breast cancer survivors.