{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T09:25:25Z","timestamp":1787045125610,"version":"build-2736575974"},"reference-count":40,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Sci.","Behavioral Sciences"],"abstract":"<jats:p>Breast cancer constitutes one of the oncological diagnoses with the greatest impact on women\u2019s lives, with consequences that extend beyond active treatment into a survivorship period marked by profound transformations in identity, relationships, and well-being. This study aimed to explore the impacts that breast cancer produces on the everyday lives of survivor women in the municipality of Villarrica, La Araucan\u00eda Region. A qualitative methodology with a phenomenological orientation was employed, based on discourse analysis of three focus groups with 20 female breast cancer survivors between 35 and 70 years old. The analysis identified five categories: impact on everyday life and work, management of uncertainty and fear, transformation of self-care and life priorities, support networks and community, and barriers to accessing the healthcare system. The findings demonstrate the coexistence of posttraumatic growth and persistent psychological distress, together with structural inequities that limit access to comprehensive care during the survivorship period. It is concluded that cancer survivorship demands public policy responses that are continuous, multilevel, and integrative of a gender perspective, articulating individual, family, and community interventions from primary healthcare.<\/jats:p>","DOI":"10.3390\/bs16081413","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T08:08:41Z","timestamp":1787040521000},"page":"1413","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Beyond Treatment: Cancer Survival and Daily Life Among Women with Breast Cancer: A Qualitative Phenomenological Study in La Araucan\u00eda, Chile"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2350-2199","authenticated-orcid":false,"given":"Scarlet","family":"Hauri-Opazo","sequence":"first","affiliation":[{"name":"Doctorado en Ciencias Sociales, Universidad de La Frontera, Temuco 4780000, Chile"},{"name":"Departamento de Trabajo Social, Universidad de La Frontera, Temuco 4780000, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3100-5491","authenticated-orcid":false,"given":"B\u00e1rbara","family":"Burgos-Mansilla","sequence":"additional","affiliation":[{"name":"Departamento de Ciencias de la Rehabilitaci\u00f3n, Universidad de La Frontera, Temuco 4780000, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cinthya","family":"Espejo-Alvarado","sequence":"additional","affiliation":[{"name":"Departamento de Medicina Interna, Universidad de La Frontera, Temuco 4780000, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5869-3703","authenticated-orcid":false,"given":"\u00c1ngela","family":"Navarrete-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Departamento de Medicina Interna, Universidad de La Frontera, Temuco 4780000, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Mar\u00eda","family":"Donoso-Rojas","sequence":"additional","affiliation":[{"name":"Villarrica Hospital, Villarrica 4930000, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"ref_1","first-page":"208","article-title":"A framework for the study of access to medical care","volume":"9","author":"Aday","year":"1974","journal-title":"Health Services Research"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1097\/rnj.0000000000000174","article-title":"Next-generation cancer rehabilitation: A giant step forward for patient care","volume":"43","author":"Alfano","year":"2018","journal-title":"Rehabilitation Nursing Journal"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2307\/2137284","article-title":"Revisiting the behavioral model and access to medical care: Does it matter?","volume":"36","author":"Andersen","year":"1995","journal-title":"Journal of Health and Social Behavior"},{"key":"ref_4","unstructured":"Antonovsky, A. (1987). Unraveling the mystery of health: How people manage stress and stay well, Jossey-Bass."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1269","DOI":"10.1200\/JCO.2009.25.1223","article-title":"Cancer and the family: The silent words of truth","volume":"28","author":"Baider","year":"2010","journal-title":"Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1016\/S0277-9536(00)00065-4","article-title":"From social integration to health: Durkheim in the new millennium","volume":"51","author":"Berkman","year":"2000","journal-title":"Social Science & Medicine"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Smith, B., and Sparkes, A. C. (2016). Using thematic analysis in sport and exercise research. Routledge handbook of qualitative research in sport and exercise, Routledge.","DOI":"10.4324\/9781315762012"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design, Harvard University Press.","DOI":"10.4159\/9780674028845"},{"key":"ref_9","unstructured":"Damon, W., and Lerner, R. M. (1998). The ecology of developmental processes. Handbook of child psychology: Vol. 1. Theoretical models of human development, Wiley. [5th ed.]."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1111\/1467-9566.ep11339939","article-title":"Chronic illness as biographical disruption","volume":"4","author":"Bury","year":"1982","journal-title":"Sociology of Health & Illness"},{"key":"ref_11","first-page":"793","article-title":"Lo que funciona en el apoyo entre pares para sobrevivientes de c\u00e1ncer de mama: Una revisi\u00f3n sistem\u00e1tica cualitativa y metaetnograf\u00eda","volume":"16","author":"Clougher","year":"2024","journal-title":"Psicolog\u00eda Aplicada: Salud y Bienestar"},{"key":"ref_12","unstructured":"Corbin, J. M., and Strauss, A. L. (1988). Unending work and care: Managing chronic illness at home, Jossey-Bass."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.genhosppsych.2007.10.008","article-title":"Major depression after breast cancer: A review of epidemiology and treatment","volume":"30","author":"Fann","year":"2008","journal-title":"General Hospital Psychiatry"},{"key":"ref_14","unstructured":"Ferlay, J., Ervik, M., Lam, F., Laversanne, M., Colombet, M., Mery, L., Pi\u00f1eros, M., Znaor, A., Soerjomataram, I., and Bray, F. (2024). Global cancer observatory: Cancer today, International Agency for Research on Cancer. Available online: https:\/\/gco.iarc.who.int\/today."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Frank, A. W. (1995). The wounded storyteller: Body, illness, and ethics, University of Chicago Press.","DOI":"10.7208\/chicago\/9780226260037.001.0001"},{"key":"ref_16","unstructured":"Gilligan, C. (1982). A different voice: Psychological theory and women\u2019s development, Harvard University Press."},{"key":"ref_17","unstructured":"Hern\u00e1ndez-Sampieri, R., and Mendoza, C. (2018). Metodolog\u00eda de la investigaci\u00f3n. Las rutas cuantitativa, cualitativa y mixta, McGraw Hill Education."},{"key":"ref_18","unstructured":"Hewitt, M., Greenfield, S., and Stovall, E. (2006). From cancer patient to cancer survivor: Lost in transition, National Academies Press."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Hussey, C., Hanbridge, M., Dowling, M., and Gupta, A. (2024). Cancer survivorship: Understanding the patients\u2019 journey and perspectives on post-treatment needs. BMC Sports Science, Medicine and Rehabilitation, 16.","DOI":"10.1186\/s13102-024-00864-y"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"7586","DOI":"10.3390\/curroncol31120559","article-title":"Fear of cancer recurrence and fear of cancer progression, digital resource engagement and health literacy: A review","volume":"31","author":"Nankivell","year":"2024","journal-title":"Current Oncology"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Magnavita, N., Di Prinzio, R. R., Meraglia, I., Vacca, M. E., Arnesano, G., Merella, M., Mauro, I., Iuliano, A., and Terribile, D. A. (2023). Supporting return to work after breast cancer: A mixed method study. Healthcare, 11, (16).","DOI":"10.3390\/healthcare11162343"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Marinas-Sanz, R., Iguacel, I., Maqueda, J., M\u00ednguez, L., Alqu\u00e9zar, P., Andr\u00e9s, R., P\u00e9rez, E., Sousa, R., Moreno-Atahonero, E., Sol\u00e9, D., G\u00fcemes, A., and Mart\u00ednez-Jarreta, B. (2023). Facilitating factors and barriers in the return to work of working women survivors of breast cancer: A qualitative study. Cancers, 15, (3).","DOI":"10.3390\/cancers15030874"},{"key":"ref_23","unstructured":"Ministerio de Salud de Chile (2026, March 26). Plan nacional de c\u00e1ncer 2022\u20132027, Available online: https:\/\/leydelcancer.minsal.cl\/reglamentos.html."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Park, S.-Y., and Lim, J.-W. (2022). Cognitive behavioral therapy for reducing fear of cancer recurrence among breast cancer survivors: A systematic review of the literature. BMC Cancer, 22.","DOI":"10.1186\/s12885-021-08909-y"},{"key":"ref_25","unstructured":"Patton, M. Q. (2002). Qualitative research & evaluation methods, SAGE Publications. [3rd ed.]."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Putnam, R. D. (2000). Bowling alone: The collapse and revival of American community, Simon & Schuster.","DOI":"10.1145\/358916.361990"},{"key":"ref_27","first-page":"101","article-title":"Survivorship care plans in research and practice","volume":"62","author":"Salz","year":"2012","journal-title":"CA: A Cancer Journal for Clinicians"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"2437","DOI":"10.1377\/hlthaff.2011.0923","article-title":"New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated","volume":"30","author":"Schoen","year":"2011","journal-title":"Health Affairs"},{"key":"ref_29","first-page":"295","article-title":"Impairment-driven cancer rehabilitation: An essential component of quality care and survivorship","volume":"63","author":"Silver","year":"2013","journal-title":"CA: A Cancer Journal for Clinicians"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1007\/s00520-008-0444-y","article-title":"Fear of cancer recurrence inventory: Development and initial validation of a multidimensional measure of fear of cancer recurrence","volume":"17","author":"Simard","year":"2009","journal-title":"Supportive Care in Cancer"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"888","DOI":"10.1016\/S0140-6736(89)91551-1","article-title":"Effect of psychosocial treatment on survival of patients with metastatic breast cancer","volume":"334","author":"Spiegel","year":"1989","journal-title":"The Lancet"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1037\/a0037875","article-title":"Life after diagnosis and treatment of cancer in adulthood: Contributions from psychosocial oncology research","volume":"70","author":"Stanton","year":"2015","journal-title":"American Psychologist"},{"key":"ref_33","first-page":"209","article-title":"Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"71","author":"Sung","year":"2021","journal-title":"CA: A Cancer Journal for Clinicians"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1002\/jts.2490090305","article-title":"The posttraumatic growth inventory: Measuring the positive legacy of trauma","volume":"9","author":"Tedeschi","year":"1996","journal-title":"Journal of Traumatic Stress"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1207\/s15327965pli1501_01","article-title":"Posttraumatic growth: Conceptual foundations and empirical evidence","volume":"15","author":"Tedeschi","year":"2004","journal-title":"Psychological Inquiry"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1177\/0022146510395592","article-title":"Mechanisms linking social ties and support to physical and mental health","volume":"52","author":"Thoits","year":"2011","journal-title":"Journal of Health and Social Behavior"},{"key":"ref_37","unstructured":"Tronto, J. C. (1993). Moral boundaries: A political argument for an ethic of care, Routledge."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"429","DOI":"10.2190\/986L-LHQ6-2VTE-YRRN","article-title":"The concepts and principles of equity and health","volume":"22","author":"Whitehead","year":"1992","journal-title":"International Journal of Health Services"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1111\/1467-9566.00191","article-title":"Chronic illness as biographical disruption or biographical disruption as chronic illness? Reflections on a core concept","volume":"22","author":"Williams","year":"2000","journal-title":"Sociology of Health & Illness"},{"key":"ref_40","unstructured":"World Health Organization (2008). Closing the gap in a generation: Health equity through action on the social determinants of health: Final report of the Commission on Social Determinants of Health, World Health Organization. Available online: https:\/\/www.who.int\/publications\/i\/item\/WHO-IER-CSDH-08.1."}],"container-title":["Behavioral Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-328X\/16\/8\/1413\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T08:30:03Z","timestamp":1787041803000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-328X\/16\/8\/1413"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,18]]},"references-count":40,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8]]}},"alternative-id":["bs16081413"],"URL":"https:\/\/doi.org\/10.3390\/bs16081413","relation":{},"ISSN":["2076-328X"],"issn-type":[{"value":"2076-328X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,18]]}}}