Social Representation of Pain and Suffering in Cancer Patients: A Mixed Methods Study.

Most patients report physical pain and psychosocial problems (suffering, depression, anxiety) during and after cancer treatment. This mixed methods study, based on the Theory of Social Representations, examines if pain and suffering are taboo subjects for oncologists and patients, and if they share the same representations. The data collected included 33 in-depth interviews with patients in chemotherapy/radiotherapy treatment (n = 20) and their oncologists (n = 13). We measured the number of spontaneous mentions of the words "pain" and "suffering" and their synonyms. We then examined semantic networks related to these two terms. The results show that for patients, suffering refers to bodily degradation and vulnerability while pain confirms the presence of the disease. In the interviews conducted with oncologists, suffering is absent. Pain is perceived as a sign of disease progression and an indicator of tolerance to treatment. These results may help in increasing the mutual understanding between oncologists and patients and facilitating the detection of depression and anxiety.

The quality of working life: gap between perception and idealization impact of gender and status.

Background: Many studies show the existence of gender inequalities at work. For example, in France, only 37% of women have a managerial role, which is far from parity. Among these gender inequalities, the present study considers the Quality of Working Life (QWL) for women and managers. Method: This study measures the Quality of Working Life (QWL) perceived by individuals according to their gender (Women vs. Men) and their status (Managers vs. Co-workers). A questionnaire was distributed to 1,321 employees. It comprised two scales: the WRQoL scale and the QUALTRA-Scale. The QUALTRA-Scale permits the calculation of an index δ that measures the gap between the ideal QWL and the perceived QWL. Results: The ANOVA (2×2) revealed an impact of status on the perceived QWL on both scales. There was no gender effect. However, there was an effect of both gender and status on the index δ of the QUALTRA-Scale. In particular, for the Women group, δ was higher for the Social Relationships at Work whereas for the Co-workers, it was higher for the Work Environment. Conclusion: These results are discussed, highlighting the value of measuring the ideal QWL as a reference point for assessing the QWL.