This study examines the relation between perceived cognitive and physical threat after a cancer diagnosis and posttraumatic growth (PTG). In total, 169 breast, prostate, and colorectal cancer survivors completed questionnaires. Hierarchical regression models found after controlling for demographic and medical variables, depression, anxiety, and perceived threat account for 41.8% of the variance of positive cognitive processing, and these variables along with positive cognitive processing accounted for 42.7% of the variance of PTG. Positive cognitive processing mediated the pathways between perceived physical threat and PTG. Cognitive processing appears to play a key role in the emergence of PTG following cancer. By exploring survivors' cognitions and perceived threat, psychosocial providers may help cancer survivors cultivate PTG.
This pilot intervention appeared feasible and acceptable to nurses and resulted in increased understanding of demoralization, improved confidence to intervene in such cases, and an enhanced sense of professional satisfaction among inpatient oncology floor nurses.
This study explored several predictors of posttraumatic growth (PTG) in a sample of 169 breast, prostate and colorectal cancer survivors. The first aim was to determine the influence of Anxiety, Depression and Perceived Threat (defined as the combination of Life Outlook Threat, i.e., the degree a cancer diagnosis challenged a survivor's assumptive world, and Physical Threat, i.e., threat to mortality and physical well-being) in the prediction of Positive and Negative Cognitive Processing. The second aim was to examine the effect of Anxiety, Depression, Perceived Threat, and Positive and Negative Cognitive Processing in the predication of PTG. Cancer survivors who were treated at one of the Denver Division clinics of the Rocky Mountain Cancer Center participated in the study. Since little empirical research has been conducted utilizing the variable of cognitive processing in the psychological literature, the study sought to investigate how Anxiety, Depression, and Perceived Threat were related to Positive and Negative Cognitive Processing. Hierarchical regression analyses were used to explore four primary hypotheses. The results of the study revealed several important findings. Physical Threat,
Background
A randomized controlled double‐blind sham surgery trial was conducted to determine the effectiveness of implantation of human embryonic dopamine neurons into the putamen of patients with advanced Parkinson's disease (PD). The present analyses determined whether patients viewing a video of them performing motor activities off medications at baseline would affect self‐ratings 12 months later on the Global Rating Scale (GRS).
Objectives
To examine changes in GRS scores pre‐ and post‐video review for the total sample; to examine differences in scores between actual implant and sham groups, as well as perceived groups pre‐ and post‐video review; to examine differences among four subgroups of patients based on actual and perceived treatment (i.e., actual implant/perceived implant).
Methods
Forty participants were recruited and randomly assigned to receive either neural implantation or sham surgery. The primary outcome variable was a one‐item GRS ranging from −3 (much worse since surgery) to +3 (much improved since surgery). At 12 months (before the blind was lifted) patients rated themselves on the GRS before and after viewing the baseline video.
Results
Total sample GRS scores improved after the video (P = .001). There were no differences between the actual implant and sham groups before or after the video, but there were differences between perceived groups at both times (P < .001). Among subgroups, improvement after the video was found only in the group receiving the implant but who thought sham (P = .011).
Conclusions
When self‐ratings are an outcome variable, review of baseline videos is recommended before making comparative ratings.
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