Effects of psychosocial factors on posttraumatic growth among lung cancer patients: A structural equation model analysis

Abstract

Objective The purpose of this study was to investigate how locus of control, coping strategies, emotion regulation strategies and social support affect posttraumatic growth. Methods A cross‐sectional study design was adopted. A convenience sample of 540 patients with lung cancer was recruited from November 2016 to July 2017 at two tertiary grade A hospitals in China. The participants completed a series of questionnaires. Structural equation modelling was used to explore the effects of psychosocial factors on posttraumatic growth. Results Social support had a direct positive effect on posttraumatic growth (β = 0.318, SE = 0.071, BC 95% CI = 0.252/0.390), and it also had indirect effects on posttraumatic growth (β = 0.112, SE = 0.023, BC 95%CI = 0.088/0.135) through mediating psychological factors. Coping strategies and the cognitive reappraisal emotion regulation strategy were the main mediating variables, explaining approximately 73.1% of the indirect effect between social support and posttraumatic growth. Conclusions Our study suggests that Chinese lung cancer survivors can show relatively high posttraumatic growth. There are many mediating paths between social support and posttraumatic growth. These results may help healthcare professionals to identify the psychosocial factors that may benefit lung cancer patients and develop interventions to promote posttraumatic growth.

Prevalence and influencing factors of posttraumatic growth among nurses suffering from workplace violence: A cross‐sectional study

“…PTG has been extensively reported in diverse populations, such as cancer patients (Zhang et al 2021), natural disaster survivors (Zhang et al 2020), and family members of patients (Aftyka et al 2017). Previous studies have shown that higher PTG may not only significantly reduce subjects' emotional stress and improve subjective well-being, but also reduce loneliness and depressive symptoms (Lee et al 2019;Veronese et al 2017).…”

“…Psychosocial factor analysis of PTG points out that the level of PTG may vary according to individual characteristics (Tedeschi & Calhoun, 2004;Zhang et al 2021). A meta-analysis indicated that there was a small to moderate gender difference in PTG, with females reporting higher levels of PTG than males (Vishnevsky et al 2010).…”

Cancer-related Posttraumatic growth and Posttraumatic stress: Different Correlates and Different Network Structure in Patients with Cancer and Cancer Survivors

“…In the cancer group of survivors, a significantly stronger positive relationship was found between PTG and the regular attendance of cancer support groups, compared to patients in treatment. Psychosocial support is another important factor in facilitating PTG (Zhang et al, 2021;Cormio et al, 2017;Prati & Pietrantoni, 2009). Based on the present findings, it seems that for PTG it is useful to be in touch with other cancer survivors, even a long survivors were fighting spirit and fatalism.…”

Análisis de red del Inventario de Crecimiento Postraumático (PTGI-X) en adultos peruanos con familiares fallecidos por COVID-19 en función del sexo

“…En ambas redes se evidenció mayor centralidad en los reactivos de expresión emocional, cercanía a los demás, afrontamiento ante las cuestiones de vida-muerte y mayor conexión con la existencia. Los dos primeros componentes señalan un cambio positivo en las relaciones interpersonales favorable al surgimiento del CPT (Yeung y Chow, 2019), dado que aumenta una mayor confianza a interactuar con los demás, esta característica forma parte del afrontamiento emocional orientado al crecimiento después de un evento traumático (Joseph et al, 2012;Zhang et al, 2021).…”