Identification of posttraumatic growth trajectories in the first year after breast cancer surgery

Wang, Ashley Wei-Ting; Chang, Cheng-Shyong; Chen, Shou‐Tung; Chen, Dar‐Ren; Hsu, Wen-Yau

doi:10.1002/pon.3577

Cited by 39 publications

(46 citation statements)

References 31 publications

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“…13–16, 19 However, these results contradict previous findings from longer-term research, in which PTG rose steadily during the 1.5–2 years following breast cancer diagnosis. 17 In our earlier analysis of this dataset using random effects models, we found an approximate 10-unit increase in PTGI over time.…”

Section: Discussioncontrasting

confidence: 80%

“…1, 18, 19, 21 This study identified trajectories of PTG during and after cancer treatment in a large longitudinal dataset of women with breast cancer. The best-fitting model yielded six trajectories.…”

Section: Discussionmentioning

confidence: 99%

“…19 Taiwanese women with breast cancer completed measures at four time points over the first year after surgery. This study identified four trajectories of PTG: high stable, high decreasing, low increasing and low decreasing.…”

mentioning

confidence: 99%

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Trajectories of Posttraumatic Growth and Associated Characteristics in Women with Breast Cancer

et al. 2015

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Background Cancer survivors may experience posttraumatic growth (PTG), positive psychological changes resulting from highly stressful events; however, the longitudinal course of PTG is poorly understood. Purpose To determine trajectories of PTG in breast cancer survivors and associated characteristics. Methods Women (N=653) participating in a longitudinal observational study completed questionnaires within 8 months of breast cancer diagnosis and 6, 12, and 18 months later. Group-based modeling identified PTG trajectories. Chi-square tests and ANOVA detected group differences in demographic, medical and psychosocial variables. Results Six trajectory groups emerged. Three were stable at different levels of PTG, two increased modestly, and one increased substantially over time. Trajectory groups differed by age, race, receipt of chemotherapy, illness intrusiveness, depressive symptoms, active-adaptive coping, and social support. Conclusions This first examination of PTG trajectories in US cancer survivors elucidates heterogeneity in longitudinal patterns of PTG. Future research should determine whether other samples exhibit similar trajectories and whether various PTG trajectories predict mental and physical health outcomes.

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Section: Discussioncontrasting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

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Trajectories of Posttraumatic Growth and Associated Characteristics in Women with Breast Cancer

et al. 2015

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“…Previous research on the relationship between perceived growth and anxiety and depression in cancer patients and survivors is mixed. Whereas some studies indicate that perceived growth and depression and anxiety are not related (Cordova et al, 2001; Salsman, Segerstrom, Brechting, Carlson, & Andrykowski, 2009; Shand, Cowlishaw, Brooker, Burney, & Ricciardelli, 2015), others suggest that perceived growth may be associated with lower levels of depression (Leong Abdullah et al, 2015; Shand et al, 2015; Wang, Chang, Chen, Chen, & Hsu, 2014) and higher levels of anxiety (Leong Abdullah et al, 2015). However, the magnitude of these relationships is generally weak.…”

Section: Discussionmentioning

confidence: 98%

Perceived and actual change in religion/spirituality in cancer survivors: Longitudinal relationships with distress and perceived growth.

Trevino¹,

Naik²,

Moye³

2016

Psychology of Religion and Spirituality

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This observational cohort study examined the relationships between actual and perceived R/S change at 12 months post cancer diagnosis with depression, anxiety, and perceived growth 6 months later. Older adult military veteran cancer survivors (n = 111) completed self-report surveys at 6, 12, and 18 months post cancer diagnosis. Perceived R/S change was assessed at 12 months postdiagnosis with “Have your religious or spiritual beliefs changed as a result of your cancer” (more R/S, less R/S, other). Actual R/S change was assessed at 6 and 12 months postdiagnosis on a single item, “I have faith in God or a Higher Power” (no, somewhat, yes). A notable minority reported perceived (18.9%) and actual (14.4%) change. Greater perceived R/S change predicted more severe symptoms of depression and anxiety and greater perceived growth at 18 months postdiagnosis; perceived growth was positively associated with anxiety. Cancer survivors who report R/S changes may benefit from spiritual and/or psychological support.

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“…Patients with breast cancer live with an awareness of the "disease" for a long time because there is a risk of recurrence and metastasis of the cancer for ten years after surgery, the common initial treatment. For this reason, it has been anticipated that they will suffer from pain of various kinds and many studies have addressed physical and mental pain after surgery for breast cancer [2] [3] [4]. Further, Taylor [5] and Wand [6] have addressed the benefit finding (BF) that improves the will to live of patients with breast cancer.…”

Section: Introductionmentioning

confidence: 99%

Details of Particulars of Benefit Finding through the Experiences of Breast Cancer Patients Analysis on Breast Cancer Journals Written by Patients

Nakada¹,

Shiromaru²,

Mizutani³

2017

OJN

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This study aims to analyze the descriptions in breast cancer journals written by patients and to understand the experience of benefit finding among patients with breast cancer. We selected 22 such breast cancer journals written by patients published after 2000 in Japan. The extracted statements related to benefit finding of patients experiencing breast cancer from the 22 journals were subjected to a qualitative analysis, and the following seven benefit finding elements were extracted: "Gratitude toward others", "Benefits due to cancer", "Happiness at living a normal life", "Realization of and satisfaction with my growth", "Awareness of the meaning of my existence", "Hopes for life", and "Willingness to contribute to others". These benefit findings suggest that these particulars fulfill cultural, practical, spiritual, and social meanings, and lead to self-revaluation in daily life.

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Identification of posttraumatic growth trajectories in the first year after breast cancer surgery

Abstract: This study was the first longitudinal examination of PTG trajectories and their different levels of adjustment. The findings support our argument that identifying distinct PTG trajectories can better determine the nature of the relationship between PTG and adjustment.

Cited by 39 publications

References 31 publications

Trajectories of Posttraumatic Growth and Associated Characteristics in Women with Breast Cancer

Trajectories of Posttraumatic Growth and Associated Characteristics in Women with Breast Cancer

Perceived and actual change in religion/spirituality in cancer survivors: Longitudinal relationships with distress and perceived growth.

Details of Particulars of Benefit Finding through the Experiences of Breast Cancer Patients Analysis on Breast Cancer Journals Written by Patients

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