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http://dx.doi.org/10.4040/jkan.2016.46.3.454

Factors Influencing Posttraumatic Growth in Survivors of Breast Cancer  

Park, Jin-Hee (College of Nursing.The Institute of Nursing Science, Ajou University)
Jung, Yong-Sik (Department of Surgery, School of Medicine, Ajou University)
Jung, Youngmi (College of Nursing, Ajou University)
Publication Information
Journal of Korean Academy of Nursing / v.46, no.3, 2016 , pp. 454-462 More about this Journal
Abstract
Purpose: Posttraumatic growth (PTG) is defined as 'positive psychological change experienced as a result of a struggle with highly challenging life circumstances'. The purpose of this study was to identify the level of PTG and its correlates in Korean patients with breast cancer. Methods: A sample of 120 participants was recruited from outpatients, who had successfully completed primary treatment of breast cancer at a university hospital., Data were collected from June to December, 2014 using Posttraumatic Growth Inventory, Illness Intrusiveness Rating Scale, Cancer Coping Questionnaire, Revised Life Orientation Test and The Multidimensional Scale of Perceived Social Support. Results: Total score for the PTG was $79.18{\pm}17.54$ in patients surviving breast cancer. Bivariate analyses indicated that PTG was positively associated with having a religion, perceived social support, greater optimism, cancer coping, and illness intrusiveness. Results of the regression analysis showed that cancer coping (${\beta}=.29$, p=.001), optimism (${\beta}=0.28$, p=.001) and illness intrusiveness (${\beta}=0.17$, p=.037) were statistically significant in patients' PTG. Conclusion: The research findings show that the variables of cancer coping, optimism and illness intrusiveness significantly explain PTG and these psychological variables can be used to provide improvement in PTG for patients with breast cancer.
Keywords
Breast neoplasm; Post-traumatic stress disorder; Social support; Optimism; Psychological adaptation;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Korean Breast Cancer Society. Breast cancer facts & figures 2014. Seoul: Author; 2014.
2 Liu JE, Wang HY, Wang ML, Su YL, Wang PL. Posttraumatic growth and psychological distress in Chinese early-stage breast cancer survivors: A longitudinal study. Psycho-Oncology. 2014;23(4):437-443. http://dx.doi.org/10.1002/pon.3436   DOI
3 Tedeschi RG, Calhoun LG. The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress. 1996;9(3):455-471. http://dx.doi.org/10.1007/bf02103658   DOI
4 Yun M, Song M. A qualitative study on breast cancer survivors' experiences. Perspectives in Nursing Science. 2013;10(1):41-51.
5 Tedeschi RG, Calhoun LG. Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry. 2004;15(1):1-18. http://dx.doi.org/10.1207/s15327965pli1501_01   DOI
6 Danhauer SC, Case LD, Tedeschi R, Russell G, Vishnevsky T, Triplett K, et al. Predictors of posttraumatic growth in women with breast cancer. Psycho-Oncology. 2013;22(12):2676-2683. http://dx.doi.org/10.1002/pon.3298   DOI
7 Silva SM, Crespo C, Canavarro MC. Pathways for psychological adjustment in breast cancer: A longitudinal study on coping strategies and posttraumatic growth. Psychology & Health. 2012;27(11):1323-1341. http://dx.doi.org/10.1080/08870446.2012.676644   DOI
8 Bellizzi KM, Blank TO. Predicting posttraumatic growth in breast cancer survivors. Health Psychology. 2006;25(1):47-56. http://dx.doi.org/10.1037/0278-6133.25.1.47   DOI
9 Wang ML, Liu JE, Wang HY, Chen J, Li YY. Posttraumatic growth and associated socio-demographic and clinical factors in Chinese breast cancer survivors. European Journal of Oncology Nursing. 2014;18(5):478-483. http://dx.doi.org/10.1016/j.ejon.2014.04.012   DOI
10 Thornton AA, Perez MA. Posttraumatic growth in prostate cancer survivors and their partners. Psycho-Oncology. 2006;15(4):285-296. http://dx.doi.org/10.1002/pon.953   DOI
11 Buxton A. Posttraumatic growth in survivors of breast cancer: The role of dispositional optimism, coping strategies, and psychosocial interventions [dissertation]. Toronto, CA: University of Toronto; 2011. p. 1-137.
12 Bozo O, Gundogdu E, Buyukasik-Colak C. The moderating role of different sources of perceived social support on the dispositional optimism-posttraumatic growth relationship in postoperative breast cancer patients. Journal of Health Psychology. 2009;14(7):1009-1020. http://dx.doi.org/10.1177/1359105309342295   DOI
13 Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the life orientation test. Journal of Personality and Social Psychology. 1994;67(6):1063-1078. http://dx.doi.org/10.1037/0022-3514.67.6.1063   DOI
14 Buyukask-Colak C, Gundogu-Akturk E, Bozo O. Mediating role of coping in the dispositional optimism-posttraumatic growth relation in breast cancer patients. The Journal of Psychology. 2012;146(5):471-483. http://dx.doi.org/10.1080/00223980.2012.654520   DOI
15 Sears SR, Stanton AL, Danoff-Burg S. The yellow brick road and the emerald city: Benefit finding, positive reappraisal coping and posttraumatic growth in women with early-stage breast cancer. Health Psychology. 2003;22(5):487-497. http://dx.doi.org/10.1037/0278-6133.22.5.487   DOI
16 Cordova MJ, Giese-Davis J, Golant M, Kronenwetter C, Vickie C, Spiegel D. Breast cancer as trauma: Posttraumatic stress and posttraumatic growth. Journal of Clinical Psychology in Medical Settings. 2007;14(4):308-319. http://dx.doi.org/10.1007/s10880-007-9083-6   DOI
17 Yang AJ. Mindfulness, positive cancer coping styles, and posttraumatic growth in breast cancer survivor: The mediating effect of positive coping styles [master's thesis]. Seoul: Ewha Womans University; 2009. p. 1-81.
18 Song SH, Kim KH, Hong SL, Park JH. Validity and reliability of the Korean version of the posttraumatic growth inventory. The Korean Journal of Health Psychology. 2009;14(1):193-214. http://dx.doi.org/10.17315/kjhp.2009.14.1.012   DOI
19 Lee S, Kim YJ. Posttraumatic growth of patients with breast cancer. Journal of Korean Academy of Nursing. 2012;42(6):907-915. http://dx.doi.org/10.4040/jkan.2012.42.6.907   DOI
20 Kim HJ, Kwon JH, Kim JN, Lee R, Lee KS. Posttraumatic growth and related factors in breast cancer survivors. The Korean Journal of Health Psychology. 2008;13(3):781-799.   DOI
21 Moorey S, Frampton M, Greer S. The Cancer coping questionnaire: A self-rating scale for measuring the impact of adjuvant psychological therapy on coping behaviour. Psycho-Oncology. 2003;12(4):331-344. http://dx.doi.org/10.1002/pon.646   DOI
22 Kim JN, Kwon JH, Kim SY, Yu BH, Hur JW, Kim BS, et al. Validation of Korean-cancer coping questionnaire (K-CCQ). The Korean Journal of Health Psychology. 2009;9(2):395-414. http://dx.doi.org/10.17315/kjhp.2009.14.1.012
23 Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. Journal of Personality Assessment. 1988;52(1):30-41. http://dx.doi.org/10.1207/s15327752jpa5201_2   DOI
24 Shin JS, Lee YB. The effects of social supports on psychosocial well-being of the unemployed. Korean Journal of Social Welfare. 1999;37:241-269.
25 Yom YM. The effect of learned optimism program for college students [master's thesis]. Daegu: Keimyung University; 1999. p. 1-97.
26 Schroevers MJ, Helgeson VS, Sanderman R, Ranchor AV. Type of social support matters for prediction of posttraumatic growth among cancer survivors. Psycho-Oncology. 2010;19(1):46-53. http://dx.doi.org/10.1002/pon.1501   DOI
27 Devins GM, Binik YM, Hutchinson TA, Hollomby DJ, Barre PE, Guttmann RD. The emotional impact of end-stage renal disease: Importance of patients' perception of intrusiveness and control. International Journal of Psychiatry in Medicine. 1983;13(4):327-343. http://dx.doi.org/10.2190/5dcp-25bv-u1g9-9g7c   DOI
28 Suh M, Noh S, Devins GM, Kim K, Kim K, Song J, et al. Readjustment and social support of the post hospitalized stroke patients. Journal of Korean Academy of Nursing. 1999;29(3):639-655.   DOI
29 Seligman MEP. Learned optimism: How to change your mind and your life. Woo MS, Choi HY, translator. Anyang: Mulpure; 2012. p. 359-423.
30 McDonough MH, Sabiston CM, Wrosch C. Predicting changes in posttraumatic growth and subjective well-being among breast cancer survivors: The role of social support and stress. Psycho-Oncology. 2014;23(1):114-120. http://dx.doi.org/10.1002/pon.3380   DOI