Posttraumatic growth following breast cancer: A controlled comparison study

Posttraumatic growth following breast cancer: A controlled comparison study
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DOI:
10.1037//0278-6133.20.3.176
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发表时间:
2001-05-01
期刊:
影响因子:
4.2
通讯作者:
Andrykowski, MA
Andrykowski, MA
中科院分区:
心理学2区
文献类型:
--
作者:
Cordova, MJ;Cunningham, LLC;Andrykowski, MA

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癌症可能被视为一种心理社会转变,有可能产生积极和消极的结果,这项横断面研究(A)比较了乳腺癌幸存者(n=70)与年龄和教育匹配的健康对照女性(n=70)关于抑郁、幸福感和创伤后成长的自我报告,以及(B)确定了乳腺癌幸存者创伤后成长的相关性。两组在抑郁或幸福感方面没有差异,但BC组显示出更大的创伤后成长模式,特别是在与他人相处、对生活的欣赏和精神变化方面。BC参与者的创伤后成长与痛苦或幸福感无关,但与感知的生命威胁、先前谈论乳腺癌、收入和确诊后的时间呈正相关。只专注于检测痛苦及其相关性的研究可能会描绘出一幅不完整的、具有潜在误导性的适应癌症的图景。
Cancer may be viewed as a psychosocial transition with the potential for positive and negative outcomes, This cross-sectional study (a) compared breast cancer (BC) survivors' (n = 70) self-reports of depression, well-being, and posttraumatic growth with those of age- and education-matched healthy comparison women (n = 70) and (b) identified correlates of posttraumatic growth among BC survivors. Groups did not differ in depression or well-being, but the BC group showed a pattern of greater posttraumatic growth, particularly in relating to others, appreciation of Life, and spiritual change. BC participants' posttraumatic growth was unrelated to distress or well-being but was positively associated with perceived life-threat, prior talking about breast cancer, income, and time since diagnosis. Research that has focused solely on detection of distress and its correlates may paint an incomplete and potentially misleading picture of adjustment to cancer.