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Long Term Posttraumatic Growth After Breast Cancer: Prevalence, Predictors and Relationships with Psychological Health

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Abstract

This study evaluated the prevalence and predictors of long term posttraumatic growth (PTG) after breast cancer, and relationships of PTG with psychological health in a random sample of 307 currently disease-free women 5–15 years after diagnosis. This cross-sectional study reveals long term posttraumatic growth scores comparable to those found in shorter term studies. Prevalence of a better appreciation of life is especially noteworthy. With the exception of perceived current sequelae of disease associated in a somewhat curvilinear fashion with PTG, demographic and medical variables are poor predictors of the issue. On the contrary, dispositional positive affectivity and adaptative coping of positive, active, relational, religious and to some extent denial coping have a strong effect on growth. Finally, PTG is slightly associated with mental quality of life and happiness. Findings are discussed in the light of posttraumatic growth theory.

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References

  • Abraido-Lanza, A. F., Guier, C., & Colon, R. M. (1998). Psychological thriving among Latinas with chronic illness. Journal of Social Issues, 54, 405–424.

    Article  Google Scholar 

  • Affleck, G., & Tennen, H. (1996). Construing benefits from adversity: Adaptational significance and dispositional underpinnings. Journal of Personality, 64, 899–922.

    Article  CAS  PubMed  Google Scholar 

  • Armeli, S., Gunthert, K. C., & Cohen, L. H. (2001). Stressor appraisals, coping, and post-event outcomes: The dimensionality and antecedents of stress-related growth. Journal of Social and Clinical Psychology, 20, 366–395.

    Article  Google Scholar 

  • Avis, N. E., Smith, K. W., McGraw, S., Smith, R. G., Petronis, W. M., & Carver, C. S. (2005). Assessing quality of life in adult cancer survivors (QLACS). Quality of Life Research, 14, 1007–1023.

    Article  PubMed  Google Scholar 

  • Bellizzi, K. M., & Blank, T. O. (2006). Predicting posttraumatic growth in breast cancer survivors. Health Psychology, 25, 47–56.

    Article  PubMed  Google Scholar 

  • Bower, J. E., Meyerowitz, B. E., Desmond, K. A., Bernaards, C. A., Rowland, J. H., & Ganz, P. A. (2005). Perceptions of positive meaning and vulnerability following breast cancer: Predictors and outcomes among long-term breast cancer survivors. Annals of Behavioral Medicine, 29, 236–245.

    Article  PubMed  Google Scholar 

  • Calhoun, L. G., & Tedeschi, R. G. (2006). The foundations of posttraumatic growth: An expanded framework. In L. G. Calhoun & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth (Chap. 1, pp. 3–23). NY: Lawrence Erlbaum Associates.

    Google Scholar 

  • Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the Brief Cope. International Journal of Behavioral Medicine, 4, 92–100.

    Article  CAS  PubMed  Google Scholar 

  • Carver, C. S., Smith, R. G., Petronis, V. M., & Antoni, M. H. (2006). Quality of life among long-term survivors of breast cancer: Different types of antecedents predict different classes of outcomes. Psycho-Oncology, 15, 749–758.

    Article  PubMed  Google Scholar 

  • Casso, D., Buist, D. S. M., & Taplin, S. (2004). Quality of life of 5–10 year breast cancer survivors diagnosed between age 40 and 49. Health and Quality of Life Outcomes, 2, 1–25.

    Article  Google Scholar 

  • Cordova, M. J., Cunningham, L. L. C., Carlson, C. R., & Andrykowski, M. A. (2001). Posttraumatic growth following breast cancer: A controlled comparison study. Health Psychology, 20, 176–185.

    Article  CAS  PubMed  Google Scholar 

  • Cordova, M. J., Giese-Davis, J., Golant, M., Kronenwetter, C., Chang, V., & Spiegel, V. (2007). Breast cancer as trauma: Posttraumatic stress and posttraumatic growth. Journal of Clinical Psychology in Medical Settings, 14, 308–319.

    Article  Google Scholar 

  • Costello, A. B., & Osborne, J. W. (2005). Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation, 10. Retrieved July 3, 2009 from http://pareonline.net/pdf/v10n7a.pdf.

  • Ganz, P. A., Rowland, J. H., Desmond, K. A., Meyerowitz, B. E., & Wyatt, G. E. (1998). Life after breast cancer: Understanding women’s health-related quality of life and sexual functioning. Journal of Clinical Oncology, 16, 501–514.

    CAS  PubMed  Google Scholar 

  • Harper, F. W. K., Schmidt, J. E., Beacham, A. O., Salsman, J. M., Averill, A. J., Graves, K. D., et al. (2007). The role of social cognitive porcessing theory and optimism in positive psychosocial and physical behavior change after cancer diagnosis and treatment. Psycho-Oncology, 16, 79–91.

    Article  Google Scholar 

  • Helgeson, V. S. (2005). Recent advances in psychosocial oncology. Journal of Consulting and Clinical Psychology, 73, 268–271.

    Article  PubMed  Google Scholar 

  • Helgeson, V. S., Kerry, A. R., & Tomich, P. L. (2006). A meta-analytic review of benefit finding and growth. Journal of Consulting and Clinical Psychology, 74, 797–816.

    Article  PubMed  Google Scholar 

  • Helgeson, V. S., Snyder, P., & Seltman, H. (2004). Psychological and physical adjustment to breast cancer over 4 years: Identifying distinct trajectories of change. Health Psychology, 23, 3–15.

    Article  PubMed  Google Scholar 

  • Ho, S. M. Y., Chan, C. S. W., & Ho, R. T. H. (2004). Posttraumatic growth in Chinese cancer survivors. Psycho-Oncology, 13, 377–389.

    Article  PubMed  Google Scholar 

  • Istituto Superiore di Sanità, Centro Nazionale di Epidemiologia, & Istituto Nazionale per la cura e lo studio dei Tumori. (2009). The EUROCARE-4 database on cancer survival in Europe. Retrieved June 28, 2009, from http://www.eurocare.it/Results/tabid/79/Default.aspx#longsurv0002.

  • Karanci, A. N., & Erkam, A. (2007). Variables related to stress-related growth among Turkish breast cancer patients. Stress and Health: Journal of the International Society for the Investigation of Stress, 23, 315–322.

    Google Scholar 

  • Lechner, S. C., Carver, C. S., Antoni, M. H., Weaver, K. E., & Phillips, K. M. (2006). Curvilinear associations between benefit finding and psychosocial adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 74, 828–840.

    Article  PubMed  Google Scholar 

  • Lechner, S. C., Zakowski, S. G., Antoni, M. H., Greenhawt, M., Block, K., & Block, P. (2003). Do sociodemographic and disease-related variables influence benefit-finding in cancer patients? Psycho-Oncology, 12, 491–499.

    Article  PubMed  Google Scholar 

  • Leplège, A., Ecosse, E., Pouchot, J., Coste, J., & Perneger, T. (2001). Le questionnaire SF-36. Manuel de l’utilisateur et guide d’interprétation des scores. Paris: Première Edition.

    Google Scholar 

  • Linley, P. A., & Joseph, S. (2004). Positive change following trauma and adversity: A review. Journal of Traumatic Stress, 17, 11–21.

    Article  PubMed  Google Scholar 

  • McFarland, C., & Alvaro, C. (2000). The impact of motivation on temporal comparisons: Coping with traumatic events by perceiving personal growth. Journal of Personality and Social Psychology, 79, 327–343.

    Article  CAS  PubMed  Google Scholar 

  • Mols, F., Vingerhoets, Ad. J. J. M., Coebergh, J. W., & van de Poll-Franse, L. V. (2005). Quality of life among long-term breast cancer survivors: A systematic review. European Journal of Cancer, 41, 2613–2619.

    Article  PubMed  Google Scholar 

  • Mols, F., Vingerhoets, Ad. J. J. M., Coebergh, J. W., & van de Poll-Franse, L. V. (2009). Well-being, posttraumatic growth and benefit finding in long-term breast cancer survivors. Psychology and Health, 24, 583–595.

    Article  Google Scholar 

  • Morrill, E. F., Brewer, N. T., O’Neill, S. C., Lillie, S. E., Claire Dees, E., Carey, L. A., et al. (2008). The interaction of post-traumatic growth and post-traumatic stress symptoms in predicting depressive symptoms and quality of life. Psycho-Oncology, 17, 948–953.

    Article  PubMed  Google Scholar 

  • Park, C. L. (2004). The notion of growth following stressful life experiences: Problems and prospects. Psychological Inquiry, 15, 69–76.

    Google Scholar 

  • Park, C. L., Cohen, L. H., & Murch, R. L. (1996). Assessment and prediction of stress-related growth. Journal of Personality, 64, 71–105.

    Article  CAS  PubMed  Google Scholar 

  • Park, C. L., & Fenster, J. R. (2004). Stress-related growth: Predictors of occurrence and correlates with psychological adjustment. Journal of Social and Clinical Psychology, 23, 195–215.

    Article  Google Scholar 

  • Porter, L. S., Clayton, M. F., Belyea, M., Mishel, M., Gil, K. M., & Germino, B. (2006). Predicting negative mood state and personal growth in African American and white long-term breast cancer survivors. Annals of Behavioral Medicine, 31, 195–204.

    Article  PubMed  Google Scholar 

  • Preacher, K. J., & MacCallum, R. C. (2003). Repairing Tom Swift’s electric factor analysis machine. Understanding Statistics, 2, 13–43.

    Article  Google Scholar 

  • Rabe, S., Zöllner, T., Maercker, A., & Karl, A. (2006). Neural correlates of posttraumatic growth after severe motor vehicle accident. Journal of Consulting and Clinical Psychology, 74, 880–886.

    Article  PubMed  Google Scholar 

  • Ross, M. (1989). Relation of implicit theories to the construction of personal histories. Psychological Review, 96, 341–357.

    Article  Google Scholar 

  • Salsman, J. M., Segerstrom, S. C., Brechting, E. H., Carlson, C. R., & Andryowski, M. A. (2008). Posttraumatic growth and PTSD symptomatology among colorectal cancer survivors: A 3 month longitudinal examination of cognitive processing. Psycho-Oncology, 18, 30–41.

    Article  Google Scholar 

  • Schroevers, M. J., Ranchor, A. V., & Sanderman, R. (2006). Adjustment to cancer in the 8 years following diagnosis: A longitudinal study comparing cancer survivors with healthy individuals. Social Science and Medicine, 63, 598–610.

    Article  PubMed  Google Scholar 

  • Schroevers, M. J., & Teo, I. (2008). The report of posttraumatic growth in Malaysian cancer patients: Relationships with psychological distress and coping strategies. Psycho-Oncology, 17, 1239–1246.

    Article  PubMed  Google Scholar 

  • Schulz, T., & Mohamed, N. E. (2004). Turning the tide: Benefit finding after cancer surgery. Social Science and Medecine, 59, 653–662.

    Article  Google Scholar 

  • Sears, S. R., Stanton, A. L., & Danoff-Burg, S. (2003). 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, 22, 487–497.

    Article  PubMed  Google Scholar 

  • Stein, K. D., Syrjala, K. L., & Andrykowski, M. A. (2008). Physical and psychological long-term and late effects of cancer. Cancer Supplement, 112, 2577–2592.

    Google Scholar 

  • Taylor, S. E., Lichtman, R. R., & Wood, J. V. (1984). Attributions, beliefs about control, and adjustment to breast cancer. Journal of Personality and Social Psychology, 46, 489–502.

    Article  CAS  PubMed  Google Scholar 

  • Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455–471.

    Article  CAS  PubMed  Google Scholar 

  • Tomich, P. L., & Helgeson, V. S. (2002). Five years later: A cross-sectional comparison of breast cancer survivors with healthy women. Psycho-Oncology, 11, 154–169.

    Article  PubMed  Google Scholar 

  • Tomich, P. L., & Helgeson, V. S. (2004). Is finding something good in the bad always good? Benefit finding among women with breast cancer. Health Psychology, 23, 16–23.

    Article  PubMed  Google Scholar 

  • Tomich, P. L., Helgeson, V. S., & Vache, E. J. N. (2005). Perceived growth and decline following breast cancer: A comparison to age-matched controls 5-years later. Psycho-Oncology, 14, 1018–1029.

    Article  PubMed  Google Scholar 

  • Urcuyo, K. R., Boyers, A. E., Carver, C. S., & Antoni, M. H. (2005). Finding benefit in breast cancer: Relations with personality, coping, and concurrent well-being. Psychology and Health, 20, 175–192.

    Article  Google Scholar 

  • Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070.

    Article  CAS  PubMed  Google Scholar 

  • Weiss, T. (2002). Posttraumatic growth in women with breast cancer and their husbands: An intersubjective validation study. Journal of Psychosocial Oncology, 20, 65–80.

    Article  Google Scholar 

  • Weiss, T. (2004). Correlates of posttraumatic growth in married breast cancer survivors. Journal of Social and Clinical Psychology, 23, 733–746.

    Article  Google Scholar 

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Acknowledgements

The authors would like to extend their sincere thanks to the women who agreed to take part in the study. They would also like to thank the Ligue Nationale contre le Cancer (French Cancer League) for its financial support, along with Doctors François Dravet and François Pein at the Cancer Treatment and Research Center of Saint-Herblain for their time and their help.

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Correspondence to S. Lelorain.

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Lelorain, S., Bonnaud-Antignac, A. & Florin, A. Long Term Posttraumatic Growth After Breast Cancer: Prevalence, Predictors and Relationships with Psychological Health. J Clin Psychol Med Settings 17, 14–22 (2010). https://doi.org/10.1007/s10880-009-9183-6

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