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Posttraumatic growth following breast cancer: a controlled comparison study
M J Cordova1, L L Cunningham, C R Carlson
1Department of Psychology, University of Kentucky, USA. mattjcord@aol.com
Breast cancer survivors experience significant posttraumatic growth, particularly in relationships and life appreciation, despite similar depression levels to healthy peers. This growth is linked to perceived threat and social support, not distress.
Area of Science:
- Psychology
- Oncology
- Sociology
Background:
- Cancer is increasingly recognized as a psychosocial transition.
- Adjustment to cancer involves both negative and positive outcomes.
- Previous research often focuses on distress, potentially overlooking growth.
Purpose of the Study:
- Compare posttraumatic growth, depression, and well-being in breast cancer survivors versus healthy controls.
- Identify factors associated with posttraumatic growth in breast cancer survivors.
Main Methods:
- Cross-sectional study design.
- Comparison of breast cancer survivors (n=70) and matched healthy controls (n=70).
- Self-report measures of depression, well-being, and posttraumatic growth.
Main Results:
- No significant differences in depression or well-being between groups.
- Breast cancer survivors reported greater posttraumatic growth, especially in relating to others, life appreciation, and spiritual change.
- Posttraumatic growth in survivors was positively correlated with perceived life threat, prior discussion of cancer, income, and time since diagnosis.
Conclusions:
- Breast cancer survivors demonstrate significant posttraumatic growth.
- Posttraumatic growth is independent of distress and well-being in this population.
- Factors such as perceived threat and social engagement are associated with positive adjustment to cancer.
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