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

Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine
Suzanne C DanhauerNancy E Avis

Abstract

Cancer survivors may experience posttraumatic growth (PTG), positive psychological changes resulting from highly stressful events; however, the longitudinal course of PTG is poorly understood. The purpose of the present study was to determine trajectories of PTG in breast cancer survivors and associated characteristics. 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. 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. 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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Citations

Oct 9, 2016·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Cheryl Tatano BeckRobert K Gable
Mar 28, 2017·Integrative Cancer Therapies·Alexander R LucasW Jack Rejeski
Jun 8, 2018·LGBT Health·Angela R BazziUlrike Boehmer
Jul 15, 2017·Journal of Korean Academy of Nursing·Young Mi Jung, Jin Hee Park
Aug 29, 2020·Japanese Journal of Clinical Oncology·Tomomi Fujimoto, Hitoshi Okamura
Dec 12, 2018·Journal of Reproductive and Infant Psychology·Orit Taubman-Ben-AriIris Morag
Jun 20, 2019·Journal of Clinical Psychology in Medical Settings·Elisabeth S MarkmanAnastasia J Bullock
Sep 16, 2020·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Abigail C JonesLeanne M Boehm
Jul 21, 2017·Journal of Religion and Health·Ana Cristina Paredes, M Graça Pereira
Jun 4, 2021·JAMA Oncology·Evelyn AnthonySuzanne C Danhauer

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