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.
References
Jan 1, 1991·Social Science & Medicine·C D Sherbourne, A L Stewart
Feb 1, 1989·Journal of Personality and Social Psychology·C S CarverJ K Weintraub
Jan 1, 1983·International Journal of Psychiatry in Medicine·G M DevinsR D Guttmann
Oct 1, 1994·Advances in Renal Replacement Therapy·G M Devins
Jun 1, 1993·The Journal of Nervous and Mental Disease·G M DevinsH Mandin
Jul 1, 1996·Journal of Traumatic Stress·R G Tedeschi, L G Calhoun
Dec 1, 1996·Journal of Personality Assessment·A T BeckW Ranieri
Jun 29, 2000·Psycho-oncology·M Hanson FrostR E Evans
Feb 6, 2004·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Vicki S HelgesonHoward Seltman
Mar 19, 2004·Journal of Traumatic Stress·P Alex Linley, Stephen Joseph
Oct 26, 2005·Cancer·Lisa G Aspinwall, Atara MacNamara
Jan 1, 1997·International Journal of Behavioral Medicine·C S Carver
Nov 1, 2005·Cancer·Julia H Rowland, Frank Baker
Feb 17, 2007·Seminars in Oncology Nursing·M Tish Knobf
Nov 15, 2007·British Journal of Cancer·E S CostanzoS L Roman
Mar 12, 2008·Developmental Psychology·Amelia HavilandRichard E Tremblay
Nov 19, 2008·BMC Cancer·Ali MontazeriSoghra Jarvandi
Mar 25, 2009·Journal of Behavioral Medicine·Suzanne C DanhauerNancy E Avis
Dec 17, 2009·Psycho-oncology·Wendy W T LamRichard Fielding
Mar 17, 2010·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Inge HenselmansAdelita V Ranchor
May 22, 2010·Journal of Psychosomatic Research·Gerald M Devins
Sep 30, 2010·Psycho-oncology·Marta ScrignaroMaria Elena Magrin
Jan 13, 2011·British Journal of Cancer·M O'ConnorR Zachariae
Apr 12, 2012·Psychology & Health·Sónia Martins SilvaMaria Cristina Canavarro
May 23, 2012·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Stacey L Hart, Susan T Charles
Oct 12, 2012·Breast Cancer Research and Treatment·Nancy E AvisKimberly J Van Zee
Apr 17, 2013·Breast Cancer Research and Treatment·Nancy E AvisKimberly J Van Zee
May 15, 2013·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Stephanie J SohlNancy E Avis
Aug 29, 2013·Psycho-oncology·Meghan H McDonoughCarsten Wrosch
Oct 19, 2013·Psycho-oncology·Suzanne C DanhauerNancy E Avis
May 17, 2014·Psycho-oncology·Ashley Wei-Ting WangWen-Yau Hsu
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
Nov 16, 2017·British Journal of Health Psychology·Lei ZhuMaya J Schroevers
Dec 16, 2017·Journal of Traumatic Stress·Jieling Chen, Xinchun Wu
Jun 8, 2018·LGBT Health·Angela R BazziUlrike Boehmer
Oct 20, 2018·Journal of Traumatic Stress·Rahel BachemZahava Solomon
Jul 15, 2017·Journal of Korean Academy of Nursing·Young Mi Jung, Jin Hee Park
Mar 5, 2020·Psycho-oncology·Andrea L CanadaGeorge Fitchett
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
Aug 5, 2017·Frontiers in Psychology·Aleksandra KroemekeMagdalena Kalamarz
Oct 16, 2019·BioMed Research International·Chengshuai ZhangFeng Li
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
Aug 7, 2018·Journal of Health Psychology·Chih-Tao ChengGing-Long Wang
Oct 1, 2020·International Journal of Environmental Research and Public Health·Katarzyna Tomaszek, Agnieszka Muchacka-Cymerman
Mar 21, 2017·Psycho-oncology·Anna Casellas-GrauChiara Ruini
Nov 24, 2020·Journal of Traumatic Stress·Yasushi KyutokuAngela J Liegey-Dougall
Apr 6, 2021·European Journal of Cancer Care·Huaguo ZhangXiaolian Jiang
Jun 4, 2021·JAMA Oncology·Evelyn AnthonySuzanne C Danhauer
Jun 8, 2021·Development and Psychopathology·Xiao Zhou, Xinchun Wu
Jul 7, 2021·Journal of Advanced Nursing·Genya ShiYingjie Cai