Post-traumatic growth, distress and attachment style among women with breast cancer

Romeo, Annunziata; Ghiggia, Ada; Tesio, Valentina; Tella, Marialaura Di; Torta, Riccardo; Castelli, Lorys

doi:10.1080/07347332.2017.1289291

Cited by 14 publications

(16 citation statements)

References 43 publications

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“…In this regard, it could be interesting to compare in future studies the specificity of this experience to other surgeries or chronic illnesses in order to verify the existence of a disease-related experience of growth. Comparing the total mean PTG scores, liver transplant patients reported PTG levels (2.7) similar to those of breast cancer survivors (with means ranging from 2.3-2.9), 20,21 whereas the total mean score of the present sample was slightly lower than that of survivors who underwent hematopoietic stem cell transplantation (with a mean of 3.0). 20 Moreover, the results of the t test seem to show that the perception of progressing and improving are stable, indicating that a given change is related to the fundamental dimensions of an individual.…”

Section: Discussionmentioning

confidence: 41%

A Longitudinal Investigation of Posttraumatic Growth and Quality of Life in Liver Transplant Recipients

et al. 2018

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These results confirmed that posttraumatic growth is related to a different definition of well-being than the one traditionally used in the assessment of quality of life. Adjustment to liver transplant is a complex and systemic process, which requires a multidisciplinary approach to be able to support and encourages adaptation through all the needed functional elements. An interesting perspective is offered by the narrative medicine approach, that highlighted the importance to pay specific attention to the words and expression used by patients related to changes in life and not only to traditional words reporting physical status.

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Section: Discussionmentioning

confidence: 41%

A Longitudinal Investigation of Posttraumatic Growth and Quality of Life in Liver Transplant Recipients

et al. 2018

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“…It seems that active coping mechanisms, such as planning, positive reframing, acceptance techniques and social support are positive strategies that may have the potential to support posttraumatic growth in cancer patients and reduce unmet needs (Schmidt et al, 2002(Schmidt et al, , 2012Romeo et al, 2017Romeo et al, , 2019. According to our findings, we assumed that patients with attachment anxiety suffer from higher unmet supportive care needs due to maladaptive coping strategies.…”

Section: Discussionmentioning

confidence: 73%

Unmet Supportive Care Needs Among Women With Breast and Gynecological Cancer: Relevance of Attachment Anxiety and Psychological Distress

Graf¹,

Junne²,

Ehrenthal

et al. 2020

Front. Psychol.

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Objective: Attachment anxiety and avoidance are known risk factors for the development of unmet needs and poor well-being among patients with chronic diseases. Few studies have addressed this in individuals with cancer. We aimed to explore the relationship between supportive care needs, attachment styles and distress in women with breast and gynecological cancer. Methods: Using a cross-sectional paper-pencil (n = 157) and online survey (n = 614), a total of 771 patients with breast or gynecological cancer completed a set of validated questionnaires. From September 2013 to January 2014, consecutive inpatients and outpatients of the university hospital Tuebingen were included in the study. Further, participants were recruited through social media, patient internet platforms, self-help group leaders and patient networks. We used the Supportive Care Needs Survey (SCNS-SF-34) with the need dimensions: health system, patient care, psychological, physical, and sexual needs, as well as the Experiences in Close Relationships-Revised Questionnaire, and the Distress Thermometer. A multiple linear regression model was used to analyze the influence of attachment styles (anxiety and avoidance) on the SCNS-SF-34 dimensions. A moderation analysis was used to explore the influence of the interaction between attachment anxiety and distress for all SCNS-SF-34 dimensions. Results: Attachment anxiety was a significant determinant and led to higher unmet supportive care needs in all dimensions, whereas attachment avoidance was not significant. Distress did moderate the relationship between attachment anxiety and

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“…Fraley et al (2006) found that insecure individuals reported higher levels of distress than secure ones, after the September 11 attack on the World Trade Center. Attachment styles have also been found to be associated to PTG, although limited studies have been carried on in this area and their findings are controversial (Schmidt et al, 2012; Tanyi et al, 2015; Romeo et al, 2017). Concerning breast cancer (BC) patients, the study of Romeo et al (2017) found no significant difference in PTG between women with or without insecure attachment, while Tanyi et al (2015) found that insecure attachment predicted fewer scores on PTG.…”

Section: Introductionmentioning

confidence: 99%

The Traumatic Experience of Breast Cancer: Which Factors Can Relate to the Post-traumatic Outcomes?

et al. 2019

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Background: Post-traumatic growth (PTG) is considered a positive outcome of struggling with a traumatic event, distinct, and opposite from negative outcomes, i.e., psychological distress. The present study aimed to shed light on the relationship between potentially relating factors (i.e., coping strategies, perceived social support, and attachment style) and both positive and negative psychological outcomes. Methods: A total of 123 breast cancer survivors were recruited, who completed a battery of self-report questionnaires, assessing PTG, psychological distress, coping strategies, perceived social support, and attachment style. Three regression analyses were run to evaluate whether relating factors were significant predictors of the positive and negative psychological outcomes. Results: The regression analyses showed that the “Fatalism” coping strategy and perceived social support were two significant predictors of PTG. Instead, the “Helpless-Hopeless” and “Anxious Preoccupation” coping strategies, as well as an insecure attachment style, were significant predictors of depression, while the “Anxious Preoccupation” coping strategy and an insecure attachment style were significant predictors of anxiety. Conclusions: The present findings showed that the factors underlying a positive or negative outcome are different and specific. While perceived social support and a fatalistic attitude seem to play a key role in the positive outcome, dysfunctional coping strategies, together with an insecure attachment style, appear to be related with negative psychological outcome. Considering these factors in clinical practice would help patients to give meaning to their traumatic experience, enhancing psychological growth.

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Post-traumatic growth, distress and attachment style among women with breast cancer

Cited by 14 publications

References 43 publications

A Longitudinal Investigation of Posttraumatic Growth and Quality of Life in Liver Transplant Recipients

A Longitudinal Investigation of Posttraumatic Growth and Quality of Life in Liver Transplant Recipients

Unmet Supportive Care Needs Among Women With Breast and Gynecological Cancer: Relevance of Attachment Anxiety and Psychological Distress

The Traumatic Experience of Breast Cancer: Which Factors Can Relate to the Post-traumatic Outcomes?

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