Posttraumatic growth in head and neck cancer survivors: Is it possible and what are the correlates?

Sharp, Linda; Redfearn, Devon; Timmons, Aileen; Balfe, Myles; Patterson, Joanne

doi:10.1002/pon.4682

Cited by 41 publications

(46 citation statements)

References 39 publications

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“…Furthermore, threatening life events such as cancer diagnosis can also be associated with positive changes and an increased functioning, termed as post-traumatic growth (PTG) ( Tedeschi and Calhoun, 2004 ). There is evidence that PTG is very common in cancer survivors since cancer patients already mastered threatening situations in the past due to their diagnosis and treatment ( Sharp et al, 2018 ). Thus, it might be possible that the cancer patients might have reestablished mental health comparable to healthy controls due to PTG or time since diagnosis.…”

Section: Discussionmentioning

confidence: 99%

COVID-19-Related Fear and Health-Related Safety Behavior in Oncological Patients

et al. 2020

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Objective This study aimed to assess cancer patients’ psychological burden during the COVID-19 pandemic by investigating distress (distress-thermometer), health status (EQ-5D-3L), general anxiety (GAD-7), COVID-19-related fear and associated behavioral changes and comparing these to matched healthy controls, using propensity score matching (PSM). Methods During the first days of the COVID-19 pandemic in Germany, March 16 to 30, 2020, 150 actually treated cancer patients and 150 matched healthy controls participated in this study. Participants completed an anonymous online survey assessing health status, distress, general anxiety, COVID-19-related fear and behavioral changes (i.e., adherent safety behavior and dysfunctional safety behavior). Results Cancer patients showed no elevated level of distress, U = 10,657.5, p = 0.428, general anxiety U = 10,015.5, p = 0.099, or COVID-19-related fear compared to healthy controls, U = 10,948, p = 0.680. Both groups showed elevated COVID-19-related fear. Cancer patients reported more adherent safety behavior, such as washing hands more often or avoiding public places, U = 8,285, p < 0.001, d = 0.468. They also reported more dysfunctional safety behavior such as buying larger quantities of basic food, compared to healthy controls U = 9,599, p = 0.029, d = 0.256. Adherent safety behavior could be significantly explained by cancer diagnosis, increased COVID-19-related fear and subjective level of information about COVID-19, R 2 = 0.215, F (3) = 27.026, p < 0.001. Conclusion This suggests that cancer patients are more likely to utilize adherent safety behavior. Cancer patients reported comparable levels of distress and anxiety compared to healthy controls. Still, the COVID-19 pandemic is associated with elevated COVID-19-related fear. Therefore, specific interventions are needed to prevent anxiety and improve mental health during the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 99%

COVID-19-Related Fear and Health-Related Safety Behavior in Oncological Patients

et al. 2020

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“…For example, it has been shown that optimism, social support, and appropriate cognitive strategies contribute to PTG (Baillie et al, 2014;Pérez-San-Gregorio et al, 2017;Sun et al, 2020). In addition, a number of scholars and practitioners have empirically confirmed the mechanisms of action when different traumatic events have a positive impact on people such as cancer (Sharp et al, 2018), burns (Wiechman Askay and Magyar-Russell, 2009), sexual assault (Frazier et al, 2001), earthquakes (Alamdar et al, 2020), and the death of a loved one (Büchi et al, 2007). Although the possible positive effects of traumatic events have been demonstrated in practice, the exact nature of the predictors and consequences of PTG remain inconclusive (Blackie and Jayawickreme, 2014;Groarke et al, 2017).…”

Section: Theoretical Basis and Hypothesismentioning

confidence: 99%

The Influence of Post-Traumatic Growth on College Students’ Creativity During the COVID-19 Pandemic: The Mediating Role of General Self-Efficacy and the Moderating Role of Deliberate Rumination

Zeng

et al. 2021

Front. Psychol.

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Purpose: This study used a moderated mediation model to test the mediating effect of general self-efficacy on the relationship between post-traumatic growth (PTG) and creativity and the moderating effect of deliberate rumination in the second path of the indirect mediation path during the COVID-19 pandemic.Methods: A sample of 881 university students from Guangdong Province, China, was surveyed with the Posttraumatic Growth Inventory, the Runco Ideational Behavior Scale, the General Self-Efficacy Scale, and the Deliberate Rumination Inventory. SPSS (23 version) and PROCESS (3.3 version) were used for correlation analyses, mediation analysis, and moderated mediation analysis.Results: (1) PTG was positively correlated with creativity, self-efficacy, and deliberate rumination. Creativity was positively correlated with self-efficacy and deliberate rumination. Deliberate rumination was positively correlated with self-efficacy. (2) Self-efficacy mediated the relationship between PTG and creativity. (3) Deliberate rumination moderated the second half of the path of “PTG → self-efficacy → creativity.”Conclusions: PTG affected creativity directly and also indirectly through self-efficacy. In particular, deliberate rumination moderated the relationship between self-efficacy and creativity, such that the association was stronger when the incidence of deliberate rumination was low. These results provide a more comprehensive understanding of the positive link between PTG and creativity.

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“…A recent systematic review (Casellas-Grau et al, 2016) concluded that, in breast cancer, the age of patients had a distinctive role in triggering high levels of stress, but also, promoting posttraumatic growth. The explanation that sustains this paradoxical relationship is the perception of cancer as more disruptive and aggressive among younger women than in their older peers (Kangas et al, 2005; Ochoa et al, 2013; Sharp et al, 2018).…”

Section: Mechanisms Of Constructive and Adaptative Stress-growth Balamentioning

confidence: 99%

Stress and Growth in Cancer: Mechanisms and Psychotherapeutic Interventions to Facilitate a Constructive Balance

et al. 2019

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Post-traumatic stress and growth are common responses to adverse life events such as cancer. In this article, we establish how cancer becomes a “fertile land” for the emergence of stress and growth responses and analyze the main mechanisms involved. Stress-growth responses on adjusting to cancer is potentially determined by factors like the phase of the illness (e.g., initial phases vs. period of survivorship), patient’s coping strategies, meaning-making, and relationships with significant others. We also review the mechanisms of constructive and adaptative stress-growth balances in cancer to study the predictors, interrelated associations, triggering mechanisms, long-term results, and specific trajectories of these two responses to cancer. Finally, we update the evidence on the role of these stress-growth associations in psychologically adjusting to cancer. Together with this evidence, we summarize preliminary results regarding the efficacy of psychotherapeutic interventions that aim to facilitate a constructive psychological balance between stress and growth in cancer patients. Recommendations for future research and gaps in knowledge on stress-growth processes in this illness are also highlighted. Researchers are encouraged to design and use psychotherapeutic interventions according to the dynamic and changeable patients’ sources of stress and growth along the illness. Relevant insights are proposed to understand the inconsistency of stress-growth literature and to promote psychotherapeutic interventions to facilitate a constructive balance between these key responses in cancer.

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Posttraumatic growth in head and neck cancer survivors: Is it possible and what are the correlates?

Cited by 41 publications

References 39 publications

COVID-19-Related Fear and Health-Related Safety Behavior in Oncological Patients

COVID-19-Related Fear and Health-Related Safety Behavior in Oncological Patients

The Influence of Post-Traumatic Growth on College Students’ Creativity During the COVID-19 Pandemic: The Mediating Role of General Self-Efficacy and the Moderating Role of Deliberate Rumination

Stress and Growth in Cancer: Mechanisms and Psychotherapeutic Interventions to Facilitate a Constructive Balance

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