Social Problem Solving and Posttraumatic Growth New Possibilities in Postoperative Breast Cancer Survivors

Markman, Elisabeth; McClure, Kelly S.; McMahon, Cori; Zelikovsky, Nataliya; Macone, Brian W.; Bullock, Anastasia J.

doi:10.1007/s10880-019-09641-3

Cited by 6 publications

(6 citation statements)

References 19 publications

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“…Thus, although orientation to the problem may predict greater symptoms in the short term, it may produce post-traumatic growth in the long-term. The positive relationship between orientation to the problem and post-traumatic growth has also been found in previous literature, specifically in cancer patients (Markman et al, 2020 ; Widows et al, 2005 ) and in veterans with lower-limb amputations (Tuncay & Musabak, 2015 ). Researchers have quoted that “Individuals with a positive problem orientation believe that problems are challenges to be solved rather than threats” (Adrian et al, 2010 , p. 328).…”

Section: Discussionsupporting

confidence: 71%

The longitudinal association between Perceived Stress, PTSD Symptoms, and Post-Traumatic Growth during the COVID-19 Pandemic: the role of coping strategies and psychological inflexibility

et al. 2022

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The present study investigates the mediating roles of psychological inflexibility and differential coping strategies on perceived stress and post-traumatic symptoms and growth in the context of COVID-19. Study one recruited 662 participants (54.8% women; Mage = 40.64 years, SD = 13.04) who completed a cross-sectional questionnaire. It was proposed that orientation to the problem, avoidance strategies, psychological inflexibility, and positive attitude were mediators for the positive association between perceived stress and PTSD symptoms. The fit indices for the path model were excellent: CFI = 0.977, TLI = 0.950, RMSEA = 0.057 [90%CI = 0.043–0.081], and SRMS = 0.042. Gender and stressful events encountered had indirect effects on the endogenous variables. In study two, 128 participants (57.8% women; Mage = 42.30, SD = 12.08) were assessed for post-traumatic growth one year later. Psychological inflexibility and orientation acted as mediators between perceived stress and PTSD symptoms. Furthermore, a novel path model was constructed in which psychological inflexibility and orientation to the problem as mediators for perceived stress and PTSD symptoms. The indices for the path model were excellent: CFI = 0.99, TLI = 0.97, RMSEA = 0.055 [90%CI = 0.001–0.144], and SRMS = 0.49. Furthermore, PTSD symptoms, psychological inflexibility, and orientation to the problem predicted post-traumatic growth. Specifically, both orientation to the problem (β = .06 [90%CI: .01;.13]) and psychological inflexibility (β = .14 [90%CI: .08;.26]) had an indirect effect on post-traumatic growth. Overall, these results significantly contribute to the literature as orientation to the problem positively predicted PTSD symptoms and post-traumatic growth one year later while psychological inflexibility predicted PTSD symptoms and less post-traumatic growth one year later. These results underline the importance of assessing both symptomology and psychological growth to determine adaptive coping strategies in specific contexts.

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Section: Discussionsupporting

confidence: 71%

The longitudinal association between Perceived Stress, PTSD Symptoms, and Post-Traumatic Growth during the COVID-19 Pandemic: the role of coping strategies and psychological inflexibility

et al. 2022

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“…Meanwhile, when faced with the severe challenges of breast cancer, some families are able to adapt effectively and make positive changes that allow them to recover and grow (Markman et al, 2020). Research shows that family resilience plays an important role.…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled trial of a coping-focused family resilience intervention program for breast cancer patients: Study protocol

Gao

Chen

et al. 2022

Front. Psychol.

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BackgroundBreast cancer patients and their families are under various pressures in the process of disease diagnosis and treatment, which seriously threaten their physical and mental health. Findings from existing research suggest that good family resilience can help breast cancer families better adapt and cope with adversity and challenges. However, there are only a few intervention studies on family resilience and no intervention studies on resilience among the families of breast cancer patients. Therefore, this study aims to explore appropriate measures to improve the resilience level of breast cancer families and help them better cope with the disease.ObjectiveThe purpose of this study protocol is to demonstrate a coping-focused family resilience intervention to increase the level of resilience in the families of breast cancer patients and help them better cope with adversity.MethodsThe trial will recruit 80 breast cancer families and randomly assign them to experimental and control groups in a 1:1 ratio. The control group will receive routine care, and the intervention group will receive a 6-week one-on-one online family resilience intervention based on the control group. Two groups of subjects will be assessed at baseline and at 1 week, 1 month, and 3 months after the intervention. The primary outcome is family resilience, and the secondary outcomes are coping style, social support, family disease burden, and levels of anxiety and depression.Expected resultsWe hypothesized that after the intervention, the intervention group would have significantly higher levels of family resilience than the preintervention and control groups. In the intervention group, other aspects related to family resilience, such as family disease burden and anxiety and depression levels of patients and their families, were significantly alleviated, and disease coping and social support levels were improved accordingly.DiscussionIf the program works, it can help breast cancer families identify family strengths and resources to proactively address challenges so that families can successfully navigate the crisis and patient and family recovery can be facilitated. It can also provide a practical path for clinical workers to help breast cancer families adjust rationally.Clinical Trial RegistrationThis study has been registered in the Chinese Clinical Trials Registry (Registration Number: http://www.chictr.org.cn/ChiCTR2100052108).

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“…It is important to note that several protective psychosocial characteristics ‐ which were not addressed in this study ‐ may be influencing results. Recent studies of women with breast cancer have highlighted the importance that hope, optimism, self‐efficacy, and social problem‐solving skills have in enhancing resilience, promoting positive coping, and contributing to greater post‐traumatic growth 33,34 . It is quite plausible that these psychosocial resources would help women who have experienced gynecologic cancers also cope with the fears they experience about recurrence.…”

Section: Discussionmentioning

confidence: 99%

“…Recent studies of women with breast cancer have highlighted the importance that hope, optimism, self‐efficacy, and social problem‐solving skills have in enhancing resilience, promoting positive coping, and contributing to greater post‐traumatic growth. 33 , 34 It is quite plausible that these psychosocial resources would help women who have experienced gynecologic cancers also cope with the fears they experience about recurrence. Future studies should expand the scope of psychosocial assessments to include these types of resources, particularly to explore the unexpected observation that greater post‐traumatic growth was related to more fear of recurrence.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial predictors of fear of cancer recurrence in a cohort of gynecologic cancer survivors

et al. 2022

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Objective: To describe fear of cancer recurrence in a cohort of women with gynecologic cancers and to identify psychosocial predictors of elevated fear of recurrence. Methods: Survey data from an ongoing cohort study of gynecologic cancer survivors were used (n = 154). Relationships between fear of cancer recurrence measured by the 6-item Cancer Worry Scale in the most recent survey and psychosocial factors (cancer-related distress, depression, anxiety, hopelessness, and posttraumatic growth) assessed 6-18 months prior were examined using univariate and multivariate linear regression models, adjusting for age, cancer stage, cancer type, and time since diagnosis. Results: Most participants were ≥60 years old, diagnosed with early-stage cancer, and 2-5 years post-diagnosis. The mean score on the Cancer Worry Scale was 10.31(SD = 3.01), and 46 individuals (30.0%) scored ≥12, indicating high fear of recurrence. In univariate analyses, greater distress (p = 0.007), anxiety (p = 0.006), hopelessness (p = 0.007), and posttraumatic growth (p = 0.0006) were significantly associated with higher scores on the Cancer Worry Scale. The associations of hopelessness and posttraumatic growth with higher Cancer Worry Scale scores remained significant after adjustment for covariates.Conclusions: Fear of recurrence is frequent among gynecologic cancer survivors.Women who reported more distress, hopelessness, anxiety and, surprisingly, more post-traumatic growth reported more fear. These results contribute to our understanding of which cancer survivors are most at risk of elevated fear of recurrence and highlight the importance of continued focus on psychosocial well-being among cancer survivors.

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Social Problem Solving and Posttraumatic Growth New Possibilities in Postoperative Breast Cancer Survivors

Cited by 6 publications

References 19 publications

The longitudinal association between Perceived Stress, PTSD Symptoms, and Post-Traumatic Growth during the COVID-19 Pandemic: the role of coping strategies and psychological inflexibility

The longitudinal association between Perceived Stress, PTSD Symptoms, and Post-Traumatic Growth during the COVID-19 Pandemic: the role of coping strategies and psychological inflexibility

A randomized controlled trial of a coping-focused family resilience intervention program for breast cancer patients: Study protocol

Psychosocial predictors of fear of cancer recurrence in a cohort of gynecologic cancer survivors

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