Post-traumatic growth in breast cancer: how and when do distress and stress contribute?

Ann Marie Groarke*, Ruth Curtis, Jenny M. Groarke, Michael J. Hogan, Andrea Gibbons, Michael Kerin

*Corresponding author for this work

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective
While several theoretical models provide explanation for the genesis and development of post‐traumatic growth (PTG) in the aftermath of stressful events, empirical evidence regarding the predictors and consequences of PTG in breast cancer patients in active treatment and early survivorship is inconclusive. This study, therefore, examines the role of distress and stress as predictors and outcomes of PTG in women with breast cancer over an 18‐month period.

Methods
These effects are tested in two structural equation models that track pathways of PTG in a sample of 253 recently diagnosed women. Questionnaires were completed at diagnosis and at 4 follow‐up time points assessing cancer‐specific stress (Impact of Events Scale), global stress (Perceived Stress Scale), and depression and anxiety (Hospital Anxiety and Depression Scale). Post‐traumatic growth (Silver Lining Questionnaire) was assessed at follow‐up time points.

Results
Cancer‐specific stress was related to higher PTG concurrently and longitudinally. Anxiety was related concurrently to higher PTG, but overall general distress had minimal impact on PTG. Global stress was inversely related to PTG. Positive growth at 6 months was associated with subsequent reduction in stress.

Conclusions
This study showing that early stage higher cancer‐specific stress and anxiety were related to positive growth supports the idea that struggle with a challenging illness may be instrumental in facilitating PTG, and findings show positive implications of PTG for subsequent adjustment.
Original languageEnglish
Pages (from-to)967-974
Number of pages8
JournalPsycho-oncology
Volume26
Issue number7
Early online date08 Aug 2016
DOIs
Publication statusPublished - Jul 2017

Fingerprint

Breast Neoplasms
Growth
Anxiety
Depression
Social Adjustment
Structural Models
Growth and Development
Theoretical Models
Survival Rate

Keywords

  • breast cancer
  • cancer
  • oncology
  • post-traumatic growth
  • stress

Cite this

Groarke, Ann Marie ; Curtis, Ruth ; Groarke, Jenny M. ; Hogan, Michael J. ; Gibbons, Andrea ; Kerin, Michael. / Post-traumatic growth in breast cancer: how and when do distress and stress contribute?. In: Psycho-oncology. 2017 ; Vol. 26, No. 7. pp. 967-974.
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title = "Post-traumatic growth in breast cancer: how and when do distress and stress contribute?",
abstract = "ObjectiveWhile several theoretical models provide explanation for the genesis and development of post‐traumatic growth (PTG) in the aftermath of stressful events, empirical evidence regarding the predictors and consequences of PTG in breast cancer patients in active treatment and early survivorship is inconclusive. This study, therefore, examines the role of distress and stress as predictors and outcomes of PTG in women with breast cancer over an 18‐month period.MethodsThese effects are tested in two structural equation models that track pathways of PTG in a sample of 253 recently diagnosed women. Questionnaires were completed at diagnosis and at 4 follow‐up time points assessing cancer‐specific stress (Impact of Events Scale), global stress (Perceived Stress Scale), and depression and anxiety (Hospital Anxiety and Depression Scale). Post‐traumatic growth (Silver Lining Questionnaire) was assessed at follow‐up time points.ResultsCancer‐specific stress was related to higher PTG concurrently and longitudinally. Anxiety was related concurrently to higher PTG, but overall general distress had minimal impact on PTG. Global stress was inversely related to PTG. Positive growth at 6 months was associated with subsequent reduction in stress.ConclusionsThis study showing that early stage higher cancer‐specific stress and anxiety were related to positive growth supports the idea that struggle with a challenging illness may be instrumental in facilitating PTG, and findings show positive implications of PTG for subsequent adjustment.",
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Groarke, AM, Curtis, R, Groarke, JM, Hogan, MJ, Gibbons, A & Kerin, M 2017, 'Post-traumatic growth in breast cancer: how and when do distress and stress contribute?', Psycho-oncology, vol. 26, no. 7, pp. 967-974. https://doi.org/10.1002/pon.4243

Post-traumatic growth in breast cancer: how and when do distress and stress contribute? / Groarke, Ann Marie; Curtis, Ruth; Groarke, Jenny M.; Hogan, Michael J.; Gibbons, Andrea; Kerin, Michael.

In: Psycho-oncology, Vol. 26, No. 7, 07.2017, p. 967-974.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Post-traumatic growth in breast cancer: how and when do distress and stress contribute?

AU - Groarke, Ann Marie

AU - Curtis, Ruth

AU - Groarke, Jenny M.

AU - Hogan, Michael J.

AU - Gibbons, Andrea

AU - Kerin, Michael

PY - 2017/7

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N2 - ObjectiveWhile several theoretical models provide explanation for the genesis and development of post‐traumatic growth (PTG) in the aftermath of stressful events, empirical evidence regarding the predictors and consequences of PTG in breast cancer patients in active treatment and early survivorship is inconclusive. This study, therefore, examines the role of distress and stress as predictors and outcomes of PTG in women with breast cancer over an 18‐month period.MethodsThese effects are tested in two structural equation models that track pathways of PTG in a sample of 253 recently diagnosed women. Questionnaires were completed at diagnosis and at 4 follow‐up time points assessing cancer‐specific stress (Impact of Events Scale), global stress (Perceived Stress Scale), and depression and anxiety (Hospital Anxiety and Depression Scale). Post‐traumatic growth (Silver Lining Questionnaire) was assessed at follow‐up time points.ResultsCancer‐specific stress was related to higher PTG concurrently and longitudinally. Anxiety was related concurrently to higher PTG, but overall general distress had minimal impact on PTG. Global stress was inversely related to PTG. Positive growth at 6 months was associated with subsequent reduction in stress.ConclusionsThis study showing that early stage higher cancer‐specific stress and anxiety were related to positive growth supports the idea that struggle with a challenging illness may be instrumental in facilitating PTG, and findings show positive implications of PTG for subsequent adjustment.

AB - ObjectiveWhile several theoretical models provide explanation for the genesis and development of post‐traumatic growth (PTG) in the aftermath of stressful events, empirical evidence regarding the predictors and consequences of PTG in breast cancer patients in active treatment and early survivorship is inconclusive. This study, therefore, examines the role of distress and stress as predictors and outcomes of PTG in women with breast cancer over an 18‐month period.MethodsThese effects are tested in two structural equation models that track pathways of PTG in a sample of 253 recently diagnosed women. Questionnaires were completed at diagnosis and at 4 follow‐up time points assessing cancer‐specific stress (Impact of Events Scale), global stress (Perceived Stress Scale), and depression and anxiety (Hospital Anxiety and Depression Scale). Post‐traumatic growth (Silver Lining Questionnaire) was assessed at follow‐up time points.ResultsCancer‐specific stress was related to higher PTG concurrently and longitudinally. Anxiety was related concurrently to higher PTG, but overall general distress had minimal impact on PTG. Global stress was inversely related to PTG. Positive growth at 6 months was associated with subsequent reduction in stress.ConclusionsThis study showing that early stage higher cancer‐specific stress and anxiety were related to positive growth supports the idea that struggle with a challenging illness may be instrumental in facilitating PTG, and findings show positive implications of PTG for subsequent adjustment.

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SN - 1057-9249

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ER -