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I Verdonckde M Leeuw - One of the best experts on this subject based on the ideXlab platform.
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positive mental health among cancer survivors overlap in psychological well being personal meaning and Posttraumatic Growth
Supportive Care in Cancer, 2019Co-Authors: Karen Holtmaat, N Van Der Spek, Pim Cuijpers, I Verdonckde M Leeuw, Birgit I LissenbergwitteAbstract:Positive mental health involves theoretical constructs like psychological well-being, personal meaning, and Posttraumatic Growth. This study aims to provide empirical insight into possible overlap between these constructs in cancer survivors. Within the context of a randomized controlled trial, 170 cancer survivors completed the patient-reported outcome measures (PROMs) Ryff’s Scales of Psychological Well-Being (SPWB), Personal Meaning Profile (PMP), and Posttraumatic Growth Inventory (PTGI). Exploratory factor analysis (EFA) on the subscales of these PROMs, as well as structural equation modeling (SEM), was used to explore overlap in these three constructs. The EFA resulted in a three-factor solution with an insufficient model fit. SEM led to a model with a high estimated correlation (0.87) between SPWB and PMP and lower estimated correlations with PTGI (respectively 0.38 and 0.47). Furthermore, the estimated correlation between the subscales relation with God (PMP) and spiritual change (PTGI) was high (0.92). This model had adequate fit indices (χ2(93) = 144, p = .001, RMSEA = 0.059, CFI = 0.965, TLI = 0.955, SRMR = 0.061). The constructs psychological well-being and personal meaning overlap to a large extent in cancer survivors. Posttraumatic Growth can be seen as a separate construct, as well as religiosity. These findings facilitate researchers to select the appropriate PROM(s) when testing the effect of a psychosocial intervention on positive mental health in cancer survivors. An increasing number of psychosocial intervention trials for cancer survivors use positive mental health outcomes. These constructs are often multifaceted and overlapping. Knowledge of this overlap is important in designing trials, in order to avoid the pitfalls of multiple testing and finding artificially strengthened associations. NTR3571
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Posttraumatic Growth among head and neck cancer survivors with psychological distress
Psycho-oncology, 2017Co-Authors: Karen Holtmaat, N Van Der Spek, Pim Cuijpers, C R Leemans, I Verdonckde M LeeuwAbstract:BACKGROUND: Information on Posttraumatic Growth (PTG) among head and neck cancer (HNC) survivors with a high level of distress is limited. The aim of this cross-sectional study was to investigate the occurrence of PTG among distressed HNC survivors and its association with anxiety, depressive, nicotine, and alcohol use disorders and health-related quality of life. METHODS: Seventy-four HNC survivors with psychological distress (Hospital Anxiety and Depression Scale (HADS) anxiety > 7 and/or HADS depression > 7) completed the Posttraumatic Growth Inventory, which comprises five subscales: relating to others, new possibilities, personal strength, spiritual change, and appreciation of life, and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire. Anxiety, depressive, nicotine, and alcohol use disorders were measured using the Composite International Diagnostic Interview. RESULTS: Moderate to high Posttraumatic Growth Inventory (PTGI) scores occurred in 10% of the HNC survivors with distress. The mean total PTGI score was 30.8 (SD = 19.7), with the highest mean score on the subscale relating to others. A multivariate regression model consisting of tumor stage, anxiety disorder, alcohol use disorder, and social functioning predicted total PTGI score best (F(4, 64) = 7.565, p < .000, R(2) = .321). CONCLUSIONS: The presence of PTG in this population of distressed HNC survivors was low. PTG occurred most in the domain of relating to others. Among distressed HNC survivors, higher PTG was associated with lower tumor stage, absence of an anxiety disorder, absence of an alcohol use disorder, and better social functioning. Copyright © 2016 John Wiley & Sons, Ltd.
Celia C. Y. Wong - One of the best experts on this subject based on the ideXlab platform.
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Self-stigma predicts lower quality of life in Chinese American breast cancer survivors: exploring the mediating role of intrusive thoughts and Posttraumatic Growth
Quality of Life Research, 2019Co-Authors: Celia C. Y. Wong, Bradley M. Pan-weisz, Tonya M. Pan-weisz, Nelson C. Y. Yeung, Winnie W. S. Mak, Qian LuAbstract:BackgroundIt is common for Chinese American breast cancer survivors to believe that having cancer is a stigmatizing condition. Little research exists on how this might affect their quality of life (QoL) and through which psychological processes.ObjectiveIn the present study, we examined the association between self-stigma and QoL in a sample of Chinese American breast cancer survivors and tested the potential mediating roles of intrusive thoughts and Posttraumatic Growth in this relationship.MethodsOne hundred and thirty-six Chinese American breast cancer survivors completed a questionnaire packet assessing their levels of self-stigma, intrusive thoughts, Posttraumatic Growth, and QoL.ResultsAs hypothesized, findings indicated a significant negative correlation between self-stigma and QoL. Findings from a path analysis indicated significant indirect effects of self-stigma on QoL through intrusive thoughts and Posttraumatic Growth—the negative correlation between self-stigma and QoL was completely mediated by more intrusive thoughts and less Posttraumatic Growth.ConclusionsOur findings suggest that self-stigma may harm QoL among Chinese American breast cancer survivors by leading to more intrusive thoughts and not focusing on Posttraumatic Growth. To attenuate the negative impact of self-stigma on QoL among Chinese American breast cancer survivors, cognition-focused interventions should be utilized to reduce intrusive thoughts and foster Posttraumatic Growth.
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the roles of needs satisfaction cognitive appraisals and coping strategies in promoting Posttraumatic Growth a stress and coping perspective
Psychological Trauma: Theory Research Practice and Policy, 2016Co-Authors: Nelson C. Y. Yeung, Celia C. Y. Wong, Hung C HuynhAbstract:Objective: There is growing interest in understanding people’s positive changes after their negative life experiences. Previous studies have shown that coping resources, cognitive appraisal, and coping strategies are associated with Posttraumatic Growth (PTG). This study aimed to extend previous fin
Qian Lu - One of the best experts on this subject based on the ideXlab platform.
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Self-stigma predicts lower quality of life in Chinese American breast cancer survivors: exploring the mediating role of intrusive thoughts and Posttraumatic Growth
Quality of Life Research, 2019Co-Authors: Celia C. Y. Wong, Bradley M. Pan-weisz, Tonya M. Pan-weisz, Nelson C. Y. Yeung, Winnie W. S. Mak, Qian LuAbstract:BackgroundIt is common for Chinese American breast cancer survivors to believe that having cancer is a stigmatizing condition. Little research exists on how this might affect their quality of life (QoL) and through which psychological processes.ObjectiveIn the present study, we examined the association between self-stigma and QoL in a sample of Chinese American breast cancer survivors and tested the potential mediating roles of intrusive thoughts and Posttraumatic Growth in this relationship.MethodsOne hundred and thirty-six Chinese American breast cancer survivors completed a questionnaire packet assessing their levels of self-stigma, intrusive thoughts, Posttraumatic Growth, and QoL.ResultsAs hypothesized, findings indicated a significant negative correlation between self-stigma and QoL. Findings from a path analysis indicated significant indirect effects of self-stigma on QoL through intrusive thoughts and Posttraumatic Growth—the negative correlation between self-stigma and QoL was completely mediated by more intrusive thoughts and less Posttraumatic Growth.ConclusionsOur findings suggest that self-stigma may harm QoL among Chinese American breast cancer survivors by leading to more intrusive thoughts and not focusing on Posttraumatic Growth. To attenuate the negative impact of self-stigma on QoL among Chinese American breast cancer survivors, cognition-focused interventions should be utilized to reduce intrusive thoughts and foster Posttraumatic Growth.
Richard G Tedeschi - One of the best experts on this subject based on the ideXlab platform.
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Exploring Posttraumatic Growth in Japanese Youth
2020Co-Authors: Kanako Taku, Arnie Cann, Richard G Tedeschi, Ryan P Kilmer, Lawrence G CalhounAbstract:Despite a growing body of literature examining Posttraumatic Growth (PTG; positive change resulting from the struggle with trauma) in adult populations from various cultures, the emerging research base involving youth includes few studies exploring the construct in youth from Eastern cultures. This study examined PTG and perceived Growth in the absence of trauma among Japanese youth. A total of 408 youth (215 boys, 193 girls), with a mean age of 13.38 years (SD ϭ .93), from one public junior high school in the suburbs of Tokyo were recruited. They reported whether they had experienced any trauma in the past year and completed measures assessing psychological Growth using the Revised Posttraumatic Growth Inventory for Children, subjective severity, and cognitive processing using the adapted Rumination Scale. Results using one-way ANOVA showed that greater Growth was reported by those who experienced trauma, and the objective severity of the adversity was reliably related to perceived Growth. Chi-square tests revealed that those who did not experience adversity had more difficulty identifying Growth. These results suggest that the youth-reported Growth does not simply reflect normative maturation. Multiple regression analysis, using participants who reported at least one traumatic event, indicated that deliberate cognitive processing appears to play an important role in PTG. Cultural and developmental aspects of these findings, as well as implications for research and applied work are discussed
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the relationship of core belief challenge rumination disclosure and sociocultural elements to Posttraumatic Growth
Psychological Trauma: Theory Research Practice and Policy, 2013Co-Authors: Cassie M Lindstrom, Lawrence G Calhoun, Arnie Cann, Richard G TedeschiAbstract:The relationship of challenge to core beliefs, rumination, disclosure, and some sociocultural elements to Posttraumatic Growth (PTG) were explored. Participants were college students enrolled in psychology classes who reported having experienced a stressful event within the past 2 years and who completed measures in groups. Findings suggested that challenge to core beliefs was the main predictor of PTG, and that a very large proportion of the sample had encountered themes of PTG in their sociocultural contexts.
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Posttraumatic Growth meaning in life and life satisfaction in response to trauma
Psychological Trauma: Theory Research Practice and Policy, 2012Co-Authors: Kelli N Triplett, Lawrence G Calhoun, Richard G Tedeschi, Arnie Cann, Charlie L ReeveAbstract:A model of the processes leading to Posttraumatic Growth and to life satisfaction following exposure to trauma was tested. Two types of repeated thought, deliberate and intrusive, Posttraumatic symptoms, Posttraumatic Growth, and meaning in life, were assessed as predictors of general life satisfaction. Challenges to core beliefs were shown to be related to both intrusive and deliberate rumination. The two forms of rumination were in turn differentially related to Posttraumatic Growth and Posttraumatic distress. Distress and Posttraumatic Growth were independently and oppositely related to meaning in life and to life satisfaction. Overall, the best fitting model was supportive of proposed Posttraumatic Growth models. Additional exploratory analyses examined participant groupings, based of self-reported category of resolution of the traumatic experience, and differences supportive of proposed underlying processes were found.
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Posttraumatic Growth and depreciation as independent experiences and predictors of well being
Journal of Loss & Trauma, 2010Co-Authors: Arnie Cann, Lawrence G Calhoun, Richard G Tedeschi, David T SolomonAbstract:Positive changes (Posttraumatic Growth [PTG]) and negative changes (Posttraumatic depreciation [PTD]) were assessed using the PTGI-42 with persons reporting changes from a stressful event. PTG and PTD were uncorrelated, and PTG was much greater than PTD. PTG was positively related to disruption of core beliefs and recent deliberate rumination and negatively related to recent intrusive rumination. PTD was positively related to intrusive rumination. Quality of life and meaning in one's life were positively related to PTG, negatively related to PTD, and an interaction indicated that PTG moderated the impact of PTD on both, indicating that PTG and PTD may separately contribute to current well-being.
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an examination of Posttraumatic Growth and Posttraumatic depreciation two exploratory studies
Journal of Loss & Trauma, 2008Co-Authors: Jennifer M Baker, Caroline Kelly, Lawrence G Calhoun, Arnie Cann, Richard G TedeschiAbstract:Will people report both Posttraumatic Growth and depreciation following a highly stressful event? Using the Posttraumatic Growth Inventory as the measure of Growth, two studies compared responses to equivalent items designed to assess depreciation. Both types of change were reported, but Growth was reported at much higher levels, and there was no correlation between Growth and depreciation. Small order and gender differences were found when the items were grouped into two separate sets, but not when equivalent items were paired. People experience both Growth and depreciation on the same dimensions following a stressful event. Implications of these studies are discussed.
Lawrence G Calhoun - One of the best experts on this subject based on the ideXlab platform.
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Exploring Posttraumatic Growth in Japanese Youth
2020Co-Authors: Kanako Taku, Arnie Cann, Richard G Tedeschi, Ryan P Kilmer, Lawrence G CalhounAbstract:Despite a growing body of literature examining Posttraumatic Growth (PTG; positive change resulting from the struggle with trauma) in adult populations from various cultures, the emerging research base involving youth includes few studies exploring the construct in youth from Eastern cultures. This study examined PTG and perceived Growth in the absence of trauma among Japanese youth. A total of 408 youth (215 boys, 193 girls), with a mean age of 13.38 years (SD ϭ .93), from one public junior high school in the suburbs of Tokyo were recruited. They reported whether they had experienced any trauma in the past year and completed measures assessing psychological Growth using the Revised Posttraumatic Growth Inventory for Children, subjective severity, and cognitive processing using the adapted Rumination Scale. Results using one-way ANOVA showed that greater Growth was reported by those who experienced trauma, and the objective severity of the adversity was reliably related to perceived Growth. Chi-square tests revealed that those who did not experience adversity had more difficulty identifying Growth. These results suggest that the youth-reported Growth does not simply reflect normative maturation. Multiple regression analysis, using participants who reported at least one traumatic event, indicated that deliberate cognitive processing appears to play an important role in PTG. Cultural and developmental aspects of these findings, as well as implications for research and applied work are discussed
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the relationship of core belief challenge rumination disclosure and sociocultural elements to Posttraumatic Growth
Psychological Trauma: Theory Research Practice and Policy, 2013Co-Authors: Cassie M Lindstrom, Lawrence G Calhoun, Arnie Cann, Richard G TedeschiAbstract:The relationship of challenge to core beliefs, rumination, disclosure, and some sociocultural elements to Posttraumatic Growth (PTG) were explored. Participants were college students enrolled in psychology classes who reported having experienced a stressful event within the past 2 years and who completed measures in groups. Findings suggested that challenge to core beliefs was the main predictor of PTG, and that a very large proportion of the sample had encountered themes of PTG in their sociocultural contexts.
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Posttraumatic Growth meaning in life and life satisfaction in response to trauma
Psychological Trauma: Theory Research Practice and Policy, 2012Co-Authors: Kelli N Triplett, Lawrence G Calhoun, Richard G Tedeschi, Arnie Cann, Charlie L ReeveAbstract:A model of the processes leading to Posttraumatic Growth and to life satisfaction following exposure to trauma was tested. Two types of repeated thought, deliberate and intrusive, Posttraumatic symptoms, Posttraumatic Growth, and meaning in life, were assessed as predictors of general life satisfaction. Challenges to core beliefs were shown to be related to both intrusive and deliberate rumination. The two forms of rumination were in turn differentially related to Posttraumatic Growth and Posttraumatic distress. Distress and Posttraumatic Growth were independently and oppositely related to meaning in life and to life satisfaction. Overall, the best fitting model was supportive of proposed Posttraumatic Growth models. Additional exploratory analyses examined participant groupings, based of self-reported category of resolution of the traumatic experience, and differences supportive of proposed underlying processes were found.
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Posttraumatic Growth and depreciation as independent experiences and predictors of well being
Journal of Loss & Trauma, 2010Co-Authors: Arnie Cann, Lawrence G Calhoun, Richard G Tedeschi, David T SolomonAbstract:Positive changes (Posttraumatic Growth [PTG]) and negative changes (Posttraumatic depreciation [PTD]) were assessed using the PTGI-42 with persons reporting changes from a stressful event. PTG and PTD were uncorrelated, and PTG was much greater than PTD. PTG was positively related to disruption of core beliefs and recent deliberate rumination and negatively related to recent intrusive rumination. PTD was positively related to intrusive rumination. Quality of life and meaning in one's life were positively related to PTG, negatively related to PTD, and an interaction indicated that PTG moderated the impact of PTD on both, indicating that PTG and PTD may separately contribute to current well-being.
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an examination of Posttraumatic Growth and Posttraumatic depreciation two exploratory studies
Journal of Loss & Trauma, 2008Co-Authors: Jennifer M Baker, Caroline Kelly, Lawrence G Calhoun, Arnie Cann, Richard G TedeschiAbstract:Will people report both Posttraumatic Growth and depreciation following a highly stressful event? Using the Posttraumatic Growth Inventory as the measure of Growth, two studies compared responses to equivalent items designed to assess depreciation. Both types of change were reported, but Growth was reported at much higher levels, and there was no correlation between Growth and depreciation. Small order and gender differences were found when the items were grouped into two separate sets, but not when equivalent items were paired. People experience both Growth and depreciation on the same dimensions following a stressful event. Implications of these studies are discussed.