Breast Cancer as Trauma: Posttraumatic Stress and Posttraumatic Growth |
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| Authors: | Matthew J. Cordova Janine Giese-Davis Mitch Golant Carol Kronenwetter Chang Vickie David Spiegel |
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| Affiliation: | (1) Pacific Graduate School of Psychology, Palo Alto, CA, USA;(2) VA Northern California Health Care System, 150 Muir Road, Martinez, CA 94553, USA;(3) Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA;(4) The Wellness Community-National, Santa Monica, CA, USA;(5) Sutter Health California Pacific Medical Center, San Francisco, CA, USA;(6) Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA |
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| Abstract: | Diagnosis and treatment of cancer has been associated with both posttraumatic stress disorder (PTSD) symptoms and posttraumatic growth (PTG). This cross-sectional study sought to assess the frequency, common predictors, and interrelationships of PTSD symptoms and PTG in breast cancer survivors (n = 65). In this sample, symptoms of PTSD and reports of PTG were common and were not significantly related to one another. Greater social constraints on talking about breast cancer and perception of cancer as a traumatic stressor were associated with greater PTSD symptomatology. Younger age and perception of cancer as a traumatic stressor were associated with greater PTG. Findings suggest the central role of subjective appraisal in adjustment to cancer. Psychosocial interventions should be sensitive to the potential for PTG, both in treatment design and in assessment of outcomes. |
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| Keywords: | Posttraumatic stress disorder (PTSD) Posttraumatic growth Breast cancer Appraisal Social constraints |
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