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Studying Predictors of Posttraumatic Growth in Cancer Patients

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The Human Pursuit of Well-Being

Abstract

Coherently, with the Organismic valuing theory of growth, the research firstly intended to verify the effectiveness of the pattern of accommodative versus assimilative strategies in predicting posttraumatic growth and, secondly, to verify the effectiveness of autonomy-supportive posttrauma social environment (i.e., caregiver) in predicting accommodative versus assimilative strategies in a group of mixed cancer patients. A structured questionnaire was offered to 150 cancer patients prevalently diagnosed with Stage 1 or Stage 2 breast cancer or gastro-enteric cancer (M  =  52 years old; SD  =  7.70), an average of 35-month postdiagnosis, using the Posttraumatic Growth Inventory, the Brief Cope, the Impact Scale and the Impact of Event Scale, the Need Satisfaction in Relationship Scale. The accommodative strategy of coping strongly positively correlates with posttraumatic growth (PTG). On the contrary, assimilative strategy weakly correlates with PTG. Furthermore, a model of the pattern of accommodative processes was tested by path analysis. The model was significant and accounted for high amount of variance symptoms of intrusion that started up the process toward growth, predicting the impact of the event on identity of patients that in turn channeled the ruminative process toward an approach strategy of coping. The approach coping strategy was the reliable direct predictor of PTG. No other predictors of growth correlate significantly with autonomy-supportive stile of caring. The quality of personal struggle with the new reality of trauma is the key variable in determining the extent to which posttraumatic growth occurs. On the contrary, the role of the autonomy-supportive social context is unclear.

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References

  • Bellizzi, K. M., & Blank, O. B. (2006). Predicting posttraumatic growth in breast cancer survivors. Health Psychology, 25(1), 47–56.

    Article  PubMed  Google Scholar 

  • Brandtstädter, J., & Renner, G. (1990). Tenacious goal pursuit and flexible goal adjustment: Explication and age-related analysis of assimilative and accommodative strategies of coping. Psychology and Aging, 5, 58–67.

    Article  PubMed  Google Scholar 

  • Brandtstädter, J., & Rothermund, K. (2002). The life-course dynamics of goal pursuit and goal adjustment: A two-process framework. Developmental Review, 22, 117–150.

    Article  Google Scholar 

  • Calhoun, L. G., & Tedeschi, R. G. (2006). Handbook of posttraumatic growth: Research and practice. Mahwah, NJ: Erlbaum.

    Google Scholar 

  • Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the Brief COPE. International Journal of Behavioural Medicine, 4(1), 92–100.

    Article  Google Scholar 

  • Christopher, M. (2004). A broader view of trauma: A biopsychosocial-evolutionary view of the role of the traumatic stress response in the emergence of pathology and/or growth. Clinical Psychology Review, 24, 75–98.

    Article  PubMed  Google Scholar 

  • Deci, E. L., & Ryan, R. M. (2000). The “What” and “Why” of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11(4), 227–268.

    Article  Google Scholar 

  • Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of event scale: A measure of subjective stress. Psychosomatic Medicine, 41(3), 209–218.

    PubMed  Google Scholar 

  • Janoff-Bulman, R. (2006). Schema-change perspective on posttraumatic growth. In L. G. Calhoun & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 81–99). New York: Lawrence Erlbaum Associates.

    Google Scholar 

  • Joseph, S., & Linley, P. A. (2005). Positive adjustment to threatening events: An organismic valuing theory of growth through adversity. Review of General Psychology, 9(3), 262–280.

    Article  Google Scholar 

  • Joseph, S., & Linley, P. A. (2006). Growth following adversity: Theoretical perspectives and implications for clinical practice. Clinical Psychology Review, 26, 1041–1053.

    Article  PubMed  Google Scholar 

  • La Guardia, J. G., Ryan, R. M., Couchman, C. E., & Deci, E. L. (2000). Within-person variation in security of attachment: A Self-determination theory perspective on attachment, need fulfilment, and well-Being. Journal of Personality and Social Psychology, 79, 367–384.

    Article  PubMed  Google Scholar 

  • Linley, P. A., & Joseph, S. (2004). Positive change following trauma and adversity: A review. Journal of Traumatic Stress, 17, 11–21.

    Article  PubMed  Google Scholar 

  • Park, C. L., & Folkman, S. (1997). Meaning in the context of stress and coping. Review of General Psychology, 1(2), 115–144.

    Article  Google Scholar 

  • Ryan, R. M. (1995). Psychological needs and the facilitation of integrative processes. Journal of Personality, 63(3), 398–427.

    Article  Google Scholar 

  • Stanton, A. L., Bower, J. E., & Low, C. A. (2006). Posttraumatic growth after cancer. In L. G. Calhoun & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 138–175). New York: Lawrence Erlbaum Associates.

    Google Scholar 

  • Tedeschi, R. G., & Calhoun, L. G. (1996). The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455–471.

    Article  PubMed  Google Scholar 

  • Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15, 1–18.

    Article  Google Scholar 

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Correspondence to Marta Scrignaro .

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Scrignaro, M., Barni, S., Bonetti, M.L., Magrin, M.E. (2011). Studying Predictors of Posttraumatic Growth in Cancer Patients. In: Brdar, I. (eds) The Human Pursuit of Well-Being. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-1375-8_8

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