A prospective study of posttraumatic growth as assessed by self-report and family caregiver in the context of advanced cancer

Department of Psychology, University of Pittsburgh, Pittsburgh, PA, USA.
Psycho-Oncology (Impact Factor: 2.44). 05/2011; 20(5):479-87. DOI: 10.1002/pon.1746
Source: PubMed


The study of posttraumatic growth (PTG) has burgeoned over the last decade, particularly in the area of oncology. The aims of the study were to: (1) describe PTG in patients with hepatobiliary carcinoma, (2) examine agreement between the patient and caregiver measures of patient PTG, and (3) test the associations between PTG and other psychological factors and clinically relevant outcomes.
Two hundred and two patients with hepatobiliary carcinoma completed a battery of standardized questionnaires that measured PTG, depressive symptoms, optimism, expressed emotion, and quality of life (QOL). A subsample of family caregivers also completed ratings of patient PTG, using the Posttraumatic Growth Inventory (PTGI), as well as their own PTG.
No significant increase in the patients' PTG was observed between diagnosis and 6-month follow-up with the exception of the Relating to Others subscale of the PTGI. PTG was not found to be associated with QOL or depressive symptoms. At diagnosis, the agreement between the patients' PTG and family caregivers' rating of patient PTG was found to be high (ICC=0.34-0.74, p=0.001-0.05). PTG was found to be significantly associated with optimism (r=0.20 p=0.02-0.05) and traumatic life events reported in the past 3 years, including recent losses (F(1, 52)=6.0, p=0.02) and severe physical injury (F(1, 52)=5.5, p=0.02). Caregivers reported PTG as a result of their loved one's diagnosis of cancer.
Preliminary results suggest that PTG is relatively stable over the first 6 months after diagnosis and changes as a result of a diagnosis of cancer were reported, and possibly observed, by others. Family caregivers also experience PTG as a result of their loved one's diagnosis of advanced cancer.

Download full-text


Available from: T. Clark Gamblin, Jul 11, 2014
  • Source
    • "This type of growth pertains to positive changes resulting from indirect exposure to the partner's trauma, and can be coined the term secondary PTG. For example, caregivers of patients with advanced cancer reported PTG at six months following their partner's diagnosis (Moore et al., 2011). Likewise, wives of former prisoners of war reported PTG as far as 30 years after the war (Dekel, 2007). "
    [Show abstract] [Hide abstract]
    ABSTRACT: We examined the relationship between posttraumatic growth (PTG) and distress in spouses of trauma survivors. A sample of spouses of combat veterans of the 1973 Yom Kippur War were assessed using questionnaires pertaining to PTG, depression, anxiety, and posttraumatic stress, in 2004 and 2011. Applying cross-lagged modeling strategy, higher PTG levels predicted higher depression and anxiety levels above and beyond initial distress. Thus, psychological growth in spouses of survivors appears to signify subsequent distress.
    Full-text · Article · Sep 2015 · Psychiatry Research
  • Source
    • ") affect PTG, only a few prospective studies have specifically examined the relations between pretrauma psychological factors (e.g., psychological distress) and PTG (e.g., Frazier et al., 2009; Moore et al., 2011 "
    [Show abstract] [Hide abstract]
    ABSTRACT: Posttraumatic growth (PTG) is viewed as a positive psychological change resulting from a struggle with trauma. A number of trauma-related factors have been proven effective in predicting PTG; however, the effects of pretrauma psychological factors on PTG have not been adequately evaluated (e.g., using a prospective design). This prospective study examined the effects of pretrauma psychological factors (e.g., coping styles, prior trauma) on PTG. In total, 810 Taiwanese undergraduate students were recruited for a baseline survey (Time 1), among whom 592 completed a survey 2 months later (Time 2). Data from 110 participants who had experienced trauma between Time1 and Time 2 were used for analysis. Among the pretrauma factors examined at baseline, only rumination and distractive style were positively correlated with PTG. The posttrauma factors based on Calhoun and Tedeschi's model (i.e., core belief challenge, deliberate rumination, and social support) were also positively correlated with PTG. A hierarchical regression analysis showed that pretrauma coping styles had an incremental effect on PTG beyond posttrauma predictors. Deliberate rumination signifciantly mediated the relationship between pretrauma rumination and PTG. These findings highlight the role of pretrauma psychological factors in PTG and present further support for Calhoun and Tedeschi's model of PTG. (PsycINFO Database Record (c) 2015 APA, all rights reserved).
    Full-text · Article · Aug 2014 · Psychological Trauma Theory Research Practice and Policy
    • "Tras constatar el CPT en los otros signiicativos, la pregunta obligada es conocer si éste está asociado con el CPT de los supervivientes, y si es así, de qué forma se transmite o contagia. Sobre esta cuestión, los estudios muestran que hay una correlación signiicativa entre el CPT de los supervivientes de cáncer y el CPT de sus otros signiicativos (Manne et al., 2004; Moore et al., 2011; Thornton y Pérez, 2006; Zwahlen et al., 2010) pero se desconoce qué mecanismos explican la posible transmisión o contagio del crecimiento. El auge de los estudios sobre los efectos estresantes y traumáticos en los otros signiicativos de los supervivientes se inicia en los 90, donde se deinen diferentes síndromes de estrés relacionados con el cuidar. "

    No preview · Article · Apr 2013
Show more