scholarly journals Posttraumatic growth and predictor variables in Brazilian women with breast cancer

2020 ◽  
Vol 17 (1) ◽  
pp. 91-103
Author(s):  
Carolina Villanova Quiroga ◽  
Luísa Raquel Bridi Dacroce ◽  
Tânia Rudnicki ◽  
Irani Iracema De Lima Argimon

Objective: Breast cancer is the most prevalent oncologic diagnosis given to women all around the world, and can cause diverse psychiatric symptomatologies and damage to the life of its carrier. The concept of posttraumatic growth (PTG) focuses on the perception of a positive change from the experience of a stressing situation. This study’s objective was to evaluate PTG and different predictor variables for women (n=84) with breast cancer in Brazil. Method: On this exploratory study, self-report scales referring to the diagnosis period and oncologic treatment were applied individually. Results: Having a husband/partner, adaptive coping strategies and a religion of identification were found to be predictor variables in different established regressive models. Rumination did not show any correlation to PTG scores, refuting the results of previous studies. The results found in this study confirm previous research as for PTG predictors, except for rumination. Conclusions: Positive changes resulting from experiencing breast cancer are present in Brazilian women and different interventions can be thought of based on the study of predictors.

The psychological state of a person will be affected when they are diagnosed with cancer and this condition will actually worsen the physical condition of the patient. However, many breast cancer sufferers are able to face this stressful situation positively, and they experience post-traumatic growth. They did a series of coping strategy when they had cancer and some of these strategies were able to influence their post-traumatic growth. The current study aims to investigate and to understand how different coping strategy can affect the level of post-traumatic growth of housewives with cancer. This study used a descriptive-explorative qualitative approach with eight women with breast cancer completed surveys using the Posttraumatic Growth Inventory (Tedeschi& Calhoun). The coping strategy was obtained using an interview. The results of the present study indicate that sufferers performed different coping strategies and this affects their level of post-traumatic growth. Respondents with high post-traumatic growth exercise a problem-focused coping i.e. positive reappraisal and emotion-focused coping strategy, i.e. seeking social support when they first learned about the condition of their disease. Respondents who had low post-traumatic growth, on the other hand, did emotional-focused coping strategies, which isavoidance and distancing when they first learned about the condition of their illness. This study also found several factors that influence patients’ strategy. There are differences in the Coping pattern Strategy used by housewives with breast cancer in terms of differences in levels of post-traumatic growth it has. The pattern of coping strategy that is carried out for the first time by housewives with breast cancer could lead themto be in a variety of post-traumatic growth conditions.


2018 ◽  
Vol 17 (3) ◽  
pp. 874-884 ◽  
Author(s):  
Leanna J. Standish ◽  
Fred Dowd ◽  
Erin Sweet ◽  
Linda Dale ◽  
M. Robyn Andersen

Purpose: To determine if women with breast cancer who choose adjunctive naturopathic oncology (NO) specialty care receive different standard oncologic treatment when compared with breast cancer patients who receive only standard care. Participants: Women with breast cancer stages 0 to 4, aged 18+ who spoke English and sought care from outpatient naturopathic doctor clinics were enrolled in an observational study of clinical and quality of life outcomes. Women who sought NO care 2 or more times within the first 2 years postdiagnosis were identified as NO cases. A matched comparison group of breast cancer patients were identified using the Western Washington Cancer Surveillance System(CSS). Methods: A longitudinal cohort design. In addition to self-report data, the CSS provided data on demographics, stage at the time of diagnosis, and initial treatment. Oncology medical records were abstracted in order to provide additional information on standard oncologic treatment for all participants. Results: Cohorts were well matched with regard to demographic, histologic, and prognostic indicators at the time of diagnosis. Approximately 70% of women in both cohorts received standard oncologic care that met the National Comprehensive Cancer Network guidelines. There were no statistically significant differences between the cohorts in treatment received. Fewer women in the NO cohort with estrogen receptor–positive breast cancer appear to have received antiestrogen therapy. Conclusions: Women in both cohorts appear to receive guideline-concordant care. However, women who receive adjunctive NO care may be less likely to receive antiestrogen therapy.


Author(s):  
Georgia Libera Finstad ◽  
Gabriele Giorgi ◽  
Lucrezia Ginevra Lulli ◽  
Caterina Pandolfi ◽  
Giulia Foti ◽  
...  

The COVID-19 pandemic represents a traumatic event that has profoundly changed working conditions with detrimental consequences for workers’ health, in particular for the healthcare population directly involved in addressing the emergency. Nevertheless, previous research has demonstrated that traumatic experiences can also lead to positive reactions, stimulating resilience and feelings of growth. The aim of this narrative review is to investigate the positive aspects associated with the COVID-19 pandemic and the possible health prevention and promotion strategies by analyzing the available scientific evidence. In particular, we focus on the constructs of resilience, coping strategies and posttraumatic growth (PTG). A literature search was performed on the PubMed, EMBASE, Scopus, Web of Science, Google Scholar and Psycinfo databases. Forty-six articles were included in the literature synthesis. Psychological resilience is a fundamental variable for reducing and preventing the negative psychological effects of the pandemic and is associated with lower levels of depression, anxiety and burnout. At the individual and organizational level, resilience plays a crucial role in enhancing wellbeing in healthcare and non-healthcare workers. Connected to resilience, adaptive coping strategies are essential for managing the emergency and work-related stress. Several positive factors influencing resilience have been highlighted in the development of PTG. At the same time, high levels of resilience and positive coping strategies can enhance personal growth. Considering the possible long-term coexistence and consequences of COVID-19, organizational interventions should aim to improve workers’ adaptive coping skills, resilience and PTG in order to promote wellbeing.


Psichologija ◽  
2007 ◽  
Vol 35 ◽  
pp. 42-54 ◽  
Author(s):  
Vaida Kalpokienė ◽  
Gražina Gudaitė

Straipsnyje nagrinėjamos elgesio sutrikimų turinčių paauglių Ego funkcijos (ryšiai su objektais, impulsų ir afektų kontrolė, gynybinis bei sintetinis integracinis funkcionavimas) ir jų ryšys su įveikos strategijomis. Tyrime dalyvavo 38 turintys elgesio sutrikimų ir 35 sveiki paaugliai. Elgesio sutrikimų turinčių tiriamųjų Ego funkcijos tarpusavyje yra mažai susijusios (gauta koreliacija tarp ryšių su objektais ir sintetinio integracinio funkcionavimo, r = 0,39), sveikų tiriamųjų visos Ego funkcijos yra susijusios. Elgesio sutrikimų turintys paaugliai dažniau naudoja mažiau adaptyvią įveiką. Tiek turinčių elgesio sutrikimų, tiek sveikų paauglių gynybinis funkcionavimas yra susijęs su įveikos būdais. Pagrindiniai žodžiai: elgesio sutrikimai, paaugliai, Ego funkcijos, įveikos strategijos.EGO FUNCTIONS AND THEIR CONNECTIONS WITH COPING STRATEGIES IN ADOLESCENTS WITH CONDUCT DISORDERSVaida Kalpokienë, Graþina Gudaitë Summary Ego is one of fundamental formation of personality, which secures inner and outer adaptation. Its role must be very strong in adolescence when person must adjust with various inner and outer demands. Adaptation of adolescents with conduct disorders is largely dysfunctional, that’s why we raise question about suchlike teenager’s Ego functions and their interconnection with coping strategies (which determines adaptation to external requirements).38 adolescents with conduct disorders and 35 healthy adolescents participated in this research. Age of participants was from 14 to 16 years. Teenagers for the research were screened by using Youth Self Report Questionnaire (YSR11/18) (Achenbach and Rescorla, 2001). Ego functions (relations with objects, control of affects and impulses, defensive functioning, synthetic – integrative functioning) were evaluated using clinical interview for the assessment of Ego functions (Bellak et al., 1973). Coping strategies were evaluated with COPE questionnaire (Carver et al., 1989).The research data showed that Ego functions of teenagers with conduct disorders are more disturbed than Ego functions of healthy ones (p < 0.01), especially this is noticeable on the control of affects and impulses. Only two Ego functions of adolescents with conduct disorder are statistically correlated: object relations and synthetic-integrative functioning; while all Ego functions of healthy adolescents have statistically significant correlations. However after the comparison of correlative matrixes we found no statistically significant differences between those matrixes (χ2 = 10.1794, df = 6, p = 0.1173).Adolescents with conduct disorders are applying two less adaptive coping strategies regularly: behavioral disengagement (p = 0.001) and alcohol – drug disengagement (p < 0.001). Also they are using one emotion-focused coping strategy denial (p < 0.05). Healthy adolescents are applying two problem-focused coping strategies regularly: active coping (p < 0.05) and restraint coping (p < 0.05). They also are using emotion-focused coping strategy positive reinterpretation and growth (p < 0.05). Ailing teenagers are using less adaptive coping strategies more often (p < 0.05).The research showed, that coping strategies (problem-focused coping, emotion-focused coping and less adaptive coping) are related with one of Ego functions-defensive functioning (teenagers with conduct disorders R = 0.619, R² = 0.383, p = 0.001; healthy adolescents R = 0.605, R² = 0.366, p = 0.002). This once more shows us that these psychological processes are closely related to each other and that adaptation needs interaction between conscious and unconscious processes. Key words: conduct disorders, adolescents, Ego functions, coping strategies.


2021 ◽  
Vol 11 (1) ◽  
pp. 46-60
Author(s):  
Priscilla Rose Prasath ◽  
Peter C. Mather ◽  
Christine Suniti Bhat ◽  
Justine K. James

This study examined the relationships between psychological capital (PsyCap), coping strategies, and well-being among 609 university students using self-report measures. Results revealed that well-being was significantly lower during COVID-19 compared to before the onset of the pandemic. Multiple linear regression analyses indicated that PsyCap predicted well-being, and structural equation modeling demonstrated the mediating role of coping strategies between PsyCap and well-being. Prior to COVID-19, the PsyCap dimensions of optimism and self-efficacy were significant predictors of well-being. During the pandemic, optimism, hope, and resiliency have been significant predictors of well-being. Adaptive coping strategies were also conducive to well-being. Implications and recommendations for psychoeducation and counseling interventions to promote PsyCap and adaptive coping strategies in university students are presented.


2019 ◽  
Vol 28 (3) ◽  
pp. 660-672
Author(s):  
Suzanne H. Kimball ◽  
Toby Hamilton ◽  
Erin Benear ◽  
Jonathan Baldwin

Purpose The purpose of this study was to evaluate the emotional tone and verbal behavior of social media users who self-identified as having tinnitus and/or hyperacusis that caused self-described negative consequences on daily life or health. Research Design and Method An explanatory mixed-methods design was utilized. Two hundred “initial” and 200 “reply” Facebook posts were collected from members of a tinnitus group and a hyperacusis group. Data were analyzed via the LIWC 2015 software program and compared to typical bloggers. As this was an explanatory mixed-methods study, we used qualitative thematic analyses to explain, interpret, and illustrate the quantitative results. Results Overall, quantitative results indicated lower overall emotional tone for all categories (tinnitus and hyperacusis, initial and reply), which was mostly influenced by higher negative emotion. Higher levels of authenticity or truth were found in the hyperacusis sample but not in the tinnitus sample. Lower levels of clout (social standing) were indicated in all groups, and a lower level of analytical thinking style (concepts and complex categories rather than narratives) was found in the hyperacusis sample. Additional analysis of the language indicated higher levels of sadness and anxiety in all groups and lower levels of anger, particularly for initial replies. These data support prior findings indicating higher levels of anxiety and depression in this patient population based on the actual words in blog posts and not from self-report questionnaires. Qualitative results identified 3 major themes from both the tinnitus and hyperacusis texts: suffering, negative emotional tone, and coping strategies. Conclusions Results from this study suggest support for the predominant clinical view that patients with tinnitus and hyperacusis have higher levels of anxiety and depression than the general population. The extent of the suffering described and patterns of coping strategies suggest clinical practice patterns and the need for research in implementing improved practice plans.


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