Abstract
PurposeThis study aims to examine the mediating role recovery plays in the relationship between resilience and posttraumatic growth (PTG) among breast cancer patients.MethodsA cross-sectional study design was implemented between January 02, 2021 and April 29, 2021. A total of 789 breast cancer patients from eight hospitals in Liaoning province were selected for participation in this study. These participants completed questionnaires, which included the Post-Traumatic Growth Inventory, EGO Resilience Scale and the Questionnaire about the Process of Recovery. The associated factors of PTG were analyzed using hierarchical multiple regression (HMR). The proposed relationships among resilience, recovery, and PTG were checked by structural equation modeling (SEM) analyses.ResultsThe average PTG score of breast cancer patients was 53.00 ± 28.30. PTG was positively correlated with both recovery and PTG (a*b = 0.1, BCa95% CI: 0.154 ∼ 0.054).ConclusionBreast cancer patients were found to exhibit a moderate degree of PTG. Resilience was positively associated with PTG and recovery mediated the positive effect of resilience on PTG. Resilience might serve as a crucial protective factor that could explain positive growth in life-threatening illnesses through the mediating path of recovery.
Highlights
Among women, breast cancer is one of the top five prevalent cancers worldwide and the mortality rate rises every year
There has been a dearth of research on the association between resilience, recovery and post-traumatic growth (PTG), this study aims to estimate the levels of PTG in breast cancer patients and examine the mediating role of recovery on the positive effect of resilience on PTG
More than half the participants reported that the Correlations Among Posttraumatic Growth, Resilience and Recovery
Summary
Breast cancer is one of the top five prevalent cancers worldwide and the mortality rate rises every year. PTG is a positive psychological struggle with trauma and adaption that an individual develops after experiencing a traumatic life event (Scrignaro et al, 2016). It is a subjective perception of positive change, which is reflected in several aspects such as mental state, life satisfaction, and interpersonal relationships (Cormio et al, 2015) and is conducive to the individual’s health. Most studies focus on the negative experiences of cancer survivors; PTG, is critically important to understand the adaption process whereby individuals exhibit positive self-growth related to trauma, as noted in positive psychology theory (Stockton et al, 2011). The prior literature demonstrates that women with breast cancer may combine cognitive strategies to adjust their actions and accept the cancer diagnosis in a positive way (Carver, 1998; Molina et al, 2014; Romeo et al, 2019)
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