Wilson Bridget, Morris Bronwyn A, Chambers Suzanne
Griffith Health Institute, Griffith University, Brisbane, Australia; Cancer Council Queensland, Brisbane, Australia.
Psychooncology. 2014 Nov;23(11):1212-9. doi: 10.1002/pon.3546. Epub 2014 Apr 15.
Posttraumatic growth (PTG) encompasses an individual's perception of positive personal changes as a consequence of a traumatic incident. The current study tested a theoretical model of PTG with the inclusion of resilience in the context of cancer survivors.
Members of a prostate cancer support network were invited to complete a cross-sectional mail survey (N = 514, 52.8% response; mean age 70.17 years, and time since diagnosis 7.5 years).
Challenge appraisal (β = 0.361), examining core beliefs (β = 0.474), intrusive rumination (β = 0.130), and peer support factors (β = 0.104) had significant direct effects on PTG. Resilience (β = 0.164), challenge appraisal (β = 0.215), distress (β = 0.186), and examining core beliefs (β = 0.105) had significant indirect effects on PTG.
Results support the notion that the appraisal of cancer, disruption of fundamental beliefs, and experience of intrusive cancer-related rumination are associated with PTG. Additionally, a sense of connection with peers and seeking an understanding of the cancer experience through peers is important for the perception of PTG. Possible indirect pathways were also proposed between resilience and PTG.
创伤后成长（PTG）涵盖个体因创伤事件而对自身积极变化的感知。本研究在癌症幸存者背景下，纳入心理韧性，对PTG的理论模型进行了检验。
邀请前列腺癌支持网络的成员完成一项横断面邮件调查（N = 514，回复率52.8%；平均年龄70.17岁，确诊后时间7.5年）。
挑战评估（β = 0.361）、审视核心信念（β = 0.474）、侵入性反刍（β = 0.130）和同伴支持因素（β = 0.104）对PTG有显著直接影响。心理韧性（β = 0.164）、挑战评估（β = 0.215）、痛苦（β = 0.186）和审视核心信念（β = 0.105）对PTG有显著间接影响。
结果支持以下观点，即对癌症的评估、基本信念的扰乱以及与癌症相关的侵入性反刍体验与PTG相关。此外，与同伴的联系感以及通过同伴寻求对癌症经历的理解对于PTG的感知很重要。还提出了心理韧性与PTG之间可能的间接途径。
