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From the Fox Chase Cancer Center, Philadelphia, PA (S.M., L.G.); the Memorial Sloan-Kettering Cancer Center, New York, NY (J.O.); the Graduate Center, City University of New York, New York, NY (G.W.); the Hospital of the University of Pennsylvania, Philadelphia, PA (K.F.); and Cooper Hospital-Camden, Camden, NJ (G.G.).
Address correspondence and reprint requests to Sharon Manne, PhD, Fox Chase Cancer Center, 333 Cottman Avenue, P1100, Philadelphia, PA 19111. E-mail: SL-Manne{at}fccc.edu
OBJECTIVE: The purpose of this study was to evaluate posttraumatic growth among breast cancer patients and their significant others over a 1
-year time span after diagnosis and to examine cognitive and emotional processes in posttraumatic growth.
METHODS: One hundred sixty-two women with breast cancer and their partners completed surveys assessing posttraumatic growth, cognitive and emotional processing, and marital satisfaction at 3 time points spaced 9 months apart.
RESULTS: Posttraumatic growth increased for both partners during this period. Patient posttraumatic growth was predicted by younger age, contemplating reasons for cancer, and more emotional expression at time 1. Partner posttraumatic growth was predicted by younger age, more intrusive thoughts, and greater use of positive reappraisal and emotional processing at time 1.
CONCLUSION: Posttraumatic growth is reported by patients and by significant others. Cognitive and emotional processes predict growth. Patient growth is associated with the significant other’s cognitive and emotional processing of breast cancer.
Key Words: posttraumatic growth, • breast cancer, • couples, • cognitive processing, • affective processing.
Abbreviations: PTGI = Posttraumatic Growth Inventory;; ECOG = Eastern Cooperative Oncology Group;; DAS = Dyadic Adjustment Scale;; CARES = Cancer Assessment Rehabilitation Evaluation Survey.
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