Predicting post-traumatic growth based on rumination-reflection in patients with cancer
Post-traumatic growth
Keywords:
Post-Traumatic, Growth, Rumination-Reflection, NeoplasmsAbstract
BACKGROUND: Following life-threatening experiences such as cancer, people show positive psychological changes, known as post-traumatic growth. Post-traumatic growth is associated with greater physical and mental health experience and lower distress and post-traumatic stress. Thus, the present study aimed to investigate the model of predicting post-traumatic growth based on rumination/reflection with the mediating role of the meaning of life.
METHODS: The research was conducted by correlation method and structural equation modeling (SEM). The sample consisted of 300 patients with cancer referred to hospitals in Tehran Province, Iran, who were selected by purposive sampling. Participants completed the Rumination-Reflection Questionnaire (RRQ), Posttraumatic Growth Inventory (PTGI), and Meaning in Life Questionnaire (MLQ).
RESULTS: Rumination/reflection had a direct and indirect effect (mediated by the meaning of life) on the post-traumatic growth of people with cancer. Meaning of life also had a significant direct effect on post-traumatic growth.
CONCLUSION: The meaning of life both directly and through rumination-reflection has a significant effect on post-traumatic growth in patients with cancer. Therefore, to improve the mental health of these patients, it is recommended that more attention be paid to the meaning of life in these patients during treatment.
References
Chen WC, Boreta L, Braunstein SE, Rabow MW, Kaplan LE, Tenenbaum JD, et al. Association of mental health diagnosis with race and all-cause mortality after a cancer diagnosis: Large-scale analysis of electronic health record data. Cancer. 2022; 128(2): 344-52.
Tedeschi RG, Moore BA. Posttraumatic growth as an integrative therapeutic philosophy. J Psychother Integr. 2021; 31(2): 180-94.
Silva TLGd, Ramos VG, Donat JC, Oliveira FRd, Gauer G, Kristensen CH. Psychometric properties of the posttraumatic growth inventory in a sample of brazilian university students. Trends Psychiatry Psychother. 2018; 40(4): 292-9.
King LA, Hicks JA. The science of meaning in life. Annu Rev Psychol. 2021; 72(1): 561-84.
Popa-Velea O, Mihăilescu AI, Diaconescu LV, Gheorghe IR, Ciobanu AM. Meaning in life, subjective well-being, happiness and coping at physicians attending balint groups: A cross-sectional study. Int J Environ Res Public Health 2021; 18(7): 3455.
Guan YY, Phillips L, Murphy B, Crebbin S, Le Grande M, Worcester MU, et al. Impact of rumination on severity and persistence of anxiety and depression in cardiac patients. Heart Mind. 2021; 5(1): 9-16.
Newman DB, Nezlek JB. Private self-consciousness in daily life: Relationships between rumination and reflection and well-being, and meaning in daily life. Pers Individ Differ. 2019; 136: 184-9.
O'Connor VL, Langhinrichsen-Rohling J, Peterman AH. When core beliefs get stuck: Distinct routes to posttraumatic growth and depreciation. Pers Individ Differ. 2022; 197: 111787.
Irie W, Shiwaku H, Taku K, Suzuki Y, Inoue Y. Roles of reexamination of core beliefs and rumination in posttraumatic growth among parents of children with cancer: Comparisons with parents of children with chronic disease. Cancer Nurs. 2021; 44(1): 20-8.
Holtmaat K, van der Spek N, Lissenberg-Witte BI, Cuijpers P, Verdonck-de Leeuw IM. Positive mental health among cancer survivors: overlap in psychological well-being, personal meaning, and posttraumatic growth. Support Care Cancer. 2019; 27(2): 443-50.
Kamijo N, Yukawa S. The role of rumination and negative affect in meaning making following stressful experiences in a japanese sample. Front Psychol. 2018; 9: 2404.
Fazel M, Bagestani H, Farahbakhsh K, Esmaeili M. Post traumatic growth Model in cancer patients: A grounded theory study. Couns Cult Psychother. 2017; 8(29): 79-105. [In Persian].
Salehi R, Dehshiri G. Post-traumatic growth in cancer patients: the role of psychological well-being, spiritual well-being, subjective well-being, and hope. J Res Psychol Health 2018; 12(2): 1-13. [In Persian].
Manavipour D, Shahhosieni A. Investigation of psychometric properties of rumination-reflection scale. Neurosci J Shefaye Khatam. 2016; 4(1): 7-16. [In Persian].
Heidarzadeh M, Shamshiri M, Rassouli M, Dadkhah B, Gardashkhani S, Kazemi Eskandani F. Developing and evaluating the psychometric properties of the persian version of post-traumatic growth inventory in patients with cancer. J Client-Centered Nurs Care. 2021; 7(3): 175-84.
Mesrabadi J, Jafariyan S, Ostovar N. Discriminative and construct validity of meaning in life questionnaire for iranian students. Int J Behav Sci. 2013; 7(1): 83-90.
Ogińska-Bulik N. The role of ruminations in the relation between personality and positive posttraumatic changes resulting from struggling with cancer. Health Psychol Rep. 2018; 6(4): 296-306.
Borawski D. Authenticity and rumination mediate the relationship between loneliness and well-being. Curr Psychol. 2021; 40(9): 4663-72.
Wozniak JD, Caudle HE, Harding K, Vieselmeyer J, Mezulis AH. The effect of trauma proximity and ruminative response styles on posttraumatic stress and posttraumatic growth following a university shooting. Psychol Trauma. 2020; 12(3): 227-34.
Romeo A, Di Tella M, Ghiggia A, Tesio V, Torta R, Castelli L. Posttraumatic growth in breast cancer survivors: Are depressive symptoms really negative predictors? Psychol Trauma. 2020; 12(3): 244-50.
Zhai J, Newton J, Copnell B. Posttraumatic growth experiences and its contextual factors in women with breast cancer: An integrative review. Health Care Women Int. 2019; 40(5): 554-80.
Mohammadi M, Nikbakht R, Khosravi Bonjar A. Relationship between optimism and the meaning of life among the diabetic patients referring to the internal department of amiralmomenin ali hospital, zabol, iran in 2018. J Diabetes Nurs. 2019; 7(1): 728-36.
Yilmaz G. Spiritual Orientation, Meaning in Life, Life Satisfaction, and Well-Being in Mothers with Disabled Children. J Relig Health. 2019; 58(6): 2251-62.
Henson C, Truchot D, Canevello A. What promotes post traumatic growth? A systematic review. Eur J Trauma Dissociation. 2021; 5(4): 100195.
Akbari M, Gholamirad Z, Bakhshinezhad Talesh Bejari K, Rezaeian M. The role of death anxiety in suicide attempt during the Covid-19 pandemic: A case report. J Suicide Prev. 2021; 3(1): 51-6.
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