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題名 Identification of Posttraumatic Growth Trajectories in the First Year after Breast Cancer Surgery 作者 許文耀
Hsu, Wen-Yau
Wang, Ashley Wei-Ting
Chang, Cheng-Shyong
Chen, Shou-Tung
Chen, Dar-Ren貢獻者 心理系 關鍵詞 posttraumatic growth;trajectory;psychological adjustment;breast cancer;group-based trajectory modeling;oncology 日期 2014.05 上傳時間 12-六月-2014 10:00:15 (UTC+8) 摘要 Background Empirical studies of the relationship between posttraumatic growth (PTG) and adjustment outcomes reveal a fairly inconclusive picture. We argue that the inconsistent findings are likely due to the heterogeneity of the PTG experience over time. In this regard, we predicted that individuals with different PTG trajectories vary in the level of adjustment and the correlational patterns between PTG and adjustment. Methods Participants were 124 Taiwanese women who underwent surgery for breast cancer. Measures of PTG and adjustment variables, including positive affect, negative affect, mental and physical quality of life, anxiety, and depression, were assessed at 1 day and 3, 6, and 12 months after surgery. A group-based trajectory model was used to identify subpopulations of individuals who shared homogenous growth patterns. Then, we determined whether the trajectory predicted adjustment at 12 months after surgery. The correlations between PTG and adjustment outcomes were computed in each subpopulation across every time point. Results The patients were categorized into the following four groups, which showed very different patterns of PTG change over the first year after breast cancer surgery: stable high (27.4%), high decreasing (39.4%), low increasing (16.9%), and low decreasing (16.9%). Differences in the level of adjustment at 12 months and the patterns of the correlations across time were found among these latent subgroups Conclusions This study was the first longitudinal examination of PTG trajectories and their different levels of adjustment. The findings support our argument that identifying distinct PTG trajectories can better determine the nature of the relationship between PTG and adjustment. Copyright © 2014 John Wiley & Sons, Ltd. 關聯 Psycho-Oncology,Article first published online: 16 MAY 2014 資料類型 article DOI http://dx.doi.org/10.1002/pon.3577 dc.contributor 心理系 en_US dc.creator (作者) 許文耀 zh_TW dc.creator (作者) Hsu, Wen-Yau en_US dc.creator (作者) Wang, Ashley Wei-Ting en_US dc.creator (作者) Chang, Cheng-Shyong en_US dc.creator (作者) Chen, Shou-Tung en_US dc.creator (作者) Chen, Dar-Ren en_US dc.date (日期) 2014.05 en_US dc.date.accessioned 12-六月-2014 10:00:15 (UTC+8) - dc.date.available 12-六月-2014 10:00:15 (UTC+8) - dc.date.issued (上傳時間) 12-六月-2014 10:00:15 (UTC+8) - dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/66656 - dc.description.abstract (摘要) Background Empirical studies of the relationship between posttraumatic growth (PTG) and adjustment outcomes reveal a fairly inconclusive picture. We argue that the inconsistent findings are likely due to the heterogeneity of the PTG experience over time. In this regard, we predicted that individuals with different PTG trajectories vary in the level of adjustment and the correlational patterns between PTG and adjustment. Methods Participants were 124 Taiwanese women who underwent surgery for breast cancer. Measures of PTG and adjustment variables, including positive affect, negative affect, mental and physical quality of life, anxiety, and depression, were assessed at 1 day and 3, 6, and 12 months after surgery. A group-based trajectory model was used to identify subpopulations of individuals who shared homogenous growth patterns. Then, we determined whether the trajectory predicted adjustment at 12 months after surgery. The correlations between PTG and adjustment outcomes were computed in each subpopulation across every time point. Results The patients were categorized into the following four groups, which showed very different patterns of PTG change over the first year after breast cancer surgery: stable high (27.4%), high decreasing (39.4%), low increasing (16.9%), and low decreasing (16.9%). Differences in the level of adjustment at 12 months and the patterns of the correlations across time were found among these latent subgroups Conclusions This study was the first longitudinal examination of PTG trajectories and their different levels of adjustment. The findings support our argument that identifying distinct PTG trajectories can better determine the nature of the relationship between PTG and adjustment. Copyright © 2014 John Wiley & Sons, Ltd. en_US dc.format.extent 408231 bytes - dc.format.mimetype application/pdf - dc.language.iso en_US - dc.relation (關聯) Psycho-Oncology,Article first published online: 16 MAY 2014 en_US dc.subject (關鍵詞) posttraumatic growth;trajectory;psychological adjustment;breast cancer;group-based trajectory modeling;oncology en_US dc.title (題名) Identification of Posttraumatic Growth Trajectories in the First Year after Breast Cancer Surgery en_US dc.type (資料類型) article en dc.identifier.doi (DOI) 10.1002/pon.3577 en_US dc.doi.uri (DOI) http://dx.doi.org/10.1002/pon.3577 en_US
