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Factors Influencing Posttraumatic Growth in Survivors of Breast Cancer
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Jin-Hee Park, Yong-Sik Jung, Youngmi Jung
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J Korean Acad Nurs 2016;46(3):454-462. Published online June 30, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.3.454
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 Abstract
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Purpose
Posttraumatic growth (PTG) is defined as 'positive psychological change experienced as a result of a struggle with highly challenging life circumstances'. The purpose of this study was to identify the level of PTG and its correlates in Korean patients with breast cancer.
Methods
A sample of 120 participants was recruited from outpatients, who had successfully completed primary treatment of breast cancer at a university hospital., Data were collected from June to December, 2014 using Posttraumatic Growth Inventory, lllness Intrusiveness Rating Scale, Cancer Coping Questionnaire, Revised Life Orientation Test and The Multidimensional Scale of Perceived Social Support.
Results
Total score for the PTG was 79.18±17.54 in patients surviving breast cancer. Bivariate analyses indicated that PTG was positively associated with having a religion, perceived social support, greater optimism, cancer coping, and illness intrusiveness. Results of the regression analysis showed that cancer coping (β=.29, p=.001), optimism (β=0.28, p=.001) and illness intrusiveness (β=0.17, p=.037) were statistically significant in patients' PTG.
Conclusion
The research findings show that the variables of cancer coping, optimism and illness intrusiveness significantly explain PTG and these psychological variables can be used to provide improvement in PTG for patients with breast cancer
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Citations
Citations to this article as recorded by  - The influence of locus of control, coping strategies and time perspective on post-traumatic growth in survivors with primary breast cancer
Alexandra-Cristina Paunescu, Marina Kvaskoff, Cyrille Delpierre, Lidia Delrieu, Guillemette Jacob, Myriam Pannard, Marie Préau
BMC Psychology.2025;[Epub] CrossRef - Do caregivers of traumatic brain injury survivors experience post-traumatic growth? A mixed-methods study exploring the positive experiences of informal caregivers
Molly Hillyard, Ryan Westley, Jade Kettlewell, Melissa Brunner
Brain Impairment.2025;[Epub] CrossRef - Factors Influencing Resilience in Patients with Multiple Myeloma: A Cross-Sectional Study
Hae-Lyeon Jeon, Hye-Ah Yeom
Korean Journal of Adult Nursing.2024; 36(1): 41. CrossRef - Post-traumatic Growth Experiences of Breast Cancer Survivors: A Grounded Theory Approach
Seung-Kyoung Yang, Young-Suk Park, Eun-Joo Lee
Journal of Korean Association for Qualitative Research.2024; 9(2): 79. CrossRef - Social Reintegration Experiences of Young Adult Cancer Survivors
Ji Seong Yi, Song Yi Lee
Behavioral Sciences.2024; 14(11): 1101. CrossRef - A Structural Equation Model for Posttraumatic Growth among Cured Patients with COVID-19
Soo Young An, Heejung Choi
Journal of Korean Academy of Nursing.2023; 53(3): 309. CrossRef - Effects of Post Traumatic Growth on Successful Aging in Breast Cancer Survivors in South Korea: The Mediating Effect of Resilience and Intolerance of Uncertainty
Su Jeong Yi, Ku Sang Kim, Seunghee Lee, Hyunjung Lee
Healthcare.2023; 11(21): 2843. CrossRef - Pathways to post-traumatic growth in Korean female cancer patients: the mediation effects of coping strategies and resilience
Sumi Choi, Dongil Kim, Ahyoung Cho, Sohyun An, Changhyun Kim, Inhwa Yoo
European Journal of Psychotraumatology.2023;[Epub] CrossRef - Structural Equation Model for Psychosocial Adjustment of Breast Cancer Survivors Based on Family Resilience Model
Jiyoung Seo, Myungsun Yi
Korean Journal of Adult Nursing.2022; 34(2): 178. CrossRef - Cancer coping, healthcare professionals’ support and posttraumatic growth in brain-tumor patients
Jiyoung Kim, Nayeon Shin
Psychology, Health & Medicine.2022; 27(4): 780. CrossRef - Factors Associated with Post-Traumatic Growth in Patients with Breast Cancer Based on a Model of Post-Traumatic Growth
Hee Yeon Park, Ja Yun Choi
Asian Oncology Nursing.2022; 22(2): 65. CrossRef - Factors influencing posttraumatic growth in ovarian cancer survivors
Jeong Min Oh, Yoonjung Kim, Yeunhee Kwak
Supportive Care in Cancer.2021; 29(4): 2037. CrossRef - Factors Influencing Supportive Care Needs of Colorectal Cancer Survivors
Hyekyung Kim, Yang-Sook Yoo
Asian Nursing Research.2021; 15(1): 60. CrossRef - Factors associated with post-traumatic growth in male patients with rectal cancer: A cross-sectional study
Yuri Kim, Yoonjung Kim, Yeunhee Kwak
European Journal of Oncology Nursing.2021; 54: 102028. CrossRef - A Structural Model on the Post-Traumatic Growth of Police Officers
Seung Woo Han, Eun Suk Choi
Journal of Korean Academy of Community Health Nursing.2020; 31(3): 348. CrossRef - Stacking Ensemble Technique for Classifying Breast Cancer
Hyunjin Kwon, Jinhyeok Park, Youngho Lee
Healthcare Informatics Research.2019; 25(4): 283. CrossRef - Factors Influencing Posttraumatic Growth in Cancer Survivors
Jeong-Sook Park, You-Jeong Kim, Young-Seun Ryu, Mi-Hyang Park
Asian Oncology Nursing.2018; 18(1): 30. CrossRef - The relationship between cancer‐related worry and posttraumatic growth in adolescent and young adult cancer survivors
Glynnis A. McDonnell, Alice W. Pope, Tammy A. Schuler, Jennifer S. Ford
Psycho-Oncology.2018; 27(9): 2155. CrossRef - The Influence of Spiritual Well-Being, Self-Esteem, and Perceived Social Support on Post-Traumatic Growth among Breast Cancer Survivors
Eun Young Seo, Suhye Kwon
Asian Oncology Nursing.2018; 18(4): 232. CrossRef
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Prevalence and Characteristics of Chemotherapy-related Cognitive Impairment in Patients with Breast Cancer
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Jin-Hee Park, Sun Hyoung Bae, Yong-Sik Jung, Young-Mi Jung
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J Korean Acad Nurs 2015;45(1):118-128. Published online February 27, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.1.118
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Abstract
PDF
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Purpose
Evidence suggests that some patients with breast cancer experience cognitive difficulties following chemotherapy. This longitudinal study was done to examine the prevalence of cognitive impairment and trajectory of cognitive function over time in women with breast cancer, who received adjuvant chemotherapy.
Methods
Participants were 137 patients with breast cancer. They completed neuropsychological tests and the Functional Assessment of Cancer Therapy-Cognitive Function before adjuvant therapy (pretest), toward the end of adjuvant therapy (posttest), and 6 months after the completion of adjuvant therapy (follow-up test). Of the patients, 91 were treated with adjuvant chemotherapy and 46 patients who did not receive chemotherapy made up the comparison group. A reliable-change index and repeated-measure ANOVA were used for statistical analyses.
Results
At the posttest point, over 30% of patients showed complex cognitive impairment and reported greater difficulty in subjective cognitive function. At the follow-up test point, 22.0% of patients exhibited complex cognitive impairment and 30.8% of patients complained of subjective cognitive impairment. Repeated-measure ANOVA showed significant decreases after receiving chemotherapy followed by small improvements 6 months after the completion of chemotherapy in cognitive domains of change for attention and concentration, memory, executive function, and subjective cognitive function.
Conclusion
These results suggest that chemotherapy in patients with breast cancer may be associated with objective and subjective cognitive impairments. Further studies are needed to explore the potential risk factors and predictor of chemotherapy-related cognitive changes. Also nursing interventions for prevention and intervention of cognitive impairments should be developed and tested.
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Citations
Citations to this article as recorded by - Impact of nonpharmacological interventions on cognitive impairment in women with breast cancer: A systematic review and meta-analysis
Jin-Hee Park, Su Jin Jung, Lena J. Lee, Junghyun Rhu, Sun Hyoung Bae
Asia-Pacific Journal of Oncology Nursing.2023; 10(4): 100212. CrossRef - Factors Associated with Self-reported Memory Problems of Adult Cancer Survivors Based on the Korea National Health and Nutrition Examination Survey 2019
Sangjin Ko
Journal of Health Informatics and Statistics.2023; 48(1): 51. CrossRef - Brain network deficits in breast cancer patients after early neoadjuvant chemotherapy: A longitudinal MRI study
Jing Yang, Yongchun Deng, Daihong Liu, Yong Tan, Meng Lin, Xiaoyu Zhou, Jing Zhang, Hong Yu, Yixin Hu, Yu Tang, Shixi Jiang, Jiuquan Zhang
Journal of Neuroscience Research.2023; 101(7): 1138. CrossRef - Frailty and its associated factors among older adults with cancer undergoing chemotherapy as outpatients: A cross-sectional study
Misun Jeon, Hyoeun Jang, Arum Lim, Sanghee Kim
European Journal of Oncology Nursing.2022; 60: 102192. CrossRef - The Experience of Chemotherapy Related Cognitive Impairment in Patients with Cancer
Pok Ja Oh, Ji Hyun Kim
Asian Oncology Nursing.2022; 22(1): 1. CrossRef - Distinct sleep disturbance and cognitive dysfunction profiles in oncology outpatients receiving chemotherapy
Vivian Huang, Lynda Mackin, Kord M. Kober, Steven M. Paul, Bruce A. Cooper, Yvette P. Conley, Marilyn J. Hammer, Jon D. Levine, Christine Miaskowski
Supportive Care in Cancer.2022; 30(11): 9243. CrossRef - Measurement, outcomes and interventions of cognitive function after breast cancer treatment: A narrative review
Miaomiao Jia, Xiaojun Zhang, Liyuan Wei, Jinnan Gao
Asia-Pacific Journal of Clinical Oncology.2021; 17(4): 321. CrossRef - Improving preoperative breast reconstruction consultations: a qualitative study on the impact of personalised audio-recordings
Josipa Petric, Bahara Sadri, Phillipa van Essen, Nicola Ruth Dean
BMC Women's Health.2021;[Epub] CrossRef - Study on Neurologic and Cognitive Dysfunction in Breast Cancer Patients Undergoing Chemotherapy with Resting State fMRI
Fenshan Zheng, Peiying Cao, Jie Zhou, Chunyu Li, John Norris
World Neurosurgery.2021; 149: 388. CrossRef - Changes of Cognitive Function and Fatigue following Chemotherapy in Patients with Gastrointestinal Cancer: A Prospective Controlled Study
Pok-Ja Oh, Sun Mi Moon
Asian Oncology Nursing.2019; 19(3): 126. CrossRef - Computerized programs for cancer survivors with cognitive problems: a systematic review
Yoonjung Kim, Sook Jung Kang
Journal of Cancer Survivorship.2019; 13(6): 911. CrossRef - Cancer treatment effects on cognition and depression: The moderating role of physical activity
Margaret F. Bedillion, Emily B. Ansell, Gwendolyn A. Thomas
The Breast.2019; 44: 73. CrossRef - Changes of Cognitive Function and Depression following Chemotherapy in Women with Breast Cancer: A Prospective Study
Pok Ja Oh, Jung Ran Lee, Hyun Ah Kim
Asian Oncology Nursing.2018; 18(2): 66. CrossRef - Mulheres Submetidas à Quimioterapia e suas Funções Cognitivas
Camila Vasconcelos Carnaúba Lima, Raner Miguel Ferreira Póvoa
Psicologia: Ciência e Profissão.2017; 37(4): 970. CrossRef - Chemotherapy-induced prospective memory impairment in breast cancer patients with different hormone receptor expression
Wen Li, Chen Gan, Yue Lv, Shanghu Wang, Huaidong Cheng
Medicine.2017; 96(13): e6514. CrossRef - Altered network efficiency of functional brain networks in patients with breast cancer after chemotherapy
Han Xuan, Chen Gan, Wen Li, Zhonglian Huang, Longsheng Wang, Qianqian Jia, Zhendong Chen, Huaidong Cheng
Oncotarget.2017; 8(62): 105648. CrossRef - Chemotherapy-related Cognitive Impairment and Quality of Life in People with Colon Cancer: The Mediating Effect of Psychological Distress
Pok Ja Oh, Jeong Hye Kim
Journal of Korean Academy of Nursing.2016; 46(1): 19. CrossRef - Effect of Cancer Symptoms and Fatigue on Chemotherapy-related Cognitive Impairment and Depression in People with Gastrointestinal Cancer
Pok Ja Oh, Jung Ran Lee
Journal of Korean Academy of Nursing.2016; 46(3): 420. CrossRef - A review of traditional Korean medical treatment for cancer-related cognitive impairment
Hye-Yoon Lee, Jung-Eun Kim, Mikyung Kim, Joo-Hee Kim
Journal of Korean Medicine.2016; 37(3): 74. CrossRef - Cognitive outcome after radiotherapy in brain tumor
Thomas Durand, Marie-Odile Bernier, Isabelle Léger, Hervé Taillia, Georges Noël, Dimitri Psimaras, Damien Ricard
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Jin-Hee Park, Sun Hyoung Bae, Young-Mi Jung
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