title: Predictors of adjustment and growth in women with recurrent ovarian cancer.
abstract: OBJECTIVE
  To analyze predictors of adjustment and growth in women who had experienced recurrent ovarian cancer using components of the Resiliency Model of Family Stress, Adjustment, and Adaptation as a conceptual framework.
  
  
  METHODS
  Cross-sectional.
  
  
  METHODS
  Participants were recruited from national cancer advocacy groups.
  
  
  METHODS
  60 married or partnered women with recurrent ovarian cancer.
  
  
  METHODS
  Participants completed an online or paper survey.
  
  
  METHODS
  Independent variables included demographic and illness variables and meaning of illness. Outcome variables were psychological adjustment and post-traumatic growth.
  
  
  RESULTS
  A model of five predictor variables (younger age, fewer years in the relationship, poorer performance status, greater symptom distress, and more negative meaning) accounted for 64% of the variance in adjustment but did not predict post-traumatic growth.
  
  
  CONCLUSIONS
  This study supports the use of a model of adjustment that includes demographic, illness, and appraisal variables for women with recurrent ovarian cancer. Symptom distress and poorer performance status were the most significant predictors of adjustment. Younger age and fewer years in the relationship also predicted poorer adjustment.
  
  
  CONCLUSIONS
  Nurses have the knowledge and skills to influence the predictors of adjustment to recurrent ovarian cancer, particularly symptom distress and poor performance status. Nurses who recognize the predictors of poorer adjustment can anticipate problems and intervene to improve adjustment for women.
authors.affiliation: College of Nursing, Winona State University, Rochester, MN, USA. jponto@winona.edu
authors.forename: Julie Ann
authors.initials: JA
authors.lastname: Ponto
authors.forename: Lee
authors.initials: L
authors.lastname: Ellington
authors.forename: Suzanne
authors.initials: S
authors.lastname: Mellon
authors.forename: Susan L
authors.initials: SL
authors.lastname: Beck
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D005260:Female; D006803:Human Development; D006801:Humans; D008875:Middle Aged; D008960:Models, Psychological; D009364:Neoplasm Recurrence, Local / Q000150:complications / Q000517:prevention & control / Q000523:psychology*; D015404:Nursing Methodology Research; D009859:Oncology Nursing; D010051:Ovarian Neoplasms / Q000150:complications / Q000517:prevention & control / Q000523:psychology*; D012044:Regression Analysis; D055500:Resilience, Psychological; D012720:Severity of Illness Index; D013315:Stress, Psychological / Q000209:etiology / Q000517:prevention & control; D014589:Utah; D014930:Women / Q000523:psychology*