title: Predictors of posttraumatic growth in women with breast cancer.
abstract: OBJECTIVE
  Posttraumatic growth (PTG) is defined as 'positive psychological change experienced as a result of a struggle with highly challenging life circumstances'. The current study examined change in PTG over 2 years following breast cancer diagnosis and variables associated with PTG over time.
  
  
  METHODS
  Women recently diagnosed with breast cancer completed surveys within 8 months of diagnosis and 6, 12, and 18 months later. Linear mixed effects models were used to assess the longitudinal effects of demographic, medical, and psychosocial variables on PTG as measured by the Posttraumatic Growth Inventory (PTGI).
  
  
  RESULTS
  A total of 653 women were accrued (mean age = 54.9, SD = 12.6). Total PTGI score increased over time mostly within the first few months following diagnosis. In the longitudinal model, greater PTGI scores were associated with education level, longer time since diagnosis, greater baseline level of illness intrusiveness, and increases in social support, spirituality, use of active-adaptive coping strategies, and mental health. Findings for the PTGI domains were similar to those for the total score except for the Spiritual Change domain.
  
  
  CONCLUSIONS
  PTG develops relatively soon after a breast cancer diagnosis and is associated with baseline illness intrusiveness and increases in social support, spirituality, use of active-adaptive coping strategies, and mental health.
authors.affiliation: Wake Forest School of Medicine, Winston-Salem, NC, USA.
authors.forename: Suzanne C
authors.initials: SC
authors.lastname: Danhauer
authors.forename: L Douglas
authors.initials: LD
authors.lastname: Case
authors.forename: Richard
authors.initials: R
authors.lastname: Tedeschi
authors.forename: Greg
authors.initials: G
authors.lastname: Russell
authors.forename: Tanya
authors.initials: T
authors.lastname: Vishnevsky
authors.forename: Kelli
authors.initials: K
authors.lastname: Triplett
authors.forename: Edward H
authors.initials: EH
authors.lastname: Ip
authors.forename: Nancy E
authors.initials: NE
authors.lastname: Avis
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000523:psychology*; D004522:Educational Status; D005260:Female; D006801:Humans; D008016:Life Change Events; D016014:Linear Models; D008137:Longitudinal Studies; D008875:Middle Aged; D011788:Quality of Life; D012307:Risk Factors; D012944:Social Support; D029181:Spirituality; D013997:Time Factors
keywords: breast cancer; coping; longitudinal; oncology; posttraumatic growth; psychological adaptation