title: Positive consequences of cancer: exploring relationships among posttraumatic growth, adult attachment, and quality of life.
abstract: OBJECTIVE
  Cancer can be a life-threatening illness; however, it can also be a source of positive life changes, the posttraumatic growth (PTG) that comes from struggling with this serious illness. This cross-sectional study examines the sociodemographic and cancer-related predictors of PTG following a diagnosis of cancer. In addition, the relationships among adult attachment, health-related quality of life, and PTG are investigated. Measuring adult attachment is important because it can greatly influence the response to a highly distressing event, like facing cancer.
  
  
  METHODS
  Immediately before undergoing radiotherapy, 152 patients with breast or prostate cancer (mean = 59.1 years old, SD = 10.7) who had received a positive diagnosis within an average of 3.5 months prior to treatment were tested for measures of PTG, adult attachment, and health-related quality of life. Patients also completed a questionnaire regarding medical and sociodemographic characteristics. Hierarchical multiple regression analyses were conducted to reveal the significant predictors of PTG total score and PTG subscale scores.
  
  
  RESULTS
  Younger age was a significant predictor of the PTG total score and New Possibilities subscale score. Subjective severity of cancer was positively associated with the PTG total score and scores on the Appreciation of Life and New Possibilities subscales. Regarding health-related quality of life, analyses indicated that greater social/family well-being significantly predicted greater PTG total score and higher scores on the New Possibilities, Spiritual Change, Appreciation of Life, and Relating to Others subscales. Finally, dismissive attachment style predicted fewer scores on the Personal Strength and Relating to Others subscales.
  
  
  CONCLUSIONS
  These findings suggest that in addition to quality of life and adult attachment, sociodemographic and cancer-related variables may significantly contribute to positive growth.
authors.affiliation: Department of Behavioural Sciences, University of Debrecen, Debrecen - Hungary.
authors.forename: Zsuzsanna
authors.initials: Z
authors.lastname: Tanyi
authors.forename: Kornélia
authors.initials: K
authors.lastname: Szluha
authors.forename: László
authors.initials: L
authors.lastname: Nemes
authors.forename: Sándor
authors.initials: S
authors.lastname: Kovács
authors.forename: Antal
authors.initials: A
authors.lastname: Bugán
mesh_terms: D000368:Aged; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D006304:Health Status; D006803:Human Development; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D009769:Object Attachment; D011471:Prostatic Neoplasms / Q000175:diagnosis / Q000523:psychology*; D011788:Quality of Life; D012720:Severity of Illness Index; D029181:Spirituality; D013315:Stress, Psychological / Q000209:etiology*; D011795:Surveys and Questionnaires