title: Benefit finding predicts depressive and anxious symptoms in women with breast cancer.
abstract: OBJECTIVE
  The aims of this study were to examine the psychometric properties of Chinese version of the Benefit Finding Scale (BFS-C) and to evaluate the effect of benefit finding on depressive and anxious symptoms in Chinese women with breast cancer.
  
  
  METHODS
  The English version of the Benefit Finding Scale was translated and back-translated prior to its administration. At the baseline assessment (T1), 658 women with breast cancer completed a demographic form, BFS-C, and Hospital Anxiety and Depression Scale (HAD). Then, 4 weeks later (T2), all the participants finished HAD again, and the BFS-C was re-administered to 100 patients who were randomly selected from the total sample.
  
  
  RESULTS
  The BFS-C exhibited moderate internal consistency and test-retest reliability. Five factors were extracted by principal component analysis: personal growth, worldview, family relationship, social relationship, and acceptance, and confirmatory factor analyses supported this five-factor model. Regression analyses showed that more benefit finding at T1 could predict less depressive and anxious symptoms at T2, accounting for 21.1 % and 15.3 % of variance, respectively. More worldview, family relationship, social relationship, and acceptance at T1 were associated with less depressive symptoms at T2, and more personal growth, worldview, family relationship, and acceptance at T1 were associated with less anxious symptoms at T2.
  
  
  CONCLUSIONS
  BFS-C is of good reliability and validity, and appropriate for assessing benefit finding in women with breast cancer. Worldview, family relationship, and acceptance are important contributing factors to depressive and anxious symptoms, which may be beneficial for women with breast cancer.
authors.affiliation: School of Humanities and Social Sciences, Xi'an Jiaotong University, Xi'an, 710049, People's Republic of China.|Medical Psychological Institute, Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China.
authors.forename: Yuping
authors.initials: Y
authors.lastname: Wang
authors.affiliation: Medical Psychological Institute, Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China. xiongzhaozhu@163.com.
authors.forename: Xiongzhao
authors.initials: X
authors.lastname: Zhu
authors.affiliation: Medical Psychological Institute, Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China.|National Technology Institute of Psychiatry, Central South University, Changsha, 410011, People's Republic of China.
authors.forename: Jinyao
authors.initials: J
authors.lastname: Yi
authors.affiliation: Department of Breast Surgery, Xiangya Hospital, Central South University, Changsha, 410008, People's Republic of China.|Hunan Clinic Medical Technology Research Center for Breast Cancer, Changsha, 410008, People's Republic of China.
authors.forename: Lili
authors.initials: L
authors.lastname: Tang
authors.affiliation: The First Affiliated Hospital, Wenzhou Medical College, Wenzhou, 325000, People's Republic of China.
authors.forename: Jincai
authors.initials: J
authors.lastname: He
authors.affiliation: Department of Thyroid and Breast Surgery, Second Xiangya Hospital, Central South University, Changsha, 410011, People's Republic of China.
authors.forename: Gannong
authors.initials: G
authors.lastname: Chen
authors.affiliation: Medical Psychological Institute, Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China.
authors.forename: Lingyan
authors.initials: L
authors.lastname: Li
authors.affiliation: Medical Psychological Institute, Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, People's Republic of China.
authors.forename: Yuling
authors.initials: Y
authors.lastname: Yang
mesh_terms: D000328:Adult; D000368:Aged; D001007:Anxiety / Q000209:etiology*; D001943:Breast Neoplasms / Q000150:complications / Q000523:psychology*; D003863:Depression / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011594:Psychometrics; D011788:Quality of Life; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Anxious symptom; Benefit finding; Breast cancer; Chinese women; Depressive symptom