title: Post-traumatic growth: a qualitative analysis of experiences regarding positive psychological changes among Iranian women with breast cancer.
abstract: BACKGROUND
  Cancer diagnosis is an extremely stressful experience that has a profound impact on a patient's life. Cancer related perceived stress and complications may lead to the experience of positive psychological changes and post-traumatic growth (PTG). Since there is lack of qualitative research assessing the experience of PTG in Iranian women with breast cancer, this study aims to investigate experiences relating to PTG of Iranian women.
  
  
  METHODS
  A qualitative phenomenological approach was selected to explore the experiences of Iranian women with PTG. Data were gathered using semi-structured, in-depth interviews with 18 eligible patients, which were then transcribed and analyzed using Van Manen's thematic analysis approach. Data gathering and analyses were conducted simultaneously. In addition, MAXQDA software was used for data management.
  
  
  RESULTS
  In this study, the participants were 18 Iranian women between the ages of 31 and 65 years. Four prominent themes were extracted from the participant's statements that demonstrated the Iranian women's experiences with breast cancer-induced psychological growth and maturity: 1) appreciate of life, 2) stability, 3) spiritual prosperity, and 4) effective interaction.
  
  
  CONCLUSIONS
  Health care professionals are strongly recommended to design robust and timely intervention programs to improving PTG among breast cancer survivors and reduce their perceived distress resulting from cancer diagnosis.
authors.affiliation: Ph.D. Candidate of Reproductive Health, Department of Midwifery & Reproductive Health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Esmat
authors.initials: E
authors.lastname: Mehrabi
authors.affiliation: Ph.D. of Reproductive Health, Assistant Professor, Department of Midwifery & Reproductive Health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Sepideh
authors.initials: S
authors.lastname: Hajian
authors.affiliation: Ph.D. of Reproductive Health, Associate Professor, Department of Midwifery & Reproductive Health, Faculty of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran Iran.
authors.forename: Masoomeh
authors.initials: M
authors.lastname: Simbar
authors.affiliation: Oncologist, Assistant Professor, Shohada-e-Tajrish Hospital, Department of Radiation Oncology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Houshyari
authors.affiliation: Ph.D. of Statistics, Associate Professor, Department of Biostatistics. Shahid Beheshti University of Medical Sciences, Tehran Iran.
authors.forename: Farid
authors.initials: F
authors.lastname: Zayeri
keywords: Breast cancer; Post-traumatic growth; Qualitative research