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      The Relationship between Self-Perceived Burden and Posttraumatic Growth among Colorectal Cancer Patients: The Mediating Effects of Resilience

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          Abstract

          At present, the influence factors of posttraumatic growth (PTG) in colorectal cancer (CRC) patients and the relationship between PTG, self-perceived burden (SPB), and resilience are not completely clear. Thus, the present study examined whether resilience and SPB could predict PTG in CRC patients. The role of resilience as a potential mediator was also assessed. Using a cross-sectional design, a convenience sample of 157 CRC patients was selected as subjects, from July to December 2016 in a third-grade hospital. It was found that the main influencing factors for the total PTG score of CRC patients included work status, affordability for medical expenses, and duration of illness. Resilience was positively correlated with PTG, SPB was negatively correlated with PTG, and resilience played an intermediary role. Our findings remind clinicians to treat the psychosocial response of CRC patients from multiple perspectives, with a focus on their positive aspects. By increasing resilience and reducing the patient's SPB, clinicians might enhance the patient's PTG and quality of life.

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          The science of resilience: implications for the prevention and treatment of depression.

          Steven Southwick, Dennis Charney (2012)
          Human responses to stress and trauma vary widely. Some people develop trauma-related psychological disorders, such as posttraumatic stress disorder (PTSD) and depression; others develop mild to moderate psychological symptoms that resolve rapidly; still others report no new psychological symptoms in response to traumatic stress. Individual variability in how animals and humans respond to stress and trauma depends on numerous genetic, developmental, cognitive, psychological, and neurobiological risk and protective factors.
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            Benefit finding and post-traumatic growth in long-term colorectal cancer survivors: prevalence, determinants, and associations with quality of life

            Nathalie Jansen, M Hoffmeister, J Chang-Claude … (2011)
            Background: As research on quality of life of colorectal cancer (CRC) survivors has mainly focused on downsides of cancer survivorship, the aim of this study is to investigate benefit finding (BF) and post-traumatic growth (PTG) in long-term CRC survivors. Methods: Benefit finding, PTG, and quality of life were assessed 5 years after diagnosis in a population-based cohort of 483 CRC patients using the benefit finding scale, the post-traumatic growth inventory, and the EORTC QLQ-C30. Prevalence of BF and PTG, determinants of moderate-to-high BF and PTG, and the association between BF, PTG, and quality of life were investigated. Results: Moderate to high levels of BF and PTG were experienced by 64% and 46% of the survivors, respectively. Survivors with the highest level of education and with higher depression scores reported less BF and PTG. The PTG increased with increasing stage and self-reported burden of diagnosis. Quality of life only correlated weakly with PTG (Pearson's r=0.1180, P=0.0112) and not with BF (r=0.0537, P=0.2456). Conclusion: Many long-term CRC survivors experience BF and PTG. As these constructs were not strongly correlated with quality of life, focusing solely on quality of life after cancer misses an important aspect of survivorship.
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              Effects of a multiple health behavior change intervention for colorectal cancer survivors on psychosocial outcomes and quality of life: a randomized controlled trial.

              Anna Hawkes, Kenneth I Pakenham, Suzanne K. Chambers … (2014)
              Multiple health behavior change can ameliorate adverse effects of cancer.
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                Author and article information

                Contributors
                Feng Li:
                ORCID: https://orcid.org/0000-0001-7423-8730
                Journal
                Journal ID (nlm-ta): Biomed Res Int
                Journal ID (iso-abbrev): Biomed Res Int
                Journal ID (publisher-id): BMRI
                Title: BioMed Research International
                Publisher: Hindawi
                ISSN (Print): 2314-6133
                ISSN (Electronic): 2314-6141
                Publication date Collection: 2019
                Publication date (Electronic): 12 September 2019
                Volume: 2019
                Electronic Location Identifier: 6840743
                Affiliations
                1School of Nursing, Jilin University, Changchun 130000, China
                2Shengli Oilfield Central Hospital, Dongying, China
                3The First Hospital of Jilin University, Changchun 130000, China
                Author notes

                Academic Editor: Antonella Gigantesco

                Author information
                https://orcid.org/0000-0001-6209-1372
                https://orcid.org/0000-0001-7423-8730
                Article
                DOI: 10.1155/2019/6840743
                PMC ID: 6757246
                SO-VID: 0b3d35c5-be15-4aa7-a741-cec1427b3f68
                Copyright © Copyright © 2019 Chengshuai Zhang et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 27 April 2019
                Date accepted : 24 June 2019
                Funding
                Funded by: National Natural Science Foundation of China
                Award ID: 81570491
                Categories
                Subject: Research Article

                Data availability:

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