The valence of attentional bias and cancer-related rumination in posttraumatic stress and posttraumatic growth among women with breast cancer
Abstract
OBJECTIVE: To examine the effects of self-reported attentional bias on posttraumatic stress disorder (PTSD) symptoms and posttraumatic growth (PTG) through the potential mediator of cancer-related rumination. DESIGN: A cross-sectional survey design was used and women with breast cancer (N=170) were recruited. MEASURES: Attentional biases, cancer-related ruminations, PTSD symptoms, and PTG were assessed. RESULTS: Negative attentional bias and negative cancer-related rumination were positively related to PTSD symptoms following cancer diagnosis and treatments, but they were not related to PTG. Positive attentional bias and positive cancer-related rumination were positively related to PTG, but positive attentional bias was not related to PTSD symptoms. Findings showed that negative cancer-related rumination partially mediated the relationship between negative attentional bias and PTSD symptoms, while positive cancer-related rumination partially mediated the relationship between positive attentional bias and PTG. CONCLUSION: Findings support that there are differential trajectories to PTSD symptoms and PTG with respect to different valence of habitual attentional style and cancer-related rumination. They may serve as potential therapeutic leverages in the alleviation of PTSD symptoms and facilitation of PTG following cancer diagnosis and treatments.
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- Authors
- Chan, M. W. C., Ho, S. M. Y., Tedeschi, R. G., & Leung, C. W. L.
- Affiliations
- Queen Elizabeth Hospital (CN)
- University of Hong Kong (HK)
- University of North Carolina at Charlotte (US)
- Corresponding author
- Chan, Michelle W. C.
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2011-04
- Volume
- 20
- Issue
- 5
- Pages
- 544-552
- ISSN
- 1057-9249 (ISSN-L)
- 1099-1611
- OpenAlex
- W2086536991
- Cited by
- 192
- References
- 60
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 6 · 2023: 13 · 2022: 9 · 2021: 16 · 2020: 15 · 2019: 17 · 2018: 20 · 2017: 15 · 2016: 21 · 2015: 18 · 2014: 12 · 2013: 11 · 2012: 4
- FWCI
- 3.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Keywords
- attentional bias, post-traumatic stress disorder, posttraumatic growth, breast cancer, women, mediation, cancer diagnosis and treatment
- MeSH terms
- Adaptation, Psychological, Adult, Analysis of Variance, Attention, Breast Neoplasms, Cognition, Cross-Sectional Studies, Female, Humans, Middle Aged, Psychological Tests, Regression Analysis, Stress Disorders, Post-Traumatic
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