Posttraumatic growth among head and neck cancer survivors with psychological distress: Posttraumatic growth among distressed HNC survivors
Open accessAbstract
Background Information on posttraumatic growth (PTG) among head and neck cancer (HNC) survivors with a high level of distress is limited. The aim of this cross-sectional study was to investigate the occurrence of PTG among distressed HNC survivors and its association with anxiety, depressive, nicotine, and alcohol use disorders and health-related quality of life. Methods Seventy-four HNC survivors with psychological distress (Hospital Anxiety and Depression Scale (HADS) anxiety > 7 and/or HADS depression > 7) completed the Posttraumatic Growth Inventory, which comprises five subscales: relating to others, new possibilities, personal strength, spiritual change, and appreciation of life, and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire. Anxiety, depressive, nicotine, and alcohol use disorders were measured using the Composite International Diagnostic Interview. Results Moderate to high Posttraumatic Growth Inventory (PTGI) scores occurred in 10% of the HNC survivors with distress. The mean total PTGI score was 30.8 (SD = 19.7), with the highest mean score on the subscale relating to others. A multivariate regression model consisting of tumor stage, anxiety disorder, alcohol use disorder, and social functioning predicted total PTGI score best (F(4, 64) = 7.565, p < .000, R2 = .321). Conclusions The presence of PTG in this population of distressed HNC survivors was low. PTG occurred most in the domain of relating to others. Among distressed HNC survivors, higher PTG was associated with lower tumor stage, absence of an anxiety disorder, absence of an alcohol use disorder, and better social functioning. Copyright © 2016 John Wiley & Sons, Ltd.
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The devastating complications of both cancer itself and cancer treatments' side effects-such as fatigue, pain, speech and swallowing problems, breathing problems, mucositis, xerostomia, and trismus-further disrupt many functions and daily living activities, increasing psychological distress and decreasing quality of life.
“Moreover, the devastating complications of both cancer itself and cancer treatments’ side effects—such as fatigue, pain, speech and swallowing problems, breathing problems, mucositis, xerostomia, and trismus—further disrupt many functions and daily living activities, increasing psychological distress and decreasing QoL [32, 33].”
From Acceptance and commitment therapy versus mindfulness-based stress reduction for newly diagnosed head and neck cancer patients: A randomized controlled trial assessing efficacy for positive psychology, depression, anxiety, and quality of life (2022) · cites this paper as [32]
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Experimental — accuracy not yet measuredHead and neck cancer is associated with a wide range of illness complications and adverse treatment effects that can reduce quality of life.
“Since head and neck cancer is associated with a wide range of illness complications and adverse treatment effects that can reduce QoL [32–34], psychosocial interventions that could enhance head and neck cancer patients’ QoL must be investigated.”
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References 37 · Cited by 64
Research works printed but not linked: 1
- Tedeschi RG, Calhoun LG. Posttraumatic growth: conceptual foundations and empirical evidence. Psychol Inq 2004;15(1):1-18.
- Authors
- Holtmaat, K., van der Spek, N., Cuijpers, P., Leemans, C. R., & Verdonck-de Leeuw, I. M.
- Affiliations
- Vrije Universiteit Amsterdam (NL)
- Department of Clinical Psychology; Vrije Universiteit Amsterdam; Amsterdam The Netherlands
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Venue
- Psycho-Oncology
- Publisher
- Wiley
- Published
- 2016-02-25
- Volume
- 26
- Issue
- 1
- Pages
- 96-101
- ISSN
- 1057-9249 (ISSN-L)
- OpenAlex
- W2280970835
- Cited by
- 64
- References
- 37
- Citations by year
- 2026: 7 · 2025: 5 · 2024: 3 · 2023: 7 · 2022: 13 · 2021: 8 · 2020: 3 · 2019: 5 · 2018: 8 · 2017: 5
- FWCI
- 3.23
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Psycho-Oncology (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- VU Research Portal (publishedVersion, other-oa)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- ZonMw (300020012)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Otorhinolaryngology › Head and Neck Cancer Studies
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- posttraumatic growth, head and neck cancer survivors, psychological distress, anxiety disorders, depression, nicotine use disorder, alcoholism, health-related quality of life, social functioning, tumor stage, spiritual transformation, appreciation of life
- MeSH terms
- Cancer Survivors, Adaptation, Psychological, Adult, Aged, Anxiety, Cross-Sectional Studies, Female, Head and Neck Neoplasms, Humans, Male, Quality of Life, Social Support, Stress, Psychological, Young Adult
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