Cited by 64Cancer survivorship and careHead and Neck Cancer StudiesChildhood Cancer Survivors' Quality of Life

Posttraumatic growth among head and neck cancer survivors with psychological distress: Posttraumatic growth among distressed HNC survivors

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Holtmaat, K., van der Spek, N., Cuijpers, P., Leemans, C. R., Verdonck-de Leeuw, I. M.·2017·Psycho-Oncology

Abstract

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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References 37 · Cited by 64

Research works printed but not linked: 1

  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
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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