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Posttraumatic Stress Symptoms in Breast Cancer Patients: Temporal Evolution, Predictors, and Mediation

Perez, Sandra; Jose Galdon, Maria; Andreu, Yolanda; Ibanez, Elena; Dura, Estrella; Conchado, Andrea and Cardeña, Etzel LU (2014) In Journal of Traumatic Stress 27(2). p.224-231
Abstract
This study (N = 102 women) evaluated the time course of posttraumatic stress symptomatology (PTSS) at different stages of nonmetastastic cancer diagnosis and treatment: during treatment, at the end of treatment, and at a 6-12 months follow-up. We also assessed the contribution of demographic, trait, and state predictors to PTSS, and coping processes as proximal mediators of the relation between Type C personality and PTSS. Results indicated that PTSS remained constant across all phases. There were significant correlations (range = .28 to .81) between PTSS and psychosocial variables and age, but not with other sociodemographic or medical factors. A linear growth curve model showed that hopelessness/helplessness (B = 1.45) and Type C... (More)
This study (N = 102 women) evaluated the time course of posttraumatic stress symptomatology (PTSS) at different stages of nonmetastastic cancer diagnosis and treatment: during treatment, at the end of treatment, and at a 6-12 months follow-up. We also assessed the contribution of demographic, trait, and state predictors to PTSS, and coping processes as proximal mediators of the relation between Type C personality and PTSS. Results indicated that PTSS remained constant across all phases. There were significant correlations (range = .28 to .81) between PTSS and psychosocial variables and age, but not with other sociodemographic or medical factors. A linear growth curve model showed that hopelessness/helplessness (B = 1.45) and Type C personality (B = 1.40) were the best predictors of PTSD symptomatology, followed by trait dissociation (B = 0.55), and the coping strategies of anxious preoccupation (B = 1.20), cognitive avoidance (B = 0.91), and symptoms of acute stress disorder (B = 0.19). A mediation model showed that the coping strategies of anxious preoccupation, cognitive avoidance, and helplessness/hopelessness mediated the relationship between Type C personality and PTSS during treatment, posttreatment, and follow-up. These results clarify the contribution of different predictors of PTSS and can help develop prevention programs. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
PTSD, dissociation, Cancer
in
Journal of Traumatic Stress
volume
27
issue
2
pages
224 - 231
publisher
John Wiley and Sons Inc.
external identifiers
  • wos:000334535400014
  • scopus:84898847510
ISSN
0894-9867
DOI
10.1002/jts.21901
language
English
LU publication?
yes
id
303c5e26-5e20-4ec8-8e1f-4eff620effd3 (old id 4439344)
date added to LUP
2014-05-21 13:28:50
date last changed
2017-07-30 03:07:14
@article{303c5e26-5e20-4ec8-8e1f-4eff620effd3,
  abstract     = {This study (N = 102 women) evaluated the time course of posttraumatic stress symptomatology (PTSS) at different stages of nonmetastastic cancer diagnosis and treatment: during treatment, at the end of treatment, and at a 6-12 months follow-up. We also assessed the contribution of demographic, trait, and state predictors to PTSS, and coping processes as proximal mediators of the relation between Type C personality and PTSS. Results indicated that PTSS remained constant across all phases. There were significant correlations (range = .28 to .81) between PTSS and psychosocial variables and age, but not with other sociodemographic or medical factors. A linear growth curve model showed that hopelessness/helplessness (B = 1.45) and Type C personality (B = 1.40) were the best predictors of PTSD symptomatology, followed by trait dissociation (B = 0.55), and the coping strategies of anxious preoccupation (B = 1.20), cognitive avoidance (B = 0.91), and symptoms of acute stress disorder (B = 0.19). A mediation model showed that the coping strategies of anxious preoccupation, cognitive avoidance, and helplessness/hopelessness mediated the relationship between Type C personality and PTSS during treatment, posttreatment, and follow-up. These results clarify the contribution of different predictors of PTSS and can help develop prevention programs.},
  author       = {Perez, Sandra and Jose Galdon, Maria and Andreu, Yolanda and Ibanez, Elena and Dura, Estrella and Conchado, Andrea and Cardeña, Etzel},
  issn         = {0894-9867},
  keyword      = {PTSD,dissociation,Cancer},
  language     = {eng},
  number       = {2},
  pages        = {224--231},
  publisher    = {John Wiley and Sons Inc.},
  series       = {Journal of Traumatic Stress},
  title        = {Posttraumatic Stress Symptoms in Breast Cancer Patients: Temporal Evolution, Predictors, and Mediation},
  url          = {http://dx.doi.org/10.1002/jts.21901},
  volume       = {27},
  year         = {2014},
}