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Stress Reactions in the Face of the "Good Cancer" : = Correlates of Posttraumatic Growth in Thyroid Cancer.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Stress Reactions in the Face of the "Good Cancer" :/
Reminder of title:	Correlates of Posttraumatic Growth in Thyroid Cancer.
Author:	Lyons, Sarah Jane.
Description:	1 online resource (154 pages)
Notes:	Source: Dissertation Abstracts International, Volume: 79-01(E), Section: B.
Subject:	Psychology. -
Online resource:	click for full text (PQDT)
ISBN:	9780355140873

Stress Reactions in the Face of the "Good Cancer" : = Correlates of Posttraumatic Growth in Thyroid Cancer.
Lyons, Sarah Jane.

Stress Reactions in the Face of the "Good Cancer" :Correlates of Posttraumatic Growth in Thyroid Cancer. - 1 online resource (154 pages)

Source: Dissertation Abstracts International, Volume: 79-01(E), Section: B.

Thesis (Ph.D.)--University of Toronto (Canada), 2017.

Includes bibliographical references

Thyroid cancer has been rapidly increasing in incidence. Little is known about the psychological impact of thyroid cancer beyond the impact on quality of life. Moreover, there is scant research on the potential positive outcomes following a diagnosis of thyroid cancer. This study investigated the experience of distress and posttraumatic growth (PTG) in thyroid cancer survivors. This study used a cross sectional design to survey 259 women with thyroid cancer across Canada and the United States. Age, time since diagnosis, recurrence, coping, social support, rumination, anxiety, depression, physical health-related quality of life, health locus of control, and health behaviour change were examined in relation to five dimensions of PTG. Hierarchical regression analysis was used to examine predictors of PTG. Moderation analysis was used to explore the impact of social support on coping and PTG. Findings from the regression analyses revealed that Positive Reappraisal style of coping was a significant predictor of factors relating to PTG including Relating to Others ( R2 change=.18), New Possibilities (R 2 change=.38), Personal Strength (R2 change=.07), Spiritual Change (R2 change=.28), Appreciation of Life (R2 change=.15), and total PTG (R2 change=.36). Social Support emerged as a moderator between Distancing as a style of coping and Relating to Others (R2 change=.16). Participants reported significantly higher levels of distress and moderate degrees of PTG. Being younger in age was predictive of Appreciation of Life, but did not account for a meaningful percentage of the variance in the regression model. Time since diagnosis and recurrence were not predictive of PTG for this sample. This is the first quantitative investigation of PTG in a thyroid cancer population, and highlights the fact that this sample of participants experienced significant levels of distress. This study confirms that Positive Reappraisal plays an important role in the experience of growth across all domains of PTG. Inconsistent results between each of these PTG domains with other psychosocial variables suggest evidence for further exploration of an alternate factor structure and caution when using a global score. Future research can focus on developing interventions aimed at reducing distress, reinforcing adaptive coping strategies, and promotion of the mechanisms of growth.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2018

Mode of access: World Wide Web

ISBN: 9780355140873Subjects--Topical Terms:

555998
Psychology.
Index Terms--Genre/Form:

554714
Electronic books.

Stress Reactions in the Face of the "Good Cancer" : = Correlates of Posttraumatic Growth in Thyroid Cancer.
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504 $a Includes bibliographical references
520 $a Thyroid cancer has been rapidly increasing in incidence. Little is known about the psychological impact of thyroid cancer beyond the impact on quality of life. Moreover, there is scant research on the potential positive outcomes following a diagnosis of thyroid cancer. This study investigated the experience of distress and posttraumatic growth (PTG) in thyroid cancer survivors. This study used a cross sectional design to survey 259 women with thyroid cancer across Canada and the United States. Age, time since diagnosis, recurrence, coping, social support, rumination, anxiety, depression, physical health-related quality of life, health locus of control, and health behaviour change were examined in relation to five dimensions of PTG. Hierarchical regression analysis was used to examine predictors of PTG. Moderation analysis was used to explore the impact of social support on coping and PTG. Findings from the regression analyses revealed that Positive Reappraisal style of coping was a significant predictor of factors relating to PTG including Relating to Others ( R2 change=.18), New Possibilities (R 2 change=.38), Personal Strength (R2 change=.07), Spiritual Change (R2 change=.28), Appreciation of Life (R2 change=.15), and total PTG (R2 change=.36). Social Support emerged as a moderator between Distancing as a style of coping and Relating to Others (R2 change=.16). Participants reported significantly higher levels of distress and moderate degrees of PTG. Being younger in age was predictive of Appreciation of Life, but did not account for a meaningful percentage of the variance in the regression model. Time since diagnosis and recurrence were not predictive of PTG for this sample. This is the first quantitative investigation of PTG in a thyroid cancer population, and highlights the fact that this sample of participants experienced significant levels of distress. This study confirms that Positive Reappraisal plays an important role in the experience of growth across all domains of PTG. Inconsistent results between each of these PTG domains with other psychosocial variables suggest evidence for further exploration of an alternate factor structure and caution when using a global score. Future research can focus on developing interventions aimed at reducing distress, reinforcing adaptive coping strategies, and promotion of the mechanisms of growth.
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