4.5 Article

Correlates of posttraumatic growth among spouses of newly diagnosed gynecological cancer survivors: A cross-sectional study

Journal

EUROPEAN JOURNAL OF ONCOLOGY NURSING
Volume 54, Issue -, Pages -

Publisher

ELSEVIER SCI LTD
DOI: 10.1016/j.ejon.2021.102039

Keywords

Gynecological cancer; Spouses; Posttraumatic growth; Psycho-oncology; Rumination; Self-disclosure; Locus of control

Funding

  1. Science and Technology Plan Project of Sichuan Province [2020YFS0157]
  2. West China Nursing Discipline Development Special Fund Project, Sichuan University [HXHL19011]

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This study evaluated posttraumatic growth (PTG) among spouses of newly diagnosed gynecological cancer survivors and identified several significant, modifiable factors associated with PTG, such as self-disclosure, deliberate rumination, and internality locus of control, providing an important guide for the development of effective psychosocial interventions for this population.
Purpose: Despite increasing research on posttraumatic growth (PTG) of spouses of cancer patients, and the positive effects of spouses' PTG on both spouses and patients, there is little information on PTG and its correlates among husbands of gynecological cancer survivors, especially those of newly diagnosed survivors. We aimed to assess PTG among spouses of newly diagnosed gynecological cancer survivors and to examine its correlates. Methods: In a cross-sectional study, a total of 400 spouses of newly diagnosed gynecological cancer survivors were recruited and completed questionnaires with information on general characteristics, rumination, selfdisclosure, locus of control, and PTG. Univariate analysis and multiple linear regression analysis were performed. Results: The mean score of PTG among the spouses was 57.77 (SD = 12.03). There were significant differences in PTG among spouses with different education levels, marriage duration, number of children, per capita monthly income, other traumatic events within 6 months, and time since diagnosis groups. Pearson's correlation analysis revealed that deliberate rumination, self-disclosure, and locus of control were significantly associated with PTG. The multiple regression model revealed that 53.6% of the variance in PTG was explained by marriage duration, time since diagnosis, self-disclosure, deliberate rumination, and internality locus of control. Conclusions: This study was one of the early attempts in evaluating PTG among spouses of newly diagnosed gynecological cancer survivors and identified several significant, potentially modifiable factors (self-disclosure, deliberate rumination, and internality locus of control) associated with PTG, providing an important guide for the development of effective psychosocial interventions for this population.

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