DOI QR코드

DOI QR Code

Posttraumatic Growth of Patients with Breast Cancer

기혼 유방암 환자의 외상 후 성장

  • Lee, Sook (Division of Nursing, Dankook University) ;
  • Kim, Yeon Jung (Counseling and Mediation Center, Dankook University)
  • 이숙 (단국대학교 의과대학 간호학과) ;
  • 김연정 (단국대학교 대학생활상담센터)
  • Received : 2012.04.20
  • Accepted : 2012.11.25
  • Published : 2012.12.31

Abstract

Purpose: A diagnosis of breast cancer is one of the most traumatic events that threatens a woman's life, but while women adapt to and overcome these threats, they not only experience negative aspects, but also growth. The purpose of this study was to identify the many factors that affect growth, and to provide fundamental information for nursing interventions, which can help the women in their growth. Methods: The participants in this study were 131 married women patients with breast cancer, who were on medical treatment in one of two university hospitals, in Seoul and Chungnam. Data were collected for posttraumatic growth, self-esteem, cancer coping questionnaire, marital intimacy, and body image. The data were analyzed using the SPSS 19.0 program (IBM). Results: Interpersonal cancer coping, intrapersonal cancer coping (planning) and self-esteem accounted for 29.0% of posttraumatic growth. Conclusion: These findings indicate that in order to help the women's growth after the trauma of breast cancer, it is necessary to enhance their self-esteem, and to develop psycho-social nursing supportive programs.

Keywords

References

  1. Baxter, N. N., Goodwin, P. J., McLeod, R. S., Dion, R., Devins, G., & Bombardier, C. (2006). Reliability and validity of the body image after breast cancer questionnaire. The Breast Journal, 12(3), 221-232. http://dx.doi.org/10.1111/j.1075-122X.2006.00246.x
  2. Cho, O. H., & Yoo, Y. S. (2009). Psychosocial adjustment, marital intimacy and family support of post-mastectomy patients. Journal of Korean Oncology Nursing, 9(2), 129-135.
  3. Choi, J. H. (2011). Posttraumatic growth in cancer patients. Unpublished master's thesis, Catholic University of Pusan, Busan.
  4. Chung, S. W., Hwang, E. K., & Hwang, S. W. (2009). Marital intimacy and quality of life in women with breast cancer. Journal of Korean Oncology Nursing, 9(2), 122-128.
  5. Falk Dahl, C. A., Reinertsen, K. V., Nesvold, I. L., Fossa, S. D., & Dahl, A. A. (2010). A study of body image in long-term breast cancer survivors. Cancer, 116(15), 3549-3557. http://dx.doi.org/10.1002/cncr.25251
  6. Han, I. Y., & Lee, I. J. (2011). Posttraumatic growth in patients with cancer. Korean Journal of Social Welfare Studies, 42(2), 419-441. https://doi.org/10.16999/kasws.2011.42.2.419
  7. Heijer, M., Seynaeve, C., Vanheusden, K., Duivenvoorden, H. J., Vos, J. V., & Bartels, C. C. M., et al. (2011). The contribution of self-esteem and self-concept in psychological distress in women at risk of hereditary breast cancer. Psycho-Oncology, 20(11), 1170-1175. http://dx.doi.org/10.1002/pon.1824
  8. Jon, B. J. (1974). Self-esteem: A test of its measurability. The Journal of Yon-Sei, 11(1), 107 -130.
  9. Kim, H. J., Kwon, J. H., Kim, J. N., Lee, R., & Lee, K. S. (2008). Posttraumatic growth and related factors in breast cancer survivors. The Korean Journal of Health Psychology, 13(3), 781-799. https://doi.org/10.17315/kjhp.2008.13.3.013
  10. Kim, J. N., Kwon, J. H., Kim, S. Y., Yoo, B. H., Hur, J. W., & Sung, H. J., et al. (2004). Validation of Korean-cancer coping questionnaire (K-CCQ). The Korean Journal of Health Psychology, 9(2), 395-414.
  11. Kim, S. H., & Lee, E. S. (2006). The stress and adaptation of the spouses of patients with gynecological cancer. Journal of Korean Oncology Nursing, 6(2), 162-171.
  12. Koo, B. J. (2008). The influence of resilience, hope, marital intimacy, and family support on quality of life for middle-aged women. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 17(4), 421-430.
  13. Lee, K. H. (1998). Marriage types classified by wives' perception of marital conflict and intimacy. Unpublished doctoral dissertation, Seoul University, Seoul.
  14. Lee, Y. S. (2007). Psychosocial experience in post-mastectomy women. Korean Journal of Social Welfare, 59(3), 99-124. https://doi.org/10.20970/kasw.2007.59.3.005
  15. Lepore, S. J., Glaser, D. B., & Roberts, K. J. (2008). On the positive relation between received social support and negative affect: A test of the triage and self-esteem threat models in women with breast cancer. Psycho-Oncology, 17(12), 1210-1215. http://dx.doi.org/10.1002/pon.1347
  16. Linley, P. A., & Joseph, S. (2004). Positive change following trauma and adversity: A review. Journal of Trauma Stress, 17(1), 11-21. http://dx.doi.org/10.1023/B:JOTS.0000014671.27856.7e
  17. Moorey, S., Frampton, M., & Greer, S. (2003). The cancer coping questionnaire: A self-rating scale for measuring the impact of adjuvant psychological therapy on coping behaviour. Psycho-Oncology, 12(4), 331-344. http://dx.doi.org/10.1002/pon.646
  18. National Comprehensive Cancer Network. (2007). NCCN practice guidelines in oncology. Retrieved 2007, from http://www.nccn.org/index.asp
  19. National Cancer Information Center. (2012). Cancer statistics. Retrieved January 2, 2012, from http://www.cancer.go.kr/ncic/cics_f/01/012/index.html
  20. Posluszny, D. M., Baum, A., Edwards, R. P., & Dew, M. A. (2011). Posttraumatic growth in women one year after diagnosis for gynecologic cancer or benign conditions. Journal Psychosocial Oncology, 29(5), 561-572. http://dx.doi.org/10.1080/07347332.2011.599360
  21. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University press.
  22. Smith, B. W., Dalen, J., Bernard, J. F., & Baumgartner, K. B. (2008). Posttraumatic growth in non-Hispanic White and Hispanic women with cervical cancer. Journal Psychosocial Oncology, 26(4), 91-109. http://dx.doi.org/10.1080/07347330802359768
  23. Song, S. H., Lee, H. S., Park, J. H., & Kim, K. H. (2009). Reliability and validity of the Korean version of the posttraumatic growth inventory. The Korean Journal of Health Psychology, 14(1), 193-214. https://doi.org/10.17315/kjhp.2009.14.1.012
  24. Statistical Korea. (2004). I wish I could have more respect for myself. Retrieved 2004, from http://kosis.kr/gen_etl/start.jsp?orgId=110&tblId=TX_12019_A332&conn_path=I2&path =NSI
  25. Tedeshi, R. G., & Calhoun, L. G. (1996). The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(3), 455-471. http://dx.doi.org/10.1002/jts.2490090305
  26. Tedeshi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15(1), 1-18. http://dx.doi.org/10.1207/s15327965pli1501_01
  27. Yang, A. J. (2009). Mindfulness, positive cancer coping styles and posttraumatic growth in breast cancer survivors-the mediating effect of positive coping style. Unpublished master's thesis, Ewha Womans University, Seoul.
  28. Yoon, M. O., & Park, J. S. (2003). Live spiritual experiences of patients with terminal cancer. Journal of Korean Academy of Community Health Nursing, 14(3), 445-456.
  29. Yu, M. S., & Lee, S. Y. (2010). The validation of the Korean version of body image after breast cancer questionnaire. Korean Journal of Play Therapy, 13(1), 65-81.
  30. Zwahlen, D., Hagenbuch, N., Carley, M. I., Jenewein, J., & Buchi, S. (2010). Posttraumatic growth in cancer patients and partners-effects of role, gender and the dyad on couples' posttraumatic growth experience. Psycho-Oncology, 19, 12-20. http://dx.doi.org/10.1002/pon.1486

Cited by

  1. 유방암예방 자원봉사활동에 참여한 유방암 생존자들의 자기효능감, 우울 및 외상 후 성장의 변화 vol.14, pp.4, 2012, https://doi.org/10.5392/jkca.2014.14.04.256
  2. 암 극복 베하스운동 프로그램이 유방암 환자의 위기와 불안에 미치는 효과 vol.21, pp.1, 2014, https://doi.org/10.5953/jmjh.2014.21.1.27
  3. 암 환자의 외상 후 성장과 생의 의미가 건강증진행위에 미치는 영향 vol.14, pp.2, 2014, https://doi.org/10.5388/aon.2014.14.2.100
  4. 유방암 생존자 부부의 외상 후 성장과 부부적응, 삶의 질 vol.44, pp.5, 2012, https://doi.org/10.4040/jkan.2014.44.5.515
  5. 질병관련 특성에 따른 암환자의 자기효능감, 자가간호행위, 외상 후 성장, 삶의 질 vol.19, pp.2, 2012, https://doi.org/10.14475/kjhpc.2016.19.2.170
  6. 유방암생존자의 외상 후 성장에 영향을 미치는 요인 vol.46, pp.3, 2012, https://doi.org/10.4040/jkan.2016.46.3.454
  7. 대장암 환자의 외상 후 성장 관련 요인 vol.28, pp.3, 2012, https://doi.org/10.7475/kjan.2016.28.3.247
  8. 자존감과 문제중심대처가 경찰공무원의 외상후 성장에 미치는 영향 vol.25, pp.3, 2016, https://doi.org/10.5807/kjohn.2016.25.3.141
  9. 유방암 환자의 외상 후 성장 영향 요인 vol.16, pp.11, 2012, https://doi.org/10.5392/jkca.2016.16.11.499
  10. Comparison of Perception of Successful Aging between Late Middle-aged Breast Cancer Survivors and Healthy Women vol.19, pp.1, 2012, https://doi.org/10.17079/jkgn.2017.19.1.48
  11. 유방암 경험자의 외상 후 성장 측정도구에 관한 체계적 문헌고찰 vol.29, pp.4, 2017, https://doi.org/10.7475/kjan.2017.29.4.343
  12. Posttraumatic growth in breast cancer survivors and their husbands based on the actor‐partner interdependence model vol.26, pp.10, 2017, https://doi.org/10.1002/pon.4343
  13. 여성생식기 암 대상자의 외상 후 성장을 위한 융합적 관련 요인 vol.8, pp.10, 2017, https://doi.org/10.15207/jkcs.2017.8.10.115
  14. The Relationship between Post-Traumatic Growth, Trauma Experience and Cognitive Emotion Regulation in Nurses vol.26, pp.1, 2012, https://doi.org/10.17547/kjsr.2018.26.1.31
  15. Post-traumatic Growth among Stroke Patients: Impact of Hope, Meaning in Life, and Social Support vol.31, pp.6, 2012, https://doi.org/10.7475/kjan.2019.31.6.605
  16. 지진 피해자의 외상 후 성장에 영향을 미치는 요인들 간의 구조모형 vol.30, pp.3, 2012, https://doi.org/10.12799/jkachn.2019.30.3.345
  17. 항암화학요법을 받는 부인암 환자의 외상 후 성장 영향 요인 vol.25, pp.4, 2012, https://doi.org/10.4069/kjwhn.2019.25.4.409