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Posttraumatic growth as a buffer and a vulnerability for psychological distress in mothers who are breast cancer survivors.

Abstract：

BACKGROUND:This study investigated the role of posttraumatic growth (PTG) in moderating the associations between parenting efficacy and psychological distress, and between fear of cancer recurrence (FCR) and psychological distress, in mothers who are breast cancer survivors. METHODS:In this cross-sectional study, mothers who were breast cancer survivors (N = 91) completed the Depression, Anxiety and Stress Scale (DASS-21), Cancer-Related Parenting Self-Efficacy (CaPSE), Concerns About Cancer Recurrence (CARS) and Posttraumatic Growth Inventory Short Form (PTGI-SF). Hierarchical multiple linear regressions and simple-slope tests were used to examine the main effects of the predictors (CaPSE and CARS) and moderator (PTGI-SF), and interaction effects of CaPSExPTGI-SF and CARSxPTGI-SF. The analyses were repeated for each outcome variable: Depression, Anxiety and Stress. RESULTS:Higher CARS significantly predicted higher Depression, Anxiety and Stress, and lower CaPSE significantly predicted higher Depression and Stress. Significant CaPSExPTGI-SF and CARSxPTGI-SF interactions predicted Depression. Simple-slopes tests indicated a significant positive association between CARS and Depression for mothers with high levels of PTG, but not with low levels of PTG. A negative association was indicated between CaPSE and Depression for mothers with low levels of PTGI-SF, though neither slope was significant. LIMITATIONS:Our results are only generalisable to mothers with similar socio-demographic backgrounds. CONCLUSIONS:PTG may serve as both a protective and a risk factor for depression in mothers who are breast cancer survivors. Debate remains whether PTG is best conceptualised as a perceived positive outcome or an ongoing coping mechanism in the face of parenting challenges and cancer-related threats such as FCR.

journal_name

J Affect Disord

journal_title

Journal of affective disorders

authors

Kuswanto CN,Sharp J,Stafford L,Schofield P

doi

10.1016/j.jad.2020.06.013

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

31-37

eissn

0165-0327

issn

1573-2517

pii

S0165-0327(20)32371-5

journal_volume

275

pub_type

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Posttraumatic growth as a buffer and a vulnerability for psychological distress in mothers who are breast cancer survivors.