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Rumination, post-traumatic growth, and distress: structural equation modelling with cancer survivors


Morris, BA and Shakespeare-Finch, J, Rumination, post-traumatic growth, and distress: structural equation modelling with cancer survivors, Psycho-Oncology, 20, (11) pp. 1176-1183. ISSN 1057-9249 (2011) [Refereed Article]

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Copyright Statement

Copyright 2010 John Wiley & Sons

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DOI: doi:10.1002/pon.1827


Objective: Theoretical models of post-traumatic growth (PTG) have been derived in the general trauma literature to describe the post-trauma experience that facilitates the perception of positive life changes. To develop a statistical model identifying factors that are associated with PTG, structural equation modelling (SEM) was used in the current study to assess the relationships between perception of diagnosis severity, rumination, social support, distress, and PTG. Method: A statistical model of PTG was tested in a sample of participants diagnosed with a variety of cancers (N5313). Results: An initial principal components analysis of the measure used to assess rumination revealed three components: intrusive rumination, deliberate rumination of benefits, and life purpose rumination. SEM results indicated that the model fit the data well and that 30% of the variance in PTG was explained by the variables. Trauma severity was directly related to distress, but not to PTG. Deliberately ruminating on benefits and social support were directly related to PTG. Life purpose rumination and intrusive rumination were associated with distress. Conclusions: The model showed that in addition to having unique correlating factors, distress was not related to PTG, thereby providing support for the notion that these are discrete constructs in the post-diagnosis experience. The statistical model provides support that postdiagnosis experience is simultaneously shaped by positive and negative life changes and that one or the other outcome may be prevalent or may occur concurrently. As such, an implication for practice is the need for supportive care that is holistic in nature.

Item Details

Item Type:Refereed Article
Keywords:oncology; cancer; rumination; post-traumatic growth; distress
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Mental health
UTAS Author:Morris, BA (Ms Bronwyn Morris)
ID Code:78055
Year Published:2011
Web of Science® Times Cited:91
Deposited By:Psychology
Deposited On:2012-06-13
Last Modified:2012-08-30

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