Post-traumatic growth in stomach cancer survivors: Prevalence, correlates and relationship with health-related quality of life

Eur J Oncol Nurs. 2015 Jun;19(3):230-6. doi: 10.1016/j.ejon.2014.10.017. Epub 2014 Dec 18.

Abstract

Purpose: Post-traumatic growth (PTG) is defined as positive psychological changes experienced as a result of struggle with highly challenging life circumstances. Interest in PTG has increased in cancer survivorship care; however, little is known about PTG among stomach cancer survivors. This study aimed to examine the prevalence and correlates of PTG, and to identify relationships between PTG and health-related quality of life (HRQOL).

Methods: Cross-sectional descriptive design. In total, 122 stomach cancer survivors were recruited from one university hospital in South Korea. Measurements included the Korean version of the Post-traumatic Growth Inventory and the Functional Assessment of Cancer Therapy--General Population.

Results: Over half (53.3%) of the participants experienced moderate to high levels of PTG. 'Change of self-perception' was the most common growth domain, followed by 'relating to others', 'new possibilities' and 'spiritual change'. Older age, low socio-economic status (i.e. low education level and low monthly income) and lack of religion were associated with lower levels of PTG. Survivors with higher levels of PTG had better social/family well-being (P < 0.001) and better functional well-being (P < 0.001).

Conclusions: Psychological interventions to enhance PTG may have a positive effect on impaired HRQOL among stomach cancer survivors.

Keywords: Post-traumatic growth; Quality of life; Stomach neoplasms.

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • Quality of Life / psychology*
  • Republic of Korea / epidemiology
  • Self Concept*
  • Stomach Neoplasms / epidemiology*
  • Stomach Neoplasms / psychology*
  • Surveys and Questionnaires
  • Survivors / psychology*
  • Survivors / statistics & numerical data*