Spirituality, emotional distress, and post-traumatic growth in breast cancer survivors and their partners: An actor-partner interdependence modeling approach

Amanda N. Gesselman, Silvia Bigatti, Justin R. Garcia, Kathryn Coe, David Cella, Victoria Champion

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: The association between spirituality and emotional health has been well documented in healthy individuals. A small literature has shown that spirituality plays a role in well-being for some breast cancer (BC) survivors; however, this link is virtually unexplored in partners/spouses of survivors. The current study aimed to assess the relationship between spirituality, emotional distress, and post-traumatic growth for BC survivors and their partners using a dyadic analyses approach. Methods: A total of 498 couples who were 3-8 years post-BC diagnosis were recruited from the Eastern Oncology Group database. Results: For BC survivors and their partners, greater levels of spirituality were associated with increases in their own post-traumatic growth. There was no relation between BC and partner spirituality and their own emotional distress, but partner's spirituality was associated with reduced occurrence of intrusive thoughts in the BC survivor. In contrast, BC survivors' spirituality was found to be wholly unrelated to partner's mental health and adjustment. Conclusions: Following diagnosis and treatment, spirituality appears to associate with positive growth in BC survivors and their partners. However, BC survivor and partner spirituality seem to be ineffective at impacting the other's post-traumatic growth or emotional distress, with the exception of intrusive thoughts. Dyadic analysis takes into account the reciprocal influence of close relationships on health and is an important and under-utilized methodology in behavioral oncology research and clinical practice.

Original languageEnglish (US)
JournalPsycho-Oncology
DOIs
StateAccepted/In press - 2016

Fingerprint

Spirituality
Survivors
Breast Neoplasms
Growth
Behavioral Research
Social Adjustment
Medical Oncology
Health
Spouses
Mental Health
Databases

Keywords

  • APIM
  • Breast cancer
  • Dyads
  • Emotional distress
  • Oncology
  • Partners
  • Post-traumatic growth
  • Spirituality

ASJC Scopus subject areas

  • Experimental and Cognitive Psychology
  • Oncology
  • Psychiatry and Mental health

Cite this

@article{d128e3fabcb643319baf4da09d21f393,
title = "Spirituality, emotional distress, and post-traumatic growth in breast cancer survivors and their partners: An actor-partner interdependence modeling approach",
abstract = "Background: The association between spirituality and emotional health has been well documented in healthy individuals. A small literature has shown that spirituality plays a role in well-being for some breast cancer (BC) survivors; however, this link is virtually unexplored in partners/spouses of survivors. The current study aimed to assess the relationship between spirituality, emotional distress, and post-traumatic growth for BC survivors and their partners using a dyadic analyses approach. Methods: A total of 498 couples who were 3-8 years post-BC diagnosis were recruited from the Eastern Oncology Group database. Results: For BC survivors and their partners, greater levels of spirituality were associated with increases in their own post-traumatic growth. There was no relation between BC and partner spirituality and their own emotional distress, but partner's spirituality was associated with reduced occurrence of intrusive thoughts in the BC survivor. In contrast, BC survivors' spirituality was found to be wholly unrelated to partner's mental health and adjustment. Conclusions: Following diagnosis and treatment, spirituality appears to associate with positive growth in BC survivors and their partners. However, BC survivor and partner spirituality seem to be ineffective at impacting the other's post-traumatic growth or emotional distress, with the exception of intrusive thoughts. Dyadic analysis takes into account the reciprocal influence of close relationships on health and is an important and under-utilized methodology in behavioral oncology research and clinical practice.",
keywords = "APIM, Breast cancer, Dyads, Emotional distress, Oncology, Partners, Post-traumatic growth, Spirituality",
author = "Gesselman, {Amanda N.} and Silvia Bigatti and Garcia, {Justin R.} and Kathryn Coe and David Cella and Victoria Champion",
year = "2016",
doi = "10.1002/pon.4192",
language = "English (US)",
journal = "Psycho-Oncology",
issn = "1057-9249",
publisher = "John Wiley and Sons Ltd",

}

TY - JOUR

T1 - Spirituality, emotional distress, and post-traumatic growth in breast cancer survivors and their partners

T2 - An actor-partner interdependence modeling approach

AU - Gesselman, Amanda N.

AU - Bigatti, Silvia

AU - Garcia, Justin R.

AU - Coe, Kathryn

AU - Cella, David

AU - Champion, Victoria

PY - 2016

Y1 - 2016

N2 - Background: The association between spirituality and emotional health has been well documented in healthy individuals. A small literature has shown that spirituality plays a role in well-being for some breast cancer (BC) survivors; however, this link is virtually unexplored in partners/spouses of survivors. The current study aimed to assess the relationship between spirituality, emotional distress, and post-traumatic growth for BC survivors and their partners using a dyadic analyses approach. Methods: A total of 498 couples who were 3-8 years post-BC diagnosis were recruited from the Eastern Oncology Group database. Results: For BC survivors and their partners, greater levels of spirituality were associated with increases in their own post-traumatic growth. There was no relation between BC and partner spirituality and their own emotional distress, but partner's spirituality was associated with reduced occurrence of intrusive thoughts in the BC survivor. In contrast, BC survivors' spirituality was found to be wholly unrelated to partner's mental health and adjustment. Conclusions: Following diagnosis and treatment, spirituality appears to associate with positive growth in BC survivors and their partners. However, BC survivor and partner spirituality seem to be ineffective at impacting the other's post-traumatic growth or emotional distress, with the exception of intrusive thoughts. Dyadic analysis takes into account the reciprocal influence of close relationships on health and is an important and under-utilized methodology in behavioral oncology research and clinical practice.

AB - Background: The association between spirituality and emotional health has been well documented in healthy individuals. A small literature has shown that spirituality plays a role in well-being for some breast cancer (BC) survivors; however, this link is virtually unexplored in partners/spouses of survivors. The current study aimed to assess the relationship between spirituality, emotional distress, and post-traumatic growth for BC survivors and their partners using a dyadic analyses approach. Methods: A total of 498 couples who were 3-8 years post-BC diagnosis were recruited from the Eastern Oncology Group database. Results: For BC survivors and their partners, greater levels of spirituality were associated with increases in their own post-traumatic growth. There was no relation between BC and partner spirituality and their own emotional distress, but partner's spirituality was associated with reduced occurrence of intrusive thoughts in the BC survivor. In contrast, BC survivors' spirituality was found to be wholly unrelated to partner's mental health and adjustment. Conclusions: Following diagnosis and treatment, spirituality appears to associate with positive growth in BC survivors and their partners. However, BC survivor and partner spirituality seem to be ineffective at impacting the other's post-traumatic growth or emotional distress, with the exception of intrusive thoughts. Dyadic analysis takes into account the reciprocal influence of close relationships on health and is an important and under-utilized methodology in behavioral oncology research and clinical practice.

KW - APIM

KW - Breast cancer

KW - Dyads

KW - Emotional distress

KW - Oncology

KW - Partners

KW - Post-traumatic growth

KW - Spirituality

UR - http://www.scopus.com/inward/record.url?scp=84994360362&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84994360362&partnerID=8YFLogxK

U2 - 10.1002/pon.4192

DO - 10.1002/pon.4192

M3 - Article

C2 - 27280320

AN - SCOPUS:84994360362

JO - Psycho-Oncology

JF - Psycho-Oncology

SN - 1057-9249

ER -