Association of cancer response styles and alexithymia with posttraumatic growth in breast cancer patients

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dc.contributor.authorCakmak, Soner
dc.contributor.authorCincin, Melisa
dc.contributor.authorAvci, Ufuk Kocatepe
dc.date.accessioned2025-03-07T20:12:57Z
dc.date.available2025-03-07T20:12:57Z
dc.date.issued2021
dc.departmentÇağ Üniversitesi
dc.description.abstractObjective: Breast cancer (BC) is one of the most common types of cancer seen in women. Many studies have been conducted to examine negative changes observed in patients diagnosed with BC. However, the traumatic experience of a cancer diagnosis can also have positive consequences, including post-traumatic growth (PTG), a positive life change that develops following a stressful experience. This study was an investigation of the relationship between PTG seen in female BC patients, cancer response style, and alexithymia, the inability to recognize and express one's emotions. Method: A total of 89 female patients who were diagnosed with BC and receiving treatment were enrolled in the study. The Mental Adjustment to Cancer scale, the Toronto Alexithymia Scale, and the Posttraumatic Growth Inventory (PGTI) were administered to the participants. Pearson correlation and multiple linear regression analyses and structural equation modeling (SEM) were used to assess the relationships between normally distributed variables. Results: There was a significant, positive relationship between the fighting spirit reaction style and the PTGI total score (r=0.49; p<0.001), and a significant, negative relationship between the helplessness-hopelessness reaction style and the PTGI total score (r=-0.46; p<0.001). Multiple regression analyses revealed that education level (years) was associated with PTG (beta=1.13; t[82]=2.31; p=0.02) (F[6, 82=1.47]; p=0.2; R-2 =0.10), and the subfactors of changes in philosophy of life (CPL) (beta=0.59; t[82]=3.28; p=0.002) and changes in self-perception (CSP) (beta=0.54; t[82]=2.21; p=0.03); and the length of time since diagnosis was associated with CPL (beta=3.91; t[82]=2.37; p=0.02). SEM analysis showed that a fighting spirit response style to cancer partially mediated the relationship between alexithymia and PTG (chi(2) [12, n=89]=14.24; p=0.29; chi(2)/df=1.19; root mean square error of approximation [RMSEA]=0.05; comparative fit index [CFI]=0.99; incremental fit index [IFI]=0.99; normed fit index [NFI]=0.93). The other cancer response styles did not have a mediating effect on the relationship between alexithymia and PTG. Conclusion: Alexithymia is an important consideration in BC patients. Promoting a fighting spirit response in BC patients, and particularly alexithymic patients, could contribute to the development of PTG.
dc.identifier.doi10.14744/DAJPNS.2021.00147
dc.identifier.endpage288
dc.identifier.issn1018-8681
dc.identifier.issn1309-5749
dc.identifier.issue3
dc.identifier.scopus2-s2.0-85120345710
dc.identifier.scopusqualityQ3
dc.identifier.startpage278
dc.identifier.trdizinid491268
dc.identifier.urihttps://doi.org/10.14744/DAJPNS.2021.00147
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/491268
dc.identifier.urihttps://hdl.handle.net/20.500.12507/2831
dc.identifier.volume34
dc.identifier.wosWOS:000725680400007
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherKare Publ
dc.relation.ispartofDusunen Adam-Journal of Psychiatry and Neurological Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20241226
dc.subjectAlexithymia
dc.subjectbreast cancer
dc.subjectcancer response style
dc.subjectpost-traumatic growth
dc.titleAssociation of cancer response styles and alexithymia with posttraumatic growth in breast cancer patients
dc.typeArticle

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