The valence of attentional bias and cancer-related rumination in posttraumatic stress and posttraumatic growth among women with breast cancer

Psychooncology. 2011 May;20(5):544-52. doi: 10.1002/pon.1761.

Abstract

Objective: To examine the effects of self-reported attentional bias on posttraumatic stress disorder (PTSD) symptoms and posttraumatic growth (PTG) through the potential mediator of cancer-related rumination.

Design: A cross-sectional survey design was used and women with breast cancer (N=170) were recruited.

Measures: Attentional biases, cancer-related ruminations, PTSD symptoms, and PTG were assessed.

Results: Negative attentional bias and negative cancer-related rumination were positively related to PTSD symptoms following cancer diagnosis and treatments, but they were not related to PTG. Positive attentional bias and positive cancer-related rumination were positively related to PTG, but positive attentional bias was not related to PTSD symptoms. Findings showed that negative cancer-related rumination partially mediated the relationship between negative attentional bias and PTSD symptoms, while positive cancer-related rumination partially mediated the relationship between positive attentional bias and PTG.

Conclusion: Findings support that there are differential trajectories to PTSD symptoms and PTG with respect to different valence of habitual attentional style and cancer-related rumination. They may serve as potential therapeutic leverages in the alleviation of PTSD symptoms and facilitation of PTG following cancer diagnosis and treatments.

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Analysis of Variance
  • Attention*
  • Breast Neoplasms / psychology*
  • Cognition
  • Cross-Sectional Studies
  • Female
  • Humans
  • Middle Aged
  • Psychological Tests
  • Regression Analysis
  • Stress Disorders, Post-Traumatic / etiology
  • Stress Disorders, Post-Traumatic / psychology*