Stress and Growth in Cancer: Mechanisms and Psychotherapeutic Interventions to Facilitate a Constructive Balance

Post-traumatic stress and growth are common responses to adverse life events such as cancer. In this article, we establish how cancer becomes a “fertile land” for the emergence of stress and growth responses and analyze the main mechanisms involved. Stress-growth responses on adjusting to cancer is...

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Main Authors: Cristian Ochoa Arnedo, Nuria Sánchez, Enric C. Sumalla, Anna Casellas-Grau
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-02-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyg.2019.00177/full
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author Cristian Ochoa Arnedo
Cristian Ochoa Arnedo
Cristian Ochoa Arnedo
Nuria Sánchez
Enric C. Sumalla
Anna Casellas-Grau
Anna Casellas-Grau
author_facet Cristian Ochoa Arnedo
Cristian Ochoa Arnedo
Cristian Ochoa Arnedo
Nuria Sánchez
Enric C. Sumalla
Anna Casellas-Grau
Anna Casellas-Grau
author_sort Cristian Ochoa Arnedo
collection DOAJ
description Post-traumatic stress and growth are common responses to adverse life events such as cancer. In this article, we establish how cancer becomes a “fertile land” for the emergence of stress and growth responses and analyze the main mechanisms involved. Stress-growth responses on adjusting to cancer is potentially determined by factors like the phase of the illness (e.g., initial phases vs. period of survivorship), patient’s coping strategies, meaning-making, and relationships with significant others. We also review the mechanisms of constructive and adaptative stress-growth balances in cancer to study the predictors, interrelated associations, triggering mechanisms, long-term results, and specific trajectories of these two responses to cancer. Finally, we update the evidence on the role of these stress-growth associations in psychologically adjusting to cancer. Together with this evidence, we summarize preliminary results regarding the efficacy of psychotherapeutic interventions that aim to facilitate a constructive psychological balance between stress and growth in cancer patients. Recommendations for future research and gaps in knowledge on stress-growth processes in this illness are also highlighted. Researchers are encouraged to design and use psychotherapeutic interventions according to the dynamic and changeable patients’ sources of stress and growth along the illness. Relevant insights are proposed to understand the inconsistency of stress-growth literature and to promote psychotherapeutic interventions to facilitate a constructive balance between these key responses in cancer.
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spelling doaj.art-36f7958d77e645b38f9704befc99b51e2022-12-21T23:24:44ZengFrontiers Media S.A.Frontiers in Psychology1664-10782019-02-011010.3389/fpsyg.2019.00177411904Stress and Growth in Cancer: Mechanisms and Psychotherapeutic Interventions to Facilitate a Constructive BalanceCristian Ochoa Arnedo0Cristian Ochoa Arnedo1Cristian Ochoa Arnedo2Nuria Sánchez3Enric C. Sumalla4Anna Casellas-Grau5Anna Casellas-Grau6Psycho-oncology Unit, Institut Català d’Oncologia, L’Hospitalet de Llobregat, Barcelona, SpainInstitut d’Investigació Biomèdica de Bellvitge, Barcelona, SpainClinical Psychology and Psychobiology Department, Universitat de Barcelona, Barcelona, SpainHospital Clínic de Barcelona, Barcelona, SpainPsycho-oncology Unit, Institut Català d’Oncologia, L’Hospitalet de Llobregat, Barcelona, SpainPsycho-oncology Unit, Institut Català d’Oncologia, L’Hospitalet de Llobregat, Barcelona, SpainInstitut d’Investigació Biomèdica de Bellvitge, Barcelona, SpainPost-traumatic stress and growth are common responses to adverse life events such as cancer. In this article, we establish how cancer becomes a “fertile land” for the emergence of stress and growth responses and analyze the main mechanisms involved. Stress-growth responses on adjusting to cancer is potentially determined by factors like the phase of the illness (e.g., initial phases vs. period of survivorship), patient’s coping strategies, meaning-making, and relationships with significant others. We also review the mechanisms of constructive and adaptative stress-growth balances in cancer to study the predictors, interrelated associations, triggering mechanisms, long-term results, and specific trajectories of these two responses to cancer. Finally, we update the evidence on the role of these stress-growth associations in psychologically adjusting to cancer. Together with this evidence, we summarize preliminary results regarding the efficacy of psychotherapeutic interventions that aim to facilitate a constructive psychological balance between stress and growth in cancer patients. Recommendations for future research and gaps in knowledge on stress-growth processes in this illness are also highlighted. Researchers are encouraged to design and use psychotherapeutic interventions according to the dynamic and changeable patients’ sources of stress and growth along the illness. Relevant insights are proposed to understand the inconsistency of stress-growth literature and to promote psychotherapeutic interventions to facilitate a constructive balance between these key responses in cancer.https://www.frontiersin.org/article/10.3389/fpsyg.2019.00177/fullcancerpost-traumatic growthpost-traumatic stressoncologyvicarious growthsecondary growth
spellingShingle Cristian Ochoa Arnedo
Cristian Ochoa Arnedo
Cristian Ochoa Arnedo
Nuria Sánchez
Enric C. Sumalla
Anna Casellas-Grau
Anna Casellas-Grau
Stress and Growth in Cancer: Mechanisms and Psychotherapeutic Interventions to Facilitate a Constructive Balance
Frontiers in Psychology
cancer
post-traumatic growth
post-traumatic stress
oncology
vicarious growth
secondary growth
title Stress and Growth in Cancer: Mechanisms and Psychotherapeutic Interventions to Facilitate a Constructive Balance
title_full Stress and Growth in Cancer: Mechanisms and Psychotherapeutic Interventions to Facilitate a Constructive Balance
title_fullStr Stress and Growth in Cancer: Mechanisms and Psychotherapeutic Interventions to Facilitate a Constructive Balance
title_full_unstemmed Stress and Growth in Cancer: Mechanisms and Psychotherapeutic Interventions to Facilitate a Constructive Balance
title_short Stress and Growth in Cancer: Mechanisms and Psychotherapeutic Interventions to Facilitate a Constructive Balance
title_sort stress and growth in cancer mechanisms and psychotherapeutic interventions to facilitate a constructive balance
topic cancer
post-traumatic growth
post-traumatic stress
oncology
vicarious growth
secondary growth
url https://www.frontiersin.org/article/10.3389/fpsyg.2019.00177/full
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