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In a confessional interview in the Dec. It could be a propagation time thing. Of course you could sermon on godly relationships dating more or less depending on how much you work. In this path, is very common that across time the symptoms vanish and the person continues with the regular vital course, leading to a natural recovery process and not developing any disorder.
In the resilience path, the individual facing a potential traumatic event does not experience high negative emotionality at any time. In stark contrast to those who recovered gradually after a period of dysfunction, resilient individuals do not go through this period and its subsequent gradual recovery, but remain at suitable levels of functionality despite the traumatic experience. Resilience is a widely observed phenomenon e.
Moreover, this research has been, in many cases, methodologically and conceptually inadequate Held, ; Lazarus, ; Masten, Finally, if the result is maladjustment, we will observe the case of an individual who has not been able to cope with the demands that the stressor has imposed. This situation will imply a high and persistent negative emotionality that would have a strong impact on their functionality, and which is plausible to endure even when the stressor is not present.
This will prevent, in turn, the gradual recovery of its previous performance levels e. The possibility of perceiving certain benefits benefit finding after cancer experience has been described. Individuals recovering gradually and those following a resilient trajectory can show benefits. In this sense, that would be a concrete type of PTG.
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In the last years, there is a growing body of empirical evidence in this field, as a result of an increasing number of studies on BF and PTG. However, results are not conclusive yet. In this model, BF and PTG have been considered as promoting factors for quality of life and adjustment after the oncological experience. Similarly, it is also proposed that keeping healthy lifestyles, in particular, regular physical exercise such as personal protective factor in survival can counteract the possible side effects of cancer and its treatments personal risk factor in survivorshipwhich, consequently, will promote health-related quality of life Castellano et al.
Furthermore, because relevant scientific literature in this field documents a persistence of parental distress even when their children are in survivorship Bruce,the model has also considered these variables as a socio-familiar risk factor. Discussion Currently, several theoretical models to the study of resilience exist.
However, most of these models do not have enough empirical evidence to support them. Consequently, it is not possible to establish which model or approach is presumably more valid.
Additionally, some of them overlap or merge with other alternative models of traumatic experiences such as the PTG approach and the perceived benefits. This little consensus among the different theoretical approaches regarding what are the core features of resilience and what are the processes operating to its existence, hinders its operationalization and assessment.
Thus, it makes difficult to design research to explore the applicability of the term in different areas. However, for most of the researchers, the trend is to conceptualize resilience as the sum and synergy of individual, family and social protective and risk factors internal, external and interpersonal resources ; Luthar et al. From this perspective, it could be argued that, to effectively study resilience, it is essential to begin from operating, systematic and replicable models.
To date, we have no knowledge of childhood cancer survivors' resilience models developed that take into account all these considerations or that have been applied consistently and given sufficient empirical validation.
The present research has provided a proposed integrative model of the concept of resilience in child and adolescent cancer, suggesting its heuristic potential to the rest of the scientific community. This model has already been subjected to various empirical analyses Castellano et al. Thus, several roles have been demonstrated. Firstly, coping strategies both personal and socio-family; secondly, social support; thirdly, healthy lifestyles, specifically physical exercise; and finally, BF after cancer experience with more resilient paths and better health-related quality of life in adolescent survivors of childhood cancer.
It remains unclear whether or not more dispositional factors such as optimism personal or familypost-traumatic growth PTGor the intensity of negative emotionality personal and family determine in some degree these trajectories. So there are still some aspects of the model that should be studied more thoroughly and subjected to empirical testing.
Consequently, more research is needed with larger samples, in order to clarify the role of each of the variables included in the model, and their relationship to health-related quality of life and subsequent adaptation of the adolescent in survivorship. Therefore a synergy is required among all researchers in the field, in order to establish what are the core elements of resilience in childhood cancer and what are the rest of complementary factors depending on the specific oncological population studied e.
In addition, if evidences regarding variables and processes that could lead to a positive adaptation in individuals with different problems are identified, more emphasis could be placed on them, thereby reducing disturbances that may arise from the experience of adversity, or even providing population with a number of tools and useful information to overcome or cope with adversity in a more adaptive manner.
In summary, the study of resilience, although relatively recent, lacks of a theoretical and empirical basis Luthar et al. Construing benefits from adversity: Adaptational significance and dispositional underpinnings. Journal of Personality, 64 4 Causal attribution, perceived benefits, and morbidity after a heart attack: Journal of Consulting and Clinical Psychology, 55 1 Hope, meaning, and growth following the September 11,terrorist attacks.
Journal of Interpersonal Violence, 20 5 Family functioning and posttraumatic stress disorder in adolescent survivors of childhood cancer. Journal of Family Psychology, 23 5 Identification of PTSD in cancer survivors.
Psychosomatics, 37 2 Diagnostic and Statistical Manual of Mental Disorders: Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer. Health Psychology, 20 1 The value of positive psychology for health psychology: Progress and pitfalls in examining the relation of positive phenomena to health.
Annals of Behavioral Medicine, 39 1 Post-traumatic growth in people living with a serious medical condition and its relations to physical and mental health: Disability and Rehabilitation, 31 21 Loss, trauma and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? The American Psychologist, 59 1 Posttraumatic growth and optimism in health-related trauma: Journal of Clinical Psychology in Medical Settings, 16 4 Journal of Consulting and Clinical Psychology, 66 6 Stress management, finding benefit, and immune function: Positive mechanisms for intervention effects on physiology.
Journal of Psychosomatic Research, 56 1 Psicothema, 20 3 Posttraumatic stress symptoms in adolescent survivors of childhood cancer and their mothers.
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Journal of Traumatic Stress, 16 4 A systematic and conceptual review of posttraumatic stress in childhood cancer survivors and their parents. Clinical Psychology Review, 26 3 A longitudinal investigation of coping and posttraumatic growth in breast cancer survivors. Journal of Psychosocial Oncology, 28 1 Factors contributing to posttraumatic growth: A proposed structural equation model. The American Journal of Orthopsychiatry, 73 3 Handbook of Posttraumatic Growth: Lawrence Erlbaum Associates Publishers.
Tesis doctoral no publicada. Relationship between Exercise and Coping on Quality of Life. The Spanish Journal of Psychology aceptado. Finding benefit in breast cancer during the year after diagnosis predict better adjustment 5 to 8 years after diagnosis. Health Psychology, 23 6 Adaptation in the context of childhood adversities pp. Measurement of posttraumatic growth in young people: Clinical Child Psychology and Psychiatry, 14, Responses to cancer diagnosis and treatment: Posttraumatic stress and posttraumatic growth.
Seminars in Clinical Neuropsychiatry, 8 4 Social constraints, cognitive processing, and adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 69 4 Positive psychology in cancer care: Bad science, exaggerated claims, and unproven medicine.
Cognitive-behavioral stress management reduces serum cortisol by enhancing benefit finding among women being treated for early-stage breast cancer. Psychosomatics Medicine, 62 23 Children's response to serious illness: Perceptions of benefit and burden in a pediatric cancer population.
Journal of Pediatric Psychology, 34 10 El realismo de la esperanza. Testimonios de experiencias profesionales en torno a la resiliencia. El amor que nos cura. Variables related to posttraumatic growth in Turkish rheumatoid arthritis patients.
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Journal of Clinical Psychology in Medical Settings, 15 3 Examining the psychological consequences of surviving childhood cancer: Systematic review as a research method in pediatric psychology. Journal of Pediatric Psychology, 25 6 Trauma and personality correlates in long-term pediatric cancer survivors.
Man's search for meaning First published with a different title: From death camp to existentialism. Adjustment to breast cancer. Journal of Psychosocial Oncology, 8, The relationship of dispositional optimism, daily life stress, and domestic environment to coping methods used by cancer patients.
Journal of Behavioral Medicine, 15 2 Vulnerability research and the issue of primary prevention. American Journal of Orthopsychiatry, 41 1 The search for the antecedents of schizophrenia. Conceptual models and research methods. Schizophrenia Bulletin, 8, Psychiatry, 56 1 The study of stress and competence in children: A building block for developmental psycho-pathology.
Child Development, 55 1 Premorbid adjustment and performance in schizophrenia: Implications for interpreting heterogeneity in schizophrenia. Journal of Nervous and Mental Disease, Conceptual model and research methods. Schizophrenia Bulletin, 9, Theory, measurement, and controversy in positive psychology, health psychology, and cancer: Basics and next steps. The adolescent resilience model as a guide to interventions.
Pediatric Oncology Nursing, 21 5 Positive consequences of head and neck cancer: Key correlates of finding benefit. Journal of Psychosocial Oncology, 26 3 Post-traumatic growth and life threatening physical illness: A systematic review of the qualitative literature. British Journal of Health Psychology, 14 Pt. The negative side of positive psychology. Journal of Humanistic Psychology, 44 1 The roles of hope and optimism on posttraumatic growth in oral cavity cancer patients.
Oral Oncology, 47 2 Symptoms of posttraumatic stress in young adult survivors of childhood cancer. Journal of Clinical Oncology, 18 24 Posttraumatic stress and posttraumatic growth in cancer survivorship: Cancer Journal, 14 6 Introduction to the special issue on resilience. Posttraumatic stress disorder following cancer: A conceptual and empirical review. Clinical Psychology Review, 22 4 Predictors of posttraumatic stress disorder following cancer. Health Psychology, 24 6 Correlate of acute stress disorder in cancer patients.
Journal of Traumatic Stress, 20 3 Psychosocial and sociodemographic correlates of benefit finding in men treated for localized prostate cancer. Psycho-oncology, 15 11 Estado del arte en resiliencia.
Does the positive psychology movement have legs?