Post-Traumatic Growth and Its Influencing Factors among Chinese Women with Gynecological Cancer：A Cross-section Study

Purpose: The purpose of this study was to explore the relationship between post-traumatic growth (PTG), spiritual well-being (SWB), and perceived social support (PSS) ,and the related factors of post-traumatic growth among gynecological cancer patients. Methods: We conducted a cross-section study among 586 gynecological cancer patients. The European Organization for Research and Treatment for Cancer Quality of Life Questionnaire-spiritual well-being32 (EORTC QLQ-SWB32), Post-traumatic Growth Inventory (PTGI), and Multidimensional Scale of Perceived Social Support (MSPSS) were used to measure spiritual well-being, PTG, and PSS. The Multiple Linear Regression Model was used to determine the relationship between post-traumatic growth , spiritual well-being , and perceived social support . Results: For all participants, the highest PTGI score was 51.07 on the Appreciation of life scale, and the lowest was 32.84 on the New possibilities Scale.The highest QLQ-SWB32 centesimal score was 75.13 on the Relationship with Other scale, and the lowest was 60.33 on the Relationship with Someone or Something Greater Scale.The highest MSPSS centesimal score was 24.31 on the Family support scale, and the lowest was 20.54 on the Friend Support Scale.We found that Relationship with Self of QLQ-SWB32 was the only scale not associated with post-traumatic growth. Overall, patients with higher level of spiritual well-being and perceived social support have a higher level of post-traumatic growth.Besides, a high Personal strength score was associated with Religious belief (B= 1.615, P< 0.05) and Education background (senior middle school,B= 1.268, P=0.05，college and above，B= 1.450, P<0.05). Patients with higher Global-SWB of EORTC QLQ-SWB32 were retired (B= 0.387, P= 0.019). Conclusions: Our study revealed that patients with gynecological cancer who perceived higher levels of social support would experience greater post-traumatic growth, and spiritual well-being can mediate this effect. Implications for Cancer Survivors Increasing social support and spiritual well-being might be scientific intervention techniques for improving post-traumatic growth in gynecological cancer survivors.