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@ARTICLE{Liu:157224,
      author       = {Z. Liu$^*$ and D. Doege$^*$ and M. S. Y. Thong$^*$ and V.
                      Arndt$^*$},
      title        = {{T}he relationship between posttraumatic growth and
                      health-related quality of life in adult cancer survivors:
                      {A} systematic review.},
      journal      = {Journal of affective disorders},
      volume       = {276},
      issn         = {0165-0327},
      address      = {Amsterdam [u.a.]},
      publisher    = {Elsevier Science},
      reportid     = {DKFZ-2020-01494},
      pages        = {159 - 168},
      year         = {2020},
      note         = {#EA:C071#LA:C071#},
      abstract     = {Studies have reported mixed findings on the relationship
                      between posttraumatic growth (PTG) and health-related
                      quality of life (HRQOL) in cancer survivors. This review
                      aims to give an overview of these studies and to identify
                      potential study- and sample-level factors that could
                      contribute to the heterogeneity of those findings on the
                      relationship between PTG and HRQOL in cancer
                      survivors.Multiple electronic databases were systematically
                      searched using the concepts 'posttraumatic growth',
                      'cancer', and 'health-related quality of life'. Eligible
                      studies (published until 2018) were reviewed,
                      quality-assessed, and effect sizes were extracted and
                      synthesized.Of the 37 included articles, 22 received a
                      rating of 'weak', 11 'moderate' and 4 'strong' in study
                      quality assessment. The overall sample comprised 7954
                      individuals, mean age of 55.30 years, $>50\%$ females,
                      predominantly breast cancer, and survivors mainly within 5
                      years post-diagnosis. The synthesized results revealed a
                      positive association between PTG and HRQOL (Fisher's
                      z= 0.16) on a total scale, with significant high
                      heterogeneity $(I2=75\%).$ Variations in HRQOL measurement
                      and methodological inconsistency contributed to study-level
                      differences of effect sizes. Sample-level characteristics
                      such as geographic region, smaller sample sizes (n < 100)
                      and so on contributed to heterogeneity.Studies assessing the
                      relationship between PTG and HRQOL were heterogeneous, of
                      weak study quality generally, and results were difficult to
                      combine.Most studies found a positive relationship between
                      the factors suggesting that PTG may play a role for
                      successful coping following cancer. However, studies of
                      higher quality and longitudinal design are needed.},
      subtyp        = {Review Article},
      cin          = {C071},
      ddc          = {610},
      cid          = {I:(DE-He78)C071-20160331},
      pnm          = {313 - Cancer risk factors and prevention (POF3-313)},
      pid          = {G:(DE-HGF)POF3-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:32697695},
      doi          = {10.1016/j.jad.2020.07.044},
      url          = {https://inrepo02.dkfz.de/record/157224},
}