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@ARTICLE{Liu:169664,
      author       = {Z. Liu$^*$ and D. Doege$^*$ and M. Thong$^*$ and L.
                      Koch-Gallenkamp$^*$ and H. Bertram and A. Eberle and B.
                      Holleczek and A. Nennecke and A. Waldmann and S. R. Zeißig
                      and R. Pritzkuleit and V. Arndt$^*$},
      title        = {{D}istress mediates the relationship between cognitive
                      appraisal of medical care and benefit finding/posttraumatic
                      growth in long-term cancer survivors.},
      journal      = {Cancer cytopathology},
      volume       = {127},
      number       = {19},
      issn         = {0008-543X},
      address      = {Hoboken, NJ},
      publisher    = {Wiley},
      reportid     = {DKFZ-2021-01486},
      pages        = {3680-3690},
      year         = {2021},
      note         = {#EA:C071#LA:C071# / 2021 Oct 1;127(19):3680-3690},
      abstract     = {The objective of this study was to ascertain long-term
                      cancer survivors' (LTCS') appraisal of medical care and how
                      these perceptions may influence their health and well-being,
                      including benefit finding (BF) and posttraumatic growth
                      (PTG).In total, 6952 LTCS from a multiregional
                      population-based study in Germany completed the Benefit
                      Finding Scale, the Posttraumatic Growth Inventory, the
                      Questionnaire on Stress in Cancer, and self-designed
                      questions on cognitive appraisal of medical care. The
                      authors explored the mediating role of distress between
                      medical care appraisal and BF and PTG and the possible
                      moderation of time since diagnosis in this
                      relationship.LTCS' medical care appraisals ('no
                      unresolved/untreated symptoms,' 'satisfaction with cancer
                      care,' and 'satisfaction with care for other diseases') were
                      positively associated with BF. PTG was positively associated
                      with 'no unresolved/untreated symptoms' and negatively
                      associated with 'satisfaction with care for other diseases.'
                      Cancer distress partially mediated the associations between
                      appraisals of medical care and BF, between 'no
                      unresolved/untreated symptoms' and PTG and between
                      'satisfaction with care for other diseases' and PTG; whereas
                      it totally mediated the association between 'satisfaction
                      with cancer care' and PTG. Time was a significant moderator
                      in the model; the negative indirect effect of cognitive
                      appraisal on BF and PTG through cancer distress weakened
                      with longer time since diagnosis.Cancer survivors' medical
                      care appraisal is associated with their perceptions of BF
                      and PTG through distress. Therefore, distress screening
                      could be part of the regular workup to identify distressed
                      cancer survivors who are not satisfied with medical care;
                      these survivors may benefit from interventions to reduce
                      distress and increase BF and PTG.},
      keywords     = {benefit finding (Other) / cancer survivors (Other) /
                      cognitive appraisal (Other) / distress (Other) / medical
                      care (Other) / moderator-mediator (Other) / posttraumatic
                      growth (Other)},
      cin          = {C071},
      ddc          = {610},
      cid          = {I:(DE-He78)C071-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:34196976},
      doi          = {10.1002/cncr.33684},
      url          = {https://inrepo02.dkfz.de/record/169664},
}