{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:24:05Z","timestamp":1790900645334,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T00:00:00Z","timestamp":1634601600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Posttraumatic growth (PTG) may improve well\u2010being among cancer survivors, but a longitudinal study addressing head and neck cancer (HNC) is lacking. This longitudinal study examined PTG trends and determined the associations of physical symptoms and complications, as well as sociodemographic and tumor characteristics on PTG over time among HNC survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Participants completed the European Organization of Research and Treatment of Cancer's \u201cQuality of Life Questionnaire\u2014Head and Neck 35\u201d module (EORTC\u2010QLQ\u2010H&amp;N\u201035) and \u201cPosttraumatic Growth Inventory\u2014Short Form\u201d (PTGI\u2010SF) during baseline (\n                      <jats:italic>T<\/jats:italic>\n                      <jats:sub>1<\/jats:sub>\n                      ) and follow\u2010up (\n                      <jats:italic>T<\/jats:italic>\n                      <jats:sub>2<\/jats:sub>\n                      ; 5\u20137\u00a0months post\u2010baseline) assessments.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 200 HNC participants completed the study and 67.5% of them reported increasing PTG. Physical symptoms and complications that were significantly associated with lower PTG included problems with social contact and the senses. Meanwhile, sociodemographic variables that were significantly associated with PTG were gender (males had lower PTG than females) and religion (Muslims and Buddhists had higher PTG than participants of other religious faith).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings revealed the need to focus on the impact of sensory issues and reduced social contact following HNC on PTG which may be addressed by various restorative and supportive rehabilitation therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.5835","type":"journal-article","created":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T23:34:09Z","timestamp":1634168049000},"page":"504-511","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["A longitudinal investigation of posttraumatic growth and its associated factors among head and neck cancer survivors"],"prefix":"10.1002","volume":"31","author":[{"given":"Nur Amirah","family":"Hamdan","sequence":"first","affiliation":[{"name":"Lifestyle Science Cluster, Advanced Medical and Dental Institute Universiti Sains Malaysia  Kepala Batas Pulau Pinang Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norhaliza","family":"Abd Hamid","sequence":"additional","affiliation":[{"name":"Lifestyle Science Cluster, Advanced Medical and Dental Institute Universiti Sains Malaysia  Kepala Batas Pulau Pinang Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7762-4052","authenticated-orcid":false,"given":"Mohammad Farris Iman","family":"Leong Bin Abdullah","sequence":"additional","affiliation":[{"name":"Lifestyle Science Cluster, Advanced Medical and Dental Institute Universiti Sains Malaysia  Kepala Batas Pulau Pinang Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,19]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15327965pli1501_01"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2019.00177"},{"key":"e_1_2_11_4_1","volume-title":"Locally advanced squamous carcinoma of\u00a0the head and neck","author":"World Health 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of the Malay version of the Posttraumatic Growth Inventory\u2010Short Form (PTGI\u2010SF) among Malaysian cancer patients","volume":"18","author":"Leong Abdullah MFI","year":"2017","journal-title":"ASEAN J Psychiatry"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.1999.17.3.1008"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1501"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/chemse\/bjab026"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.5935\/1808\u20108694.20130014"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136\u2010015\u20101185\u20102"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2017.00134"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5314"},{"issue":"4","key":"e_1_2_11_25_1","first-page":"401","article-title":"Cancer as a source of posttraumatic growth: a brief 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