{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T09:32:11Z","timestamp":1793957531689,"version":"4.8.0"},"reference-count":0,"publisher":"HCA Healthcare","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HCA Healthcare Journal of Medicine"],"abstract":"<jats:p>Background \nIn this pilot study, we examined psychological impacts of colorectal cancer (CRC), focusing on cancer-related posttraumatic stress disorder (CR-PTSD) symptoms, posttraumatic growth (PTG), and their relationship with coping strategies in surgically treated CRC patients.\nMethods \nThis prospective pre- and postoperative pilot study assessed CRC patients at 2 time points, pre- and postoperative. Psychological symptoms were evaluated using the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PCL-5) and the PTG Inventory Short Form (PTGI-SF). Coping strategies were assessed using the Brief Coping Orientation to Problems Experienced (COPE) instrument. Changes in CR-PTSD, PTG, and coping strategies from pre- and postoperative were analyzed using paired t tests and mixed-effects linear regression.\nResults \nAmong the 23 participants, significant changes were observed in problem-focused coping (mean: pre = 25.2, post = 28.4; P = .01) as well as in the Relating to Others and Appreciation of Life dimensions of PTG from pre- to postoperative (mean: pre = 14.2; post = 20.2; P = .01). In contrast, CR-PTSD symptomatology was low at baseline and did not change after surgery (mean: pre = 6.0; post = 5.0; P = .17). Regression analysis further highlighted the differential influence of coping strategies on PTG over time, with problem-focused coping significantly associated with Relating to Others (\u03b2 = 0.89; P = .001) and Personal Strength (\u03b2 = 0.34; P = .002).\nConclusion \nWe found that problem-focused coping was related to greater PTG in CRC patients, while CR-PTSD symptoms remained low and stable. Findings are exploratory and highlight coping strategies as a potential area for further research in CRC survivorship.<\/jats:p>","DOI":"10.36518\/2689-0216.2219","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T12:13:07Z","timestamp":1788264787000},"source":"Crossref","is-referenced-by-count":0,"title":["Psychological Adaptation in Colorectal Cancer Survivors: Pilot Study Findings"],"prefix":"10.36518","volume":"7","author":[{"given":"Anuja L","family":"Sarode","sequence":"first","affiliation":[{"name":"Summa Health System"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily M","family":"Su","sequence":"additional","affiliation":[{"name":"Summa Health System"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amber","family":"Kerstetter-Fogle","sequence":"additional","affiliation":[{"name":"Summa Health System"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steve","family":"Paciorek","sequence":"additional","affiliation":[{"name":"Kent State University College of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica L","family":"Laipply","sequence":"additional","affiliation":[{"name":"Summa Health System"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"22435","published-online":{"date-parts":[[2026,8,31]]},"container-title":["HCA Healthcare Journal of Medicine"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T09:23:13Z","timestamp":1793956993000},"score":1,"resource":{"primary":{"URL":"https:\/\/scholarlycommons.hcahealthcare.com\/hcahealthcarejournal\/vol7\/iss4\/4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,8,31]]}},"URL":"https:\/\/doi.org\/10.36518\/2689-0216.2219","relation":{},"ISSN":["2689-0216"],"issn-type":[{"value":"2689-0216","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,31]]}}}