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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 1/2010

01-02-2010 | Original Article

Of Babies and Bathwater: A Reply to Coyne and Tennen’s Views on Positive Psychology and Health

Authors: Lisa G. Aspinwall, Ph.D., Richard G. Tedeschi, Ph.D.

Published in: Annals of Behavioral Medicine | Issue 1/2010

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Abstract

Purpose

We disagree with several conclusions reached by Coyne and Tennen, as well as their interpretation of specific findings.

Results

First, we dispute that researchers have advanced the claim that positive thinking can cure disease. Second, we question their exclusive focus on cancer-related mortality, when strong cumulative evidence suggests that optimism is related to positive health outcomes for other major diseases, and that psychosocial interventions may improve other important cancer outcomes, such as reduced pain and increased quality of life. Third, we disagree sharply with their assessment of the literature on posttraumatic growth and the implications of the research they cite.

Conclusion

It is premature to abandon efforts to understand and promote positive phenomena among people with various life-threatening illnesses. Instead, well-validated measures of positive phenomena should become routinely incorporated into a broader array of health psychology studies to provide a rigorous test of their role in human health and adaptation to disease.
Footnotes
1
We share Coyne and Tennen’s concern with methodological issues in the study of psychosocial factors in the etiology and progression of cancer and other diseases. We were therefore surprised to see them cite the “unanticipated results” from another recent publication from the Women’s Health Initiative [4] that “low social support and high life stress seemed to protect against the development of breast cancer.” Our confidence in these results is limited for several reasons. The interaction between life events (quintiles) and social support (median split) was marginally significant in a huge sample, and was described in the original article as being completely attenuated after the addition of breast cancer risk factors to the predictive model. Most importantly, when continuous measures of social support were used, the interaction of social support and life events was nonsignificant as a predictor of breast cancer incidence. Thus, the interaction between life events and social support in this study seems not to be reliable. We suggest that the same methodological standards be applied as vigorously to research findings that refute the link between psychosocial factors and cancer incidence as to those that support it.
 
Literature
1.
Lopez SJ, Snyder CR, eds. Oxford handbook of positive psychology. 2nd ed. New York: Oxford University Press; 2009.
2.
Aspinwall LG (2008) Will the real Positive Psychology please stand up? In symposium: The great debate: Positive psychology: How positive should we be? Talk presented at: 29th annual meeting of the Society for Behavioral Medicine, San Diego, CA, 26–29 March 2008
3.
Spiegel D, Classen C. Group therapy for cancer patients: A research-based handbook of psychosocial care. New York City: Basic Books; 2000.
4.
Michael YL, Carlson NE, Chlebowski RT, et al. Influence of stressors on breast cancer incidence in the Women’s Health Initiative. Health Psychol. 2009;28(2):137–146.CrossRefPubMed
5.
Rasmussen HN, Scheier MF, Greenhouse JB. Optimism and physical health: A meta-analytic review. Annals Behav Med. 2009;37(3):239–256.CrossRef
6.
Tindle HA, Chang YF, Kuller LH, et al. Optimism, cynical hostility, and incident coronary heart disease and mortality in the Women’s Health Initiative. Circulation. 2009;120(8):656–662.CrossRefPubMed
7.
8.
Howell RT, Kern ML, Lyubomirsky S. Health benefits: Meta-analytically determining the impact of well-being on objective health outcomes. Health Psychol Rev. 2007;1(1):1–54.CrossRef
9.
Antoni MH, Lechner SC, Kazi A, et al. How stress management improves quality of life after treatment for breast cancer. J Consult Clin Psychol. 2006;74(6):1143–1152.CrossRefPubMed
10.
Antoni MH, Wimberly SR, Lechner SC, et al. Reduction of cancer-specific thought intrusions and anxiety symptoms with a stress management intervention among women undergoing treatment for breast cancer. Am J Psychiatry. 2006;163(10):1791–1797.CrossRefPubMed
11.
Butler LD, Koopman C, Neri E, et al. Effects of supportive-expressive group therapy on pain in women with metastic breast cancer. Health Psychol. 2009;28(5):579–587.CrossRefPubMed
12.
Andersen BL, Farrar WB, Golden-Kreutz DM, et al. Psychological, behavioral, and immune changes after a psychological intervention: A clinical trial. J Clin Oncol. 2004;22(17):3570–3580.CrossRefPubMed
13.
Andersen BL, Yang HC, Farrar WB, et al. Psychologic intervention improves survival for breast cancer patients: A randomized clinical trial. Cancer. 2008;113(12):3450–3458.CrossRefPubMed
14.
Frazier P, Tennen H, Gavian M, Park C, Tomich P, Tashiro T. Does self-reported posttraumatic growth reflect genuine positive change? Psychol Sci. 2009;20(7):912–919.CrossRefPubMed
15.
Calhoun LG, Cann A, Tedeschi RG. The Posttraumatic Growth Model: Socio-cultural considerations. In: Weiss T, Berger R, eds. Posttraumatic growth and culturally competent practice: Lessons learned from around the globe. New York: Wiley; 2010.
16.
Calhoun LG, Tedeschi RG. The foundations of posttraumatic growth: An expanded framework. In: Calhoun LG, Tedeschi RG, eds. Handbook of posttraumatic growth: Research and practice. Mahwah: Lawrence Erlbaum Associates; 2006:3–23.
17.
Tedeschi RG, Calhoun LG. Expert companions: Posttraumatic growth in clinical practice. In: Calhoun LG, Tedeschi RG, eds. Handbook of posttraumatic growth: Research and practice. Mahwah: Lawrence Erlbaum Associates; 2006:291–310.
18.
Stanton AL, Bower JE, Low CA. Posttraumatic growth after cancer. In: Calhoun LG, Tedeschi RG, eds. Handbook of posttraumatic growth: Research and practice. Mahwah: Lawrence Erlbaum Associates; 2006:138–175.
19.
Hefferon K, Grealy M, Mutrie N. Post-traumatic growth and life threatening physical illness: A systematic review of the qualitative literature. Br J Health psychol. 2009;14(2):343–378.CrossRefPubMed
20.
Sears SR, Stanton AL, Danoff-Burg S. The yellow brick road and the emerald city: Benefit finding, positive reappraisal coping and posttraumatic growth in women with early-stage breast cancer. Health Psychol. 2003;22(5):487–497.CrossRefPubMed
21.
Morris BA, Shakespeare-Finch J, Rieck M, et al. Multidimensional nature of posttraumatic growth in an Australian population. J Trauma Stress. 2005;18(5):575–585.CrossRefPubMed
22.
Taku K, Cann A, Calhoun LG, Tedeschi RG. The factor structure of the Posttraumatic Growth Inventory: A comparison of five models using confirmatory factor analysis. J Trauma Stress. 2008;21(2):158–164.CrossRefPubMed
23.
Harper FWK, Schmidt JE, Beacham AO, et al. The role of social cognitive processing theory and optimism in positive psychosocial and physical behavior change after cancer diagnosis and treatment. Psycho-Oncol. 2007;16:79–91.CrossRef
24.
Salsman J, Segerstrom S, Brechting E, Carlson C, Andrykowski M. Posttraumatic growth and PTSD symptomatology among colorectal cancer survivors: A 3-month longitudinal examination of cognitive processing. Psycho-Oncol [serial online]. 2009;18(1):30–41.CrossRef
25.
Park C, Cohen L, Murch R. Assessment and prediction of stress-related growth. J Person [serial online]. 1996;64(1):71–105.
26.
Weiss T. Posttraumatic growth in women with breast cancer and their husbands: An intersubjective validation study. J Psychosoc Oncol [serial online]. 2002;20(2):65–80.CrossRef
27.
Shakespeare-Finch J, Enders T. Corroborating evidence of posttraumatic growth. J Trauma Stress. 2008;21(4):421–424.CrossRefPubMed
28.
Mols F, Vingerhoets A, Coebergh J, et al. Well-being, posttraumatic growth and benefit finding in long-term breast cancer survivors. Psychol Health. 2009;24(5):583–595.CrossRefPubMed
29.
Cordova M, Cunningham L, Carlson C, Andrykowski M. Posttraumatic growth following breast cancer: A controlled comparison study. Health Psychol [serial online]. 2001;20(3):176–185.CrossRef
30.
Baker J, Kelly C, Calhoun L, Cann A, Tedeschi R. An examination of posttraumatic growth and posttraumatic depreciation: Two exploratory studies. J Loss Trauma. 2008;13(5):450–465.CrossRef
31.
Tedeschi RG, Calhoun LG. The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. J Trauma Stress. 1996;9(3):455–471.CrossRefPubMed
32.
Andrykowski MA, Brady MJ, Hunt JW. Positive psychosocial adjustment in potential bone marrow recipients: Cancer as a psychosocial transition. Psycho-oncol. 1993;2:261–276.CrossRef
33.
Tomich P, Helgeson V. Five years later: A cross-sectional comparison of breast cancer survivors with healthy women. Psycho-Oncol [serial online]. 2002;11(2):154–169.CrossRef
34.
Costa PT Jr, McCrae RR. Personality continuity and the changes of adult life. In: Storandt M, VandenBos GR, eds. The adult years: Continuity and change. The Master lectures, Vol 8. Washington DC: American Psychological Association; 1989:41–77.CrossRef
35.
Kirkpatrick LA, Hazan C. Attachment styles and close relationships: A four-year prospective study. Person Relationship. 1994;1:123–142.CrossRef
36.
Brewin C. Autobiographical memory for trauma: Update on four controversies. Memory [serial online]. 2007;15(3):227–248.CrossRef
37.
Zoellner T, Maercker A. Posttraumatic growth in clinical psychology—a critical review and introduction of a two component model. Clin Psychol Rev. 2006;26(5):626–653.CrossRefPubMed
38.
Larsen JT, Hemenover SH, Norris CJ, et al. Turning adversity to advantage: On the virtues of the coactivation of positive and negative emotions. In: Aspinwall LG, Staudinger UM, eds. A psychology of human strengths: Fundamental questions and future directions for a positive psychology. Washington DC: American Psychological Association; 2003:211–225.CrossRef
39.
Durkin J, Joseph S. Growth following adversity and its relation with subjective well-being and psychological well-being. J Loss Trauma. 2009;14(3):228–234.CrossRef
40.
Tedeschi RG, Calhoun LG, Cann A. Evaluating resource gain: Understanding and misunderstanding posttraumatic growth. Int Rev Appl Psychol. 2007;56:396–406.CrossRef
41.
Cann A, Calhoun LG, Tedeschi RG, et al. The core beliefs inventory: A brief measure of disruption in the assumptive world. Anxiety Stress Coping. 2009;26:1–15.
42.
Weiss T, Berger R, eds. Posttraumatic growth and culturally competent practice: Lessons learned from around the globe. New York: Wiley; 2010.
Metadata
Title
Of Babies and Bathwater: A Reply to Coyne and Tennen’s Views on Positive Psychology and Health
Authors
Lisa G. Aspinwall, Ph.D.
Richard G. Tedeschi, Ph.D.
Publication date
01-02-2010
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 1/2010
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-010-9155-y

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