Pearson correlations were conducted in order to examine the bivariate associations of eudaimonic and hedonic wellbeing with measures of adjustment. We were primarily interested in whether these facets of wellbeing demonstrated differential associations with markers of adjustment, including social support, cancer-specific posttraumatic growth, fear of recurrence, depressive symptoms, fatigue, sleep disturbance, and perceived stress, when controlling for their shared variance.Īnalyses were conducted using IBM SPSS Statistics (version 24). Therefore, the aim of this study was to examine the unique associations of eudaimonic and hedonic wellbeing with adjustment in early-stage breast cancer survivors. 10 This is of particular importance in the cancer context as the disease and treatment often evoke uncertainty and distress in survivors that are normative and expected responses to significant challenges. Relative to hedonic wellbeing, eudaimonic wellbeing is more likely to be experienced concurrently with distress, such as anxiety and depressive symptoms, and in the midst of negative life events like cancer. 7, 8 However, despite the fact that eudaimonic wellbeing is relevant to important existential concerns experienced by cancer survivors, such as loss of meaning and purpose, 9 it is highly underexplored in cancer survivorship research and to our knowledge no studies have examined the unique associations of eudaimonic and hedonic wellbeing with psychosocial adjustment in cancer survivors. Positive affect, a primary component of hedonic wellbeing, has been shown to be associated with improved adjustment in cancer survivors, including greater physical functioning and lower depressive symptoms, anxiety, fatigue, and somatic symptoms. 5, 6 Thus, it is possible that eudaimonic wellbeing may be associated with unique facets of psychosocial adjustment in cancer survivors when controlling for its shared variance with hedonic wellbeing. 4 Eudaimonic and hedonic wellbeing also demonstrate construct specificity through their differential associations with psychosocial and biological variables when controlling for their shared variance. 2, 3 Eudaimonic and hedonic wellbeing are conceptually-distinct and have been shown to represent related, but separate facets of wellbeing in factor analyses. 1 Hedonic wellbeing, on the other hand, is defined as the presence of positively-valenced feelings that are pleasurable, such as satisfaction with life and positive affective states like happiness. Eudaimonic wellbeing is defined as the experience of feelings that accompany personal fulfillment, such as meaning, purpose in life, and mastery.
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