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Means of outcomes were compared between low and high CIA distress groups. Univariable and multivariable linear regression models were used to analyze the relationship between the CIA distress and body image, psychosocial well-being, and depression. One hundred sixty-eight breast cancer patients participated in the study; the mean age was 48.4 (SD?=?8.4) years, and 55.3% of the patients experienced higher distress from alopecia. In fully adjusted models, the high distress group was more likely to have a poorer body image than the low distress group (35.2 vs. 62.0; p? http://www.selleckchem.com/products/Rapamycin.html high distress group was also more likely to have depression compared with http://www.selleck.cn/products/AP24534.html the low distress group (19.6 vs. 14.8; p? http://www.selleckchem.com/products/jq1.html (r?=?0.27), positive reappraisal (r?=?0.46), spirituality (r?=?0.33), and religious coping (r?=?0.36). There was a small positive relationship between PTSS and PTG (r?=?0.13). Post-traumatic stress symptoms and PTG appear to be independent constructs, rather than opposite ends of a single dimension. This is reflected in a small relationship between these variables and different psychosocial correlates. PTSS were strongly associated with variables reflecting a general state of negative affect. Optimism, spirituality, and positive coping styles were associated with PTG.