Cancer may be viewed as a psychosocial transition with the potential for po
sitive and negative outcomes, This cross-sectional study (a) compared breas
t cancer (BC) survivors' (n = 70) self-reports of depression, well-being, a
nd posttraumatic growth with those of age- and education-matched healthy co
mparison women (n = 70) and (b) identified correlates of posttraumatic grow
th among BC survivors. Groups did not differ in depression or well-being, b
ut the BC group showed a pattern of greater posttraumatic growth, particula
rly in relating to others, appreciation of Life, and spiritual change. BC p
articipants' posttraumatic growth was unrelated to distress or well-being b
ut was positively associated with perceived life-threat, prior talking abou
t breast cancer, income, and time since diagnosis. Research that has focuse
d solely on detection of distress and its correlates may paint an incomplet
e and potentially misleading picture of adjustment to cancer.