Purpose: The purpose of this qualitative study was to explore the experiences of post-traumatic growth in breast cancer survivors by applying grounded theory methods. Methods: Participants were seven breast cancer survivors who had been diagnosed with stage I or higher breast cancer, had completed acute treatment, and were members of an internet self-help group for breast cancer survivors. Data were collected through individual in-depth interviews from July 11, 2022 to May 4, 2023. The interview contents were transcribed and analyzed using Corbin and Strauss’s grounded theory method. A total of 18 sub-categories and 9 categories were identified through the open coding process. Results: As a result of axial coding based on the paradigm model, the central phenomenon of post-traumatic growth experiences of breast cancer survivors was revealed as ‘Finding true life after the pain of death’. The core category was identified as ‘Promise a life without regrets’, which consisted of a four-step process: reflection period, recovery period, transition period, achievement period. Breast cancer survivors experienced restoration of their inner selves, strengthening of positive thinking through the process of resetting their life values and goals, and pursuit a stable and satisfying life. Conclusion: To help breast cancer survivors grow after trauma, the importance of accepting changes in their bodies and maintaining a positive perspective was highlighted.

Mental distress has been consistently reported to be highly prevalent after collective traumas, alongside physical and personal damages. When left untreated, these will worsen survivors’ ability to function. Research also points to unmet needs, related to job security and a sense of belonging. Our study aims to identify a clustered-dimensional approach to people’s experiences after a massive urban violence apart from traditional categorical psychopathological assessments. This cross-sectional internet-based study included 1305 Lebanese adults, 4 months after the apocalyptic Beirut Port explosion. Emotions, attitudes and needs were assessed using iCode software, measuring explicit answers and implicit reaction time. First and foremost, explicit responses revealed alarming levels of distress (75-80%). Latent class analysis further differentiated three groups on seven different dimensions derived from principal component analysis. People who experienced the most intense emotional distress and intrusive thoughts had higher country dissatisfaction and job worries. Faith and community resilience buffered the negative emotionality of those affected in spite of avoidance and intrusion. The last group was less distressed by the trauma with a marked sense of community and an overall reduced country and job dissatisfactions. These findings suggest that integrating implicit responses helps cluster people’s experiences after a collective trauma above and beyond single demographic criteria as vulnerability to mass violence is quite variable within seemingly homogenous samples. They also provide insight onto hard-wired attitudes and needs post-trauma. It mostly taps into multi-factorial individual vulnerabilities and protective factors to better refine targeted interventions for at-risk subpopulation outreach and foster resilience in unstable environments.