Forgiving Hurts from Religious Communities: Forgiveness of Self and Others, Anger toward God, and Psychological Adjustment after Deidentification from Ultra-Orthodox Judaism

Simple SummaryA diagnosis of childhood cancer, and its subsequent treatment, initiates a difficult and long-lasting experience for families which can result in posttraumatic stress symptoms. However, positive change, such as growth, may also occur. The relationship between posttraumatic stress symptoms and growth in the wake of childhood cancer is poorly understood. We sought to better understand the relationships between children’s posttraumatic stress symptoms and growth and those of their parents via a survey. The results from our study showed that the children and parents in our study were faring relatively well, reporting low levels of posttraumatic stress symptoms and moderate levels of growth. The children’s posttraumatic stress symptom score was not related to, nor did it predict their growth. The same was true for their parents wherein their posttraumatic stress symptom score was not related to, nor did it predict their growth. Notably, lower posttraumatic stress symptom scores among children were associated with greater growth in their parents, and vice versa, but the parents’ posttraumatic stress symptom score was not associated with the children’s growth.There is a growing focus on describing both negative and positive outcomes in the wake of childhood cancer. The purpose of this study was to describe and explore the relationships between posttraumatic stress symptoms (PTSS) and posttraumatic growth (PTG) among children living beyond cancer and one of their parents. As part of a larger online survey, 113 children (Mage at time of study = 15.82 (SD = 4.81); Mage at diagnosis = 5.86 (SD = 4.66)) and one of their parents completed questionnaires assessing PTSS and PTG. Descriptive statistics were used to describe the sample and levels of PTSS and PTG. Data were z-transformed and analyzed using bivariate correlations and t-tests. An actor–partner interdependence model (APIM) was used to test whether children’s and their parents’ PTSS was associated with their own PTG (actor effect) and the others’ PTG (partner effect). PTSS was low and PTG was moderate in this sample relative to scale ranges. There were no significant differences between the children’s and their parents’ PTSS (p = 0.535) or PTG (p = 0.534). Results from the APIM showed no significant actor effects (p = 0.185). A significant overall partner effect (p = 0.020) emerged. Lower PTSS for children was associated with greater PTG for their parents (b = −0.29, p = 0.018), but parent’s PTSS was not associated with children’s PTG (p = 0.434). This sample reported similar levels of PTSS and PTG to that which has been reported in the literature. Children and their parents’ scores on PTSS and PTG measures were not significantly different from one another. Children’s PTSS was negatively associated with their parents PTG, illuminating the ways in which PTSS and PTG may be related in the context of childhood cancer. Exploring family-based strategies to reduce PTSS and enhance PTG may be warranted, though further studies are required.

Post-traumatic growth (PTG) may favor the psychological adaptation to chronic illnesses. However, few studies investigated PTG in Parkinson's Disease (PD). This study aims to investigate PTG in patients with PD, by exploring disease-specific features and assessing its impact on distress, well-being, and quality of life. A mixed methodology with a convergent parallel design was used. 54 patients were classified according to their level of PTG (low PTG, medium PTG, and high PTG). PD patients with high PTG showed a more positive psychological adaptation and less distress when compared to patients with less PTG. Forty-nine patients were interviewed and their transcripts were analyzed using Thematic Analysis. The emerged themes confirmed the traditional dimensions of PTG model, but a specific theme connected to a new body awareness was identified. Patients with high PTG were more likely to report positive statements following PD diagnosis, particularly concerning spirituality and maintaining a good physical functioning. PTG presents peculiar characteristics in PD and it may favor a better psychological adjustment following the diagnosis.

Objective To identify the posttraumatic growth (PTG) level of cancer patients and to examine the effects of rumination on posttraumatic growth of cancer patients. Methods A total of 312 cancer patients were recruited by convenience sampling. A cross-sectional study was conducted in cancer patient by means of questionnaires that included demographic scale, Event Related Rumination Inventory and the Posttraumatic Growth Inventory (PTGI). Results A total score of event-related rumination in cancer patients was 25.13±11.11, and the total score of posttraumatic growth was 67.21±14.66. The PTG was positively correlated to event-related rumination in cancer patients (r=0.384, P < 0.01). Multiple stepwise regressions indicated that the variables of deliberate of rumination, gender, age, degree of psychological distress, intrusive rumination and education level were main predictors of PTG. Among those deliberate of rumination positively predicts PTG, while intrusive rumination negatively predicts PTG. The level of PTG in female gender cancer patients were higher than male patients, younger age and high education level, less psychological distress patients related to higher PTG. Conclusions Cancer patients reported a lower level of rumination and PTG. Clinical healthcare providers should inspire and promote cancer patients' deliberate rumination, decrease their intrusive rumination, pay attention to male, more psychological distress, older age and lower education level patients, in order to facilitate patients' PTG and then improve their quality of life. Key words: Neoplasms; Rumination; Posttraumatic growth

Simple SummaryIn pediatric cancer settings, parents can be asked to provide information about the impact of cancer on the child. However, their assessment of the child may not be accurate. Research has shown that parents tend to underestimate the quality of life of their child following pediatric cancer. Little is known about the accuracy of parental reports of posttraumatic growth (PTG) as a consequence of pediatric cancer. Our study aimed to examine concordance of parent- and child-reported PTG with taking into account the parents’ own level of PTG. We found poor parent–child concordance, with parents reporting higher levels of PTG for their children than the children themselves. When assessing their child’s PTG, parents are influenced by their own level of PTG. These findings provide implications for the research on psychosocial outcomes of pediatric cancer using a multi-informant perspective as well as for the topic of veracity of PTG in general.This article aimed to analyze concordance of parent- and child-reported child posttraumatic growth (PTG) following pediatric cancer, the influence of the parents’ own level of PTG on the level of concordance and the influence of the parents’ and the child’s own level of PTG on the parents’ proxy reports of PTG in the child. The sample included 127 parent–child dyads. The children provided self-reports of PTG and the parents provided reports of their own as well as the child’s PTG. Overall, the results showed poor parent–child agreement on the child PTG, with the parents proxy-reporting higher levels of PTG than the children. The parents’ proxy reports of the child PTG were the most accurate at the lowest levels of the parents’ own level of PTG. The parents’ own level of PTG was a stronger predictor of the parents’ proxy reports than the child self-reported PTG. The results suggest that parents are not very accurate reporters of PTG in the child; therefore, their reports should be completed with child self-reports whenever possible.

The aim of the study was to examine the way people with disabilities perceived the COVID-19 pandemic and whether it was related to the level of posttraumatic growth they experienced. The study was conducted online in the first year of the pandemic. 165 people with disabilities and 164 people without disabilities (comparison group) took part in the study that used questionnaires to measure the type of cognitive appraisal of the pandemic situation and the level of experienced posttraumatic growth. There were no differences between the groups in terms of the cognitive appraisal of the pandemic situation as a challenge, threat, and harm/loss or in the level of declaredposttraumatic growth. The predictor for the level of posttraumatic growth was the perception of the pandemic situation as a challenge. Other types of cognitive appraisal, gender, and age did not enable the prediction of the level of posttraumatic growth. The study indicates the similarity of the cognitive appraisal of the pandemic situation and the level of posttraumatic growth in people with disabilities and in the comparison group, as well as the importance of perception of the pandemic situation as a challenge in the context of experienced posttraumatic growth. Due to the limited scope of the study, these results should be treated as preliminary and inspiring for further research.

The aim of the study was to examine the way people with disabilities perceived the COVID-19 pandemic and whether it was related to the level of posttraumatic growth they experienced. The study was conducted online in the first year of the pandemic. 165 people with disabilities and 164 people without disabilities (comparison group) took part in the study that used questionnaires to measure the type of cognitive appraisal of the pandemic situation and the level of experienced posttraumatic growth. There were no differences between the groups in terms of the cognitive appraisal of the pandemic situation as a challenge, threat, and harm/loss or in the level of declared posttraumatic growth. The predictor for the level of posttraumatic growth was the perception of the pandemic situation as a challenge. Other types of cognitive appraisal, gender, and age did not enable the prediction of the level of posttraumatic growth. The study indicates the similarity of the cognitive appraisal of the pandemic situation and the level of posttraumatic growth in people with disabilities and in the comparison group, as well as the importance of perception of the pandemic situation as a challenge in the context of experienced posttraumatic growth. Due to the limited scope of the study, these results should be treated as preliminary and inspiring for further research.

The urgency and risk of clinical nursing may cause nurses to experience traumatic stress, but it may also lead to posttraumatic growth. However, no study has comprehensively analyzed the prevalence of posttraumatic growth among nurses using a unified outcome measure and a validated assessment tool. This study aims to systematically assess the prevalence and factors of posttraumatic growth among nurses based on the Posttraumatic Growth Inventory (PTGI). Ten databases, including The Cochrane Library, PubMed, Web of Science, CINAHL, Springerlink, Embase, Chinese Biomedical (CBM), China National Knowledge Infrastructure (CNKI), WanFang, and VIP databases, were searched as of December 31, 2022. The prevalence of posttraumatic growth was pooled using Stata 17.0 software. The PRISMA guideline was used to report the systematic review and meta-analysis. PROSPERO registration number: CRD42022365620. A total of 30 studies were included in this systematic review and meta-analysis, consisting of 14,022 nurses worldwide from four countries. In our study, the pooled mean score of posttraumatic growth among nurses was 66.34 (95% CI: 61.25-71.43). From 2015 to 2022, nurses' posttraumatic growth levels gradually increased. In addition, Turkey nurses have the lowest posttraumatic growth levelnurses who experienced workplace violence have a lower posttraumatic growth level compared with other nurses; while nurses aged over 30 and male have higher posttraumatic growth levels. While several studies on the prevalence of posttraumatic growth among nurses have been published, the reported data are quite different. Our systematic review and meta-analysis found that nurses' posttraumatic growth level was "moderate," and nurses' posttraumatic growth may vary based on publication year, country, traumatic event, age, and gender. Our findings may provide a theoretical basis for hospital administrators and policy makers to scientifically manage human resources, comprehensively evaluate nurses' mental health, and promote nurses' posttraumatic growth in different traumatic events, which is conducive to the formulation and implementation of relevant policy guidelines.

Although traumatic events are generally associated with negative psychosocial consequences, trauma survivors also report positive changes in themselves, human relationships and spirituality. Our aims are, first to study associations between exposure to torture and ill-treatment and posttraumatic growth and negative emotions, and second, to examine the role of adult attachment in moderating the association between exposure and positive growth. The participants were 275 Palestinian men imprisoned in a political context. They completed the Posttraumatic Growth Inventory (PTGI), adult attachment questionnaire (AAQ) and reported exposure to traumatic events. The results show that a high level of torture and ill-treatment was associated with a low level of posttraumatic growth and a high level of negative emotions. However, adult attachment style moderated that association, among men with secure attachment exposure to torture and ill-treatment was associated with a high level of posttraumatic growth, whereas among insecure-avoidant men exposure was associated with relatively higher level of negative emotions. Main effects show that men with secure attachment reported generally more posttraumatic growth, i.e., personal strength, positive affiliation to others and spiritual change, while insecure-preoccupied attachment was associated with negative emotions. Finally, favourable socio-economic characteristics were associated with posttraumatic growth: men with high professional position, steady employment, and good economic situation reported more personal strength and positive affiliation to others. Of demographic factors, only education was associated with attachment, secure men being more educated.

Continuous renal replacement therapy (CRRT) is the primary treatment for severe sepsis and has been shown to reduce patient mortality. Patients with severe sepsis who receive CRRT frequently experience significant physical and psychological distress, manifesting as shame, social withdrawal, and abnormal cognitive moods. This study aimed to explore the relationship between psychological resilience, cognitive flexibility, and post-traumatic growth (PTG) levels in patients with severe sepsis treated with CRRT. From January to October 2024, patients with severe sepsis who were treated with CRRT in our hospital were selected by convenience sampling as the research object. The Connor-Davidson Resilience Scale (CDRISC), Cognitive Flexibility Scale, and Post-Traumatic Growth Inventory (PTGI) were used to evaluate patients' psychological resilience, cognitive flexibility, and PTG levels. Statistical methods included the independent sample t test, Pearson analysis, and linear regression analysis. The total scores of CDRISC, cognitive flexibility scale and PTGI in 205 patients was (42.98 ± 6.13), (95.04 ± 17.98) and (49.77 ± 9.92), respectively. There was a significant positive correlation between psychological resilience, cognitive flexibility, and PTG levels in patients with severe sepsis treated with CRRT (p < 0.05). Psychological resilience and cognitive flexibility had positive predictive effects on PTG, and there were significant positive predictive effects between psychological resilience and cognitive flexibility (p < 0.05). Psychological resilience directly and positively predicted PTG (β = 0.538, p < 0.05). The indirect effect of psychological resilience on cognitive flexibility was significant (β = 0.677, p < 0.05), and the indirect effect of cognitive flexibility on PTG was significant (β = 0.165, p < 0.05). The chain-mediating effect between psychological resilience, cognitive flexibility, and PTG was significant (β = 0.112, p < 0.05). Psychological resilience can affect the PTG level of patients with severe sepsis treated with CRRT and can also indirectly affect PTG levels through direct chain mediation of cognitive flexibility. Targeted intervention strategies should be formulated to improve mental health and promote clinical prognosis.

ObjectivesThe aim of this one-year longitudinal study was to examine the temporal relationship between the level of posttraumatic growth (PTG) and affective well-being, measured by the presence of positive and negative affect among people living with the HIV (PLWH). In addition, the moderating effects of received and provided support with respect to the above-mentioned relationship were investigated.MethodStudy participants completed the following psychometric inventories: the Posttraumatic Growth Inventory (PTGI), the Positive and Negative Affect Schedule (PANAS-X), and the Berlin Social Support Scales (BSSS). Three assessments were performed: 129 patients were recruited for the first assessment, 106 patients agreed to participate in the second assessment, and 82 of the initial 129 participants (63.6%) participated in all three assessments.ResultsAn indirect association between PTG and positive affect was observed. However, no association was found between PTG and negative affect. Received support, but not provided support, completely moderated the relationship between PTG and positive affect.ConclusionsThis study adds to the literature by examining the temporal relationship between PTG and affective-wellbeing among PLWH. It appears from the results that in this patient group, PTG may enhance the positive affect over time. However, receiving support is vital in this process.

IntroductionThe diagnosis of a severe chronic illness represents a deeply impactful traumatic event, frequently giving rise to initial adverse consequences that can manifest as post-traumatic stress. The duration and characteristics of these effects exhibit considerable variation among individuals.ObjectivesThis study aims to explore the levels of post-traumatic stress, post-traumatic growth, and psychosocial adaptation among individuals coping with chronic diseases.MethodsThis cross-sectional study involved 92 participants with chronic illnesses, recruited through convenience and snowball sampling. Data collection utilized an online questionnaire that included both demographic questions to provide a comprehensive understanding of participants’ experiences, as well as psychometric scales for measuring post-traumatic stress, post-traumatic growth, and psychosocial adaptation.Instruments used :1.PTSD Checklist for DSM-5 (PCL-5)2.Posttraumatic Growth Inventory (PTGI) and Tedeschi and Calhoun Posttraumatic Growth Inventory (TCGI).3.Psychosocial Adjustment to Illness Scale (PAIS).Analysis included descriptive statistics and inductive analysis using SPSS (p &lt; 0.05). Ethical considerations were observed, with informed consent and data confidentiality.Results The study revealed the presence of low to moderate levels of post-traumatic stress (M= 2.45), moderate levels of post-traumatic growth (M= 2.90), and moderate levels of psychosocial adaptation in various aspects of participants’ lives, including work (M= 2.36), sexuality (M= 2.11), sociability (M= 2.28), relationships with partners and family members (M= 1.92), and perception of their health (M= 1.94). Furthermore, the overall psychosocial situation of the participants was found to range from low to moderate (M= 2.48). Notably, individuals with fewer chronic illnesses tended to experience lower levels of post-traumatic stress and exhibited less adaptation in their work. Additionally, higher levels of post-traumatic growth were observed in women and patients with higher educational backgrounds. The analysis revealed a positive and statistically significant correlation (sig.&lt;0.05) between post-traumatic stress, post-traumatic growth, and various dimensions of psychosocial adjustment among the participants.ConclusionsA chronic illness diagnosis can be deeply traumatic, potentially causing post-traumatic stress. However, it’s crucial to understand that this doesn’t diminish the possibility of post-traumatic growth and effective psychosocial adaptation. To foster this positive path, individuals must receive holistic psychological and emotional support, along with essential social assistance as they navigate life with chronic diseases.Disclosure of InterestNone Declared

The aftermath of traumatic events differs from person to person. Although some people show negative results, many people report positive results such as Post-traumatic Growth(PTG). PTG refers to positive psychological changes resulted from individuals' struggle against their main threatening life adversity, and it contains changed perception of self, changed sense of interpersonal relationship, and changed philosophy of life. Recently, the overwhelming majority of research has put their emphasis on the influencing factors of PTG, particularly the exploration of the developmental mechanism of PTG. According to Calhoun and Tedeschi's model of PTG, traumatic event is assumed to challenge the important components of individuals' assumptive world or core beliefs. When a trauma event happens, individuals are led to reexamine their core beliefs, and what makes it possible for individuals to recognize the positive changes and experience PTG. Therefore, the challenge to individuals' assumptive world or core beliefs is an important element for understanding the developmental process of PTG.Although many theoretical and empirical studies agreed that core belief challenge had effects on PTG, the roles of other relevant factors in the relationship of core belief challenge to PTG have been ignored. Relevant theories indicate that rumination may play an important role in the process which core belief challenge affects PTG, and social support may moderate the path which rumination impacts on PTG. For this reason, rumination and social support were incorporated into the exploration of relationship between core beliefs and PTG in our study, and the internal mechanism how core belief challenge affects PTG was also taken into much account. In the current study, 354 adolescents(165 males, 189 females) from grade 8, 9 in junior schools and grade 11, 12 in senior high schools of the Wenchuan county were investigated by means of questionnaires four and a half years after the Wenchuan earthquake. The main results were as follows:(1) The overall level of PTG among adolescents was high, while the level of female students was higher than that of male students, and the grade 8 students' PTG level was lower than that of students from any other grades.(2) Both intrusive rumination and deliberate rumination mediated partly the relationship between core belief challenge and PTG. On the one hand, core belief challenge could affect the PTG directly. On the other hand, core belief challenge could affect PTG negatively through intrusive rumination while had a positive effect on PTG through deliberate rumination. In addition, core belief challenge could affect PTG positively via the indirect way which intrusive rumination influenced deliberate rumination.(3) Neither the relationship of intrusive rumination to nor deliberate rumination to PTG, the path which social support moderated was the relationship of intrusive rumination to deliberate rumination. To be specific, the effect of intrusive rumination on deliberate rumination decreased with the increase of social support. That is, social support moderated the indirect path from intrusive rumination to PTG via deliberate rumination. The results have indicated that school psychologists should take notice of the changes in adolescents' core beliefs before and after the disaster, and guide them to think the significance of life positively. Moreover, the encouragement of positive cognition should also be given while social support for students be provided.

This study aims to assess the prevalence of Post-Traumatic Stress Disorder (PTSD) in mothers affected by the February 2023 earthquakes in Turkey and to explore the influence of spiritual well-being and other factors on their Post-Traumatic Growth (PTG) levels. The study's sample consisted of mothers invited to participate voluntarily through online social media platforms between October-December 2023. The Mother Information Form, Post-Traumatic Stress Disorder Control List, Post-Traumatic Growth Scale, and Spiritual Well-Being Scale (SWBS) were used as data collection instruments. A total of 303 mothers participated in this study. The mean total PTSD score was 49.35 (SD: 19.76), and 83.5% of mothers were categorized under severe anxiety levels. There was a statistically significant weak and positive relationship between PTSD and PTG levels (r: 0.282, P:0.000). When the predictors of PTG are considered, the spiritual well-being of mothers significantly predicts PTG (F: 43.944, P: 0.000). It accounts for 12.7% (R Square = 0.127) of the variance in mothers' PTG. Mothers showed high PTSD levels 9 months after the earthquakes, but alongside these high levels, it has a positive relation with their PTG, which may show mothers becoming stronger after their traumatic experience. Study results showed the mothers' spiritual levels were a significant predictor for PTG.

ABSTRACTExtensive evidence has been obtained that supports an association between an attentional bias (AB) toward negative stimuli and vulnerability to stress-related psychopathology, little is known regarding the characteristics of individual AB in different posttraumatic growth (PTG) levels. The current study used a modified dot-probe task to investigate if individual differences in AB towards either positive or negative emotional stimuli, are related to self-reported PTG. A sample of 202 patients completed the experiment. Patients with low levels of PTG did not exhibit AB toward negative or positive stimuli, patients with medium levels of PTG had difficulty disengaging attention from negative stimuli, patients with high levels of PTG had difficulty disengaging attention from positive stimuli. And the AB towards positive stimuli was only predictive for PTG. An implication of this finding is that there are different characteristics of implicit cognitive processing in patients with different levels of PTG, suggesting the necessity of psychological intervention on the accidentally injured patients.

Post-traumatic growth is a process by which an individual who has faced a significantly adverse and life-altering event, can show evidence of an ability meaningfully to construe benefits from such adversity. The purpose of this study was to investigate, in a sample of people with acquired brain injury (ABI), the contribution of illness perceptions, distress, disability, and coping strategies and health to post-traumatic growth. Seventy people with an ABI took part in this cross-sectional investigation, comprising 70% males and 30% females. Traumatic brain injury accounted for the majority of brain injuries (56%), with 31% arising from a cerebrovascular accident and the remaining 13% arising from hypoxia, brain tumours, brain abcesses and encephalitis. The average time since injury was 70.43 months (SD = 55.30, range = 7–350). Participants completed assessments comprising post-traumatic growth (Post-traumatic Growth Inventory), beliefs about their condition (Illness Perception Questionnaire Revised), coping strategies (Brief COPE), anxiety and depression (Hospital Anxiety and Depression Scale) and functional disability (Functional Independence Measure and Functional Assessment Measure). All participants were accessing post-acute brain injury rehabilitation and support services. Results showed that greater levels of post-traumatic growth were associated with greater use of adaptive coping strategies (r=.597), lower levels of distress (r = –.241) and stronger beliefs about treatment-induced controllability of the effects arising from brain injury (r=.263). Greater use of adaptive coping strategies accounted for the greater proportion of the variance in post-traumatic growth (sr 2 = 0.287) and was the only variable found to make a unique and statistically significant contribution to the prediction of growth. Illness perceptions more generally were not significantly associated with growth experiences. This study provides additional evidence of the factors associated with the process of post-traumatic growth, in particular adaptive coping strategies that may help to facilitate growth, although the direction of this relationship requires further empirical investigation. The findings of this study may have implications for professionals providing neurorehabilitation services.