Looking Back in Kindness: A Self‐Compassion Exercise for Self‐Relevant Unresolved Events

The protective role of maternal post-traumatic growth and cognitive trauma processing in Palestinian mothers and infants: a longitudinal study

The impact of posttraumatic cognitions on the development and maintenance of posttraumatic stress symptoms (PTSS) is understudied among children and adolescents who have experienced commercial sexual exploitation/trafficking (CSE/T). The objectives of this study were to (1) explore posttraumatic cognitions among help-seeking young people aged 11-19 who have experienced CSE/T; (2) determine whether experiencing direct violence, witnessing violence, polyvictimization (ie, multiple exposures to different categories of potentially traumatic events), or demographic characteristics differentially affect whether these young people meet clinical criteria for posttraumatic cognitions using established cutoffs; and (3) explore associations between posttraumatic cognitions and PTSS among young people who have experienced CSE/T. This study is a secondary analysis of a baseline cross-sectional survey of 110 young people with substantiated CSE/T experiences who started trauma-focused cognitive behavioral therapy (mean [SD] age = 15.8 [1.5]) from August 1, 2013, through March 31, 2020, in a southeastern US state. We used descriptive statistics, adjusted modified Poisson regression, and adjusted linear regression to test study objectives. Fifty-seven of 110 (51.8%) young people aged 11-19 met clinical criteria for posttraumatic cognitions. Increased age and a greater number of trauma categories experienced were significantly associated with meeting clinical criteria for posttraumatic cognitions. On average, higher posttraumatic cognition scores were associated with higher PTSS scores, controlling for demographic characteristics (β = 0.95; 95% CI, 0.64-1.26). These findings underscore the importance of assessing comprehensive trauma history and PTSS of young people who have experienced CSE/T, with added usefulness of measuring cognitive appraisals to inform a therapeutic treatment plan. Measuring cognitive appraisals that may influence PTSS and therapeutic success can ensure an effective public health response for this population.

In a longitudinal study of war-affected children, we tested, first, whether posttraumatic cognitions (PTCs) mediated the relationship between initial and later posttraumatic stress symptoms (PTSSs). Second, we analyzed the relative strength of influences that PTCs and PTSSs have on each other in cross-lagged models of levels and latent change scores. The participants were 240 Palestinian children 10-12 years of age, reporting PTSSs and PTCs measures at 3, 5, and 11 months after a major war. Results show that PTCs did not mediate between initial and later PTSSs. The levels and changes in PTCs statistically significantly predicted later levels and changes in PTSSs, but PTSSs did not statistically significantly predict later PTCs. The results are consistent with the hypothesis that PTCs have a central role in the development and maintenance of PTSSs over time, but they do not support the hypothesis that initial PTSSs develop to chronic PTSSs through negative PTCs.

PurposeThe diagnosis of a disease such as breast cancer (BC) can be experienced as a sudden, unexpected, and life-threatening event accompanied by considerable uncertainty. This experience can precipitate the development of post-traumatic symptoms and depression. Conversely, certain individuals exhibit the capacity to reframe this traumatic event and transform it into an opportunity for personal growth. Existing research shows that individuals with high trait emotional intelligence (trait EI) tend to experience fewer post-traumatic stress symptoms (PTS), and greater post-traumatic growth (PTG). The aim of this study was to investigate the interrelationship among these variables and specifically examine whether PTS and PTG play a mediating role between trait EI, depression, and life satisfaction.MethodsQuestionnaires were administered to 338 women with BC to assess trait EI, PTS, PTG, depression, and life satisfaction.ResultsResults highlighted that trait EI was negatively related to PTS and depression and positively related to PTG and life satisfaction. In addition, both PTS and PTG showed a mediating role in the relationship between trait EI, depression, and life satisfaction. This study highlights the close link between depressive symptoms and post-traumatic cognitions in women with BC.ConclusionCurrent findings highlight links between trait EI, PTS, PTG, depressive symptoms, and life satisfaction. Clinicians could use these findings when developing interventions aimed at alleviating PTS, such as low mood and worry, and facilitating PTG. This study demonstrated that trait EI can reduce PTS and increase PTG, therefore it is important to include programs aimed at fostering trait EI.

This study explored the psychological mechanisms through which posttraumatic cognitions influence posttraumatic growth among adults in their 20s and 30s who had experienced interpersonal trauma. Specifically, the study examined the mediating role of self-compassion and the moderating role of perceived social support in this relationship. A total of 211 adults aged 20 to 39 completed measures assessing posttraumatic cognitions, self-compassion, perceived social support, and posttraumatic growth. Data were analyzed using SPSS 27 and PROCESS macro 4.2. The results showed that, first, self-compassion fully mediated the relationship between posttraumatic cognitions and posttraumatic growth. Second, social support moderated the effect of posttraumatic cognitions on self-compassion, such that high levels of social support buffered the negative impact of posttraumatic cognitions on self-compassion. Third, social support moderated both the direct and indirect effects of posttraumatic cognitions on posttraumatic growth. These findings support theoretical models of posttraumatic growth and highlight the interactive influence of individual and social factors in the reconstruction of trauma-related cognitions. Interventions that enhance self-compassion and provide sufficient social support may be effective in promoting growth among survivors of interpersonal trauma.

A number of recent models have examined cognitive predictors of posttraumatic stress and posttraumatic growth (S. Barton, A. Boals, & L. Knowles, 2013; J. Groleau, L. Calhoun, A. Cann, & G. Tedeschi, 2013; K. N. Triplett, R. G. Tedeschi, A. Cann, L. G. Calhoun, & C. L. Reeve, 2012). The current study examined an integrated model of predictors of distress and perceived growth in 194 college undergraduates. Domains covered included the roles of core belief challenge, event centrality, posttrauma cognitions, and event-related rumination. Negative cognitions about the self and the centrality of the event directly predicted both growth and distress, although intrusive rumination predicted only posttraumatic stress disorder symptoms, and deliberate rumination predicted only posttraumatic growth. Future research should continue to examine the shared and unique predictors of postevent growth and distress.

The purpose of the present study was to examine the potential mediating roles of different sources of social support and sense of community on the relationship between interpersonal violence and mental health outcomes, negative posttraumatic cognitions, and posttraumatic growth. Participants (n = 459) completed an online survey. Interpersonal violence had a significant, direct effect on all posttraumatic outcomes. Support from significant others mediated the relationship between interpersonal violence and posttraumatic stress. Both support from family and a negative sense of community mediated the relationship between interpersonal violence and posttraumatic cognitions, while social support from friends and family and a positive sense of community mediated the relationship between interpersonal violence and posttraumatic growth. The results suggest that posttraumatic distress and growth may be impacted by different connection sources.

Trauma may lead to different psychological changes, both detrimental or beneficial. This study aimed to a better understanding of these consequences by exploring the relations between traumatic experiences and: Posttraumatic growth (PTG), posttraumatic cognitions (PTC), and personality. Mexican university students (n = 161) answered the Global Assessment of Posttraumatic Stress, the Posttraumatic Cognitions Inventory, the Posttraumatic Growth Inventory, and the Millon Multiaxial Inventory. Participants showed a high prevalence of traumatic exposure, standard personality scores, and PTC and PTG presence. Self-blame cognitions were higher in persons with intentional trauma, and guilt was positively associated with PTG. Histrionic personality was associated positively with PTG and negatively with PTC. Mental health implications are discussed.

Researchers have been investigating possible pathways to negative (posttraumatic stress disorder [PTSD]) and positive (posttraumatic growth [PTG]) reactions to trauma in recent decades. Two cognitive constructs, event centrality and posttraumatic cognitions, have been implicated to uniquely predict PTSD symptoms in an undergraduate sample. The current pair of studies attempted to (a) replicate this finding in an undergraduate sample, (b) replicate this finding in a treatment-seeking sample, and (c) explore whether these 2 cognitive constructs uniquely predict PTG. The first study consisted of 500 undergraduate students, whereas the second study consisted of 53 treatment-seeking clients. Results indicated both posttraumatic cognitions and event centrality uniquely predicted PTSD in the undergraduate (R(2) = .46) and treatment-seeking samples (R(2) = .46). These 2 cognitive constructs also predicted PTG in the undergraduate sample (R(2) = .37), but only posttraumatic cognitions predicted PTG in the treatment-seeking sample (R(2) = .17). The relationships between PTG varied, depending on whether PTG for high or low event-centrality events were assessed. The original model was supported within both populations for PTSD symptoms, and its extension to PTG was supported within the treatment-seeking sample. These results underscore cognitive and narrative factors in the progression of trauma.

Trauma survivors often endorse some level of posttraumatic growth (PTG), referring to positive outcomes after trauma related to meaning-making and strengthened perceptions of the self. While extant research points to cognitive processes at the root of PTG, posttrauma cognitions such as shame, fear, and self-blame have thus far only been linked to negative outcomes of trauma exposure. The current study examines the association between posttrauma appraisals and PTG among victims of interpersonal violence. Findings will reveal whether appraisals directed toward the self (shame and self-blame), toward the world (anger and fear), or those directed toward relationships (betrayal and alienation) are most conducive to growth. A sample of 216 adult women aged 18-64 years were interviewed at baseline and 3, 6, and 9 months later as part of a larger study on social reactions received when disclosing sexual assault. As part of the interview battery, they were administered the Posttraumatic Growth Inventory (PTGI) and Trauma Appraisal Questionnaire. Posttrauma appraisals were used as time-invariant predictors of PTG (PTGI score) at each of the four time points. Posttrauma appraisals of betrayal were associated with initial PTG and alienation appraisals predicted increases in PTG over time. However, self-blame and shame did not predict PTG. Results suggest that a violation to one's views of interpersonal relationships, reflected in experiences of alienation and betrayal posttrauma, may be especially relevant for growth. As PTG reduces distress among trauma victims, this finding suggests targeting maladaptive interpersonal appraisals is an important intervention target. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

ABSTRACTBackgroundIn response to extreme life events, individuals may experience not only distress but also positive transformation, known as posttraumatic growth (PTG). Only a few studies have investigated PTG following traumatic loss. This is the first study to investigate promotive factors—loss‐related, intrapersonal and interpersonal factors—immediately after the loss and 6 months later.MethodsA total of 36 participants (58% female, Mdn = 49 years) were invited by psychosocial crisis intervention teams. Data collection took place immediately after a traumatic loss (T1) and 6 months later (T2). Various sociodemographic, loss‐related, intrapersonal (e.g., symptomatic distress, posttraumatic cognitions) and interpersonal (e.g., social acknowledgement, self‐disclosure) variables were investigated. Sociodemographic and loss‐related variables were compared using inferential statistical group comparisons with regard to PTG. Multiple logistic regressions compared intrapersonal versus interpersonal factors to predict PTG at 6 months.ResultsParticipants were strongly affected by their level of exposure and the sudden or violent death circumstances of their close relatives. Among the sociodemographic and loss‐related characteristics, no association was found with PTG. Lower levels of acute symptomatic distress predicted higher PTG. After 6 months, interpersonal factors significantly predicted PTG, whereas intrapersonal variables showed no more association with PTG.ConclusionsThe results suggest that there is a complex relationship between intrapersonal and interpersonal factors and PTG immediately following traumatic losses as well as 6 months later, which can only partially be related to the existing literature. Further research in this important field is urgently needed to support individuals after traumatic losses.

The protective role of maternal posttraumatic growth and cognitive trauma processing among Palestinian mothers and infants

Impacts of repeated retrieval of positive and neutral memories on posttrauma health: An investigative pilot study

Compared to non-Black women, Black women in the United States are more likely to be diagnosed with HIV, living with HIV, and have suboptimal HIV outcomes, disparities largely linked to structural and psychosocial factors that may impact mental health. 151 Black women living with HIV (BWLWH) enrolled in a longitudinal cohort study completed baseline assessments between October 2019 and January 2020 in the Southeastern United States. Measures captured microaggressions (gendered-racial, HIV, and Lesbian/Gay/Bisexual/Transgender/Queer), "macro" discrimination acts (gender, race, HIV, sexual orientation), resilience factors (self-efficacy, trait resilience, posttraumatic growth, positive religious coping, and social support), and mental health (depressive symptoms, posttraumatic stress disorder (PTSD) symptoms, and posttraumatic cognitions). Four structural equation models were estimated with latent discrimination (LD), latent microaggression (LM), and latent resilience (LR) as predictors and depressive symptoms, PTSD symptoms, posttraumatic cognitions, and latent mental health (LH) as outcomes. Indirect pathways from LD and LM via LR and LR as a moderator were estimated. Models fit well based on indices. There were significant direct pathways from LM and LR to depressive symptoms, posttraumatic cognitions, and LH and a significant direct pathway from LM to PTSD symptoms, but not from LD to any mental health outcome. Indirect pathways were not significant. However, LR moderated the relationships between both LM and LD with PTSD symptoms. Intersectional microaggressions and resilience factors may play key roles in BWLWH's mental health. Research is needed to examine these pathways overtime and provide opportunities to improve mental health and HIV outcomes among BWLWH. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Background and Objectives: Individual differences after trauma vary considerably and can range from posttraumatic stress disorder (PTSD) to posttraumatic growth (PTG). Current theoretical models cannot fully explain this variability. Therefore, we integrated attachment theory with Ehlers and Clark's model of PTSD to understand whether attachment style is associated with negative appraisals of a traumatic event(s), posttraumatic stress symptoms (PTS), and PTG. Our aim was to test this integrated model PTSD in an analog sample who had experienced at least one traumatic event. Design: We used structural equation modeling to test the association of adult attachment and posttraumatic cognitions (self and world/others) with PTS and PTG using a cross-sectional, correlational design. Methods: The sample comprised 393 university staff and students (RangeAge= 18–49, 85% females) who completed online measures. Results: Attachment anxiety and negative posttraumatic self-cognitions were positively associated. Negative posttraumatic self-cognitions were positively associated with PTS. Attachment anxiety had an indirect effect (via negative posttraumatic self-cognitions) on PTS, whereas attachment avoidance predicted more negative posttraumatic world cognitions and lower perceived PTG. Conclusions: The study highlights the importance of considering how attachment styles influence posttraumatic emotion regulation and cognitive processing of the trauma to determine posttraumatic mental health.