Positive Orientation and Posttraumatic Growth in Mothers of Children with Cystic Fibrosis - Mediating Role of Coping Strategies

Abstract

PurposeAnalyzing the relationship between positive orientation and post-traumatic growth (PTG) in mothers of children with cystic fibrosis including the mediating role of coping strategies. Design and methodsThis is a cross-sectional study using questionnaires. The sample was 144 mothers of children with cystic fibrosis (average age 37.25 years, SD = 6.50) recruited in the CF Foundation MATIO in Poland. The main measures included the Post–traumatic Growth Inventory (PTGI), The Positivity Scale, and the Coping Orientations to Problems Experienced (COPE). Mediation was tested with Preacher and Hayes' model 4, including coping strategies as a mediator on the relationship between positive orientation and PTG. ResultsMost examined mothers (105–72.91%) revealed high or average levels of posttraumatic growth. Positive orientation was positively (but weakly) correlated with PTGI total and all its dimensions. Additionally, coping strategies, especially focus on problem and seeking emotional support, were mediators between positive orientation and all dimensions of PTG. Full mediation was observed for PTG dimension: changes in relations to others. ConclusionPositive orientation and coping strategies are important for explaining post-traumatic growth in mothers of children with cystic fibrosis. Practice implicationsTherapeutic interventions and support programs for mothers of children with cystic fibrosis may increase mothers' awareness of experiencing PTG. Learning effective and flexible stress coping strategies can foster positive changes.