Aspects Of Posttraumatic Growth Research Articles

Religious change and post-traumatic growth following EMDR trauma therapy

ABSTRACT This systematic review examined the question whether positive religious/spiritual (R/S) change is facilitated by EMDR trauma therapy. The question is asked whether any such R/S change is simply a feature of overall post-traumatic growth (PTG), or is it a form of change specific to EMDR? This systematic review found a number of articles showing that R/S change could follow EMDR, and also could be a feature of overall PTG. Further quantitative studies are needed to discover whether and how R/S change following EMDR is independent of PTG, or related to other aspects of PTG.

Posttraumatic growth among health care workers on the frontlines of the COVID-19 pandemic

BackgroundThe COVID-19 pandemic has led to significant mental health consequences for frontline health care workers (FHCWs). However, no known study has examined the prevalence, determinants, or correlates of posttraumatic growth (PTG) in this population. MethodsData were analyzed from a prospective cohort of FHCWs at an urban tertiary care hospital in New York City (NYC). Assessments were conducted during the spring 2020 pandemic peak (Wave 1) and seven months later (Wave 2). Multivariable logistic regression analyses were conducted to identify Wave 1 sociodemographic, occupational, and psychosocial factors associated with PTG at Wave 2, and the association between aspects of PTG with burnout and pandemic-related PTSD symptoms at Wave 2. ResultsA total 76.8% of FHCWs endorsed moderate or greater PTG; the most prevalent domains were increased appreciation of life (67.0%), improved relationships (48.7%), and greater personal strength (44.1%). Non-White race/ethnicity, greater levels of positive emotions, pandemic-related PTSD symptoms, dispositional gratitude, and feelings of inspiration were independently associated with PTG. At Wave 2, endorsement of spiritual growth during the pandemic was associated with 52% and 44% lower odds of screening positive for pandemic-related PTSD symptoms and burnout, respectively; greater improvement in relationships was associated with 36% lower odds of screening positive for burnout. LimitationsSingle institution study and use of self-report instruments. ConclusionsNearly 4-of-5 FHCWs report pandemic-related PTG, driven largely by salutogenic factors assessed during the pandemic surge. Interventions to bolster these factors may help promote PTG and mitigate risk for burnout and pandemic-related PTSD symptoms in this population.

Posttraumatic growth, resiliency, and basic hope in soldiers fighting in Eastern Ukraine

In 2014, the Eastern Ukrainian regions of Donetsk and Lugansk became a scene of military operations that continue until now. Data from 58 soldiers who have taken part in the Ukrainian conflict were analyzed in order to answer the following question: How do basic hope and various aspects of resiliency explain the intensity of different aspects of posttraumatic growth (PTG) in soldiers fighting in the East of Ukraine? Four stepwise regression analyses were conducted. In each of them one of particular aspects of PTG was the dependent variable, whereas the group of predictors consisted of basic hope and three aspects of resiliency. It turned out that Personal strength as well as Appreciation of life were positively related to Openness to new experiences and a sense of humor. Relating to others was strongly related to Basic hope. Finally, Spiritual change depended on Basic hope as well as Persistence and determination in action. Because of the small sample size, the results should be treated with caution. However, they seem to encourage further research concerning this group.

Post-Traumatic Growth in the Early Survival Phase: From Turkish Breast Cancer Survivors' Perspective.

The purpose of this descriptive phenomenological study was to explore the nature of post-traumatic growth (PTG) in Turkish breast cancer survivors in the post-treatment first two years. Semi-structured in-depth interviews were conducted with 13 breast cancer survivors. Data were collected between August 2015 and January 2016 in the medical oncology outpatient clinic of a university hospital in Turkey. Two main themes were identified. They are as follows: making sense of the cancer (questioning life and death and religious meaning) and positive restoring (changes in values and increased coping skills). Health care professionals should be aware of these positive changes in the post-treatment period in accordance with aspects of PTG and they should be designed programs directed towards facilitating and enhancing post-traumatic growth in the breast cancer survivors.

Effect of narrative nursing on disease adaptation outcome of patients with breast cancer

Objective To explore the effect of narrative nursing on disease adaptation outcome of patients with breast cancer such as posttraumatic growth, cancer-related fatigue, psychosocial adaptation, limb function and lymphedema. Methods From August 2015 to February 2016, 76 breast cancer patients of the First Affiliated Hospital of Harbin Medical University were selected as the research objects by convenient sampling method. All patients were divided into observation group and control group by random number table, 38 cases with each group. Patients in the control group were given routine breast cancer treatment and psychological care. On the basis of control group, patients in the observation group received the narrative nursing intervention. The posttraumatic growth rating scale (PTGI) , short fatigue scale (BFI) and disease psychosocial adaptation scale (PAIS-SR) were used to evaluate the disease adaptation condition of patients. The upper limb lymphedema and functional recovery were compared between two groups after intervention. Results The scores of interpersonal relationship, personal strength, mental change, appreciation of life and posttraumatic growth score were higher in the observation group than that in the control group after 1-month intervention (P<0.05) ; the scores of physical fatigue, cognitive fatigue and total score of fatigue in the observation group were higher than those in the control group, the differencs were statistically significant (P<0.05) ; except the family environment and social environment dimensions, the scores of each dimension and total scores of disease psychosocial adaptation in the observation group were higher than those in the control group, the differencs were statistically significant (P<0.05) ; The function of upper limb in the observation group was better than that in the control group, and the incidence of lymphedema was lower than that in the control group, the differencs were statistically significant (P<0.05) . Conclusions Narrative nursing can improve the disease adaptation outcome in breast cancer patients in the aspects of posttraumatic growth, cancer-related fatigue, psychosocial adaptation, limb functional recovery and lymphatic edema disease. It is worth spreading among breast cancer or more disease group. Key words: Breast neoplasms; Narrative nursing; Post-traumatic growth; Carcinogenic fatigue; Maladaptive outcome

Factors Associated With Post-Traumatic Growth, Quality of Life, and Spiritual Well-Being in Outpatients Undergoing Bone Marrow Transplantation: A Pilot Study.

To examine the relationships between spiritual, religious, and sociodemographic factors and post-traumatic growth, quality of life, and spiritual well-being in outpatients undergoing bone marrow and/or stem cell transplantation (BMSCT). . Cross-sectional, descriptive, exploratory. . Outpatient bone marrow transplantation clinic at the Tom Baker Cancer Centre in Calgary, Alberta, Canada. . 100 patients (21 pre-BMSCT and 79 post-BMSCT) accrued consecutively via non-probability sampling. . Study participants completed the Functional Assessment of Cancer Therapy-Bone Marrow Transplantation (FACT-BMT), the Post-Traumatic Growth Inventory (PTGI), the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp), and a demographic questionnaire. Data analysis included descriptive statistics, t tests, and correlational analyses. . Demographic variables, FACT-BMT scores, PTGI scores, FACIT-Sp scores. . The majority of participants identified themselves as being at least somewhat spiritual. Significant differences were noted between those who identified as being not religious at all versus having at least some religiosity in several subscales of the PTGI, as well as on the FACIT-Sp. Similarly, significant differences were observed between participants who identified as being not spiritual at all versus having at least some spirituality for several subscales on the PTGI. Most participants indicated they would be at least somewhat likely to recommend spiritual care to a new patient. . Most patients in this study within a publicly funded healthcare system self-identified with spirituality, used spiritual resources, and would recommend that other patients undergoing BMSCT seek the support of a spiritual care professional or chaplain. Spirituality, along with practical and relational factors, had a positive impact on certain aspects of post-traumatic growth, quality of life, and spiritual and physical well-being. . Oncology nurses are encouraged to routinely address spiritual issues. Findings from this study suggest that spirituality is not only important to patients undergoing BMSCT, but also may be an integral component of patients' post-traumatic growth, quality of life, and spiritual well-being.

La riabilitazione oncologica: qualità della cura e benessere psicologico del paziente

This paper discusses the results of a research on the well-being and health care quality in Rehabilitation Oncology. Oncological diseases are a stressful experience, but also they can trigger positive changes in the individual, leading to a modification of self and subjective well-being. Literature shows that these aspects of post-traumatic growth depend to some extent on the level of satisfaction with the quality of care received, conceptualized as the clarity of information received and the perception of being heard within the relationships of a caring nature. The aim of this paper is to highlight efficacy, levels of satisfaction with the treatment and psychological well-being of a group of cancer patients in a Physiotherapy unit. The rehabilitation stage is a key step in the transition from illness to health and therefore it is of particular relevance. The Physical Therapist takes on a fundamental role in the rehabilitation process, carrying out therapeutic interventions involving a physical dimension as well as a physical contact with the patient. The present study was conducted in a North Italian hospital and involved 50 subjects. The results show high satisfaction for the rehabilitation treatment received. These findings are strengthened by a shared view on the effectiveness of therapy: health care professionals expressed, on one hand, a positive assessment on the functional recovery of patients and, on the other hand, patients reported a high degree of psychological well-being and a perceived high efficacy of the treatment.

The relationship between posttraumatic stress and posttraumatic growth among adolescent and young adult (AYA) cancer patients.

Theories of posttraumatic growth suggest that some degree of distress is necessary to stimulate growth; yet, investigations of the relationship between stress and growth following trauma are mixed. This study aims to understand the relationship between posttraumatic stress symptoms and posttraumatic growth in adolescent and young adult (AYA) cancer patients. 165 AYA patients aged 14-39 years at diagnosis completed standardized measures of posttraumatic stress and posttraumatic growth at 12 months following diagnosis. Locally weighted scatterplot smoothing and regression were used to examine linear and curvilinear relationships between posttraumatic stress and posttraumatic growth. No significant relationships between overall posttraumatic stress severity and posttraumatic growth were observed at 12-month follow-up. However, curvilinear relationships between re-experiencing (a posttraumatic stress symptom) and two of five posttraumatic growth indicators (New Possibilities, Personal Strengths) were observed. Findings suggest that re-experiencing is associated with some aspects of posttraumatic growth but not others. Although re-experiencing is considered a symptom of posttraumatic stress disorder, it also may represent a cognitive process necessary to achieve personal growth for AYAs. Findings call into question the supposed psychopathological nature of re-experiencing and suggest that re-experiencing, as a cognitive process, may be psychologically adaptive. Opportunities to engage family, friends, cancer survivors, or health care professionals in frank discussions about fears, worries, or concerns may help AYAs re-experience cancer in a way that enhances their understanding of what happened to them and contributes to positive adaptation to life after cancer.

POST TRAUMATIC GROWTH PADA PENDERITA KANKER PAYUDARA

One of the deadly diseases for women is breast cancer. The wisdom defined in this study was post traumatic growth. Post traumatic growth is a positive changes experience arising from the struggle of the great crises of life. The purpose of this study was to determine the growth dynamics of post traumatic or post-traumatic growth toward positive life changes and want to understand further the factors that influence the formation of post traumatic growth in patients with breast cancer. The method used is based on qualitative research using phenomenology method. The analysis showed there were two factors that affecting the aspects of post traumatic growth in patients with breast cancer. External factors are the children and grandchildren as life expectation and as encouragement or motivation support of both parents to perform the treatment, so it eventually leads to the strengthening of internal factors. Internal factors include the factor of faith (spirituality), a strong desire to recover factors (optimism), resilience factors, and reframing factors. There are 4 (four) post traumatic growth arising from the struggle with breast cancer in the face of illness: an increase in spirituality, positive improvement in life, and the higher prosocial and better social relations.

Parents’ Experiences One Year On from Their Child’s Hematopoietic Stem Cell Transplant for Primary Immunodeficiency

This study explored parental experience one year after hematopoietic stem cell transplant for primary immunodeficiency. Eight parents whose child had undergone transplant were interviewed one year after their child's transplant. Transcripts were analysed using interpretative phenomenological analysis. Four themes emerged: parents' paradoxical existence within an 'abnormal normality'; isolation felt by parents; gender differences between mothers and fathers; and the 'positive growth' parents attribute to their experience. As well as describing stressful or traumatic experiences they identified aspects of post-traumatic growth. The methodology used allowed contrasting experiences to emerge and highlights the importance of follow-up for parents as well as children.