Posttraumatic Growth In Patients Research Articles

Nursing intervention and quality feedback guided by stress system theory in neurological function recovery and post-traumatic growth of patients with acute primary cerebral hemorrhage

Objective: To explore the effect of nursing intervention and quality feedback guided by stress system theory on neurological function recovery and post-traumatic growth in patients with cerebral hemorrhage. Methods: 120 patients with cerebral hemorrhage admitted to our hospital from October 2022 to November 2023 were selected, 47 patients in the control group received routine medical care, and 73 patients in the observation group were added nursing intervention measures under the guidance of stress system theory on this basis. The effects of the intervention were evaluated by Posttraumatic Growth Inventory (PTGI), self-rating Anxiety Scale (SAS), self-rating Depression Scale (SDS), Barthel index (BI) and Chinese scale of clinical neurological impairment in stroke patients (CSS). Results: After intervention, the PTGI score in the observation group was significantly higher than that in the control group (P < 0.05). The SAS and SDS scores were significantly lower than those of the control group (P < 0.001), indicating that the nursing intervention effectively alleviated the anxiety and depression of patients. At the same time, the BI index of the observation group was significantly increased, and the CSS score was significantly decreased (P < 0.001), indicating that the patients' self-care ability of daily life and the recovery level of neurological function were significantly improved. Conclusion: Nursing intervention and quality feedback strategy under the guidance of stress system theory can effectively improve the neurological recovery ability and post-traumatic growth level of patients with cerebral hemorrhage, and has a significant effect on improving the psychological state and quality of life of patients.

Relationship between self-psychological adjustment and post-traumatic growth in patients with lung cancer undergoing chemotherapy: a cross-sectional study

ObjectivesThis study aimed to determine the potential profiles of self-psychological adjustment in patients with lung cancer undergoing chemotherapy, including sense of coherence (SOC) and positive cognitive emotion regulation (PCER). The...

Data-Informed Insights on Thriving Through Challenges: Exploring Posttraumatic Growth, Resilience, and Social Support in Hemodialysis Patients

Hemodialysis is one treatment option for end stage renal disease which does not cure the disease completely but increases the patients’ span of life. It imposes a lot of physical and psychological burden on the patients. Identification of factors protecting the patients from these burdens is needed. Recent studies have focused on posttraumatic growth (PTG) as a protective factor against the distressing health outcomes. The aim of this cross-sectional study is to investigate the occurrence of PTG in patients on maintenance hemodialysis and examine its association with perceived social support and resilience. A convenience sample of 200 patients receiving maintenance hemodialysis was recruited from two government hospitals of Lahore, Pakistan. Data was collected using Posttraumatic Growth Inventory, Perceived Social Support Scale, and Trait Resilience Scale. Individuals undergoing hemodialysis showed high levels of PTG and the mean total score for PTGI was 60.1+ 11.5. Resilience (r = .79, p&lt;.001) and perceived social support (r = .51, p&lt;.001) were significantly correlated with PTG. Hierarchical multiple regression indicated increasing age, longer duration of hemodialysis, and resilience to be significant predictors (p&lt;.001) of PTG in patients and explained 52% of the variance. The results provide helpful information which could be used to develop interventions for patients to transform their adversity into positive growth by improving their resilience and social support.

Effects of meaning-based psychotherapy on post-traumatic growth and death anxiety in patients with cancer: a systematic review and meta-analysis.

Cancer is one of the leading causes of mortality in the world which imposes numerous psychological burdens on the patients. Psycho-spiritual interventions such as meaning-based therapies may help decrease these challenges. This systematic review and meta-analysis aim to investigate the effects of meaning-based psychotherapy on post-traumatic growth and death anxiety of patients with cancer. PubMed, Scopus, Proquest, Web of Science, and Google Scholar were searched until 30 September 2023. The Cochrane Collaboration's tool was used to assess the quality of the included studies. A random-effect model was preferred, and statistical analysis was performed by STATA software version 17. A total of 17 studies were included in the systematic review. Eleven articles examined the impact of meaning-based interventions on death anxiety and six articles examined post-traumatic growth in cancer patients. Ten studies with a total of 555 participants were included for analysis of the effect of logotherapy versus routine care on death anxiety. Analysis showed a significant decrease effect of logotherapy versus routine care on death anxiety (SMD, - 4.05 (- 6.20, - 1.90); I2, 98.38%). Three studies with a total of 364 participants were included for analysis of the effect of logotherapy versus routine care on post-traumatic growth in patients with cancer. Analysis showed a positive but non-significant effect of logotherapy versus routine care on post-traumatic growth (SMD, 2.05 (- 0.91, 5.01); I2, 99.08%). The qualitative analysis showed the positive impact of meaning-based psychotherapy interventions on death anxiety and post-traumatic growth in cancer patients, but the results of the meta-analysis on post-traumatic growth were not statistically significant. The review shows the need for more clinical trial studies in larger and more diverse samples in terms of cancer types and cultural background.

N12 The Experience of Post-traumatic Growth Process in Newly Diagnosed Chinese Patients with Crohn’s Disease: A Longitudinal Qualitative Study

Abstract Background The impact of Crohn’s disease (CD) is not purely negative, it may become an opportunity for patients to undergo positive psychological adjustments and achieve personal growth. To date there has been limited in-depth research to understand the patients’ experiences of post-traumatic growth (PTG) process following an CD diagnosis using a qualitative study with a longitudinal perspective. Methods A longitudinal qualitative design was adopted. Sixteen newly diagnosed Chinese patients with CD were recruited through purposive sampling. Semi-structured interviews were conducted on three occasions: 3, 6 and 12 months post-diagnosis. Data were collected between November 2021 and December 2022. Data analysis of each time point was based on conventional content analysis. Afterwards, all data were combined for a comprehensive re-analysis to capture change. Results Four themes and fifteen sub-themes were formed through analysis (table 1). The process of PTG was shown in Figure 1. Within the first year post-diagnosis, patients with CD experienced considerable physical discomforts and psychological distress. Their personal development was also limited. With increased disease knowledge, and driven by a strong sense of responsibility and external support, the patients’ disease acceptance transformed from "difficult to accept" to "have to accept" to "should accept" then to "be able to accept". Living with CD, they actively engaged in monitoring disease condition, cooperating with treatment, exploring patterns of flare-ups, relieving stress and focusing on problem solving to eliminate negative emotions, and regaining hope and positively planning for future. Over time, the impact of CD on the patients’ lives became smaller, they integrated their disease as a part of themselves, and achieved personal growth. This growth was manifested by "developing closer relationships with others", "increasing personal strength", "changing in life philosophy" and "emerging new possibilities". Overall, as disease duration increased, the disease related sufferings diminished, and CD patients’ disease acceptance improved. In addition, as time goes by, the patients’ ability to self-manage disease enhanced, and their experience of personal growth increased. Conclusion The process of PTG in patients with CD within the first year of diagnosis primarily consists of four stages: "enduring hardships", "accepting illness", "living with illness", and "achieving personal growth". This growth was not linear, but rather cyclical. Nurses could provide targeted guidance to patients based on the trajectory identified in this study, helping them unearth inner resources and create conditions for PTG.

The Effect of Childhood Trauma on Posttraumatic Growth in Patients with Depression

The Effect of Childhood Trauma on Posttraumatic Growth in Patients with Depression

The Relationship Between Spiritual Well-Being and Post-Traumatic Growth in Turkish Patients Undergoing Solid Organ Transplantation.

This study was conducted to determine the relationship between spiritual well-being and post-traumatic growth in solid organ transplant patients. This cross-sectional study was conducted with 366 patients who presented to the organ transplantation polyclinic of a university hospital between September 2021 and February 2022 in Turkey. The mean Post-Traumatic Growth Inventory and Spiritual Well-Being Scale scores of solid organ transplant patients were 81.33 ± 20.28 and 37.18 ± 8.69, respectively. There was a significant positive correlation between post-traumatic growth and spiritual well-being. According to linear regression analysis, spiritual well-being, gender, marital status, transplanted organ, donor type, and previous mental disorders were statistically significant predictive factors that affected post-traumatic growth. Spiritual well-being was an important variable that affected post-traumatic growth in solid organ transplant patients. Therefore, healthcare providers can provide individualized psychosocial-spiritual care and counseling services that increase post-traumatic growth in patients after organ transplantation.

The effects of strength of religious faith on post-traumatic growth in patients with epilepsy

AimThis study was conducted to examine the effects of strength of religious faith on post-traumatic growth in patients with epilepsy. MethodThis cross-sectional and correlational study was conducted with 112 participants who were admitted to the neurology outpatient clinic of a university hospital in eastern Turkey, who met the research criteria and agreed to participate in the study. The data were collected by using “Descriptive Information Form”, “Santa Clara Strength of Religious Faith Questionnaire (SCSRFQ)”, and “Post-traumatic Growth Inventory (PTGI)”. Santa Clara Strength of Religious Faith Questionnaire SCRFSQ has a maximum strength of faith score of 40 points and the PGTI has a maximum growth after a traumatic event score of 105 points. ResultsMean SCSRFQ total score of the participants was found to be 31.04 ± 5.17. Mean PTGI total score was found to be 60.54 ± 16.50. As a result of the regression analysis, it was found that the independent variable affected the dependent variable PTGI total score significantly (F(1,110) = 13.999, p = 0.000). It was also found that the independent variable affected the PTGI total score positively (β = 0.336) and explained 11% of the PTGI total score (p < 0.001). ConclusionIt was found that the participants had high strength of religious faith score and moderate post-traumatic growth score. It was found that post-traumatic growth increased as strength of religious faith increased.

Reconstructing self from the illness: a constructivist grounded theory study of posttraumatic growth in patients with Crohn’s disease

BackgroundSome patients with Crohn’s disease report posttraumatic growth, which can promote reductions in anxiety and depression, and improve the patient’s quality of life. However, the process of posttraumatic growth remains unclear. The objectives of this study were to explore the social-psychological process of posttraumatic growth in patients with Crohn’s disease in the context of Chinese culture and construct an interpretive understanding based on the perspectives of patients.MethodsThis research adopted Charmaz’s constructivist grounded theory. Nineteen participants with Crohn’s disease were selected by purposive and theoretical sampling from three hospitals in Hangzhou, Zhejiang Province, as well as from the China Crohn’s & Colitis Foundation. In-depth interviews were conducted. Data analysis was based on initial, focused and theoretical coding strategies, and methods such as constant comparison and memo writing were adopted. The Consolidated Criteria for Reporting Qualitative Research, a 32-item checklist for interviews and focus groups, was utilised.ResultsAn interpretive understanding of posttraumatic growth in patients with Crohn’s disease was constructed. The core category was “reconstructing self from the illness”, which included the following four categories: “suffering from the illness”, “accepting the illness”, “dancing with the illness” and “enriching life beyond the illness”. However, not every patient reached the last phase. Before patients enter the next stage, they might begin a new cycle by experiencing new suffering or discovering new unacceptable facts about the illness.ConclusionsThis interpretive understanding reveals a growth process centred on “reconstructing self from the illness”. These findings provide knowledge on the process of posttraumatic growth in patients with Crohn’s disease within the wider sociocultural context.

Personality Traits and Coping Strategies Relevant to Posttraumatic Growth in Patients with Cancer and Survivors: A Systematic Literature Review

The possibility of positive psychological changes after cancer, namely, posttraumatic growth, is a growing field of research. Identifying personality traits and coping strategies related to posttraumatic growth may help find vulnerable individuals as well as promote helpful coping strategies to help more patients make positive changes at an early stage. The aim of this systematic literature review is to provide an overview of the quantitative data on coping strategies and personality traits associated with posttraumatic growth in patients with cancer and cancer survivors as well as the methods used in included studies. A systematic literature search was conducted using five databases (PubMed, PubPsych, PsycInfo, Web of Science, and PSYNDEXplus). The 70 reports of included studies assessed posttraumatic growth using questionnaires in a sample of patients with cancer or survivors. In addition, associations with a personality trait or coping strategy had to be examined cross-sectionally or longitudinally. All 1698 articles were screened for titles and abstracts by two authors, after which disputed articles were reviewed by a third author. Afterwards, articles were screened for full texts. Most studies had a cross-sectional design and used a sample of patients with breast cancer. Coping strategies have been researched more than personality factors. The personality traits of resilience, hardiness, dispositional positive affectivity, and dispositional gratitude seem to be related to posttraumatic growth, while the Big Five personality traits (openness to experience, conscientiousness, extraversion, agreeableness, neuroticism) have been less researched and/or seem to be unrelated. The use of social support, religious coping, positive reframing, and reflection during illness as coping strategies seems to be related to posttraumatic growth. The findings can be used for the development of interventions. Future studies should investigate associations longitudinally.

Post-Traumatic Stress Disorder and Post-Traumatic Growth in Patients with Breast Cancer: A Retrospective Cross-Sectional Study in a Developing Country

Post-Traumatic Stress Disorder and Post-Traumatic Growth in Patients with Breast Cancer: A Retrospective Cross-Sectional Study in a Developing Country

Effectiveness of Cognitive Behavior Therapy Combined with Eye Movement Desensitization and Reprocessing on Psychological Problems and Life Quality in Patients' Postfacial Trauma.

Objective To investigate the effectiveness of cognitive behavior therapy (CBT) combined with eye movement desensitization and reprocessing (EMDR) on the esteem, anxiety, depression, posttrauma stress disorder (PTSD), and posttraumatic growth in patients with facial trauma. Methods A total of 92 facial trauma patients in Wenzhou People's Hospital from January 2017 to December 2019 were enrolled in this study. The patients were randomly divided into control group (n = 46) and intervention group (n = 46). Both of the control group and the intervention group received routine treatment, while the intervention group further received CBT combined with EMDR. Questionnaires were used to explore and record the general patient information. The Self-Esteem Scale (SES), Self-Anxiety Scale (SAS), Self-Depression Scale (SDS), Posttraumatic Stress Disorder Checklist Civilian Version (PCL-C), Posttraumatic Growth Inventory (PTGI), and World Health Organization Quality of Life-brief (WHOQOL-BREF) scores between the two groups were compared. Results After CBT combined with EMDR intervention, the SDS and SAS scores in the intervention group were significantly decreased compared with the scores before intervention with statistically significance (P < 0.001). Furthermore, the PCL-C score in the intervention group showed significant decrease in comparison with the control group (P < 0.001), while the PTGI score in the intervention group was significantly higher than the control group (P < 0.001). The WHOQOL-BREF scores were increased after treatment in the two groups compared with the scores before treatment, and the scores in the intervention group were higher than those in the control group after treatment (P < 0.01). Conclusion Psychological intervention therapy can effectively alleviate the anxiety, depression, and PTSD and improve the life quality and the recovery of facial trauma patients.

The mediating role of positive reappraisal and self-compassion on the relationship between mindfulness and posttraumatic growth in patients with cancer

The beneficial effect of mindfulness in promoting posttraumatic growth has been well established in research, but it remains unclear what psychological mechanisms mediate it. This study examined the mediating roles of positive reappraisal and self-compassion on the relationship between mindfulness and posttraumatic growth in patients with cancer. A random sample of 550 patients drawn from two medical health care institutions in southeast, Nigeria participated in this study. Results of mediation analysis showed that positive reappraisal and self-compassion independently mediated the relationship between mindfulness and posttraumatic growth. These findings underscore the usefulness of mindfulness-based therapies in promoting cognitive emotional processes such as positive reappraisal abilities and self-compassion, which are essential in facilitating posttraumatic growth in patients with cancer.

Post-traumatic growth in polytraumatized patients after 20+ years: a long-term follow-up study of 337 patients treated at a level 1 trauma center

PurposeThere is limited research on the long-term psychiatric outcomes of polytraumatized patients. Existing studies focus mainly on the negative sequelae. Post-traumatic growth (PTG) describes positive personal development after severe physical or mental distress. In this study, we investigated post-traumatic growth in polytraumatized patients at least 20 years after trauma.MethodsPatients treated for polytrauma at a German level 1 trauma center between 1971 and 1990, were contacted 20+ years later. A questionnaire with 37 questions from the stress-related growth scale (SRGS) and the post-traumatic growth inventory (PGI) was administered. PTG was quantified in five specific areas. PTG and patient demographics were then analyzed using logistic regression.ResultsEligible questionnaires were returned by 337 patients. 96.5% of patients reported improvements regarding at least one of the 37 questions. Approximately, a third of patients noticed distinct improvements regarding their relationship to others (29.2%), appreciation of life (36.2%) and attitudes towards new possibilities (32.5%). Patient demographics were significant predictors for the development of PTG: Older (p < 0.001), female (p = 0.042) and married patients (p = 0.047) showed a greater expression of PTG. We also saw significantly more PTG in patients with higher injury severity (p = 0.033).Conclusion20 years after polytrauma, patients report improvements in their relationship with others, appreciation of life and attitude towards new possibilities. Women and married patients show higher expression of PTG. Furthermore, there is higher expression of PTG with higher age and injury severity. Post-traumatic growth should be identified and fostered in clinical practice.Level of evidenceIII—prospective long-term follow-up study.

Looking at Life Differently After a Heart Attack: Post-traumatic Growth in Patients with Myocardial Infarction

Myocardial Infarction (MI), commonly known as heart attack, is the primary cause of death in the world along with other coronary diseases and it is a significant trauma because of its unexpected and life-threatening nature. After traumatic experiences not only psychological problems but also positive changes such as posttraumatic growth (PTG), which is characterized by positive changes in attribution of self, others and the world, are experienced. The current study reviewed literature to combine the findings of empirical studies examining PTG in patients with MI. It is aimed to draw attention to the concept of PTG associated with this common and risky disease and to gain insight about developing psychological interventions specified to PTG in MI patients. Considering the findings, it can be said that PTG is experienced in patients with MI to a great extent and mostly in the manner of appreciating life with changes in world view and prioritizing spirituality. Moreover, MI is related to various variables such as illness perception, social support, sociodemographic variables and personality traits particularly extraversion. Besides rationalization, cognitive coping, positive-religious and problem-focused coping strategies contribute to PTG in patients with MI. Keywords Posttraumatic Growth, Myocardial Infarction, Heart Attack, Positive Changes, Coping Styles

Religious Coping Strategies in Patients With Post-traumatic Growth Due to COVID-19: A Qualitative Study

Background and Objectives: The COVID-19 crisis has caused a wave of stress, psychological disorders and physical problems in the world, but some people experience post-traumatic growth despite these problems. The aim of this study was to explain the religious coping strategies of growth based on the experiences of patients with COVID-19. Methods: A qualitative research design was conducted using content analysis method. Twenty-five participants were selected using purposive sampling and interviewed using semi-structured and in-depth interviews. Purposeful sampling was used to achieve data saturation. Data were analyzed according to the step-by-step process of Brown and Clark content analysis using MAXQDA software. Results: Data analysis resulted in 386 primary codes, 18 basic themes, 11 organizing themes. Religious coping strategies of post-traumatic growth in patients with COVID-19 were: “Spiritual reflection”, “Positive religious framing”, “Prayer”, “Religious benevolence”, “Invocation”, “Trusting”, “Religious hope”, “Religious modeling”, “Religious acceptance”, “Preparation for Death”, and “Seeking Religious support”. Conclusion: Positive religious coping strategies significantly contribute to post-traumatic growth in patients with COVID-19. The findings of the present study can be used to design scales for measuring religious coping strategies, design and effectiveness of intervention programs to help COVID-19 patients to cope with disease stress and facilitate post-traumatic growth.

Resilience and Posttraumatic Growth of Patients With Breast Cancer During the COVID-19 Pandemic in China: The Mediating Effect of Recovery.

PurposeThis study aims to examine the mediating role recovery plays in the relationship between resilience and posttraumatic growth (PTG) among breast cancer patients.MethodsA cross-sectional study design was implemented between January 02, 2021 and April 29, 2021. A total of 789 breast cancer patients from eight hospitals in Liaoning province were selected for participation in this study. These participants completed questionnaires, which included the Post-Traumatic Growth Inventory, EGO Resilience Scale and the Questionnaire about the Process of Recovery. The associated factors of PTG were analyzed using hierarchical multiple regression (HMR). The proposed relationships among resilience, recovery, and PTG were checked by structural equation modeling (SEM) analyses.ResultsThe average PTG score of breast cancer patients was 53.00 ± 28.30. PTG was positively correlated with both recovery and PTG (a*b = 0.1, BCa95% CI: 0.154 ∼ 0.054).ConclusionBreast cancer patients were found to exhibit a moderate degree of PTG. Resilience was positively associated with PTG and recovery mediated the positive effect of resilience on PTG. Resilience might serve as a crucial protective factor that could explain positive growth in life-threatening illnesses through the mediating path of recovery.

Application of Psychological Elastic Development Model in Postoperative Trauma Growth of Patients with Esophageal Cancer

Purpose: Use the psychological resilience development model to formulate effective nursing measures, and explore the impact of relevant nursing measures on the psychological resilience and post-traumatic growth of patients. Methods: Using a general data sheet, post-traumatic growth scale, and psychological resilience scale, 100 patients discharged from the hospital after esophageal cancer were investigated in groups, and statistical software spss26.0 was used for statistical analysis. Results: The psychological resilience and post-traumatic growth levels of the experimental group were significantly higher than those of the control group, the P-value. Conclusion: As a common gastrointestinal tumor, esophageal cancer is traumatized by surgery. Not only will there be more discomfort during hospitalization, but also a series of complications will still occur after discharge, such as pain, weakness, and other discomforts, which will cause the patient’s emotions. Subject to strong fluctuations, the patient suffers great psychological trauma. After being discharged from the hospital, caregivers need to master more related skills when caring for patients, which is time-consuming and labor-intensive, and often causes the patients to feel the emotion of dragging the family members. Under the condition of both physical and psychological pressure, patients often appear fearful and uneasy, and suffer great psychological trauma, which leads to low levels of psychological resilience and post-traumatic growth of patients, and related nursing interventions based on Rutter’s psychological development model It can significantly improve the patient’s psychological flexibility, improve the patient’s post-traumatic growth level, promote the patient’s physical and mental recovery, make the patient produce positive emotions, increase positive psychological changes, and thereby improve the patient’s quality of life after discharge.

Factors Associated with Post-Traumatic Growth in Patients with Breast Cancer Based on a Model of Post-Traumatic Growth

Factors Associated with Post-Traumatic Growth in Patients with Breast Cancer Based on a Model of Post-Traumatic Growth

Effectiveness of Commitment and Acceptance Therapy on Depression and Post Traumatic Growth in Hemodialysis Patients: A Randomized Clinical Trial Study

Background and Objectives Chronic kidney disease and hemodialysis have adverse effects on the patient's physical and mental health. The aim of this study was to evaluate the effectiveness of commitment-based treatment and acceptance (ACT) on depression and post-traumatic growth in hemodialysis patients. Methods The present study was clinical trial with pre-test, post-test and follow-up with a control group. Hemodialysis was performed on 36 patients referred to Imam Ali and Shahid Rajaei Hospitals in Karaj. Sampling method was convenience and patients randomly assigned into two groups: ACT group (n=18) and control group (n=18). The research tool was Beck and Post Traumatic Growth and Depression Inventory. The intervention group received ACT therapy individually in 8 sessions of 90 minutes. The data were analyzed using SPSS software version 23. Results In the pre-test stage, the Mean±SD score of the depression and post-traumatic growth of the ACT group were 49.83±4.73 and 41.94±10.76, respectively. In the control group; the mean and standard deviation of depression was 45.39±2.70 and for post-traumatic growth was 44.22±8.09. After intervention and in the follow-up phase, a significant increase in mean post-traumatic growth and a decrease in depression were observed in the experimental group compared to the control group (p≤0.001). Conclusion Based on the results of this study, it seems that ACT as a psychological intervention can be effective in improving psychological problems and post-traumatic growth in patients undergoing hemodialysi.