Levels Of Posttraumatic Growth Research Articles

Posttraumatic growth trajectories of couples with gynecological cancer: A longitudinal study.

We aimed to describe and compare posttraumatic growth (PTG) levels among gynecological cancer patients and spouses at various time points within one year of diagnosis, as well as to investigate the association, trajectory, and subgroup characteristics of their PTG. Couples in a longitudinal observational study filled out questionnaires within 1 month of gynecological cancer diagnosis, as well as 3, 6, and 12 months later. A growth mixture model (GMM) was utilized to explore PTG trajectories. Statistical analyses included Spearman rank correlation, chi-square test, nonparametric test, and post-hoc test. A significant positive correlation was found between the PTG scores of patients and spouses at different times (P<0.01), with the patients' scores being significantly higher (P<0.001). Within a year of diagnosis, patients' and their spouses' PTG showed an overall upward trend. The GMM identified three categories for patients' PTG trajectories: high stability (33.7%), decline (19.1%), and low growth (47.2%). Similarly, spouses' PTG trajectories fell into three categories: medium growth (42.8%), decline (8.6%), and low stability (48.6%). Subgroup analysis of patients and spouses with different PTG trajectories indicated significant differences concerning educational attainment, residence location, per capita monthly family income, payment method of patients' medical expenses, and subjective severity of patients' diseases (P<0.05). This study represents the inaugural effort to investigate the levels and correlations of PTG between gynecological cancer patients and their spouses from a longitudinal perspective. Furthermore, three distinct trajectories were identified for both partners. Patients and spouses exhibiting different PTG trajectories possess unique demographic and disease characteristics.

A cross-sectional study on posttraumatic growth and influencing factors among parents of premature infants

ObjectivePreterm birth is a significant public health concern that negatively affects parents’ mental health. Posttraumatic growth (PTG) is a positive response to trauma that can effectively help parents cope with the stress of preterm birth. However, few studies have investigated PTG among parents with preterm infants. This study aimed to examine the level and influencing factors of PTG among parents with preterm infants and to explore its relationship with social support coping styles.MethodsA cross-sectional study was conducted among 160 parents of premature infants in a hospital in Shenzhen, China, from May 2022 to August 2022. Parents’ demographic information and birth-related characteristics were collected through a self-designed general information questionnaire. PTG was assessed using the Chinese version of the Posttraumatic Growth Inventory (PTGI). Social support and coping style were measured using the Social Support Scale(SSS) and the Ways of Coping Questionnaire(WCQ). Pearson correlation analysis was used to investigate the relationship between PTGI and WCQ and SSS .A stepwise multiple linear regression analysis was performed to explore independent influencing factors of PTG.ResultsThe parents had an average PTG score of 66.41 ± 10.37, with 81.11% having a low and medium level of PTG. The total score of coping style of parents of premature infants was (34.28 ± 4.97) points, which was in the middle and upper level; the total score of social support of parents of premature infants was (14.28 ± 4.97) points, which was in the middle level. In addition, older gestational age at birth (B = 2.396, P < 0.001) ,higher Apgar score at 5 min at birth (B = 2.117, P = 0.023), positive coping style (B = 0.850, P < 0.001), and higher social support score (B = 1.978, P < 0.001) were associated with higher PTG scores.ConclusionParents of preterm infants have low to medium levels of PTG, indicating much room for improvement. Older gestational age, higher Apgar score at five minutes at birth, positive coping styles, and high levels of social support were associated with higher PTG levels. Our findings provide helpful guidance for the development of effective and targeted intervention programs to improve parents’ PTG and well-being.

Trajectory and predictors of psychological distress and posttraumatic growth among rectal cancer patients undergoing combined modality treatment: An exploratory prospective study.

This exploratory prospective cohort study aimed to investigate the trajectory of psychological distress and posttraumatic growth (PTG) in rectal cancer patients from diagnosis to follow-up and to explore factors that could predict PTG and psychological distress at follow-up. We assessed psychological distress (anxiety and depression), PTG, physical symptoms, quality of life, cancer-related coping, state and trait affectivity, resilience, and alexithymia in 43 rectal cancer patients, M (SD) age: 61.6 (12.6); 67.4% men, after diagnosis (T0), after preoperative radiochemotherapy (T1), after surgical resection (T2), and 1 year after surgery (T3, follow-up). Psychological distress, especially anxiety symptoms, showed a significant reduction between T0 and T1 (p < .001), which increased again between T1 and T2 (p = .048). PTG showed a progressive increase, with a significant increase between T2 and T3 (p < .001). The exploratory hierarchical multiple regression analyses showed that low positive state affectivity (p = .005) and high health anxiety (p = .007) at T1 and high negative state affectivity (p = .012) at T3 were significant predictors of psychological distress at follow-up. Higher levels of PTG at T1 (p < .001) and greater use of adaptive coping styles of Fighting Spirit at T0 (p = .009) and Fatalism at T1 (p = .031) were significant predictors of PTG at follow-up. The (fluctuating and linear, respectively) trajectories of psychological distress and PTG seem to be related to the psychological reactions to the different treatment phases, especially diagnosis and preoperative treatment. Data suggest the need to implement psychological screening and tailored support programs aimed at fostering PTG and reducing psychological distress from the earliest phases of cancer treatment. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Posttraumatic growth after stroke: A longitudinal observational study.

This study investigated the development of posttraumatic growth (PTG) in relatively young persons with stroke. It examined the contribution of potential predictive variables and their changes over time. Participants completed questionnaires at baseline (n = 78, median time since injury = 47 days) and 3 (n = 53) and 6 months (n = 47) later. Each assessment included the Posttraumatic Growth Inventory, the COPE Inventory, and the Centrality of Event Scale. Data were analyzed using a sequence of linear mixed effect models. PTG was evident at baseline, but did not significantly increase over time. Higher event centrality, approach-oriented coping, and lower coping flexibility at baseline were associated with higher PTG 6 months later. Higher coping flexibility at baseline and an increase in event centrality were associated with a more positive trend in PTG over time. The final model explained 67% of variance in PTG. Time since injury, age, gender, social support seeking, and avoidance coping did not contribute significantly. Individual changes in the predictors contributed to high and stable PTG. How central the stroke was perceived to one's identity was the most important predictor for the absolute level of PTG as well as its change over time. This illustrates the complex and dynamic development of PTG. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

The role of religious coping and commitment in the link between COVID-19-related concerns and mental health

ABSTRACT The purpose of this cross-sectional study was to investigate whether the associations between COVID-19-related concerns and anxiety, depression, and posttraumatic growth are mediated by religious coping and moderated by religious commitment. The sample comprised 247 Polish adults (125 women and 122 men) aged 18–60 years who completed measures of COVID-19-related concerns, religious coping, religious commitment, posttraumatic growth, anxiety, and depression. The results indicated that religious coping mediates the associations between COVID-19-related concerns and mental health outcomes. Furthermore, religious commitment moderates the indirect effects of COVID-19-related concerns on depression and posttraumatic growth through positive religious coping. Thus, the relationships between COVID-19-related concerns and depression and posttraumatic growth are embedded in the moderated mediating effect of religious commitment. Specifically, individuals with high levels of religious commitment who are more concerned about the COVID-19 pandemic are more likely to turn to positive religious coping, which is, in turn, associated with lower levels of depression and higher levels of posttraumatic growth compared to those with lower levels of religious commitment. The findings indicate that religious strategies fall within the broader scope of religious commitment. Highly committed individuals use religious coping more effectively, helping them manage depression and thrive amidst pandemic stress.

Impact of Emergency Warning Nursing on CRP, PCT, TNF-α and Clinical Indicators in Patients with Acute Stress Disorder under Hierarchical Analysis.

In emergency warning nursing, the pre-alert system significantly influences the biochemical markers and clinical outcomes of patients with Acute Stress Disorder. Therefore, this study applies hierarchical analysis to explore the impact of early warning nursing on crucial indicators such as C-reactive protein (CRP), procalcitonin (PCT), tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and assess their clinical efficacy. The study selected patients with acute stress disorder who were hospitalized in Southwest Hospital of Chongqing from December 2021 to December 2022, and collected data from 250 patients. Through PSM score matching, 170 patients were finally scored and grouped, 85 patients in each group, which were divided into routine group and stratified analysis group. The changes in serum inflammatory markers, psychological resilience, and post-traumatic growth were compared between the two experimental groups on day 1 of admission and after 14 days of intervention. After one day of admission, there was no significant difference in the serum factor levels, psychological resilience, and post-traumatic growth among the participants (p > 0.05). However, after 14 days of intervention, patients in the hierarchical analysis group showed better outcomes in serum inflammatory markers such as C-reactive protein, procalcitonin, tumor necrosis factor-alpha, and interleukin-6 compared to the conventional group (p < 0.05). The hierarchical analysis group had higher psychological resilience scores regarding strength, optimism, and resilience compared to the conventional group (p < 0.05). Furthermore, the hierarchical analysis group showed higher post-traumatic growth scores regarding mental changes, personal strength, appreciation of life, interpersonal relationship, and new possibilities relative to the conventional group (p < 0.05). Analytic Hierarchy Process (AHP)-based emergency warning nursing can help improve the serum inflammatory factor levels, strengthen psychological resilience, and enhance post-traumatic growth levels in patients with Acute Stress Disorder.

Traumatic stress and post-traumatic growth in individuals who have had Covid-19: The mediating effect of resilience and moderating effect of psychological flexibility.

The Covid-19 pandemic has had a global impact and has negatively affected the mental health of individuals. It is known that depression, anxiety and traumatic stress levels are high in individuals who have experienced Covid-19. In light of this, an increase in Post-Traumatic Growth (PTB) levels is expected. This study examines the role of resilience and psychological flexibility in the relationship between traumatic stress levels experienced in Covid-19 and PTG levels. A total of 845 (64.18% males, ages ranged from 19 and 73, with an average of 36.80 ± 8.43) adults from Türkiye participated in the online survey. Impact of Event Scale-Revised, The Posttraumatic Growth Inventory, The Psychological Resilience Scale, and Psychological Flexibility Scale were used as measurement tools. According to the research findings, a partial mediator role of resilience has emerged in the relationship between individuals' traumatic stress levels and PTG levels. Additionally, the regulatory function of psychological flexibility was determined in the relationship between traumatic stress levels and PTG levels. Accordingly, the link between Covid-19-related stress and PTG becomes stronger as the individual's psychological flexibility increases. Traumatic stress has a more positive effect on PTG in individuals who exhibit high psychological flexibility. Based on these results, it can be confirmed that resilience and psychological flexibility are crucial factors to maintain the spiritual well-being of individuals during the Covid-19 pandemic, a worldwide crisis. Therefore, they need to be considered in the field of preventive mental health.

Social isolation profiles and conditional process analysis among postoperative enterostomy patients with colorectal cancer.

This study aimed to identify social isolation latent profiles and analyze the specific mechanisms in which social support, resilience, and posttraumatic growth associated social isolation from the perspective of positive psychology. Suggestions were offered to improve the mental health status of postoperative enterostomy patients with colorectal cancer. This was a cross-sectional survey. From December 2022 to September 2023, convenience sampling was used to select 303 enterostomy patients from three hospitals in Guangzhou. A paper questionnaire was used to investigate their levels of social support, resilience, posttraumatic growth, and social isolation. T-test, ANOVA, Pearson Correlation Analysis, Latent Profile Analysis and Conditional Process Analysis were used to analyze the correlation between variables. (1) Education level, occupation, family monthly income per capita and times of changing enterostomy bag per week were significantly associated with social isolation. (2) Social isolation of patients included low alienation-fluctuation group (Class 1, 13.9%), medium group (Class 2, 64.0%), high alienation-low meaning group (Class 3, 22.1%). (3) Social isolation was negatively correlated with social support, resilience, and posttraumatic growth (P < 0.001). (4) Resilience played a mediating role in the association between social support and social isolation. (5) The second half path of the mediation model was moderated by posttraumatic growth. Clinical staff, community personnel and family members should pay attention to the potential differences in social isolation experienced by patients. Suitable psychological strategies should be employed to enhance resilience, promote posttraumatic growth, for improving the patients' mental health levels and help them return to society.

A unique combination of coping strategies promotes each domain of post-traumatic growth during COVID-19: Differences between community residents and healthcare workers

Undeniably the COVID-19 pandemic has resulted in unprecedented threats and severe traumas for human beings. However, for a proportion of people, the struggle with this crisis has led to positive mental health outcomes, known as posttraumatic growth (PTG). This study compared the PTG levels between community residents and healthcare workers (HCWs) across two time points and identified the coping strategies that promote each PTG domain separately. An online questionnaire was administered to 2,437 respondents (499 and 253 HCWs and 1157 and 528 community residents, at timepoints 1 and 2, respectively). The Post-Traumatic Growth Inventory assessed the five PTG domains and the Brief COPE the coping strategies. After controlling for gender, age, and education, ANCOVA showed a significant interaction effect; although HCWs had lower scores on PTG compared to community residents at T1, at T2 they had significantly higher scores. The coping strategies of positive reframing and religion positively predicted all PTG domains among both groups. Denial was the third most frequently used strategy, followed by active coping. On the other hand, certain coping strategies were unique predictors of specific PTG domains or groups. Self‒Distraction predicted community residents’ Personal Strength (also Behavioral Disengagement) and Appreciation of life, Emotional Support predicted community residents’ Relating to others and HCWs’ Appreciation of life, and self-blame predicted HCWs’ Relating to others and Personal Strength. The identification of these compilations of coping strategies for each PTG domain can guide preventive training programs targeting specific coping strategies that need to be enhanced in each sampling group.

Examining Predictors of Post-Traumatic Changes Among Mothers in Turkey Following Earthquakes.

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.

Post-Traumatic Growth Following Bereavement Among Children and Adolescents: A Systematic Review

Childhood bereavement is a significant event with potential long-term impacts on development. Despite growing interest in post-traumatic growth (PTG) following traumatic events, research specifically addressing PTG in the context of childhood bereavement remains sparse. This systematic review consolidates findings from six quantitative and six qualitative studies exploring PTG in children and adolescents bereaved of a parent, other family members, or a friend. The analysis reveals that bereaved young individuals are capable of experiencing considerable growth post-loss. However, the relationship between age and PTG levels is not clearly established, leaving a gap in the developmental underpinning for PTG. This review suggests that PTG often manifests within a few years post-bereavement but may decline over time. Unexpected loss is marginally associated with greater PTG, whereas there is no evidence to suggest that closeness of the relationship with the deceased correlates with PTG. Qualitative studies revealed three core themes of PTG among bereaved youths: positive transformations in overall relationships, personal development, and changed life outlook. Growth aspects unique to this population were further identified. The study highlights unexplored areas in PTG research, particularly emphasizing the necessity of integrating qualitative and quantitative methodologies to address the intricacies of post-childhood-loss transformation, which is essential for developing effective, person-centred clinical services for children.

Relationships between dyadic coping, marital adjustment, and post-traumatic growth in patients with maintenance hemodialysis patients and their spouses.

To measure the relationships between dyadic coping, marital adjustment, and post-traumatic growth in patients with maintenance hemodialysis and their spouses. Post-traumatic growth is common in patients facing maintenance hemodialysis. However, studies tend to focus on these patients as individuals rather than as part of a couple. Dyadic coping in a couple is important for their marital adjustment; however, little is known about how a couple's dyadic coping influences their marital adjustment and impacts their posttraumatic growth. Cross-sectional study. A questionnaire survey was conducted among patients receiving maintenance hemodialysis and their spouses. Patients were recruited between December 2021 and October 2022 using convenience sampling from the blood purification centers of two first-class tertiary hospitals. A total of 230 couples (460 individuals) of patients receiving maintenance hemodialysis and their spouses were enrolled. A general condition questionnaire, the dyadic coping scale, and the Locke-Wallace marital adjustment scale were used for assessments and data entry and analysis were performed using EpiData 3.1, SPSS 25.0, and Mplus 8.4. The dyadic coping of patients receiving maintenance hemodialysis was positively correlated with both marital adjustment and posttraumatic growth, as was the dyadic coping of their spouses. The marital adjustment of both patients and their spouses was found to partially mediate the association between dyadic coping and posttraumatic growth. Subject-mediated effects between the levels of dyadic coping, marital adjustment, and posttraumatic growth were established for both patients receiving maintenance hemodialysis and their spouses, and it was found that the marital adjustment in both showed varying degrees of mediation in the relationship between their dyadic coping and posttraumatic growth. The findings of the study suggest that attention should be given to promoting dyadic coping behaviors in patients receiving maintenance hemodialysis and their spouses. It is recommended that nurses offer both education and support to couples to promote dyadic coping.

Beyond the Storms: Exploring Predictors of Posttraumatic Stress and Posttraumatic Growth among Survivors of Hurricanes Irma and Maria in Puerto Rico

BackgroundWithin disaster-affected communities, residents’ exposures and post-disaster mental health outcomes can vary widely. Yet, few studies have explored the relationship between such diverse disaster-related exposures and posttraumatic growth (PTG) in a Puerto Rican context. MethodsTo address this gap, we used data from the Preparedness to Reduce Exposures and Diseases Post-hurricanes and Augment Resilience (PREPARE) study, a cohort of mainly Hispanic Puerto Ricans who experienced Hurricanes Maria and Irma in 2017. This analysis focused on 484 individuals who completed structured interviews 20 to 34 months after the hurricanes. We evaluated the associations between five different disaster exposures (e.g., financial, home damage, personal health, and familial health), posttraumatic stress (PTS), and PTG and its five domains (personal strength, new possibilities, improved relationships, spiritual growth, and appreciation of life), controlling for demographic, geographic, and social factors. ResultsIn multivariable models, higher total disaster score was associated with higher levels of both PTS and PTG (2.91 and 3.87, respectively). Personal health impacts were consistently associated with higher levels on all PTG subscales, ranging from 0.89 to 1.94, which was not the case for other exposures. Specifically, home damage was associated with higher levels on all PTG subscales except spiritual growth, and financial and familial health impacts were associated with greater identification with new possibilities and appreciation of life only. ConclusionThese findings provide novel evidence that different disaster-related exposures have distinct associations with the different PTG domains in Puerto Rico. These findings can inform future efforts to address post-disaster mental health ailments by bolstering different aspects of PTG.

Dyadic coping, resilience, and posttraumatic growth in spinal cord injury patients and their spouses: An actor-partner interdependence mediation model analysis.

Despite the recognized importance of posttraumatic growth (PTG) in the recovery process, the mechanisms that promote PTG in spinal cord injury (SCI) patients and their spouses, especially the roles of dyadic coping (DC) and resilience, have not been fully explored. This study aimed to assess the PTG of patients with SCI and their spouses and to investigate the interrelationships among DC, resilience, and PTG within the dyadic context. A total of 154 SCI patient-spouse dyads were recruited from a rehabilitation hospital in China. All participants completed questionnaires about DC, resilience, and PTG. Our study was based on the actor-partner interdependence mediation model (APIMeM). SCI patients and their spouses experienced comparable PTG level, M(patients) = 56.05 ± 14.09, M(spouses) = 54.74 ± 15.31. In the APIMeM, the patients' and their spouses' DC exerted actor effects on their own resilience, β(patients) = .418, p < .001; β(spouses) = .409, p < .01, and their own resilience also exerted actor effects on their own PTG, β(patients) = .416, p < .001; β(spouses) = .431, p < .001. The mediating effects of resilience on the impact of patients' and spouses' own DC on their own PTG were confirmed. Our research offers new insight into the PTG of SCI patients and their spouses at the individual and dyadic levels. Resilience partially mediates the relationship between DC and PTG in couples coping with SCI. Specifically, DC between SCI patient-spouse dyads can not only directly influence the level of PTG but also impact PTG through resilience. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Patterns and transitions of posttraumatic stress symptoms and posttraumatic growth in trauma-exposed youth: A latent transition analysis.

The present study examined the transition patterns in latent classes of Post-traumatic stress disorder (PTSD) and post-traumatic growth among a sample of youth 4-13months after an explosion accident in China. Latent profile analyses identified consistent three classes (Resilient, Growing, and High-Symptom) at both waves. Latent transition analysis found most Resilient individuals remained stable while most Growing and High-symptom individuals transferred. Logistic regression predicting transition pathways suggests younger individuals, males, and those who lack social support are prone to experience reduced post-traumatic growth, whereas individuals with higher trauma exposure are prone to develop PTSD. Our study provides empirical evidence supporting qualitative transitions in PTSD and post-traumatic growth levels from a person-centred perspective. This adds to the current knowledge on the heterogeneity of post-traumatic responses of human beings and offers valuable guidance for post-traumatic interventions among youths.

Characteristics and influencing factors of posttraumatic growth in young and middle-aged cancer patients: A cross-sectional latent profile analysis.

This cross-sectional study aimed to examine the subgroups of posttraumatic growth (PTG) among young and middle-aged cancer patients in China and to explore influencing factors. A total of 378 young and middle-aged cancer patients aged 18-60 were selected for the study at a hospital in Shanghai, China. Latent profile analysis identified four categories of PTG among young and middle-aged cancer patients: the "predicament group" (5.9%), the "struggle group" (36.8%), the "limited growth group" (44.1%) and the "remarkable growth group" (13.2%). Age, gender, time since diagnosis, cancer site, primary/recurrence, and meaning in life significantly influenced the distribution of PTG in young and middle-aged cancer patients. Targeted interventions should be developed to enhance the level of PTG among this population, considering the specific characteristics and influencing factors within each profile.

A Path Analysis of Relationship between War Trauma, Post - Traumatic Stress and Post Traumatic Growth.

Police officials who participated in war on terror were exposed to high frequency of traumatic exposures. Previous research suggests that exposure of war trauma can results in negative changes like stress and positive changes like growth. Our objective was to study the role of post-traumatic stress in relationship between war trauma and post traumatic growth among police officials. In this cross-sectional study conducted from January 2019 to December 2022. The sample consisted of 400 police officials (having direct and indirect exposure of war trauma) who participated in war on terror in FATA Pakistan. Non probability purposive sampling technique was used for sample selection. Relationship among trauma, PTS (Post traumatic stress) and PTG (Post traumatic growth) was assessed. Findings from the present study indicated that stress played vital role in paving pathway from trauma to growth (β =0.08). Study results also confirmed that moderate level of stress is linked with positive changes like posttraumatic growth. R-square change in linear relationship among stress and posttraumatic growth was 0.59 but in curvilinear relationship among stress and posttraumatic growth R-square change was 0.77 which is higher than linear relationship which confirmed the curvilinear relationship between stress and growth and these findings proved that moderate level of stress after war trauma exposure produced higher levels of post traumatic growth. Conditional indirect effect of exposure to trauma on growth is highly significant (***p < .001) so the role of stress as mediator has been confirmed. The study provided initial evidence that after trauma exposure levels of posttraumatic stress which is experienced play a significant role in the promotion of PTG.

Enduring strengths: How childhood adversity shapes adult resilience in Kosovo

This study investigates how adults who faced childhood adversity develop resilience, using the Resilience Portfolio Model to assess the impact of early victimization on adult well-being and posttraumatic growth. A sample of 689 adults aged 18 to 60 (average age 25.2 years, SD = 9.62) was recruited online in Kosovo, a collectivist and post-conflict society. Participants completed a survey on youth victimization, psychosocial strengths, subjective well-being and posttraumatic growth. Findings from the study show that 93% experienced some form of victimization, including 40% who were exposed to parental violence. Blockwise logistic regressions indicated that poly-strengths (an indicator of the breadth of one's resilience portfolio), sense of purpose, optimism, and religious meaning making were associated with higher levels of posttraumatic growth, controlling for polyvictimization and demographics (total R2 = 0.39). Poly-strengths, sense of purpose, optimism, and psychological endurance were associated with higher subjective well-being (total R2 = 0.34). Unexpectedly, some strengths were associated with lower posttraumatic growth, including coping, anger management, and moral-based meaning making. Findings from this highly victimized sample show that several strengths seem promising in promoting resilience. Intervention and prevention programs should consider focusing on promoting a sense of purpose or broadening resilience portfolios. More research is needed in other collectivist and post-conflict societies.

The Mediating Role of Trauma Centrality in the Correlation Between Coping Self-Efficacy and Posttraumatic Growth Level of Disaster Volunteers.

Volunteers who respond to disasters play a crucial role in disaster management. However, their indirect exposure to traumatic events during their duties can adversely affect their mental health. The aim of the study was to determine the correlation among trauma centrality, coping self-efficacy, and posttraumatic growth and trauma centrality as possible mediator role in this relationship. A total of 112 disaster volunteers participated. The data were collected with a Demographic Form, the Centrality of Events Scale, the Post-Traumatic Growth Scale, and the Coping Self-Efficacy Scale. Disaster volunteers exhibited above average event centrality, high levels of posttraumatic growth, and coping self-efficacy. A positive correlation was identified among trauma centrality, posttraumatic growth, and coping self-efficacy, with trauma centrality playing a full mediating role. This study will be instrumental in better understanding the posttraumatic processes of disaster volunteers and in strengthening coping capacities, guiding the implementation of preventive and protective psychosocial interventions.

Factors Associated with the Posttraumatic Growth of Psychiatrists Who Have Experienced Patient Suicide: A Pilot Study

ABSTRACT Previous studies have suggested that psychiatrists undergo posttraumatic growth after experiencing patient suicide. However, research remains scant on the posttraumatic growth of psychiatrists who have experienced patient suicide. Thus, this study examined the factors associated with the posttraumatic growth of psychiatrists who have experienced patient suicide. The sample comprised 39 psychiatrists, and data were collected through an online self-report survey. The data collected were analyzed using descriptive statistics, frequency analysis, Pearson’s correlation analysis, and Mann-Whitney U tests. Study results demonstrate that being older, having more clinical experience, having more experience with patient suicide, and receiving supportive supervision were associated with higher levels of posttraumatic growth among psychiatrists who have experienced patient suicide. However, higher levels of posttraumatic stress were associated with lower levels of posttraumatic growth. In conclusion, there is a need to increase support for psychiatrists who have experienced patient suicide to help them overcome occupational trauma and enhance posttraumatic growth. This study suggests several policy and practical implications for enhancing the posttraumatic growth of psychiatrists.