Model Of Posttraumatic Growth Research Articles

Axiopsychologigal model of posttraumatic growth of personality

Axiopsychologigal model of posttraumatic growth of personality

Moving beyond vulnerability and focusing on resilience: An intersectional posttraumatic growth model for LGBTQ+ people of color.

In the context of the legacy of deficit-focused research and application of theoretical models in research on minoritized groups that are underrepresented in the literature, we explored the strengths-based literature among lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people of color to develop a more inclusive and relevant understanding of how posttraumatic growth (PTG) occurs in this population. Our intersectional PTG model is tailored to the experiences of LGBTQ+ people of color that builds upon previous models of PTG, intersectionality theory, and empirical findings of trauma and PTG among LGBTQ+ people of color. Our intersectional PTG model incorporates the unique intrapersonal, interpersonal, institutional, and cultural factors that are unique to this population and contribute to PTG. We challenge the limited scope of Criterion A traumatic events and emphasize empirical findings that support that LGBTQ+ people of color often experience posttraumatic stress after oppression and discrimination. Our model also recognizes the impact of intersecting risk factors, such as gendered racism, that may occur on various levels. Our model acknowledges that LGBTQ+ people of color have often demonstrated PTG in the face of adversity. Intrapersonal factors such as cognitive flexibility, interpersonal factors such as social support, and institutional and cultural factors such as identity-related activism are identified as key contributors to resilience. We discuss practice implications, highlighting that clinicians should recognize limitations of traditional trauma frameworks and adopt culturally sensitive approaches when working with LGBTQ+ people of color. Overall, our model provides a foundation for strengths-based interventions and research, emphasizing resiliency and potential for PTG in this population.

Posttraumatic growth among mental health officers who treat soldiers with non-suicidal self-harm/suicidal behavior: The role of cognitive and personality characteristics

ABSTRACT Mental health officers (MHO) in the military often encounter soldiers expressing distress, manifested in threats and attempts at self-harm and suicide. While these behaviors are a significant stressor for therapists, they may also be an opportunity for posttraumatic growth (PTG). We aimed to examine whether the relatively frequent exposure of MHO to soldiers who report thoughts, intentions, and attempts at self-harm and suicide is related to their PTG, as well as tested the contribution of cognitive variables (the centrality of the event and the challenge to core beliefs), and a trait not previously considered in this context, i.e. self-compassion to PTG. Self-report questionnaires were completed by130 Israeli army MHO. Of these, 98.5% reported that they are exposed to self-harm. The questionnaires were collected between the years 2020–2021. The findings show a positive linear relationship, as well as a curvilinear relationship, between PTG and exposure to expressions of self-harm and suicide, the centrality of the event, and the challenge to core beliefs. In addition, self-compassion served as a moderator in the association between exposure and PTG. The study validates the PTG model in a population that has not previously been studied in this context, and may lead to a broader understanding of PTG in this context. They may help in designing dedicated training programs for therapists dealing with reports of self-harm and suicidal behavior.

Post-traumatic growth among pediatric transplant recipients and their caregivers: A scoping review.

Pediatric transplantation can be a stressful process for patients and caregivers. Some individuals may experience post-traumatic stress symptoms (PTSS) and post-traumatic growth (PTG) as a result. Although post-traumatic stress disorder (PTSD) has been well-studied in this population, the purpose of the present scoping review is to provide a first synthesis of the existing literature on PTG in pediatric transplant populations. We conducted a literature search of PsycINFO and Scopus in May 2023. Eligible articles must have included a sample of solid organ transplant (SOT) or stem cell transplant (SCT) recipients under age 18, siblings of recipients, or caregivers; and must have examined PTG. Twenty-three studies were identified, and nine studies met inclusion criteria and were included in the review (n = 5 cross sectional; n = 4 qualitative). Cross-sectional studies examined demographic, mental health, and medical correlates of PTG in children and caregivers. PTG was correlated with PTSS among caregivers. Qualitative studies identified themes along each of the five factors of PTG. Findings overwhelmingly focused on caregiver PTG. Qualitative study findings align with the theoretical model of PTG. Additional research is needed to investigate PTG in siblings of children with a transplant and associations between PTG and medication adherence. This scoping review provides insight into positive change processes following a transplant among children and their caregivers.

Chinese college students’ post-traumatic growth during the COVID-19: a grounded theory study

During the Corona Virus Disease 2019 (COVID-19) pandemic, both high levels of post-traumatic stress and positive personal changes, a phenomenon known as post-traumatic growth (PTG), were experienced by some people. What remains unknown are the constructs and facilitators of PTG during the COVID-19 pandemic. Therefore, this study uses a grounded theory methodology to elucidate the behavioral and cognitional dimensions of PTG in Chinese college students. Twenty-four individual semi-structured interviews were conducted with Chinese college students who had positive experiences during the epidemic. Transcripts were analyzed using initial and focused coding to identify themes that explained the PTG model. The coding results revealed that the Chinese college students’ PTG consisted of four core themes: reflections on the country and society, self-awareness changes, increased social behavior, and lifestyle modifications. Additionally, participants described external factors such as information input and patriotism, which were identified as influencing their PTG during the pandemic. Findings from this study extend prior theory and research by conceptualizing a novel theoretical model for PTG among college students during the pandemic and provide important implications for research and practice.

A mixed methods experience sampling study of a posttraumatic growth model for addiction recovery

Problematic substance use and addiction is a growing crisis in the United States. As a result, identifying factors that effectively promote addiction recovery is, currently, of particular societal importance. Informed by evidence that—while addiction can be perpetuated by stress-related impulsivity and decreased self-regulation—perceived social support is protective against addiction, we test a model for addiction recovery as a form of posttraumatic growth (PTG), focused specifically on close relationships and personal strength—two domains of PTG. In an initial study, we found that perceived social support and impulsivity predicted number of relapses in individuals in a substance use disorder recovery program. Using experience sampling, we then observed that experiencing a stressful event predicted impulsive behavior. However, experiencing closeness with others—a domain of PTG—was directly associated with perceived social support, and both predicted positive emotional states, which were, in turn, inversely associated with experiencing a stressful event. Further, when experiencing a stressful event, personal strength—also a domain of PTG—was inversely associated with impulsive behavior and was predicted by both perceived social support and positive emotional states. Finally, in a follow-up experiment, we found that an ecological momentary intervention targeting perceived social support decreased impulsivity and increased self-regulation—an aspect of personal strength—in a dose-dependent fashion. Taken together, our findings: (1) support a PTG model for recovery; (2) provide evidence for processes by which close supportive relationships are protective against addiction and relapse; and (3) indicate that self-regulation is responsive to a short in-the-moment perceived social support intervention. We suggest that these findings support the theory that addiction is a social disease in the sense that close personal interactions and supportive relationships: (a) buffer against stress-related impulsivity, thereby protecting against addiction and relapse; and (b) increase personal strength, thereby decreasing the probability of impulsive—including addictive—behavior and promoting recovery.

The bi-dimensionality of post-traumatic growth models in the psychological rehabilitation of veterans of the russian-ukrainian war

The article analyzes the models and approaches of post-traumatic growth (PTG) used in the psychological rehabilitation of veterans. Post-traumatic growth (PTG) is a positive psychological change that occurs as a result of psychological processing of the experience of difficult life circumstances—models of PGD help to understand how people can find meaning and strength in their experiences of trauma. Several vital models are often used in the psychological rehabilitation of veterans. The analysis of the existing models of posttraumatic growth as an effective tool in the psychological rehabilitation of veterans of the Russian-Ukrainian war expands the vision of theoretical models of PGT. It enables professionals to expand the basis of psychological interventions in the rehabilitation of veterans, their transition from military and civilian life, and the adaptation of their own experience to family life. Psychological support for a veteran who has gone through severe combat operations and returned home with a sense of loss and helplessness requires a modern psychologist to be aware of their level of training and to master a multimodal approach to this activity. By applying one of the adapted models to the case of a veteran client, a psychologist can help them identify new development opportunities, find meaning in their experience and present life, strengthen ties with family and friends, and strengthen the spiritual foundations of their life. The article presents a model of PTZ for consideration: R.G. Tedeschi and L.G. Calhoun's functional-descriptive as the primary model; a person-centered model by S. Josef, a biopsychosocial model by M. Christopher, a psychological-philosophical model by R. Papadopoulos and others. The variations of coping strategies as models of coping are also considered. The author outlines several views on the possibilities of implementing the theory of coping in psychological support and the implementation of psychological rehabilitation of military personnel, veterans, combatants, etc.

Factors Associated with Post-Traumatic Growth during the COVID-19 Pandemic: A Systematic Review.

The COVID-19 pandemic was an unprecedented event that further stimulated the debate on the concept of trauma. To increase knowledge about the traumatic potential of the pandemic, the main objective of this study was to identify, through a systematic literature review, the main factors associated with the adaptive outcome of post-traumatic growth caused by COVID-19. Studies were selected from the PsychInfo, Embase, and PubMed databases, and 29 articles were included at the end of the screening process. The identified factors are of different natures, including personal variables such as personality traits, coping, and cognitive strategies used to face adversity, and interpersonal variables, one of the most important of which is the level of social support. In addition, several results confirmed a relationship between post-traumatic growth and post-traumatic stress symptoms, as well as indices related to psychological well-being. Finally, the results are discussed by comparing them with those already present in the literature, as well as with some of the main explanatory models of post-traumatic growth. In this regard, some of the factors identified, such as maladaptive coping, avoidance symptoms, optimism, and low-stress tolerance, suggest the possibility that the process of post-traumatic growth may also be characterized by an illusory dimension.

A model of post-traumatic growth and stress reaction in China under COVID-19: A mediating instrument for trauma and disaster reduction

The study analyzed the effect of PTS (post-traumatic symptoms) reaction on the growth of post-traumatic stress disorder (PTSD) during the peak period of COVID-19. It examined the mediation impact on depression and state anxiety and the moderation effects of gender and infection history on the mediating model. Three novel questionnaires were developed, including the post-traumatic stress reaction (PTSR) questionnaire, depression questionnaire, post-traumatic growth (PTG) questionnaire, and the Spielberg State Anxiety Scale (STAI). A total of 16,438 residents in China were investigated during the coronavirus disease 2019. An independent sample t-test was conducted to determine gender and infectious history differences in PTSR, state anxiety, depression, and PTG. Moreover, the Hayes mediation process macro model 4 was applied to examine the mediation impact of depression and state anxiety on PTSD and PTG and the moderation effects of gender and infection history on the mediation model. The study states that state anxiety mediates the relationship involving PTSD symptoms as well as post-traumatic growth (PTG) [2]; depression mediates the relationship involving PTSD symptoms and post-traumatic growth (PTG) [3]; state anxiety and depression have a chain mediating effect between (PTSR) and (PTG) [4]; gender modifies the mediation effect, as does infection history modify the mediation effect. It concludes that post-traumatic stress reaction positively predicted state anxiety, but state anxiety negatively predicted PTSD development. Depression showed a significant positive correlation with PTSR and PTG.

Posttraumatic Growth after Postpartum Psychosis.

To explore positive changes in women's beliefs, emotions, and behaviors following their struggles with postpartum psychosis. This is a descriptive qualitative study of women who experienced posttraumatic growth after postpartum psychosis. We recruited participants from postings on three Facebook groups. Participants sent their stories of posttraumatic growth after postpartum psychosis via email attachment. We used the following five domains from Tedeschi and Calhoun's (2004) posttraumatic growth model to guide our deductive content analysis: Relating to Others , Personal Strength , Appreciation of Life , New Possibilities , and Spiritual and Existential Change . Thirteen women participated. Relating to Others was the posttraumatic growth domain most often described by the participants followed in order of frequency by Personal Strength , Appreciation of Life , New Possibilities , and Spiritual and Existential Change . Partners and family members' support was instrumental in recovery from postpartum psychosis. When considering the total sample, participants experienced all five domains of posttraumatic growth after postpartum psychosis though not every individual experienced growth in all five domains. Interventions can be tailored to meet the needs of women depending on which phase of recovery from postpartum psychosis women are in, acute, early recovery, or advanced recovery. Advanced recovery is the most appropriate phase to discuss the possibility of posttraumatic growth with women. Such discussion should be done with caution and sensitivity as not all women experience positive growth, and it can be harmful to frame this in a way that indicates or encourages expectation.

The post-traumatic growth approach to psychological trauma.

The post-traumatic growth approach to psychological trauma.

Design and validation of an educational program based on the posttraumatic growth model and its effectiveness in the cognitive flexibility of leukemia patients

Introduction: Lack of cognitive flexibility intensifies an individual’s negative thoughts about oneself. Aim: The present study aimed to design and validate an educational program based on the posttraumatic growth model and to evaluate its effectiveness in the cognitive flexibility of leukemia patients. Method: In this quasi-experimental study with a pretest-posttest control group design, the statistical population consisted of all patients referred to Firouzgar Hospital of Tehran, Iran, in 2022. The sample size 30 patients were selected by the convenience sampling method and randomly allocated into the experimental and control groups. The Cognitive Flexibility Questionnaire (2010) was used to collect the required data. The educational program based on the posttraumatic growth model was held in 12 sessions, and a follow-up experiment was conducted to evaluate the durability of intervention effects. The results were analyzed using the multivariate analysis of covariance and repeated measures ANOVA in SPSS version 22. Results: The results showed that the F-values measured for the components of cognitive flexibility, including the perception of controllability, perception of different options, and perception of behavior justification, were significant (P<0.01), suggesting the impact of the training program based on the posttraumatic growth model on cognitive flexibility. The results of repeated measures ANOVA also indicated the persistence of the effects of the training program on cognitive flexibility (P<0.01). Conclusion: The result of the research showed that the training program according to the posttraumatic growth model was effective in cognitive flexibility, and its effect persisted until the follow-up period. Therefore, this program can be used as an effective intervention to improve the cognitive flexibility of patients with leukemia.

Dynamic structure of posttraumatic growth among victims of the 2021 Henan floods: A 6-month, three-wave longitudinal study.

Posttraumatic growth (PTG) following traumatic events is a dynamic and transformational process. However, its dynamic structure is currently unknown. The study aimed to estimate the dynamic structure of PTG at the nuance level based on PTG measurement items using network analysis. A three-wave longitudinal study was conducted from July 20, 2021, to January 30, 2022, among the victims experiencing the 2021 Henan floods. The final sample (n = 297) completed reports of PTG after 0, 3, and 6 months of the disaster. We employed the graphical vector autoregressive model approach to estimate extended network models. Contemporaneous network results revealed strong positive associations between domains of PTG in the same measurement window, especially between new possibilities and personal strength. Moreover, temporal network results-the internal interplays among PTG items across measurement windows-revealed that the domain of relating to others plays a central role in the dynamics of PTG. Although other domains predicted an increase in relating to others, relating to others inhibited the development of other domains, especially new possibilities and personal strength. Our study identifies the culture-specific process of PTG and provides empirical evidence on the explanatory models of PTG and the Janus-Face model of PTG.

Posttraumatic growth in colorectal cancer survivors: A systematic review.

The diagnosis of cancer is an adverse event; nevertheless, it can also exert positive changes on survivors, such as posttraumatic growth (PTG). This review aims to integrate researches on PTG in colorectal cancer (CRC) survivors, including manifestations and prevalence of PTG, factors associated with PTG and interventions on PTG. A systematic search was implemented on six databases to identify studies on PTG in CRC survivors published in English or Chinese from October 1995 to May 2022. We also performed a manual search for additional studies from the article reference lists. Thirty-one studies were included. The results were integrated based on the PTG theoretical framework and PTG affective-cognitive processing model. PTG manifests in CRC survivor-caregiver dyads in five domains, including personal growth, appreciation of life, relating to others, new possibilities and spiritual change. Factors correlated with PTG can be integrated into levels of personality, event cognitions, appraisal mechanisms, emotional states, coping and social environmental context. Elements of interventions can be integrated according to the affective-cognitive processing PTG model. Existing interventions are effective in promoting PTG in CRC survivors. We provide a systematic perspective on studies targeting PTG in CRC survivors. PTG manifested in survivor-caregiver dyads. Factors associated with PTG in CRC survivors are significant, and the interventions are effective. An intervention programme based on the affective-cognitive processing model and focused on CRC survivor-caregiver dyads would be significant for the dyads facing cancer.

Emotive and metacognitive processes in post-traumatic growth of University students

The purpose of the article was to find out the role of emotional and metacognitive processes in the post-traumatic growth of student youth. For this purpose, an online survey was conducted using the following methods: Emotion Regulation Questionnaire (ERQ), AAQ-II, Post Traumatic Growth Inventory (PTGI), The Changes in Outlook Questionnaire (CiOQ). The point-biserial correlation coefficient was used for the mathematical analysis of the data. As a result of the theoretical analysis, it was found that the prevailing theoretical models of posttraumatic growth are fundamentally cognitive. However, there are studies that have examined the relationship between PTG and metacognitive beliefs. A metacognitive way of thinking allows people to take a more critical stance on their cognitive capacities and can help facilitate PTG. It has also been found that emotivity as a linguistic embodiment of emotionality can play an important role in the development of PTG. The empirical study found that after 1 year of full-scale war in Ukraine, the average values of PTG indicators among the surveyed youth are quite high. Young people show positive changes in the perception of their own self, the emergence of new opportunities, an increase in personality strength, and a sense of inner integrity. We did not find a relationship between emotional expression and PTG. However, we did find a relationship between expression suppression and cognitive reappraisal, as well as significant relationships between cognitive reappraisal and PTG with all its components. These findings suggest that cognitive reappraisal can also be performed in relation to one's emotional reactions to traumatic events, helping young people to make sense of their traumatic experiences.

Posttraumatic growth in children aged 8–18 years with malignancies in China

ObjectiveTo establish a nomogram prediction model for posttraumatic growth (PTG) in children aged 8–18 years with malignancies in China and to convenient intuitively judge psychological tendencies.MethodsWe recruited 358 children aged 8–18 years with malignancies in China as the study participants. Data from 250 cases collected from June 2019 to November 2019 were used as the model group, data from 108 cases collected from December 2019 to January 2020 were used as the validation group. Logistic regression was used to analyze the influencing factors of PTG in the model group. A prediction model was then established using a nomogram. The centrality measurement index(C-index) and receiver operating characteristic curves (ROC) were used to verify the model.ResultsAmong the 250 children in the model group, 65 children with malignancies had PTG, with an occurrence of 26%. The model showed that the child’s age, diagnosis, coping style and self-efficacy level and the educational level of the caregiver were core predictors of PTG (P < 0.05). The ROC of the model was 0.837, the best cutoff value was 0.566. The C-indexes of the internal and external validation were 0.837 (95% CI: 0786 ~ 0.886) and 0.813 (95% CI: 0732 ~ 0.894), respectively.ConclusionsThe prediction model of PTG in children aged 8–18 years with malignancies in China has good discrimination and consistency and can accurately predict PTG. It can be used to clinically assess the psychological status of children in the future.

Post-Traumatic Growth of Nurses in COVID-19 Designated Hospitals in Korea.

This descriptive survey aimed to identify the factors affecting the post-traumatic growth (PTG) of nurses in COVID-19 designated hospitals on the basis of a PTG model. A survey of 250 nurses working at three COVID-19 hospitals in Seoul, South Korea, was conducted from May to July 2021. The collected data were analyzed using the IBM SPSS 25 (IBM Inc., Armonk, NY, USA). The participants in this study were mostly women (92.7%), and the average age and career duration were 32.08 and 7.88 years, respectively. The factors that significantly influenced the participants' PTG were identified as marriage, religion, self-disclosure, deliberate rumination, meaning in life, and resilience. As new infectious diseases emerge, it is necessary to develop a program that can encourage self-disclosure and deliberate rumination, help nurses discover and pursue meaning in life, and enhance their ability to overcome trauma and promote PTG.

Empathy and Post-Traumatic Growth among Chinese Community Workers during the COVID-19 Pandemic: Roles of Self-Disclosure and Social Support

Given the prolonged nature of the COVID-19 pandemic and its long-term psychological impacts, this study aimed to explore how empathy leads to post-traumatic growth (PTG) among Chinese community workers. Guided by the revised PTG model, this study identified the relation between empathy and PTG using a multiple mediation model that included self-disclosure and social support as hypothesized mediators. This study utilized data from 414 Chinese adults aged 20 years or older who completed an online survey during the pandemic. Self-disclosure and social support were measured as mediating variables. The study variables were positively correlated with PTG. Empathy was positively correlated with self-disclosure and social support. After controlling for demographic covariates, the results indicated that self-disclosure and social support mediated the link between empathy and PTG in both parallel and sequential fashion. Empathy, self-disclosure, and social support played important roles in the growth of Chinese community workers. The present findings have been useful in increasing our understanding, policy programs, and interventions by governments or regional bodies to ameliorate community workers' PTG.

Growth-Related Responses to the Threat of COVID-19 among Adolescents.

The main objective of our study was to determine whether the experience of the types of pandemic threats included in the study, could activate development responses among adolescents and what the role of the level of stress experienced during the COVID-19 pandemic is in the process of post-traumatic PTG growth. We also made an attempt to investigate whether personality traits and gender were predictors of PTG growth in adolescents. Therefore, the theoretical bases for the interpretation of the obtained results are models of post-traumatic growth (PTG), mainly by Calhoun and Tedeschi. The research was conducted in March 2020. The study subjects were 405 adolescents aged 14 to 20 years, with an average age of 17 years, of whom 59% were females and 41% were males. The following methods were used in the study: IPIP-BFM-20 to estimate five personality traits, PSS- to diagnose perceived stress, and an in-house questionnaire of pandemic threats experienced by adolescents (KŻP). The results showed that the various types of ‘pandemic’ threats (threats to life, family, and lifestyle) are positive predictors of growth-related changes; additionally, such factors as personality traits (here: extroversion), stress level, and gender had a positive mediating effect on growth-related changes. It was also possible to show that out of the four dimensions of post-traumatic growth, three could be activated under pandemic conditions. These were: changes in relationships with others, greater appreciation of everyday life, and spiritual changes. Changes in self-perception—one of the dimensions of post-traumatic growth, were not activated due to experiencing three types of pandemic threats.

The relationship between mental health and perceived social support with the post traumatic growth model through the mediating role of coping strategies in COVID-19 recovered patients

Background and aims: Post-traumatic growth refers to the positive psychological changes experienced after an incident. Coronavirus disease 2019 (COVID-19) is seen as a traumatic incident that impacts many aspects of a person's life. The present study aimed to investigate the association between perceived social support and mental health with the post-traumatic growth model through the mediating role of coping strategies in COVID-19 recovered patients. Methods: This study was conducted using a path analysis method from the correlation matrix. The research population included all COVID-19 recovered patients in Golestan Province. Using the convenience sampling method, 300 patients who recovered from COVID-19 were selected. The research instruments included the Post-Traumatic Growth Inventory, the General Health Questionnaire, the Multidimensional Scale of Perceived Social Support, and the Ways of Coping Questionnaire. The data was analyzed through structural equation modeling (SEM) using SPSS and AMOS software version 25. Results: The findings revealed that the suggested model fit the data. The relationship between post-traumatic growth, perceived social support, and mental health with problem-focused coping strategies were positive and significant (P&lt;0.01). The relations between mental health and perceived social support with post-traumatic growth were positive and significant. Post-traumatic growth and perceived social support had a negative and significant relationship with emotion-focused strategies (P&lt;0.01). Furthermore, the relationship between mental health and emotion-focused strategies was not significant. Conclusion: Mental health, perceived social support, and problem-focused strategies play an essential role in COVID-19 patients' post-traumatic growth. As a result, they might be helpful in minimizing the psychological impact of COVID-19.