Search Results (45)

Purpose: This study aimed to examine post-traumatic growth, mindfulness, and quality of life in recipients after liver transplantation. Design and Methods: This study employs a descriptive and cross-sectional design. We collected data in an organ transplant center affiliated with a research and application hospital in Eastern Turkey. The sample in our study included a total of 292 liver transplant recipients. We collected data using a personal information form, the Post-Traumatic Growth (PTG) Inventory, the Mindfulness Scale (MS), and the Quality of Life Questionnaire (QoL) Short Form (SF-36). We performed data analysis using descriptive statistical methods and one-way analysis of variance. Results: Of the liver transplant recipients, 72.6% were between 45 and 64 years of age, 72.3% were female, and 56.5% had undergone liver transplantation more than 1 year prior. Liver transplant recipients scored between 64.89 and 97.85 on the negative subscales. Recipients scored between 32.70 and 44.72 on the positive subscales in QoL SF-36. The PTG and MS mean scores were 62.43 ± 20.31 and 62.35 ± 7.14, respectively. There was a positive correlation between positive QoL sub-dimensions and MS and PTG (p < 0.05). Conclusions: We found a positive and strong relationship between PTG and mindfulness; in addition, we found that an increase in both had the effect of improving QoL. We recommend developing strategies that increase PTG, and that mindfulness be performed to improve QoL among patients following liver transplantation. Full article

The first objective of this study is to review and synthesize research from the past fifteen years on variables associated with personal growth (or post-traumatic growth, PTG) during the transition to motherhood, and to revisit key questions using a uniquely large dataset; the second objective of the study is to compare findings across different PTG scoring methods, to determine whether the long and short forms of the Post-Traumatic Growth Inventory (PTGI) produce equivalent data and whether the five growth domain scores provide additional insights beyond the total scores. Data were aggregated from multiple previous studies, resulting in a large sample (n = 4641) of first-time mothers with infants up to 24 months old (M = 6.82 months, SD = 4.42). Analysis of the associations between demographic and childbirth characteristics and PTG scores revealed that in most cases, the original PTGI and the short version (PTGI-SF) exhibited similar associations with the background variables. The five PTGI domain scores of personal strengths, spirituality, new opportunities, and appreciation of life showed associations consistent with those observed for the two total scores. The findings reinforce and validate previous research, while also offering new insights. Notably, the results suggest that the PTGI-SF is highly useful, as it yields results comparable to those of the original, longer inventory. Full article

Background/Objectives: Equine-assisted services are being increasingly utilized as complementary interventions for military veterans who have experienced trauma. However, rigorous research is lacking, and randomized controlled trials are needed. The H.O.O.V.E.S. Intensive intervention was developed for this population. This intensive program is an equine-assisted learning approach developed for veteran and active-duty military trauma survivors. The program integrates equine-assisted learning, peer mentorship and experiential learning in a residential retreat format. The primary aim of this pilot study was to determine if more rigorous studies of this intervention are warranted. Secondary aims were to assess preliminary outcomes and explore possible relationships between changes in outcome measures. Methods: This was a pilot prospective study. Inclusion criteria for the program included veteran or active-duty military status and a history of trauma exposure. Data were collected from April–October of 2024 in Ohio, USA. Six psychological instruments were administered to participants before, immediately after and 90 days and 120 days after the intervention. These were the PTSD Checklist for DSM-5 (PCL-5), the Acceptance and Action Questionnaire II (AAQII), the Positive and Negative Affect Scale (PANAS), the State-Trait Anxiety Inventory (STAI), the Beck Depression Inventory (BDI) and the Posttraumatic Growth Inventory (PTGI). Analyses were conducted to assess for significant changes across the study timeframe and for relationships among the changes in psychological instrument scores. Results: Study participants were 32 veterans with trauma histories ranging in age from 30 to 67 years old. There were statistically significant pre- to post-intervention improvements for all instruments except the PTGI, suggesting short-term increased psychological flexibility (AAQII) and positive affect (PANAS-positive) as well as decreased anxiety (STAI), negative affect (PANAS-negative), depression (BDI) and PTSD symptoms (PCL-5). Changes in BDI and PCL-5 scores persisted at 120 days post-intervention whereas changes in the AAQII, PANAS and STAI did not persist. Increased psychological flexibility was correlated with reductions in negative affect, PTSD symptoms and anxiety, as well as with increases in positive affect. Conclusions: Preliminary results reported herein suggest participation is associated with psychological benefits. Further, decreased experiential avoidance/increased psychological flexibility should be explored as an underlying mechanism potentially contributing to the benefits of participation in EAS. A randomized controlled trial of the H.O.O.V.E.S. Intensive program is warranted. Full article

Background/Objectives: Palliative care nurses are at risk of burnout, trauma, and poor well-being. Expressive writing interventions are shown to promote self-reflection, personal growth, and resilience. A pilot study was designed to test the feasibility and use of a self-reflexive blog writing intervention to promote the subjective well-being, resilience, and personal growth of palliative care nurses during the COVID-19 pandemic. Methods: A sample of N = 144 registered nurses working in palliative care settings were enrolled in the study. Recruitment was performed using university alumni, nursing, and palliative care organization member listservs. Self-reported surveys such as the Subjective Well-Being Inventory (SUBI), Brief Resiliency Scale (BRS), and Post-traumatic Growth Inventory (PTGI) scales were used to evaluate study outcomes. Pre- and post-surveys were obtained at baseline, 4 weeks, and 6 weeks. Upon baseline survey completion, participants were randomly assigned to control and intervention groups. Participants in the intervention group were asked to write two weekly blog entries for a period of four weeks using a blog template on Qualtrics software. Descriptive statistical measures were used to evaluate the study outcomes and content analysis to analyze descriptive survey responses and blog narratives. Results: A total of N = 57 participants completed this study. Most participants were females (93%), White (89.5%), married (93%), and full-time employees (96.5%) and underwent PC training (93%). The findings indicate significant improvement in the subjective well-being (MD = 2.43, p < 0.05) and resilience scores (MD = 0.244, p < 0.05) in the intervention group. No significant changes were found in post-traumatic growth scores post-intervention. Most participants found blog writing as a supportive tool to reflect on their personal experiences and to ventilate their emotions and feelings. Conclusions: Self-reflexive blog writing is convenient and a potentially effective method for promoting the resilience and well-being of nurses. Future studies are needed to evaluate its effectiveness in a larger sample across different practice settings. Full article

Background: This study explores post-traumatic growth (PTG) among parents of childhood cancer survivors (CCSs), a group often underrepresented in research. Method: A convergent parallel mixed-methods design integrating Bayesian Multilevel Latent Class Analysis and Thematic Analysis was utilized in a longitudinal study involving 58 caregivers (50 mothers, 8 fathers) from the Children’s Clinical University Hospital in Riga. Quantitative data were collected at diagnosis using the Psychosocial Assessment Tool (PAT) and Big Five Inventory-10 (BFI-10). Follow-up assessments post-treatment included the Responses to Stress Questionnaire (RSQ), Impact of Event Scale-Revised (IES-R), and the Post-traumatic Growth Inventory (PTGI). Qualitative data were collected through structured interviews. Results: A 2-class model distinguished parents with low PTG from those with moderate to high PTG. Change in values, detachment from trivial stressors, and acceptance of life emerged as key indicators of growth. PTG was not significantly correlated with overall post-traumatic stress symptoms, but engagement coping strategies showed a positive association with PTG and personality traits like extraversion and openness. Conclusions: The mixed methods approach revealed sample-specific PTG elements not reflected in standardized tools. Initial perceptions of the cancer diagnosis shaped psychological outcomes, with PTG facilitated by adaptive coping, self-reflection, support, emotional disclosure, and psychological struggle. This study offers the first insights into PTG among Latvian parents of CCSs, a previously unexplored area. Full article

This quantitative study examined the relationships between perceived social support, psychological resilience, and posttraumatic growth (PTG) among university students affected by the 6 February 2023 earthquakes in Türkiye. Utilizing a correlational design, the study tested whether psychological resilience mediated the relationship between perceived social support and PTG. The sample consisted of 769 undergraduate students from Kahramanmaraş Sütçü İmam University and Malatya Turgut Özal University, selected through convenience sampling. Data were collected via standardized instruments: the Multidimensional Scale of Perceived Social Support, the Resilience Scale for Adults, and the Posttraumatic Growth Inventory. A mediation analysis was conducted using the path analysis and bootstrapping methods with the IBM AMOS 24.0 software. The results revealed that perceived social support positively predicted both psychological resilience and PTG, and psychological resilience positively predicted PTG. The mediation analysis confirmed that psychological resilience partially mediated the relationship between perceived social support and PTG. Additionally, significant differences in PTG, resilience, and perceived social support levels were found across gender, housing conditions, psychological impact levels, and access to support. Notably, female students, those who lost loved ones, and those who received psychological or family support reported higher PTG levels. The results emphasize the critical role of social and individual resources in trauma adaptation. It is recommended that post-disaster psychosocial interventions prioritize strengthening both perceived social networks and individual resilience capacities to foster posttraumatic growth in affected populations. Full article

The COVID-19 pandemic presented many potentially traumatic circumstances. Research continues to investigate pandemic-related Post-traumatic Growth (PTG). However, most studies fail to fulfil the parameters of PTG whereby a triggering event must be of seismic intensity and have ceased before PTG can manifest, producing significant validity and reliability issues. The relationships between PTG, trait resilience and fear are also under-researched, particularly in circumstances where the parameters of PTG are met. This study examined the relationship between PTG, COVID-19-related fear and trait resilience. Participants (n = 229) completed an online questionnaire incorporating the Post-Traumatic Growth Inventory and the Connor–Davidson Resilience Scale. The sample participants were moderately traumatised with moderate–low PTG (M = 50.85). Participants reported greater levels of PTG compared to participants from pre-COVID studies, notably in relation to the constructs of Relating to Other (d = 0.29), New Possibilities (d = 0.47), Personal Strength (d = 0.39), and Spiritual Change (d = 0.29). Higher levels of resilience (B = 0.48) and COVID-19-related fear (B = 0.16) were associated with greater overall PTG. Younger participants also reported greater levels of PTG (B = −0.29). The findings advance current knowledge regarding the potential relationship between fear and PTG and demonstrate that trait resilience is a promotional factor, presenting opportunity for future intervention formulation. However, reform is required within the PTG literature pool. Future research investigating PTG must reach both parameters. In circumstances where this is impossible, research concerning newfound positive cognition during adverse circumstances should be re-explored as Post-Adversarial Appreciation (PAA) to maintain validity. Full article

Background: The COVID-19 pandemic has posed significant psychological challenges worldwide, but individuals may also experience post-traumatic growth (PTG)—positive psychological changes following adversity. Identifying factors associated with PTG during global public health crises is crucial for advancing trauma recovery research and informing evidence-based interventions. As interpersonal interactions increasingly move to virtual platforms, online social support has become a key source of psychological resilience. Yet, how online social support facilitates PTG remains unclear, especially in large-scale adversities, like the COVID-19 pandemic. Objective: This study investigates the association between online social support and post-traumatic growth (PTG) in the context of the COVID-19 pandemic and examines the mediating roles of gratitude and positive reappraisal. Method: A cross-sectional online survey was conducted in March 2022, recruiting 556 college students (70.83% female). Online social support, PTG, gratitude, and cognitive reappraisal were assessed using validated tools, including the College Students’ Online Social Support Testing Questionnaire, Post-Traumatic Growth Inventory (PTGI), Gratitude Adjective Checklist, and Cognitive Emotion Regulation Questionnaire (CERQ). Results: Participants reported moderate PTG levels. Online social support was positively associated with PTG and exerted both direct and indirect effects. The indirect effects occurred through a sequential mediation pathway, wherein online social support first enhanced gratitude, which in turn, promoted cognitive reappraisal, ultimately contributing to higher PTG levels. Conclusions: This study highlights the significant association between online social support and post-traumatic growth (PTG) during the COVID-19 pandemic, both directly and through the sequential mediating effects of gratitude and cognitive reappraisal. These findings underscore the importance of leveraging digital platforms to provide emotional and cognitive resources that support resilience and growth in times of large-scale adversity. Psychological interventions should prioritize cultivating gratitude and enhancing cognitive reappraisal skills as effective strategies to mitigate the negative psychological impacts of crises and facilitate PTG outcomes. Full article

Background/Objectives: The state of patients’ health following liver transplantation is influenced by a number of factors. To provide personalized nursing care, it is essential to understand the impact that the transplant has had on the patient’s life. The primary aim of this study was to examine gender differences in the overall health effect following liver transplantation. Methods: A cross-sectional study was conducted using the Connor–Davidson 10 Resilience Scale, the 21-item Post-Traumatic Growth Inventory, and the Transplant Effects Questionnaire. Data were collected during May–July 2021, and statistical analyses were performed. Results: A sample of 174 liver transplant patients who completed questionnaires were included in this study. Of these, 24.1% were women. Psychological resilience in men was correlated with personal strength, whereas in women, it was associated with relationships with others. Significant gender differences were found in psychological post-traumatic growth since liver transplantation. Additionally, resilience levels were positively and significantly associated with adherence to immunosuppressive therapy following the transplant. However, no mediating or moderating effect of resilience was identified. Conclusions: The results provide valuable insights for validating and improving interventions from a gender perspective. Nursing care must incorporate a gender perspective to deepen our understanding of the emotional determinants and the ability to deal with them. Full article

Objective: In this study, we aimed to determine post-traumatic growth and depression levels in renal transplant recipients and the relationship between these two variables. Design and Methods: The study was conducted with a descriptive, cross-sectional, and correlational design. The data for the study were collected at the organ transplant unit of a research and training hospital located in the west of Turkey. The sample of the study included 122 kidney transplant recipients (n = 122). A Sociodemographic Information Form, the Post-Traumatic Growth (PTG) Inventory, and the Beck Depression Inventory (BDI) were employed to collect data. In the analyses of the data, descriptive statistics, ANOVA, an independent-samples t-test, post hoc tests, and Pearson correlation tests were used. Results: As the ages of the renal transplant recipients increased, their depression scores decreased, while their PTG scores increased. Higher depression levels were identified in the female participants compared to the male participants and in those with a low income compared to other income groups. The lowest PTG levels were found in the recipients who received their kidney transplants from third-degree relatives. Age, gender, economic status, and time of transplant were predictors of depression. The identity of the donor was the most significant predictor of PTG (62% explanation rate). A strong and inverse correlation was found between depression and PTG (p < 0.05). Conclusions: Post-traumatic growth was found to decrease depression. However, while poor economic status led to depression, high economic status did not lead to a significant change in PTG. As education levels increased, PTG decreased, but education status did not have any significant effect on depression. On the other hand, there was a negative correlation between PTG and depression. The results obtained in this study are valuable and important in terms of understanding depression better and determining PTG as a significant factor that could alleviate it. Full article

(1) Introduction: Cancer diagnosis has been related to depression, anxiety, and distress, as well as to post-traumatic growth (PTG). One of the mediating variables for emotional response is thought style (rumination, cognitive avoidance, and cognitive engagement). (2) Aim: To identify the relationship between thought style and emotional responses to cancer. A secondary aim was to identify the relationship between emotional responses and inflammatory immunological biomarkers. (3) Method: A total of 115 patients with cancer were included in the study. Before initiating cancer treatment, patients were assessed using the Hospital Anxiety and Depression Scale (HADS), distress thermometer, and Post-Traumatic Growth Inventory (PTGI). Patients provided their most recent blood biometry. (4) Results: Rumination correlated with anxiety, depression, and distress. Cognitive avoidance correlated with PTG (−0.240) and distress (−0.209). Cognitive engagement correlated with PTG (0.393). Regarding thought style and biomarkers, a negative correlation was observed for absolute neutrophils with cognitive avoidance (−0.271) and rumination (0.305). Regarding biomarkers and emotional responses, there was a negative correlation between PTG and absolute lymphocytes (−0.291). There was also a correlation between PTG and neutrophils (0.357) and neutrophil-to-lymphocyte ratio (NLR) (0.295). (5) Conclusions: Thought style is related to the emotional response to a cancer diagnosis; rumination is related to depression, distress, and anxiety; and cognitive engagement is related to PTG. PTG is related to inflammation and immunological biomarkers. Full article

Background: Research has shown that Adverse Childhood Experiences (ACEs) are prevalent and are associated with psychological distress. Some studies indicate facing these adversities can lead to post-traumatic growth. This study aims to assess the impact of ACEs on psychological distress and post-traumatic growth and to determine the mediating effect of post-traumatic growth between ACEs and psychological distress, in a sample of adults. Methods: In this study, there were 521 participants (mean = 31.32, SD = 12.28), who answered the following surveys online: a sociodemographic questionnaire, the Family ACE Questionnaire, the Kessler Psychological Distress Scale (K10) and the Post-Traumatic Growth Inventory (PTGI). Results: ACEs were positive and significant predictors of psychological distress, and the “Change in the perception of the self and life in general” factor of post-traumatic growth was the strongest predictor of lower perceived psychological distress. Post-traumatic growth did not mediate the relationship between ACEs and psychological distress. Conclusions: These findings contribute to the improvement of clinical practice and health policies and highlight the need for a more in-depth understanding of the impact of ACEs on mental health. Full article

Parents’ emotions after their child’s burn might be influenced by the injury circumstances or demographic characteristics of the patient and family. Parents’ post-traumatic stress symptoms and their child’s distress may interact and affect emotional states. The psychosocial outcomes of parents were measured using the Impact of Event Scale-Revised, the CARe Burn Scale, and the Post-traumatic Growth Inventory-Brief. The psychosocial quality of life outcomes of the pediatric burn patients were measured using the Pediatric Quality of Life Inventory (PedsQL). Regression analysis was used to assess the relationship between patient psychosocial quality of life and the related parent scores. A total of 48 patients and parents participated, with 36 giving full data at 12 months. Parental post-traumatic stress symptoms were initially high, settling by six months, although outliers remained. Parents reported higher IESR scores if their child was female, if they felt helpless at the time of the incident, and if a language other than English was spoken in the home. Parents’ scores of their child’s psychosocial function were similar to their child’s self-scores. Parents who perceived poorer emotional functioning in their child reported higher IESR scores. Full article

During the Coronavirus disease 2019 pandemic, several studies were conducted on mental health among various populations; however, only a few studies have focused on post-traumatic growth (PTG) in nursing students. By understanding the PTG involved in coping with emotionally challenging situations, educators, and institutions can prepare nursing students to navigate the demands of their profession and ultimately provide more empathetic and effective patient care. This study aimed to explore whether self-reflection and emotional self-disclosure are associated with PTG. A total of 195 nursing students completed the self-report questionnaire. This study used standardized instruments, including the self-reflection scale, emotional self-disclosure, and the Posttraumatic Growth Inventory (PTGI). Data were analyzed using descriptive statistics, a t-test, Pearson’s correlation coefficient, and hierarchical regression analysis using the SPSS/WIN 25.0 program. The factors influencing PTG included self-reflection (β = 0.36; p < 0.001), emotional self-disclosure (β = 0.24; p < 0.001), grade (β = −0.18; p = 0.008), and religion (β = −0.15; p = 0.013). The explanatory power of these four factors was 31.4%, and self-reflection was found to have the greatest influence on PTG. The results indicated the need for self-reflection and emotional self-disclosure promotion programs to improve PTG, especially for senior and non-religious students. Full article

A Japanese version of the short form of the expanded Posttraumatic Growth Inventory (PTGI-X-SF-J) was developed in this study, as the extended version captures broader, more diverse personal growth perspectives, such as existential spiritual growth. We collected cross-sectional data from 408 (first sample) and 284 (second sample) Japanese university students using the expanded version of the Posttraumatic Growth Inventory (PTGI-X-J). Exploratory factor analysis (EFA) was performed with the first sample and confirmatory factor analysis (CFA) with the second; reliability and validity were examined. The short-form version resulting from the EFA and CFA comprised 10 items and five factors. Cronbach’s alpha for the PTGI-X-SF-J total and subscale scores ranged from 0.671 to 0.875. The intraclass correlation coefficient for the total and subscale scores between the PTGI-X-J and PTGI-X-SF-J ranged from 0.699 to 0.821. Regarding external validity, no significant correlation was found between posttraumatic growth and posttraumatic stress disorder checklists. Due to its brevity, the PTGI-X-SF-J can help assess diverse spiritual and existential personal growth experiences among clients, patients, and trauma survivors while reducing physical and psychological burdens. Full article