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1.
J Affect Disord ; 296: 35-40, 2022 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-34587547

RESUMO

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


Assuntos
COVID-19 , Crescimento Psicológico Pós-Traumático , Transtornos de Estresse Pós-Traumáticos , Pessoal de Saúde , Humanos , Pandemias , Estudos Prospectivos , SARS-CoV-2 , Transtornos de Estresse Pós-Traumáticos/epidemiologia
2.
Ann Palliat Med ; 10(9): 9435-9442, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34628869

RESUMO

BACKGROUND: The increasingly younger age of stroke onset has posed a serious threat to the physical and mental health of young and middle-aged adults. Young and middle-aged stroke patients often suffer from varying degrees of motor, cognitive, and language disabilities, which can trigger considerable psychological trauma. However, these patients may have certain posttraumatic growth (PTG). As a positive psychological experience, PTG provides a new entry point for clinical psychological interventions. Here, we explored the trajectories of PTG in young and middle-aged stroke patients and their predictive effects on mental health. METHODS: A total of in 165 patients who were treated at our center from January to December 2019 were enrolled with randomized sampling. The survey was conducted at 5 times follow up through use of the Posttraumatic Growth Inventory (PTGI), Social Support Rating Scale (SSRS), and Symptom Checklist-90 (SCL-90). Data were analyzed by using the latent growth mixture modeling (LGMM). RESULTS: The PTG levels in young and middle-aged stroke patients showed a gradual increase (F=9.927; P<0.01). According to the relevant parameters of the trajectories, the subjects were divided into the high PTG group (n=43, 26.06%), low PTG group (n=25, 15.15%), rapidly increasing PTG group (n=47, 28.48%), and constantly decreasing PTG group (n=50 cases, 30.30%). Both the initial level and developmental rate of PTG had significantly negative predictive effects on SCL-90 score (B=-0.46, P<0.01; B=-0.31, P<0.01); in other words, they had positive predictive effects on mental health. CONCLUSIONS: There are different trajectories of PTG in young and middle-aged stroke patients, and the initial level and developmental speed of PTG have positive predictive effects on mental health in these patients.


Assuntos
Crescimento Psicológico Pós-Traumático , Acidente Vascular Cerebral , Adaptação Psicológica , Adulto , Humanos , Saúde Mental , Pessoa de Meia-Idade , Apoio Social
3.
Artigo em Inglês | MEDLINE | ID: mdl-34574378

RESUMO

The COVID-19 pandemic represents a traumatic event that has profoundly changed working conditions with detrimental consequences for workers' health, in particular for the healthcare population directly involved in addressing the emergency. Nevertheless, previous research has demonstrated that traumatic experiences can also lead to positive reactions, stimulating resilience and feelings of growth. The aim of this narrative review is to investigate the positive aspects associated with the COVID-19 pandemic and the possible health prevention and promotion strategies by analyzing the available scientific evidence. In particular, we focus on the constructs of resilience, coping strategies and posttraumatic growth (PTG). A literature search was performed on the PubMed, EMBASE, Scopus, Web of Science, Google Scholar and Psycinfo databases. Forty-six articles were included in the literature synthesis. Psychological resilience is a fundamental variable for reducing and preventing the negative psychological effects of the pandemic and is associated with lower levels of depression, anxiety and burnout. At the individual and organizational level, resilience plays a crucial role in enhancing wellbeing in healthcare and non-healthcare workers. Connected to resilience, adaptive coping strategies are essential for managing the emergency and work-related stress. Several positive factors influencing resilience have been highlighted in the development of PTG. At the same time, high levels of resilience and positive coping strategies can enhance personal growth. Considering the possible long-term coexistence and consequences of COVID-19, organizational interventions should aim to improve workers' adaptive coping skills, resilience and PTG in order to promote wellbeing.


Assuntos
COVID-19 , Crescimento Psicológico Pós-Traumático , Resiliência Psicológica , Adaptação Psicológica , Pessoal de Saúde , Humanos , Pandemias , SARS-CoV-2 , Local de Trabalho
4.
Eur J Oncol Nurs ; 54: 102028, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34507151

RESUMO

PURPOSE: This study investigated the major functional issues experienced by male patients with rectal cancer, including fecal function, sexual function, and social support and how they relate to post-traumatic growth. Factors that can be associated with post-traumatic growth were also identified. METHODS: A questionnaire was administered to 143 male patients with rectal cancer receiving either treatment at a national cancer center or post-therapeutic follow-up in outpatient clinics, from February 18 to May 22, 2020. In addition to questions relating to patients' characteristics, the questionnaire included measures of fecal function, sexual function, social support, and post-traumatic growth. RESULTS: Post-traumatic growth showed a weak to moderate positive correlation with both sexual function and social support. Moreover, an analysis of the factors associated with post-traumatic growth showed that religion, marital status, and social support were statistically significant; these factors explained 22% of the variance in post-traumatic growth. CONCLUSIONS: Post-traumatic growth in male patients with rectal cancer can be associated with psychosocial factors, such as religion and social support, rather than physical functions, such as fecal function and sexual function. Interventions to enhance social support for men who are single or non-religious could promote post-traumatic growth in male patients with rectal cancer.


Assuntos
Crescimento Psicológico Pós-Traumático , Neoplasias Retais , Estudos Transversais , Humanos , Masculino , Apoio Social , Inquéritos e Questionários
5.
PLoS One ; 16(9): e0256854, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34469473

RESUMO

Volunteers have played an important role by supporting essential services that have been overwhelmed during the most critical moments of the SARS-CoV-2 pandemic. Hence, nonprofit organizations may be interested in preventing negative consequences of these volunteers' exposure to potentially traumatic events. The aim of this cross-sectional study was twofold. First, to examine to what extent self-compassion and self-determination would contribute to differentiating between volunteers with different levels of compassion fatigue, compassion satisfaction, and post-traumatic growth. Second, to identify the best predictors of the most extreme levels of each outcome. Participants were 211 Spanish Red Cross volunteers (60.7% women), who completed a survey. They were separately classified into three groups (low, medium, and high) according to the 33rd and 66th percentile scores on each outcome (compassion fatigue, compassion satisfaction, and post-traumatic growth). Univariate analyses of variance and post-hoc comparisons revealed that self-compassion and self-determination contributed differently to distinguishing between levels of each outcome. Volunteers lowest in compassion fatigue stood out for showing fewer non-compassionate strategies and more mindfulness than the other groups. Moreover, those higher in satisfaction compassion also showed lower use of unhealthy strategies and higher scores in all other predictive variables. Volunteers highest in post-traumatic growth showed higher self-kindness and satisfaction of all psychological needs. Binary logistic regressions allowed for the identification of predictors of belonging to the most extreme groups. The protective factors may be useful to guide volunteers' self-care and help them thrive in the face of critical service demands.


Assuntos
COVID-19 , Fadiga por Compaixão , Crescimento Psicológico Pós-Traumático , Quarentena/psicologia , SARS-CoV-2 , Voluntários/psicologia , Adolescente , Adulto , Idoso , COVID-19/epidemiologia , COVID-19/prevenção & controle , COVID-19/psicologia , Fadiga por Compaixão/epidemiologia , Fadiga por Compaixão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Espanha/epidemiologia
6.
Span J Psychol ; 24: e43, 2021 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-34505560

RESUMO

We explored post-traumatic growth (PTG) in older adults immediately after the forced lockdown in Spain during March to April, 2020, due to the COVID-19 pandemic. The study also tried to identify the variables that predict PTG, focusing on the experience of COVID, sociodemographic variables, and social resources. In total 1,009 people aged 55 years and older participated in the study and completed an online questionnaire comprising the following elements: The short form of the Post-traumatic Growth Inventory (PTGI-SF), sociodemographic and social resources questions, and their experiences of COVID-19 (if they had been infected themselves or if they had experienced the loss of someone close). Results showed that only a quarter of the participants experienced higher PTG after the forced lockdown, with only age and social resources being correlated with scores on the PTGI-SF. Looking at the strengths that older adults put into action to combat the pandemic and its social and health consequences could be an important consideration when planning future social policies for this and other pandemics.


Assuntos
COVID-19/prevenção & controle , Controle de Doenças Transmissíveis , Crescimento Psicológico Pós-Traumático , Idoso/psicologia , Feminino , Humanos , Masculino , Estado Civil , Pessoa de Meia-Idade , Apoio Social , Espanha/epidemiologia , Inquéritos e Questionários
7.
Soc Sci Med ; 289: 114409, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34537394

RESUMO

RATIONALE: The COVID-19 pandemic has had numerous negative effects globally, contributing to mortality, social restriction, and psychological distress. To date, however, the majority of research on the psychological impact of the COVID-19 pandemic has focused on negative psychological outcomes, such as depression, anxiety, and posttraumatic stress disorder (PTSD). OBJECTIVE: Although there is debate about the constructive vs. illusory nature of post-traumatic growth (PTG), it has been found to be prevalent in a broad range of trauma survivors, including individuals affected by the COVID-19 pandemic. The objective of this study was to identify pre- and peri-pandemic factors associated with pandemic-related PTG in a national sample of U.S. veterans. METHODS: Data were analyzed from the National Health and Resilience in Veterans Study, which surveyed a nationally representative cohort of 3078 U.S. veterans. A broad range of pre-pandemic and 1-year peri-pandemic factors associated with pandemic-related PTG were evaluated. Curve estimation and receiver operating characteristic curve analyses were conducted to characterize the association between pandemic-related PTSD symptoms and PTG. RESULTS: Worries about the effect of the pandemic on one's physical and mental health, PTG in response to previous traumas (i.e., new possibilities and improved interpersonal relationships), and pandemic-related avoidance symptoms were the strongest correlates of pandemic-related PTG. An inverted-U shaped relationship provided the best fit to the association between pandemic-related PTSD symptoms and endorsement of PTG, with moderate severity of PTSD symptoms optimally efficient in identifying veterans who endorsed PTG. CONCLUSIONS: Results of this study suggest that psychosocial interventions that promote more deliberate and organized rumination about the pandemic and enhance PTG in response to prior traumatic events may help facilitate positive psychological changes related to the COVID-19 pandemic in U.S. military veterans. Longitudinal studies on functional correlates of PTG may help inform whether these changes are constructive vs. illusory in nature.


Assuntos
COVID-19 , Crescimento Psicológico Pós-Traumático , Veteranos , Humanos , Pandemias , SARS-CoV-2
8.
Eur J Oncol Nurs ; 54: 102039, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34537537

RESUMO

PURPOSE: Despite increasing research on posttraumatic growth (PTG) of spouses of cancer patients, and the positive effects of spouses' PTG on both spouses and patients, there is little information on PTG and its correlates among husbands of gynecological cancer survivors, especially those of newly diagnosed survivors. We aimed to assess PTG among spouses of newly diagnosed gynecological cancer survivors and to examine its correlates. METHODS: In a cross-sectional study, a total of 400 spouses of newly diagnosed gynecological cancer survivors were recruited and completed questionnaires with information on general characteristics, rumination, self-disclosure, locus of control, and PTG. Univariate analysis and multiple linear regression analysis were performed. RESULTS: The mean score of PTG among the spouses was 57.77 (SD = 12.03). There were significant differences in PTG among spouses with different education levels, marriage duration, number of children, per capita monthly income, other traumatic events within 6 months, and time since diagnosis groups. Pearson's correlation analysis revealed that deliberate rumination, self-disclosure, and locus of control were significantly associated with PTG. The multiple regression model revealed that 53.6% of the variance in PTG was explained by marriage duration, time since diagnosis, self-disclosure, deliberate rumination, and internality locus of control. CONCLUSIONS: This study was one of the early attempts in evaluating PTG among spouses of newly diagnosed gynecological cancer survivors and identified several significant, potentially modifiable factors (self-disclosure, deliberate rumination, and internality locus of control) associated with PTG, providing an important guide for the development of effective psychosocial interventions for this population.


Assuntos
Sobreviventes de Câncer , Neoplasias , Crescimento Psicológico Pós-Traumático , Transtornos de Estresse Pós-Traumáticos , Adaptação Psicológica , Criança , Estudos Transversais , Humanos , Cônjuges , Inquéritos e Questionários , Sobreviventes
9.
Eur J Oncol Nurs ; 54: 102019, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34487969

RESUMO

PURPOSE: This study explored the relationships among self-efficacy, post-traumatic growth, and quality of life in a sample of pediatric cancer survivors and analyzed the factors associated with quality of life in pediatric cancer survivors. METHOD: A questionnaire assessed self-efficacy, post-traumatic growth, and health-related quality of life. Data were collected from December 2017 to December 2018 at a hospital in Seoul, South Korea from 115 pediatric cancer survivors. RESULTS: Health-related quality of life showed significant positive correlations with general self-efficacy and social self-efficacy, but did not significantly correlate with post-traumatic growth. Factors that significantly influenced health-related quality of life were current age (ß = 0.24, p = .007), currently not attending school (ß = -0.19, p = .029), having many uncomfortable symptoms (ß = -0.26, p = .006), some daily life difficulties (ß = -0.23, p = .015), general self-efficacy (ß = 0.17, p = .043), and social self-efficacy (ß = 0.32, p = .001). This model explained 50% of the variance in self-reported health-related quality of life. CONCLUSION: Health-related quality of life in pediatric cancer survivors was not associated with post-traumatic growth. However, high health-related quality of life was related to being older, attending school, lacking uncomfortable symptoms and difficulties in daily life, and having high self-efficacy. Interventions may improve health-related quality of life in pediatric cancer survivors if they increase self-efficacy, reduce uncomfortable symptoms and difficulties in daily life and for children who are survivors of cancer, and encourage maintaining school life.


Assuntos
Sobreviventes de Câncer , Neoplasias , Crescimento Psicológico Pós-Traumático , Criança , Estudos Transversais , Humanos , Neoplasias/terapia , Qualidade de Vida , Autoeficácia , Inquéritos e Questionários , Sobreviventes
10.
J Hand Surg Asian Pac Vol ; 26(3): 467-471, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34380389

RESUMO

Growth arrest following paediatric distal radius and ulnar fractures infrequently results in a symptomatic deformity. The distal radioulnar joint (DRUJ) plays a complex role in the motion of the wrist, allowing for forearm rotation, and acceptable reconstruction options are limited when severe deformity does occur. We present a case of symptomatic severe post traumatic growth arrest of the distal radioulnar joint which was treated by osteotomy and Scheker total distal radioulnar joint arthroplasty.


Assuntos
Crescimento Psicológico Pós-Traumático , Artroplastia , Criança , Humanos , Rádio (Anatomia)/diagnóstico por imagem , Rádio (Anatomia)/cirurgia , Ulna/diagnóstico por imagem , Ulna/cirurgia , Articulação do Punho/diagnóstico por imagem , Articulação do Punho/cirurgia
11.
Artigo em Inglês | MEDLINE | ID: mdl-34444576

RESUMO

The Syrian conflict has led to a mass migration of Syrians to other countries and exposed them to many possible traumatic events and stressors in their country of origin and in the resettlement process. The possibility of positive psychological effects of adverse life events is less documented among Syrian refugees. Thus, the current study aimed to develop preliminary evidence for the identifying factors: traumatic experiences, post-migration stressors and coping strategies that are associated with post-traumatic growth (PTG) of Syrian refugees residing in Turkey. Structural equation modeling (SEM) was used in the current study to assess the associations among these factors. Data were obtained from Syrian refugees residing in the governorates of Hatay and Mardin. A total of 528 Syrians, aged between 18-77 years (M = 35.60, SD = 11.65) participated in this cross-sectional study. Results from the SEM indicated that past traumatic experiences and post-migration stressors were indirectly related to PTG. The results from the current study provide support for that the association between refugees' traumatic experiences, post-migration stressors and PTG appear to be explained through the presence of coping strategies which could be addressed in the psychotherapies and psychosocial interventions for refugees to promote positive psychological change. Future studies should address the effects of post-migration stressors on PTG in detail.


Assuntos
Crescimento Psicológico Pós-Traumático , Refugiados , Transtornos de Estresse Pós-Traumáticos , Adaptação Psicológica , Adolescente , Adulto , Idoso , Estudos Transversais , Humanos , Pessoa de Meia-Idade , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Síria , Adulto Jovem
12.
MCN Am J Matern Child Nurs ; 46(5): 264-270, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34398827

RESUMO

PURPOSE: The purpose of this study was to describe and explore the experiences of women who have lost a child and the degree of posttraumatic growth revealed by the experiences. STUDY DESIGN AND METHOD: A qualitative descriptive study was conducted with interviews of mothers and grandmothers of children who died using the posttraumatic growth framework. FINDINGS: Participants included 11 mothers and 2 grandmothers. The posttraumatic growth framework was useful in examining their experiences. Seven themes were identified through data analysis: When my child died, I lost part of myself; Anticipated loss versus unanticipated loss; Picking up the pieces of my life; Support, kindness, and compassion helped; Moving on while still broken; Never forgotten, always in my heart; and Holding my loved ones close. CLINICAL IMPLICATIONS: Nurses are in strategic positions to help women who have experienced the loss of a child by building rapport, establishing trust, and demonstrating empathy.


Assuntos
Luto , Pesar , Mães/psicologia , Crescimento Psicológico Pós-Traumático , Adaptação Fisiológica , Criança , Empatia , Feminino , Humanos , Relações Interpessoais , Entrevistas como Assunto , Pesquisa Qualitativa
13.
Medicine (Baltimore) ; 100(30): e26701, 2021 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-34397698

RESUMO

BACKGROUND: Advanced cancer (AC) patients experience serious physical and psychological problems with the disease progression. When approaching the end of life, these patients have to cope with not only the bodily illness, but also the spiritual crisis. Conventional psychological treatments reduce distress to a certain extent, but for patients with AC, especially when they face progressive illness and are approaching death, their psychological problems are complex, and no simple solutions are in sight. Therefore, we designed this study to evaluate the efficacy of the combined Naikan therapy (NT) and Morita therapy (MT) on psychological distress and posttraumatic growth in patients with AC. METHOD: One hundred thirty patients newly diagnosed with AC were allocated randomly into treatment (n = 65) and control (n = 65) groups. Patients in the treatment group received combined NT and MT for 7 consecutive weeks, while the control group received normal medical treatments without NT and MT. Patients were assessed before and after the therapies. The primary outcome measures include distress thermometer (DT) and posttraumatic growth, and the secondary outcome measure contains the list of distress problems. RESULTS: At the post-treatment stage, the treatment group displayed a decreased score of psychological distress as compared to that in the control group, which accompanied by a higher post-traumatic growth total score and subscale scores in relationship to others, new possibilities, personal strength, spiritual changes, and appreciation of life. A significant decrease in fear, sleeping difficulty/insomnia, nervousness/anxiety, and loss of appetite was also observed in the treatment group. CONCLUSION: The results proved that the combined Naikan and Morita therapies decreased the psychological distress and improved the posttraumatic growth of the patients with AC. TRIAL REGISTRATION: ChiCTR1900026691.


Assuntos
Adaptação Psicológica , Humanismo , Neoplasias/terapia , Angústia Psicológica , China , Humanos , Neoplasias/psicologia , Crescimento Psicológico Pós-Traumático
14.
Artigo em Inglês | MEDLINE | ID: mdl-34299812

RESUMO

Through a statistical survey of 760 front-line medical staff during the COVID-19 epidemic, this study attempts to explore the relationships between relational capital, psychological security, post-traumatic growth and the meaning of work. Data analysis verifies that trust, reciprocity, and identification can promote post-traumatic growth by enhancing the individual's psychological security. A high level of work meaning can enhance the role of trust, reciprocity and identification in promoting psychological security. Work meaning has a moderated mediating effect when trust and reciprocity affect post-traumatic growth through psychological security, but no moderated mediating effect is found when identification affects post-traumatic growth through psychological security.


Assuntos
COVID-19 , Crescimento Psicológico Pós-Traumático , Humanos , SARS-CoV-2 , Inquéritos e Questionários , Confiança
15.
J Adv Nurs ; 77(12): 4733-4742, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34227131

RESUMO

AIM: To investigate the relationships and pathways between dyadic coping, intimate relationship and post-traumatic growth (PTG) in Chinese patients with breast cancer. DESIGN: A cross-sectional study. METHODS: Between November 2019 and November 2020, 133 patients with breast cancer who received therapy in tertiary grade-A hospitals at Dalian, China completed questionnaires including demographic and clinical questionnaires, Locke-Wallace Marriage Adjustment Test, Chinese version of the Dyadic Coping Inventory and Chinese version of the Post-traumatic Growth Inventory. Structural equation modelling was used to analyse the pathways. RESULTS: Dyadic coping was positively interrelated with PTG and intimate relationship (r = .355, p < .01; r = .213, p < .05); intimate relationship was negatively interrelated with PTG (r = -.207, p < .05). The structural equation model demonstrated adequate fit. Dyadic coping and intimate relationship directly affected PTG (ß = .469, p < .05; ß = -.309, p < .05). Dyadic coping indirectly affected PTG through intimate relationship (ß = -.066, p < .05). CONCLUSIONS: Dyadic coping was a stimulus factor, but intimate relationship was an obstructive factor in enhancing PTG for the Chinese patients with breast cancer. Furthermore, intimate relationship may have significant mediating effects in the link between dyadic coping and PTG. Strategies that improve dyadic coping level and avoid excessive intimacy relationships between couples contribute to the development of PTG among patients with breast cancer. IMPACT: The research provides new ideas and intervention entry points for global nurses and psychotherapists so that they can enact and implement targeted PTG intervention plans for patients with breast cancer worldwide.


Assuntos
Neoplasias da Mama , Crescimento Psicológico Pós-Traumático , Adaptação Psicológica , Estudos Transversais , Feminino , Humanos , Relações Interpessoais , Inquéritos e Questionários
16.
Psychiatry Res ; 302: 114035, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34139592

RESUMO

Given the prolonged nature of the COVID-19 pandemic, the purpose of this study was to examine the association between posttraumatic growth (PTG) among young adults during the COVID-19 pandemic and their psychosocial characteristics, specifically: distress tolerance; resilience; family connectedness; depression, anxiety, and PTSD symptoms; and COVID-19-related worry. The study utilized data from 805 U.S. young adults (18-30 years) who completed online surveys during the COVID-19 pandemic across two waves (April-August 2020 and September 2020-March 2021). Overall, young adults reported low PTG scores. PTSD symptoms and COVID-19-related worry significantly predicted higher levels of PTG, while their depression symptoms predicted lower levels of PTG. Resilience and family connectedness significantly predicted higher levels of PTG, and distress tolerance significantly predicted lower levels of PTG after accounting for sociodemographic characteristics and negative influential factors. Compared to Whites, Asians were less likely to report PTG. In general, young adults have not perceived personal growth from the pandemic; however, young adults with certain psychosocial factors appear to be predisposed to such PTG. This study highlights the importance of exploring and elucidating the potential positive trajectories following the adversity of the COVID-19 pandemic.


Assuntos
COVID-19/psicologia , Pandemias , Crescimento Psicológico Pós-Traumático , Adolescente , Adulto , COVID-19/epidemiologia , Feminino , Humanos , Masculino , Psicologia , Inquéritos e Questionários , Estados Unidos/epidemiologia , Adulto Jovem
17.
J Hosp Palliat Nurs ; 23(4): 331-338, 2021 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-34185727

RESUMO

Little is known about the development of posttraumatic growth among parents of children with serious advanced disease. The purpose of this study is to describe parental posttraumatic growth 100 days after pediatric stem cell transplant. This is a cross-sectional, descriptive study of 24 parents, approximately 100 days after their children received stem cell transplant. Participants reported environmental, personal, and disease characteristics and completed measures of distress, coping, rumination, and posttraumatic growth. Evidence of parental posttraumatic growth was described in each of 5 dimensions (relating to others, new possibilities, personal strength, spiritual change, and appreciation of life). Posttraumatic growth was positively associated with parental distress, disengagement coping, and rumination measures (r = 0.44-0.47, P < .05). Appreciation of life demonstrated the strongest associations with distress and rumination (r = 0.53-0.61, P < .01). Curvilinear relationships were observed for the association of distress, disengagement coping, and involuntary engagement with posttraumatic growth (P < .05). Study results highlight opportunities for palliative care nurses and clinicians to facilitate opportunities to support parent posttraumatic growth during treatment for children's advanced disease.


Assuntos
Transplante de Células-Tronco Hematopoéticas , Crescimento Psicológico Pós-Traumático , Adaptação Psicológica , Criança , Estudos Transversais , Transplante de Células-Tronco Hematopoéticas/efeitos adversos , Humanos , Pais
18.
J Subst Abuse Treat ; 126: 108289, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34116806

RESUMO

OBJECTIVES: Research suggests that individuals treated for substance use disorders are not routinely assessed for post-traumatic stress disorder (PTSD) symptomatology despite high rates of comorbidity. One area of research that has been overlooked in theory, research, and practice on the comorbidity of substance use disorders and PTSD is the study of post-traumatic growth. The purpose of the current study is to explore the relevance of post-traumatic growth for the treatment of comorbid substance use disorders among individuals suffering from traumatic stress or PTSD. METHOD: A sample of 256 adults who survived the 2010 earthquake in Haiti completed measures of coping and the Posttraumatic Growth Inventory (PTGI). The study regressed a measure of substance use coping on the scores on the subscales of the Posttraumatic Growth Inventory adjusting for PTSD symptoms, general coping, and religious coping. RESULTS: The findings suggest that one PTGI subscale, appreciation of life, was a statistically significant predictor of substance use coping among trauma survivors. CONCLUSION: The principles of post-traumatic growth may have clinical implications for comorbid substance use among survivors of traumatic events. This study provides a path forward in efforts to create rapprochement between basic research and clinical services in the treatment of comorbid substance use in trauma survivors.


Assuntos
Crescimento Psicológico Pós-Traumático , Transtornos de Estresse Pós-Traumáticos , Transtornos Relacionados ao Uso de Substâncias , Adaptação Psicológica , Adulto , Humanos , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/terapia , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/terapia , Sobreviventes
19.
Jpn J Nurs Sci ; 18(4): e12427, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33977673

RESUMO

AIM: Nurses working in intensive care units are repeatedly exposed to trauma (e.g., verbal or physical abuse by confused patients, and unexpected death). However, after experiencing traumatic events, not all intensive care unit nurses develop psychopathological issues, including posttraumatic stress disorder. Therefore, this study aims to examine the level of posttraumatic growth and psychosocial factors such as posttraumatic stress symptoms, deliberate rumination, wisdom, and self-compassion to predict posttraumatic growth in Korean intensive care unit nurses. METHODS: A total of 156 intensive care unit nurses participated in this cross-sectional survey. Posttraumatic growth, posttraumatic stress symptoms, deliberate rumination, wisdom, and self-compassion were measured using validated self-report scales, and data were analyzed by descriptive statistics. RESULT: Posttraumatic growth was found to be comparatively low in intensive care unit nurses, while multiple regression showed that positive self-compassion was the most significant predictor for posttraumatic growth, followed by wisdom, age, and deliberate rumination. All together four variables explained 30% of the variance in posttraumatic growth. CONCLUSION: Findings from this study suggest that intensive care unit nurses' posttraumatic growth may be enhanced by increasing positive self-compassion, wisdom, and deliberate rumination. Therefore, a paradigm shift focusing on possible positive pathways, such as development of mental health programs to improve posttraumatic growth for intensive care unit nurses is required rather than focusing on management of posttraumatic stress disorder. The results of this study could provide theoretical guidance to seek more effective and integrated intervention strategies for intensive care unit nurses.


Assuntos
Enfermeiras e Enfermeiros , Crescimento Psicológico Pós-Traumático , Estudos Transversais , Humanos , Unidades de Terapia Intensiva , República da Coreia , Inquéritos e Questionários
20.
Support Care Cancer ; 29(11): 7013-7027, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34018030

RESUMO

PURPOSE: Interest is growing in post-traumatic growth (PTG) after cancer prompted, in part, by observations of positive associations with health-related quality of life. Qualitative research provides valuable insight into survivors' experiences. We conducted a scoping review of qualitative evidence on PTG in cancer, determining the number, nature, range and scope of studies, and gaps in the literature. METHODS: We systematically searched Medline, Scopus, CINAHL, Web of Science, and PsycINFO for qualitative research exploring positive changes after cancer published from 1996. From eligible studies, we extracted: terms used for PTG; design, methodological orientation, and techniques, and participant characteristics. Using descriptive mapping, we explored whether study findings fit within Tedeschi and Calhoun's PTG framework, and evidence for unique positive changes post-cancer. RESULTS: Twenty-eight studies were eligible. Cancer sites included were: breast, 14; mixed, 6; haematological, 4; head and neck cancer, 2; bone, 1, and testis, 1. Multiple studies were conducted in: the USA (12), Australia (3), Iran (2), and the UK (2). Twenty-three studies collected data using individual interviews (21) or focus groups (2). Definitions of PTG varied. Studies largely focused on descriptive accounts of PTG. Findings mapped onto existing PTG dimensions; health behaviour changes were often reported, under 'new possibilities'. CONCLUSIONS: A range of PTG outcomes can occur after cancer. Positive health behaviour changes warrant further exploration. Future research should include more diverse patient populations, collect longitudinal data, and focus on pathways towards positive changes.


Assuntos
Neoplasias , Crescimento Psicológico Pós-Traumático , Transtornos de Estresse Pós-Traumáticos , Adaptação Psicológica , Humanos , Masculino , Pesquisa Qualitativa , Qualidade de Vida
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