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AbstractMental health problems among workers are important issues. While preventing such problems is crucial, it is also imperative to understand the potential positive transformation that can arise from work-related stressful events, especially considering that many workers have already experienced severe stress and that eliminating stress in the workplace is essentially impossible. This study focused on posttraumatic growth (PTG), the leading concept in capturing such positive transformation, and developed a PTG scale for workers (PTGS-W). Given that the original PTG scale was not developed with a focus on workplace or organizational settings, a scale adequately assessing workers’ PTG is necessary to provide important insights for occupational health practice and future research. Two studies were conducted. In Study 1, items were developed via an inductive method, and exploratory factor analysis extracted four factors. Each factor had sufficient internal consistency and demonstrated significant associations with the PTG-related scales. In Study 2, item response theory was applied to evaluate the psychometric properties of the items and to select items, followed by confirmatory factor analysis (CFA), to test the hypothesis factor structure developed in Study 1. The CFA results indicated that the four-factor model fit well and provided support for the hypothesis. A 4-factor, 18-item scale was ultimately established. The results indicated that the PTGS-W exhibited satisfactory reliability and convergent validity. Additionally, significant associations were found between work engagement and job crafting, although some scales for the negative state yielded no association or a limited association. The strengths and limitations of the PTGS-W are discussed. [ABSTRACT FROM AUTHOR]

Background: The benefits of positive psychology interventions (PPIs) have become increasingly popular. While there is an emerging evidence base on the effectiveness of applying positive psychology in curriculum as preventive, early mental health intervention for higher education students, little is known about the content and pedagogy in these promising courses. Objective: This article describes (a) the rationale for and development of a positive psychology course embedded into the curriculum that aims to foster posttraumatic growth, psychological flexibility, and socio-emotional competencies for higher education students; and (b) a mixed-method non-randomised pre-post study to evaluate the effectiveness of the positive psychology course in achieving positive participant outcomes. Methods: Higher education students from different disciplines will be enrolled to a general education course, "Positive Psychology and Personal Growth", where they will learn progressive topics and complete summative assessments related to key areas in positive psychology. In addition to lectures, participants will engage in constructivist-based experiential activities that are guided by research on PPIs, life-design interventions and constructivist learning principles. The primary outcome is posttraumatic growth, and the secondary outcomes are psychological flexibility, and socio-emotional competencies. Expected results: We hypothesised that after the curriculum-embedded PPI, participants will have significantly higher levels of posttraumatic growth, psychological flexibility, and socio-emotional competencies. Results derived from the questionnaire survey will be supported by corroborating evidence identified from qualitative analysis of participants' summative assessments and follow-up semi-structured interviews on their perceptions of the present course. Discussion: The current study will fill in a gap in existing intervention research and practise in curriculum-embedded PPIs and promote research transparency and pedagogical advancement. The intervention provides guidance and recommendations for educators to consider embedding positive psychology into the formal curriculum as cost-effective, low-intensity, structured, and sustainable educational interventions for higher education students. [ABSTRACT FROM AUTHOR]

As the COVID-19 epidemic ends in China, it is worth exploring the growth after experiencing the trauma of the epidemic. China has been managing the epidemic for a relatively long time compared to other countries. Many scholars have researched trauma and post-traumatic growth in groups such as doctors and patients. However, little attention has been paid to the post-traumatic growth of ordinary people who experienced the epidemic in the Chinese context and the related influencing factors. Based on the educational system as the research context, this study proposes the effects of proactive personality and social support on PTG in the post-epidemic era through the mediation of meaningfulness of life. To empirically examine the influences of PTG in the post-epidemic era, an online survey of 1210 university students was conducted for data analysis. The analysis results suggest that proactive personality and social support positively influence meaning in life. Proactive personality, social support and meaning in life positively influence post-traumatic growth. Proactive personality and social support social support and proactive personality indirectly influence post-traumatic growth through the mediation of the meaning in life. This research empirically investigated the role of personality, social support, meaning in life, and post-traumatic growth among university students. [ABSTRACT FROM AUTHOR]

Numerous research studies show that mindfulness can mitigate the negative impact of trauma on mental health by reducing symptoms of anxiety, mediating the relationship between trauma exposure and mental health, and treating symptoms resulting from traumatic events. During the COVID-19 pandemic, which was considered a traumatic event, the wellbeing of adults and children was severely compromised. Although children seem less vulnerable to the physical effects of the virus, this does not seem to be true for the psychological effects. Indeed, a prolonged period of loss of family activities and routines can have a negative impact on the mental health of children and adolescents. To investigate how mindfulness can help preschool children cope with the effects of COVID-19, a study was conducted on 46 children aged 4–5 years. The programme, based on the work of Jon Kabat-Zinn and adapted to the age of the participants, consisted of eight weekly 45-min sessions. Qualitative and quantitative results showed positive feedback, indicating that mindfulness helps children make sense of their experiences and achieve functional post-traumatic growth. This approach is seen as a challenge to guide children toward the restoration of psychological wellbeing, which is essential for good psychological balance. [ABSTRACT FROM AUTHOR]

Over recent decades, serious games have become a promising intervention approach for addressing psychological problems by providing users with computerized, engaging, and interactive experiences. An innovative serious game, Traveler, has been developed specifically as an intervention tool for managing posttraumatic responses immediately after trauma. The game incorporates the principle of visuospatial interference, the core elements of Tetris, such as spatial displacement and mental rotation, and the critical phases of eye movement desensitization and reprocessing. To test the intervention efficacy and feasibility of Traveler, we conducted a randomized controlled trial involving 105 young adults. Participants were randomly assigned into three groups: a wait‐list control group, a group undergoing five‐session written exposure therapy, or a group engaging in one session of Traveler gameplay. Outcome measures included intrusive memories (i.e. vividness of traumatic images, disgust at traumatic images, flashback frequency, and flashback impact) and posttraumatic growth measured by the Posttraumatic Growth Inventory. Traveler significantly outperformed the control and written exposure therapy groups in reducing intrusive memories and enhancing posttraumatic growth, with effects persisting at a 30‐day follow‐up. Thus, Traveler offers a promising brief and early intervention technique for addressing posttraumatic responses. Yet, its clinical applicability requires further investigation. [ABSTRACT FROM AUTHOR]

Although current approaches to the study of resilience acknowledge the role of context, rarely do those conceptualizations attend to societal systems and structures that include hierarchies of power and privilege—namely systems of racism, colonialism, patriarchy, and capitalism—nor do they articulate how these structural realities are embedded within individual experiences. We offer critiques of the current literature from this structural lens, using the concept of master narratives to articulate the incomplete and, at times, damaging story that the discipline of psychology has told about resilience. We then provide three models that center history, systems, and structures of society that can be employed in the study of resilience. We close with lessons learned from listening to those voices who have been marginalized by mainstream society, lessons that require us to redefine, broaden, and deepen our conceptualization of resilience. Public Significance Statement: American narratives of growth after adversity are prominent in our larger culture as well as in the discipline of psychology. Such narratives rely on an overly narrow and simplistic focus on individuals who are responsible for their growth. This allows us to ignore larger forces, such as systemic oppression, which can create barriers to such growth. We argue for redefining such narratives of what it means to be healthy in the face of adversity by attending to people who have often been left out of the research on growth and resilience—such as those who are Black, Indigenous, lesbian, gay, bisexual, transgender, queer, and those who hold other marginalized identities. [ABSTRACT FROM AUTHOR]

Research on resilience and posttraumatic growth (PTG) has significantly advanced our understanding of human adaptability to adversity, reflecting a widespread belief in the United States that such adaptability is commonplace. However, recent studies have highlighted conceptual and methodological limitations in these fields. These limitations call into question the credibility of existing research and underscore the need for multidisciplinary perspectives in understanding adaptive responses to adversity. This special issue aims to provide a foundation for a new generation of resilience and PTG research. It brings together innovative theoretical and empirical work that focuses on several key areas: the multifaceted nature and impacts of adversity, the importance of clarifying resilience and PTG in marginalized communities, methodological advancements in the field, and challenges to core theoretical and methodological assumptions underlying our scientific practice. Public Significance Statement: This introduction provides an overview of key themes that emerged across the included articles in the special issue. We envision this special issue to be a foundation for the next generation of research on resilience and posttraumatic growth, one that is simultaneously more inclusive and more rigorous. [ABSTRACT FROM AUTHOR]

Our relationships are an important resource for health and well-being in times of need, often buffering the negative effects of stressful situations. Recent research has expanded on these buffering effects, exploring the role of close others in the experience of posttraumatic growth (PTG), or positive personality change that occurs after someone has experienced trauma. In the current review, we examine how much of a role partners play in PTG for individuals, summarizing the existing evidence suggesting that partners can influence the experience of PTG. Additionally, we examine which partner traits or behaviors may facilitate this growth for individuals, discussing relationship-relevant mechanisms, facilitators, and suppressors of PTG. Finally, and perhaps most importantly, we also discuss the quality of existing evidence for the influence of social relationships on PTG, how can we improve the quality of future research, and what is needed for a comprehensive examination of partner-influenced PTG. Public Significance Statement: Many are interested in the phenomenon of posttraumatic growth—the idea that surviving negative events may change people in positive ways. This review article examines the evidence we have for romantic partners' roles in posttraumatic growth. Ultimately, while the evidence we have currently is not strong enough to definitively answer questions like these, the article closes with several suggestions for improving the quality of future research on this topic. [ABSTRACT FROM AUTHOR]

Thirty years after the introduction of posttraumatic growth (PTG), research on the concept has expanded dramatically. Novel theoretical perspectives included in this special issue, however, demonstrate that nearly every element of PTG requires revision. "Post" implies a definitive before and after adversity that simply does not exist, either empirically or in the everyday navigation of adversity, especially for marginalized people. "Trauma" is appropriately scaled to the gravity of some forms of adversity, yet the term is often overly pathologizing or flattening of individual experience. And "growth" is often misleading, difficult to operationalize, and always value-laden. Studying PTG requires grappling with these claims in a way that can inspire pessimism. What is left in PTG after we question the P, T, and G? In asking this question, we ultimately encounter the limits of empiricism. Drawing insights from contemporary research in lifespan development, we suggest that it may be impossible to prospectively predict, using individual-level variables, how people grapple with adversity and develop after it. There are limits to our understanding of PTG that may simply be insurmountable. But complementary perspectives in narrative research, especially those espoused in this issue, as well as in the humanities and the arts, offer a way forward. Retrospectively understanding adverse events and taking an idiographic and qualitative perspective on the ways in which people navigate them can both humanize and bolster inclusivity in PTG research. We conclude by suggesting a period of enhanced divergent exploration, one that embraces disciplinary humility and epistemological and methodological pluralism to further understand PTG. [ABSTRACT FROM AUTHOR]

Despite experiencing disproportionately high rates of trauma exposure and traumatic stress, sexual and gender minority populations are underrepresented in research on posttraumatic growth (PTG). Data from two waves of semistructured life review phenomenological interviews with 14 sexual minority women and nonbinary individuals were analyzed to explore sexual minority women and nonbinary individuals' lived experiences of growth and healing from exposure to traumatic events. Three main themes were identified: (1) healing through interpersonal connection; (2) new learning about the self and relationships; and (3) healing as political. The first theme describes the central role of interpersonal connection; whereas some participants described seeking and receiving social support from others, most discussed the value of healing with others. The second theme characterizes new learning following trauma, such as learning that, in healthy and safe relationships, one can be loved for who they are. The third theme encompasses how participants politicized their PTG and that even the process of politicizing the traumatic experience itself facilitated growth, as participants understood their struggle as connected to larger systems of oppression, contributing to further identity development. Our findings suggest that sexual minority women and nonbinary individuals experience PTG as a political, iteratively individual and relational process of queer worldmaking (Berlant & Warner, 1998). Public Significance Statement: This study found that posttraumatic growth among a sample of sexual minority women and nonbinary individuals was facilitated by interpersonal connection and a process of relating traumatic experiences to larger systems of oppression. This suggests that some trauma-exposed sexual and gender minorities may benefit from connecting with their communities to engage in communal meaning-making and counter posttraumatic experiences. [ABSTRACT FROM AUTHOR]

LGBTQ+ people and communities continue to survive and thrive within the context of complex and unrelenting personal, structural, and collective trauma. Psychological research has examined this adaptive capacity through frameworks of resilience and posttraumatic growth. Through multidisciplinary engagement, we have identified limitations of these frameworks when they are applied to LGBTQ+ communities. In the first half of this article, we reconceptualize resilience and posttraumatic growth as queer thriving and offer the Möbius strip as a metaphor to challenge and expand normative ideas around direction, trajectory, timeline, and outcomes of positive change through adversity. In the second half of this article, we explore pathways to queer thriving within an LGBTQ+ intergenerational community project—an ethnographic experiment—that we have cofacilitated since 2019. We view generational divisions in LGBTQ+ communities as both a reflection and a form of trauma. In our ethnographic experiment, LGBTQ+ younger and older adults have the rare opportunity to heal this division by coming together for storytelling, dialogue, and artmaking around themes and issues important to their lives. In this article, we present three ethnographic vignettes that powerfully illustrate the potential for queer thriving through intergenerational social connection. We conclude by emphasizing the importance of mixed-disciplinary, community-engaged, and descriptive approaches to examining resilience and posttraumatic growth within marginalized communities. Public Significance Statement: Generations of LGBTQ+ people have been kept apart for too long. In this article, we explore pathways to queer thriving through sustained LGBTQ+ intergenerational engagement. We present findings from an LGBTQ+ intergenerational community project that utilizes storytelling, dialogue, and artmaking to heal divisions in LGBTQ+ communities and promote queer thriving. [ABSTRACT FROM AUTHOR]

For Black people of the African diaspora, who have survived generational oppression including enslavement, and exist in persistently hostile environments in which anti-Black racism is structural and interpersonal, an expansive view of posttraumatic growth (PTG) is required to promote personal and collective healing. Using the intergenerational healing and well-being framework, the authors examine historical and contemporary examples of personal and collective healing among Black people to reimagine pathways to PTG. Implications for helping professions when rethinking PTG in the context of systemic anti-Black racism are presented. Public Significance Statement: This conceptual article advances the idea of intergenerational healing and well-being, in the context of anti-Black racism and historical trauma among Black people, extending theorized pathways to posttraumatic growth. [ABSTRACT FROM AUTHOR]

Members of stigmatized groups face severe, chronic adversities that produce qualitatively unique and often challenging experiences. Further, access to resources relevant to overcoming adversity (e.g., time, money, energy, support) is depleted and blocked by stigmatization. However, current approaches to resilience and posttraumatic growth do not account for stigma, hindering our understanding of both constructs. Thus, drawing from the conservation of resources theory (Hobfoll, 1989), we develop a stigma-conscious framework on resilience and posttraumatic change (PTC) that extends existing work by enhancing realism and generalizability for stigmatized groups. We present a multilevel framework that explains how and why stigmatization directly (as an input) and indirectly (as an influencer of resource-related mechanisms) shapes resilience and PTC processes and outcomes. This framework advances interpretations of past work on resilience and posttraumatic growth, their respective conceptualizations and operationalizations, future model development, and interventions. We encourage and guide scholars to integrate stigma into resilience and PTC research and applications. Public Significance Statement: Stigma depletes and limits access to needed resources, and experiencing stigmatization alters which postadversity outcomes entail healthy adaptation to trauma (resilience) and/or growth (posttraumatic growth [PTG]). Existing resilience and PTG approaches often overlook stigma effects. Thus, this article presents a stigma-conscious framework that explains how and why researchers and practitioners can and should acknowledge and integrate the important role of stigma in resilience and PTG. [ABSTRACT FROM AUTHOR]

Purpose: Rebuilding a strong sense of meaning and purpose following trauma is a vital contributor to post-traumatic growth and adapting well to a spinal cord injury. This project aimed to develop an intervention that used the concept of post-traumatic growth to foster a stronger sense of meaning and purpose in people with a spinal cord injury. Methods: Using participatory action research methodology, the intervention was designed in an iterative process with health professionals and people with lived experience of spinal cord injury. We developed a ten-week online group program and delivered two pilot programs to 13 participants. We used their feedback to further refine the program before finalisation. Results: A participatory action research approach resulted in a positive intervention well received by participants and consumer organisations. Feedback suggests the intervention shows promise for improvements in functional and psychosocial outcomes and has long-term viability. Conclusions: The project successfully developed and delivered a novel program that uses the concept of post-traumatic growth to foster a stronger sense of meaning and purpose. Further implementation of the program with larger numbers will allow for evaluation of the program's effectiveness. IMPLICATIONS FOR REHABILITATION: Group-based intervention programs based on principles of post-traumatic growth can help people with spinal cord injury explore meaning and purpose. Co-design, development and implementation of interventions help to ensure such programs appeal to consumers, meet their needs, and are sustainable. Interventions can be delivered effectively online. [ABSTRACT FROM AUTHOR]

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

AbstractThe loss of a significant person can lead to a broad spectrum of responses. While most individuals gradually recover within a year, a minority develop Prolonged Grief Disorder (PGD). The Traumatic Grief Inventory Self-Report Plus (TGI-SR+) was recently developed to ensure that the original scale (TGI-SR) still accurately assesses PGD in line with the latest diagnostic standards of the DSM-5-TR and ICD-11. This study aimed to validate the TGI-SR+ within two French-speaking cohorts: 276 French-Canadian and 469 Belgian participants. Data were collected through an online survey in 2022. Confirmatory factor analysis resulted in a 4-factor model for the TGI-SR+ total scale, but high inter-item correlations favored a 1-factor solution. A 1-factor model was found for the DSM-5-TR and ICD-11 PGD scores. Convergent validity with mental health disorder, depression, and post-traumatic growth, and known-group validity were confirmed. The findings endorse the TGI-SR+ as a valid tool for detecting potential PGD. [ABSTRACT FROM AUTHOR]

• Mental health of women with fetal anomaly diagnoses is understudied. • Emotion regulation and inflammation may predict risk of poor mental health. • Reappraisal and IL-6 predicted resilience and depressive symptoms. • Reappraisal and insurance status predicted anxiety and posttraumatic stress symptoms. Fetal anomalies occur in approximately 3% of pregnancies and receiving the diagnosis may be a potentially traumatic experience for families. The mental health of mothers receiving diagnoses and what predicts resilience or poor mental health is understudied. Emotion regulation is an important, modifiable, transdiagnostic factor of mental health, and may be protective post-diagnosis. Evaluating biomarkers of stress, including IL-6 and Allostatic Load (AL), can also serve as early indicators of risk, indicative of early intervention. This study assessed whether reappraisal, suppression, IL-6, and AL was associated with mental health outcomes and resilience in women after receiving a fetal anomaly diagnosis. Pregnant women (N=108) presenting to a fetal concerns clinic for initial consultation completed measures of emotion regulation (i.e., reappraisal and suppression), depression, anxiety, posttraumatic stress symptoms, and resilience between 2019–2022. A blood draw was used to assess IL-6 and create composite allostatic load measure including: IL-6, blood pressure, heart rate, glucose, cortisol, and body mass index. Linear regressions controlling for age, gestational age, and perceived fetal diagnosis severity, demonstrated that IL-6 was negatively associated with resilience and positively associated with depression. Reappraisal was positively associated to resilience and negatively associated with depression, anxiety, and PTSD, whereas state insurance status was positively associated to anxiety and PTS symptoms. Suppression and allostatic load were not significant. Women experiencing fetal anomaly diagnosis represent an understudied population with unaddressed mental health needs. Reappraisal serves as not only a protective factor, but one that can be enhanced to promote maternal resilience and mental health. Furthermore, elevated IL-6 may be a critical early indicator of potential intervention needs among women who are pregnant, to mitigate negative psychological states and enhance resilience. [ABSTRACT FROM AUTHOR]

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Background: Mindfulness-based stress reduction (MBSR) intervention has been widely used to reduce the burden of symptoms in cancer patients, and its effectiveness has been proven. However, the effectiveness of MBSR on depression, anxiety, fatigue, quality of life (QOL), posttraumatic growth (PTG), fear of cancer recurrence (FCR), pain, and sleep in breast cancer patients has not yet been determined. This study aims to determine the role of mindfulness-based stress reduction therapy in patients with breast cancer. Objectives: The objective was to systematically review the literature to explore the effect of MBSR on anxiety, depression, QOL, PTG, fatigue, FCR, pain, stress and sleep in breast cancer patients. To explore the effect of 8-week versus 6-week MBSR on the 9 indicators. Data were extracted from the original RCT study at the end of the intervention and three months after baseline to explore whether the effects of the intervention were sustained. Methods: We conducted searches on PubMed, Web of Science, Embase, and China National Knowledge Infrastructure from inception to November 2023. Eligible studies included randomized controlled trials of breast cancer patients who received mindfulness stress reduction intervention, reporting outcomes for anxiety, depression, fatigue, QOL, PTG, FCR, pain, stress, and sleep. Two researchers conducted separate reviews of the abstract and full text, extracted data, and independently evaluated the risk of bias using the Cochrane 'Bias Risk Assessment tool'. The meta-analysis utilized Review Manager 5.4 to conduct the study, and the effect size was determined using the standardized mean difference and its corresponding 95% confidence interval. Results: The final analysis included 15 studies with a total of 1937 patients. At the end of the intervention, the interventions with a duration of eight weeks led to a significant reduction in anxiety [SMD=-0.60, 95% CI (-0.78, -0.43), P < 0.00001, I2 = 31%], depression [SMD=-0.39, 95% CI (-0.59, -0.19), P = 0.0001, I2 = 55%], and QOL [542 participants, SMD = 0.54, 95% CI (0.30, 0.79), P < 0.0001, I2 = 49%], whereas no statistically significant effects were found in the intervention with a duration of six weeks. Similarly, in 3 months after baseline, the interventions with a duration of eight weeks led to a significant reduction in depression and QOL, however, no statistically significant effects were found at the 6-week intervention. MBSR led to a significant improvement in PTG at end of intervention [MD = 6.25, 95% CI (4.26, 8.25), P < 0.00001, I2 = 0%] and PTG 3 months after baseline. We found that MBSR reduced the fatigue status at end of intervention, but had no significant effect on fatigue status 3 months after baseline. There was no significant difference in improving pain, stress, and FCR compared to usual care. Conclusions: In terms of effects on QOL, anxiety, depression, and fatigue, the 8-week MBSR intervention showed better results than the 6-week MBSR intervention. The intervention of MBSR on PTG was effective, and the effect lasted until 3 months after baseline. Future studies could further identify the most effective intervention components in MBSR. Trial registration: PROSPERO registration number: CRD42023483980. [ABSTRACT FROM AUTHOR]

ABSTRACT Objective Method Results Conclusions Trauma can have a range of effects on individuals over time, including the potential for positive changes in favorable outcomes commonly referred to as posttraumatic growth. The posttraumatic growth literature has been criticized for various methodological limitations and has largely neglected the exploration of factors that may strengthen or weaken posttraumatic growth trajectories. The present study contributes to this literature by investigating trajectories of five dimensions of posttraumatic growth during the COVID‐19 pandemic and the moderating effects of health and financial difficulties on these trajectories.Longitudinal data were collected monthly between July 2020 and December 2022 from a sample of employed adults in Germany, involving N = 1678 participants over 30 time points (Nobservations = 29,552).Results suggest that certain dimensions of posttraumatic growth showed significant increases (i.e., relationships) or decreases (i.e., spirituality and possibilities) over time and that trajectories of three dimensions (i.e., relationships, appreciation, and strength) demonstrated distinctive patterns of interaction with health and financial difficulties.Findings are discussed in the context of the pandemic as well as dynamic theories of personality and identity, with implications for advancing posttraumatic growth theory and research. [ABSTRACT FROM AUTHOR]

This study aimed to investigate the experiences of women who survived intimate partner violence (IPV) and received services from the Violence Prevention and Monitoring Centers (VPMCs) in terms of post-traumatic growth (PTG). This research is a case study from qualitative research designs. The study was conducted with 7 women who survived IPV and received services from VPMCs for at least one year and was approved to participate in the research by the institutional psychologist. Data were collected through in-depth interviews using an unstructured interview form. Data were analyzed by thematic content analysis. The Consolidated Criteria for Reporting Qualitative Studies and Standards for Reporting Qualitative Research checklists were used to improve the quality of qualitative research. After transcribing the interviews conducted for the purpose and scope of the study, three main themes were identified, namely PTG barriers, PTG facilitators, and PTG indicators, along with 10 sub-themes under these themes. Although IPV causes many negativities in the life of the victim, it has been found that women who are adequately supported can experience PTG. Thus, it is crucial that individuals and institutions working with victims have an understanding of women's PTG potential and identify strategies for supporting it. [ABSTRACT FROM AUTHOR]

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

Mindfulness plays an important role in reducing post‐traumatic stress symptoms (PTSS) and promoting posttraumatic growth (PTG) among traumatized populations. However, the mechanism at the emotional level has not been fully examined. Thus, we aimed to investigate the possible mediating roles of trauma‐related shame and guilt. A total of 814 college students (Mage = 19.55, SD = 1.89) with traumatic experiences in China were recruited. Traumatic experiences, mindfulness, trauma‐related shame, and trauma‐related guilt were assessed in the first survey. Six months later, PTSS and PTG were assessed in the second survey. Structural equation modeling (SEM) analysis indicated that mindfulness was associated with less PTSS through shame and guilt. However, though directly associated with more PTG, mindfulness could also negatively predict PTG by evoking less guilt. Mindfulness can be a way to cope with traumatic experiences and related psychological consequences. However, although mindfulness can reduce PTSS by suppressing negative trauma‐related shame and guilt, it can also limit the realization of PTG by inhibiting the adaptive sides of these emotions. [ABSTRACT FROM AUTHOR]

Objective: The purpose of this study was to translate the Vicarious Posttraumatic Growth Inventory (VPTGI) into Chinese and to assess its reliability and validity in Nurses, Additionally, it explored the correlations between vicarious posttraumatic growth (VPTG), Secondary Traumatic Stress (STS) and demographic variables. Methods: The Brislin translation model was used to translate the VPTGI into Chinese. Validity analysis involved exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and assessments of convergent validity, discriminant validity, and content validity. Reliability analysis included split-half reliability, internal consistency reliability, and test-retest reliability. Item analysis employed the Critical Ratio Decision Value (CR) method, item-total correlation method, and reliability change method. Single-factor analysis was conducted to examine the relationship between demographic variables and VPTG, while correlation analysis explored the association between STS and VPTG. Results: The Chinese version VPTGI demonstrated robust content validity (I-CVI: 0.83-1, S-CVI: 0.97), supported by EFA (KMO: 0.933) and significant Bartlett's test (p < 0.001). Four factors explained 67.82% variance, CFA confirmed the model fit (χ2/df = 2.255, RMSEA = 0.079, IFI = 0.931, TLI = 0.914, CFI = 0.930, NFI = 0.882). The Chinese version VPTGI demonstrated high internal consistency (Cronbach's α = 0.951), with dimensions' Cronbach's α ranging from 0.806 to 0.912. Overall, nurses demonstrated a moderate to low level of VPTG and a severe level of STS. Furthermore, there was a significant negative correlation between STS and VPTG. Conclusion: The Chinese version of VPTGI demonstrated satisfactory reliability, validity, and factor structure, making it a reliable tool to assess VPTG in Chinese nurses. These findings underscore the importance of promoting VPTG and addressing STS among healthcare professionals. Further research in this area is warranted to better understand and support the psychological well-being of nurses. [ABSTRACT FROM AUTHOR]

Introduction: Mindfulness-based stress reduction (MBSR) has been widely used for improving psychological symptoms and sleep quality in breast cancer patients and has a positive impact on posttraumatic growth and immunology. Moreover, MBSR is increasingly being used in cancer-related fatigue (CRF) intervention studies for breast cancer patients, but conflicting results also exist. Objective: This study aimed to evaluate the effect of MBSR on CRF in patients with breast cancer. Methods: A comprehensive computer search of the Pubmed, Cochrane Library, Embase, Web of Science, China Biomedical Document Service System, China Knowledge Infrastructure Engineering, Wanfang Data Knowledge Service Platform, and VIP databases was performed. Randomized controlled trials (RCTs) published before April 10, 2023, were identified. The primary outcome was cancer-related fatigue associated with breast cancer. Two researchers independently screened the studies, extracted the data, and evaluated the methodological quality of the studies according to the inclusion and exclusion criteria. The Meta-analysis of the outcome indicators was performed using STATA 16.0 software. Results: A total of 13 studies were included, including 1992 patients (997 patients in the MBSR group and 1015 patients in the control group). Compared with conventional care, MBSR significantly alleviated the symptoms of CRF in breast cancer patients (SMD=-0.32, 95% CI [-0.42, -0.22], z=6.54, p<.01). Under the supervision of experts, the 8-week MBSR had a great influence on CRF, especially in the Asian population. Conclusions: MBSR is effective in the treatment of CRF induced by breast cancer, and no obvious adverse effects occur; thus, MBSR can be recommended as a beneficial adjuvant therapy for treating CRF in breast cancer patients. [ABSTRACT FROM AUTHOR]

Russia's aggression against Ukraine is undoubtedly a tragic event that will bring various, often difficult to predict, consequences at many levels of functioning. Certainly, the mental health of war victims faces many challenges. The mental health crisis that occurs during war is a public health problem.28 One of the main disorders that appear in people directly or indirectly related to war is PTSD. It arises as a result of experiencing extremely dangerous, terrifying events that go beyond one's ability to cope and is manifested by symptoms such as: obsessive, persistent re-experiencing of traumatic events, avoidance of factors causing a "return" to traumatic memories, excessive arousal and a sense of constant threats.8,10 Many factors influence the occurrence of PTSD. It is extremely important to look at the reasons that make it difficult to obtain support. mental health and improving the support system. Ukrainian children and youth deserve special attention here. A developing young society must face particularly great challenges, and it is their mental well-being that guarantees better development of the entire nation. Every effort must be made to ensure that citizens of a country at war receive adequate support. We have many methods of help, from basic emergency support, through a wide range of psychotherapy, to medications in the most severe cases. Additionally, the knowledge of the existence of a phenomenon such as post-traumatic growth may give hope and motivation to act to people in mental crisis struggling with symptoms of PTSD. However, the war continues and there will be more and more victims struggling with post-traumatic stress disorder (PTSD) and other mental health disorders. We cannot determine at this point how much damage this conflict will cause. However, it is worth acting now to prevent and limit the tragic consequences of the situation in which Ukraine finds itself. [ABSTRACT FROM AUTHOR]

We examined the moderating roles of distress tolerance, meaning in life, and social support in the relationship between posttraumatic stress disorder (PTSD) and posttraumatic growth (PTG) among cancer patients. Participants included 301 cancer outpatients randomly selected from the oncology unit of a tertiary healthcare institution in Nigeria (female = 60.1%%; age range = 21 to 85 years, mean age = 52.30 years, SD = 12.64 years). They completed self-report measures on distress tolerance, meaning in life, social support, posttraumatic stress symptoms (PTSS), and PTG. Following series of moderation analysis using Hayes PROCESS macro for SPSS Model 1, results showed that higher PTSS was associated with lower PTG at low and moderate, but not at high levels of distress tolerance. Moreover, meaning in life and social support moderators the PTSS and PTG relationship for higher PTG. Therefore, intervention programmes to promote PTG among cancer patients should consider meaning in life, and social support for their protective potentials in improving positive posttraumatic outcome and recovery with distress tolerance. [ABSTRACT FROM AUTHOR]

AbstractObjectivesMethodResultsConclusionThe present study examined the existence of posttraumatic growth (PTG) and its association with cognitive processing, resilience, and family functioning in family caregivers of patients with Alzheimer’s disease (AD).Family caregivers (N = 114) were surveyed using measures of cognitive processing, resilience, family functioning, and PTG. Data were analyzed using descriptive statistics, Pearson correlations, and multiple regression analyses.The average PTG score in the sample was 48.6 (SD = 18.7; range 14–105). Race, education level, severity of the patient’s AD, cognitive processing, resilience, and family functioning explained 25.8% of the variance in PTG (F [9, 95] = 5.025, p < 0.001). Race was significantly correlated with PTG; specifically, non-White caregivers reported higher PTG than White caregivers (p < 0.05). When controlling for race and education level, mild AD, intrusive rumination, and family satisfaction were significant predictors of PTG (p < 0.05). However, deliberate rumination, resilience, and family communication were not significant predictors PTG (p > 0.05).These findings provide insight into factors that may influence the development of PTG in family caregivers of patients with AD. Results may inform intervention strategies to mitigate the negative consequences of caregiving and promote PTG in this caregiver population. [ABSTRACT FROM AUTHOR]

AbstractThis study aims to investigate the mental health differences among servicemen, POWs, and civilians affected by the war in Ukraine. Data were collected from three samples: (1) 149 servicemen from an elite combat troop of the Armed Forces of Ukraine (all men aged 22–59 years); (2) 217 POWs (209 men and 8 women aged 19–64 years); and (3) 330 civilian men aged 19–60 years. Participants completed self-report scales assessing three positive aspects of mental health (resilience, self-efficacy, and post-traumatic growth) and two negative aspects (PTSD symptoms and physical complaints). We observed significant differences between the three samples. POWs had the highest post-traumatic growth scores and reported the most physical complaints, reflecting the long-term effects of captivity. Civilians exhibited the highest levels of PTSD symptoms, likely due to continuous exposure to war-related stressors, while servicemen displayed the lowest negative mental health indicators. Contrary to expectations, resilience levels were similar between POWs and servicemen. This study expands current knowledge on the impact of modern war on mental health and suggests that targeted interventions should address both the unique challenges faced by POWs and the pervasive psychological distress experienced by civilians. These findings may inform the development of training programs for military personnel, healthcare specialists, and social service professionals to support those affected by war. [ABSTRACT FROM AUTHOR]

As a singer and an actress, Demi Lovato has fame which can influence her fans globally. Further, with the mental health, addiction, and trauma issues, she gains positive changes in her life that affect and encourage her fans as well. The object of this study is Demi Lovato: Dancing with the Devil documentary series. This study reveals Lovato's posttraumatic growth that influences her identity and global influence. The narratives, captured clips, posts, and previous research are used as the data in this study. This study uses the theory of posttraumatic growth and new media for data interpretation. The findings show that Lovato's posttraumatic growth consists of five domains: personal strength, relations to others, new possibilities, appreciation of life, and spiritual and existential changes. Moreover, her posttraumatic growth also leads her to discover her identity as a non-binary person and bring positive impacts to her fans around the world and the non-binary community. Therefore, as a new media form, the Dancing with the Devil documentary series successfully delivers Lovato's stories and struggles to people worldwide, especially her fans. [ABSTRACT FROM AUTHOR]

Posttraumatic growth (PTG) is a possible common reaction to exposure to potentially traumatic events (PTEs) during military service. However, knowledge about correlates of PTG among female combat veterans is sparse. This study examines associations between combat exposure, posttraumatic stress symptoms (PTSS), general self‐efficacy (GSE), and PTG among Israeli female veterans. This is a cross‐sectional studyA volunteer sample of female Israeli combat veterans (n = 616) and non‐combat veterans (n = 484) responded to self‐report questionnaires. Combat veterans reported higher levels of combat exposure, PTSS, GSE, and PTG, as compared to non‐combat veterans. Among combat veterans, combat exposure and GSE were associated with greater PTG. Importantly, PTSS and GSE mediated the link between combat exposure and PTG. The study's findings are among the first to report about possible psychological growth outcomes among Israeli combat veterans. Clinicians treating female veterans coping with combat trauma should be aware of the heterogeneity of reactions to military service challenges and the importance of enhancing veterans' GSE to facilitate PTG. [ABSTRACT FROM AUTHOR]

Despite theory suggesting that self‐forgiveness facilitates recovery from moral injury, no measure of self‐forgiveness has been validated with individuals exposed to potentially morally injurious events (PMIEs). Military veterans, healthcare workers, and first responders who reported PMIE exposure (n = 924) completed the Self‐Forgiveness Dual‐Process Scale, which assesses two dimensions of the self‐forgiveness process. The first dimension, value affirmation, refers to appraising personal responsibility and being willing to make amends for one's involvement in a PMIE. The second dimension, esteem restoration, refers to accepting oneself as valuable and capable of growth despite one's failures and imperfections. Exploratory and Confirmatory Factor Analyses replicated the original scale's two‐factor structure in 10 items modified to apply to the diverse contexts in which PMIEs occur. Next, we found that the factor structure, item loadings, and item intercepts were fully or partially invariant across professions, genders, races, ages, and religious affiliations in a series of Multi‐Group Confirmatory Factor Analyses. Finally, diverging patterns of associations between value affirmation and esteem restoration with moral distress, posttraumatic stress, depression, insomnia, functional impairment, and posttraumatic growth provide evidence of convergent and discriminant validity between the subscales. The modified self‐forgiveness dual process scale is the first measure of self‐forgiveness to be validated with individuals exposed to a PMIE. Researchers and clinicians can use the scale to examine how self‐forgiveness (or difficulties with forgiving oneself) relates to moral injury. [ABSTRACT FROM AUTHOR]

Objectives: This study investigates the psychological impact of COVID‐19 on burning mouth syndrome (BMS) patients. It focuses on comparing post‐traumatic stress symptoms (PTSS), post‐traumatic growth (PTG), and resilience between BMS patients and Controls. Methods: A total of 100 BMS patients and 100 Controls from five Italian centers participated in this observational cross‐sectional study. They completed several assessments, including the General Health Questionnaire, Depression Anxiety and Stress Scale, Insomnia Severity Index, National Stressful Events Survey Short Scale, Impact of Event Scale‐Revised, Post Traumatic Growth Inventory Short Form, and Connor‐Davidson Resilience Scale. Results: BMS patients had significantly higher stress, anxiety, and depression (DASS‐21 score) and post‐traumatic stress symptoms (IES‐R‐6 score), particularly in terms of intrusive thoughts. They showed lower post‐traumatic growth (PTGI‐SF score) compared to Controls. The resilience scale (CDRS‐10) was a key predictor of PTG in both groups, explaining a significant variance in PTGI‐SF scores. Conclusions: BMS patients experienced heightened post‐traumatic stress, stress, anxiety, and depression during the COVID‐19 pandemic, with reduced post‐traumatic growth. This highlights the need to prioritize their psychological well‐being, focusing on stress management and fostering post‐traumatic growth in challenging times. [ABSTRACT FROM AUTHOR]

Much research has adopted a deficits-based approach to chronic pain, neglecting the study of flourishing. Using a Q-methodological framework, this study sought to explore how individuals experience, understand and perceive flourishing in the context of young people living with chronic pain. Fifty-four individuals completed a Q-sorting task, indicating their level of agreement and disagreement with 52 statements. Q-analysis generated three factors that represented clear viewpoints of participants: 'Pain is not a barrier to flourishing', 'Adapting to a new life' and 'Adopting a positive perspective'. Factors expressed the viewpoints that flexibility is key to enjoying life despite chronic pain, while resilience, management of stressors, acceptance and problem-solving may be required to flourish with chronic pain. Participants' understanding of flourishing also focused on the appreciation and enjoyment of life and achievements. This study provides a useful contribution towards furthering our understanding of flourishing in young people living with chronic pain. [ABSTRACT FROM AUTHOR]

This study explored sense of life meaning and psychological resilience as potential mechanisms underlying the predictive effect of perceived social support on posttraumatic growth in medical students in the postpandemic era. Our sample comprised 711 Chinese medical students who completed online questionnaires. We found that sense of life meaning and psychological resilience were positively correlated with posttraumatic growth. In addition, perceived social support was positively correlated with sense of life meaning and psychological resilience. After controlling for demographic covariates, the results indicated that perceived social support predicted the posttraumatic growth of medical students directly and indirectly through sense of life meaning and psychological resilience as individual and chain mediators. The findings provide insights for medical universities to address the mental health challenges persisting among medical students in the postpandemic era. [ABSTRACT FROM AUTHOR]

The study explored the interplay between PTG and PTSS in older South African adults exposed to trauma. A quantitative cross-sectional design was employed. 195 participants from a low-resourced setting in South Africa were interviewed using the UCLA Life Adversities Screener, the PTSD Checklist (DSM-5), and the PTG-Inventory. Hayes Model SPSS Macro PROCESS for moderation was used. Overall, the relationship between cumulative trauma exposure and PTSS was moderated by the PTG level (b = -0.09, SE = 0.04, p =.0113). The findings suggest that cumulative trauma exposure is a significant predictor of PTSS, and the relationship is moderated by the threshold level of PTG. Higher levels of PTG mitigated the effect of cumulative trauma exposure on PTSS. [ABSTRACT FROM AUTHOR]

Accessible Summary: What is known on the subject?: This paper acknowledges the profound and lasting impact of childhood abuse on substance use and homelessness. What this paper adds to existing knowledge?: It underscores the inherent value and humanity of every individual, regardless of their struggles.That a comprehensive approach to mental health care, encompassing medication, therapy and a secure environment, is imperative. What are the implications for mental health nursing?: Early intervention and recognising individuals who suffer in silence are paramount. Mental health nurses must have the courage to ask uncomfortable questions and truly hear the unspoken words.Mental health nurses should never underestimate the power of simply being present with someone during their darkest moments. This simple act can wield significant influence. [ABSTRACT FROM AUTHOR]

This article aimed to assess posttraumatic growth among participating and nonparticipating families of organ donors in grief support groups. The program, in the form of both face-to-face and WhatsApp groups, is unique in that it extends over many years without limitation for a predefined period, is open to both immediate and extended family members, and is conducted according to predetermined topics. A questionnaire was completed by 84 participants and 115 non-participant family members. Most participants had attended for between 1 and 5 years (57.2%), although 33.3% had participated for >5 years, including 16.7% who participated for >10 years. All measures of posttraumatic growth were significantly higher in group participants (3.40 [0.75] vs. 3.15 [0.75], p =.010) than non-participants. The often-prolonged participation in the groups suggests there may be an important need for ongoing contact with and support for these families even many years after the loss. [ABSTRACT FROM AUTHOR]

Neuropeptide Y (NPY) is a 36-amino acid peptide that is widely expressed throughout the limbic system. Recent evidence has highlighted NPY as a marker of resilience to posttraumatic psychopathology, which may be due to its association with neural regions involved with emotion regulation. This study examined whether plasma NPY levels moderated the relationship between emotion regulation and psychopathology in a sample of adult survivors of childhood interpersonal trauma, a population known to be at high risk for psychopathology. Adults exposed to an interpersonal criterion A trauma during childhood (N = 54) were recruited from an urban population at a midwestern medical center and completed a baseline study visit as part of a larger clinical trial. Participants gave a blood sample in order to assess circulating levels of NPY and answered questions related to emotion regulation and mood-related pathology. Results of a moderated multiple regression showed that the overall model was significant R 2 = 0.26, F (5, 48) = 3.46, p <.01. Difficulties in emotion regulation was significantly predictive of psychopathology (unstandardized B = 0.032, p <.01), and this relationship was significantly moderated by levels of NPY (unstandardized B = −0.001, p <.05) such that the relationship between emotion regulation and psychopathology was weaker for those with higher levels of NPY. Results suggest that higher levels of NPY may lessen the association between emotion regulation and posttraumatic psychopathology in survivors of childhood interpersonal trauma. Further investigation of the contribution of NPY to psychopathology in this population is warranted. 02279290. • We assessed adult survivors of childhood interpersonal trauma. • Blood samples and self-report questionnaires were collected. • Higher neuropeptide-Y (NPY) was associated with better emotion regulation. • Better emotion regulation was associated with reduced mood-related symptoms. • NPY moderated the relationship between emotion regulation and mood-related symptoms. [ABSTRACT FROM AUTHOR]

Black women living with HIV (BWLWH) face barriers that impact health outcomes. However, positive psychosocial indicators may influence HIV care outcomes. Among this cross-sectional study of 119 BWLWH, a network analysis was utilized to examine relationships between positive psychosocial factors and HIV-related health outcomes. A preliminary polychoric analysis was conducted to examine correlations between the variables, and the network analyzed connections between resilience, self-efficacy, self-esteem, perceived social support, religious coping, post-traumatic growth, and an indicator variable for suboptimal HIV care outcomes (low medication adherence, detectable viral load, and missed HIV-related health visits) and determined the centrality measures within the network. Seven significant associations were found among the factors: self-efficacy and self-esteem, post-traumatic growth and resilience, post-traumatic growth and self-efficacy, post-traumatic growth and religious coping, perceived social support and resilience, self-esteem and resilience, self-esteem and perceived social support (bootstrapped 95% CI did not contain zero). Self-efficacy was the strongest indicator associated with the other factors. Although not statistically significant, the indicator for suboptimal HIV care outcomes was negatively associated with perceived social support and religious coping. Future interventions incorporating self-efficacy may be beneficial to the overall well-being of Black women. [ABSTRACT FROM AUTHOR]

Objective: The present study aimed to determine the effectiveness of Imago therapy on cognitive flexibility and post-traumatic growth in women affected by extramarital affairs. Methods: The research community included all women affected by extramarital affairs in the city of Isfahan (including the Nik Ovin Psychological Clinic and the Hazrat Abolfazl Charity Institute) in the spring of 2024. Accordingly, a group of women affected by extramarital affairs was randomly divided into two groups: an experimental group (15 individuals) and a control group (15 individuals). The experimental group received Imago therapy sessions, while the control group received no treatment. The data were analyzed using repeated measures tests with SPSS software version 23. Findings: The findings indicated that Imago therapy was effective in enhancing psychological flexibility and its subscales, as well as post-traumatic growth and its subscales, in women affected by extramarital affairs (P < 0.05). Conclusion: The obtained results showed that Imago therapy could be utilized as an effective approach for improving women affected by extramarital affairs, playing a significant role in enhancing their quality of life. [ABSTRACT FROM AUTHOR]

Aligned with research recommendations (e.g., Wadey & Everard, 2021), the purpose of this multi-method multi-study investigation was to construct a measure of athletes' experiences of growth following sport injury. Study 1 systematically reviewed the literature on sport injury-related growth (SIRG) and extracted a pool of relevant and specific items organised in themes. In Study 2, a panel of experts (i.e., academics, sport psychologists, and previously injured athletes) was asked to quantitatively and qualitatively assess the items for relevance, clarity, and specificity. These two studies provided evidence for the content validity of the pool of items. Study 3 tested the psychometric properties of the instrument on a sample of previously injured athletes (N = 452), identifying satisfactory factor structure, concurrent validity, and reliability. Collectively, the multi-study supports the construct validity of a 24-item scale, named the Sport Injury-Related Growth Inventory-24 (SIRGI-24), measuring eight sub-dimensions of SIRG: sense of mastery, positive relations with others, responsibility for one's health, self-awareness, emotional ability, purpose in life, purpose in sport, and body awareness. To conclude, the SIRGI-24 allows researchers and sport psychologists to assess the SIRG experienced by injured athletes. [ABSTRACT FROM AUTHOR]

A few studies have examined post‐traumatic growth (PTG) after burns, a relatively new area of research. To understand how to promote PTG in burn survivors, we need to know how PTG and coping are presented, how they change over time, and the components that influence development. Based on the criteria of the PRISMA statement, we conducted our initial search on 1 February 2023. This study systematically reviewed relevant studies in five PubMed, Web of Science, Google Scholar, Scopus and Science Direct search databases. The search used the following keywords: Post‐traumatic Growth, Psychological Growth, Post‐traumatic Growth, Psychological, PTG, Burns and Burn. The two researchers evaluated the quality of the included studies using a 20‐item tool called the appraisal tool for cross‐sectional studies (AXIS tool). A total of 1396 burn patients participated in 12 studies. Among the studies included in this systematic review, seven were cross‐sectional, and five were cohort. The average age of the patients in this study was 35.77 (SD = 10.19). Among the participants, 52.4% were men. The total body surface area (TBSA) percentage in these patients was 32.77 (SD = 16.42). The mean of PTG inventory (PTGI) was 54.08 (SD = 20.46) out of 105, which is a moderate level. Factors such as coping strategies, perceived social support, TBSA, religion/spirituality and severity of burn are positive factors for PTG in burn survivors. Also, factors such as depression, post‐traumatic stress disorder and physical and mental recovery are negative factors for PTG in burn survivors. These factors can be improved through targeted intervention strategies, including overall function, quality of life, social support, optimism, hope and new opportunities. There is a need for further research in several areas related to growth, intervention and measurement. [ABSTRACT FROM AUTHOR]

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

There is increasing interest in identifying how posttraumatic growth (PTG) impacts emotional processing following traumatic events (e.g., the COVID‐19 pandemic). Previous research suggests that high PTG levels may lead to enduring changes in positive emotional processing. Despite this fact, little is known regarding brain activation and responses to stressful emotional stimuli. The present study utilised event‐related potentials (ERPs) to investigate whether individual differences in emotional responses toward neutral and negative emotional stimuli related to COVID‐19 are related to self‐reported PTG levels. A total of 77 participants were analysed: 21 in the high PTG group and 56 in the control group. The amplitude of the N2 was smaller in the high PTG group compared to the control group under both negative and neutral conditions. When viewing the negative emotion pictures (vs. neutral pictures), the N2 amplitude significantly decreased for the high PTG group in the right occipital and frontal‐parietal areas, whereas no significant change was observed among the control group. In the time window Late Positive Potential (LPP) 600–1000 ms, emotional stimuli and the group interaction were significant. Viewing negative pictures (vs. neutral pictures) decreased the LPP 600–1000 ms amplitudes for the control group, mainly originating from the brain's frontal regions. However, there were no such significant differences for the PTG group. Due to the limited sample size and cultural differences, the applicability of these results to other regions or countries needs to be verified. The presented findings suggest that the impact of PTG during emotional response is reflected in both bottom‐up (evidenced by the early ERP components) and top‐down (evidenced by the later ERP components) processes. Individuals with high PTG may use a meditation‐related emotional regulation strategy of acceptance at the basic stage and non‐judgement at a later stage. [ABSTRACT FROM AUTHOR]

Although trauma centrality was positively associated with posttraumatic stress disorder (PTSD) and posttraumatic growth (PTG), few studies have examined the factors that may influence the strength of these associations. This study aimed to investigate whether self-concealment would moderate the effects of trauma centrality on PTSD and PTG. A total of 211 Chinese college students (77.3% female; age: M = 19.86, SD = 1.85) participated in this cross-sectional study. These participants completed a battery of measures for trauma centrality, self-concealment, PTSD, and PTG. Trauma centrality was positively associated with both PTSD and PTG. The moderating role of self-concealment in the effect of trauma centrality on PTSD and PTG was statistically significant. Specifically, self-concealment was found to strengthen the relation between trauma centrality and PTSD, while mitigating the relation between trauma centrality and PTG. The extent to which trauma centrality contributes to PTSD and PTG might be determined by self-concealment among Chinese college students. The implications of these findings were discussed. [ABSTRACT FROM AUTHOR]

Objective: To investigate the relationship between post-traumatic growth, morbidity stigma and readiness for discharge in post-operative thyroid cancer patients. Methods: 422 post-operative thyroid cancer patients from three tertiary care hospitals in Hunan and Tianjin were surveyed using the General Information Questionnaire, the Post-traumatic Growth Scale, the Readiness for Discharge Scale, and the Social Influence Scale. Results: Discharge readiness positively predicted the level of post-traumatic growth in thyroid cancer patients (P < 0.01), and morbidity stigma negatively predicted post-traumatic growth (P < 0.01), with morbidity stigma playing a mediated role between discharge readiness and post-traumatic growth. Conclusions: Readiness for discharge can positively predict post-traumatic growth, and morbidity stigma plays a mediating role between readiness for discharge and post-traumatic growth. It is suggested that clinical and nursing staff should strengthen patients’ discharge readiness guidance and education, help patients and their families establish an effective feedback mechanism for disease condition and psychological cognitive condition, focus on reducing patients’ sense of shame, and improve patients’ physical and mental health. [ABSTRACT FROM AUTHOR]