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Bitar Z, Fekih-Romdhane F, Mahfoud D, Fawaz M, Hallit S, Obeid S. The mediating effect of post-traumatic growth on the relationship between personality traits and resilience among a sample of Lebanese adults. PLoS One 2024; 19:e0298043. [PMID: 38758926 PMCID: PMC11101076 DOI: 10.1371/journal.pone.0298043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 01/14/2024] [Indexed: 05/19/2024] Open
Abstract
BACKGROUND Resilience plays a crucial role in mental health promotion and prevention, and was shown to be more represented in individuals who exhibit high levels of extraversion, openness, agreeableness, and conscientiousness. However, there is a lack of studies that comprehensively investigate the association between personality traits and resilience in Lebanon and Arab countries more broadly. The purpose of the present study was to complement the literature by investigating the direct and indirect effects between the five personality traits and resilience among a sample of Lebanese adults through the intermediary role of posttraumatic growth. METHODOLOGY A cross-sectional study was carried out between May and July 2022, and enrolled 387 participants, all aged above 18 years old and recruited from all Lebanon governorates. The questionnaire used included socio-demographic questions, and the following scales: Connor-Davidson Resilience Scale (CD-RISC) to assess resilience, post traumatic growth (PTG), and Big Five Inventory (BFI-2). The SPSS software v.25 was used for the statistical analysis. RESULTS Post-traumatic growth mediated the association between extraversion / agreeableness / conscientiousness and resilience. Higher extraversion / agreeableness / conscientiousness was significantly associated with more post-traumatic growth. Higher post-traumatic growth was significantly associated with more resilience. Extraversion, but not agreeableness and conscientiousness, was significantly and directly associated with more resilience. CONCLUSION Findings suggest that fostering PTG in individuals who experience adversity can help promote their resilience. Hence, it could be beneficial to design and apply programs aiming at supporting PTG among people who experience stressful and traumatizing situations, to consequently help them increase their sense of resilience.
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Affiliation(s)
- Zeinab Bitar
- Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail), Rennes, UMR_S 1085, F-35000, France
| | - Feten Fekih-Romdhane
- Department of Psychiatry “Ibn Omrane”, The Tunisian Center of Early Intervention in Psychosis, Razi hospital, Manouba, Tunisia
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
| | - Daniella Mahfoud
- Department of Ophthalmology, Eye N’ Brain Research Group, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Mirna Fawaz
- College of Health Sciences, American University of the Middle East, Kuwait, Kuwait
| | - Souheil Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon
- Applied Science Research Center, Applied Science Private University, Amman, Jordan
| | - Sahar Obeid
- Social and Education Sciences Department, School of Arts and Sciences, Lebanese American University, Jbeil, Lebanon
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Sood R, Mara KC, Vencill JA, Kling JM, Faubion SS. Association of resilience with female sexual dysfunction. Maturitas 2024; 183:107939. [PMID: 38367366 DOI: 10.1016/j.maturitas.2024.107939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Revised: 02/01/2024] [Accepted: 02/05/2024] [Indexed: 02/19/2024]
Abstract
OBJECTIVES Female sexual dysfunction (FSD), a common concern affecting women of all ages, is often mediated by important psychological factors. Resilience has been shown to correlate with psychological well-being across different groups of people. The aim of this study was to assess if there is an association between resilience and FSD. STUDY DESIGN This cross-sectional study included 4,366 women (mean [SD] age, 51.7 [11]) seen in women's health clinics at 1 of 3 geographic Mayo Clinic locations. Participants completed the Brief Resilience Scale, the Female Sexual Function Index (FSFI), and the Female Sexual Distress Scale-Revised (FSDS-R). MAIN OUTCOME MEASURES We used univariate and multivariable logistic regression analyses to assess associations between resilience, sexual function, and sexual distress, adjusting for potential confounding variables. RESULTS FSD criteria (FSFI ≤26.55 and FSDS-R ≥ 11) were met by 55.8 % of women. Low, normal, and high levels of resilience were reported by 17.3 %, 57.1 %, and 25.6 % of participants, respectively. The univariate analysis showed that higher resilience was associated with lower sexual distress, lower odds of FSD, and better sexual function. Multivariable analysis adjusted for potential confounders showed that the association persisted and that higher resilience correlated with better sexual function and lower odds of FSD. CONCLUSIONS In this large cross-sectional study, women with higher resilience scores had better sexual function and lower odds of FSD. Additional studies with diverse women are needed to confirm this association and to determine whether women with FSD could benefit from enhancing resilience as a therapeutic strategy.
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Affiliation(s)
- Richa Sood
- Menopause and Women's Sexual Health Clinic, Mayo Clinic, Rochester, MN, United States of America.
| | - Kristin C Mara
- Division of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, MN, United States of America
| | - Jennifer A Vencill
- Menopause and Women's Sexual Health Clinic, Mayo Clinic, Rochester, MN, United States of America; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, United States of America
| | - Juliana M Kling
- Division of Women's Health Internal Medicine, Mayo Clinic, Scottsdale, AZ, United States of America
| | - Stephanie S Faubion
- Women's Health, Mayo Clinic, Jacksonville, FL, United States of America; Division of General Internal Medicine, Mayo Clinic, Jacksonville, FL, United States of America
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Mutuyimana C, Maercker A. How meaning in life and vitality are associated with posttrauma outcomes: A systematic review. J Trauma Stress 2024. [PMID: 38580621 DOI: 10.1002/jts.23040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/03/2023] [Revised: 02/23/2024] [Accepted: 02/23/2024] [Indexed: 04/07/2024]
Abstract
When confronted with a traumatic event, people may suffer from adverse posttraumatic outcomes, such as posttraumatic stress disorder (PTSD) or complex PTSD (CPTSD). Positive psychology research has shown that meaning in life and vitality are potentially correlated protective factors against negative developments following trauma exposure that can lead to PTSD or CPTSD. This systematic review aimed to synthesize global empirical research findings, emphasizing the impact of meaning in life and vitality on both PTSD and CPTSD. A search of empirical studies was performed within the Embase, Scopus, and Web of Science core collection databases, as well as PsycInfo, using the PRISMA checklist. A total of 29 studies were included after a systematic exclusion process. The collective findings from 22 studies examining meaning in life and five studies focusing on vitality revealed a consistent negative association with symptoms of PTSD. No study that explored the associations among meaning in life, vitality, and CPTSD was found. In contrast to vitality, meaning in life has been extensively studied in relation to traumatic stress worldwide, and few discrepancies in results were found. This systematic review identified the need to intensify scientific efforts in capitalizing on meaning in life as a possible target for psychological interventions, especially for trauma survivors globally, and to consider vitality as a protective factor that needs more empirical attention in relation to posttraumatic stress. Furthermore, there is a need for studies that encompass diverse target samples and employ longitudinal study design to examine the associations between protective factors and CPTSD.
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Affiliation(s)
- Celestin Mutuyimana
- Division of Psychopathology and Clinical Intervention, Institute of Psychology, Department of Psychology, University of Zurich, Zurich, Switzerland
- Collegium Helveticum, Switzerland
| | - Andreas Maercker
- Division of Psychopathology and Clinical Intervention, Institute of Psychology, Department of Psychology, University of Zurich, Zurich, Switzerland
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Wadji DL, Oe M, Bartoli E, Martin-Soelch C, Pfaltz MC, Langevin R. How are experiences and acceptability of child maltreatment related to resilience and posttraumatic growth: a cross cultural study. Eur J Psychotraumatol 2023; 14:2264119. [PMID: 37830143 PMCID: PMC10578086 DOI: 10.1080/20008066.2023.2264119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Accepted: 08/22/2023] [Indexed: 10/14/2023] Open
Abstract
Background: Post-traumatic growth (PTG) and resilience, regarded as positive psychological change following a traumatic experience, are under-researched across cultures in people exposed to child maltreatment (CM).Objective: We investigated how experiences and the perceived acceptability of CM are related to resilience and PTG in countries with different cultures, living standards, and gross national income.Method: A total of 478 adults from Cameroon (n = 111), Canada (n = 137), Japan (n = 108), and Germany (n = 122) completed an online survey with self-reported questionnaires, including the Brief Resilience Scale and the Post Traumatic Growth Inventory-Short Form.Results: Across countries, self-reported male gender and age were positively associated with resilience, while experiences of physical abuse and emotional maltreatment were negatively associated with resilience. Experiences of emotional maltreatment were positively associated with PTG. Higher levels of PTG and resilience were found amongst Cameroonian participants as compared to other countries.Conclusion: Our results suggest that positive changes following CM can vary significantly across cultures and that experiences of specific CM subtypes, but not the perceived acceptability of CM, may be important for a deeper understanding of how individuals overcome trauma and develop salutogenic outcomes. Our findings may inform CM intervention programmes for an enhanced cultural sensitivity.
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Affiliation(s)
- Dany Laure Wadji
- Department of Educational and Counselling Psychology, McGill University, Montreal, Canada
| | - Misari Oe
- Department of Neuropsychiatry, School of Medicine, Kurume University, Kurume, Japan
| | - Eleonora Bartoli
- Department of Psychology and Sport Sciences, Goethe University of Frankfurt, Frankfurt, Germany
| | | | - Monique C. Pfaltz
- Department of Psychology and Social Work, Mid Sweden University, Östersund, Sweden
| | - Rachel Langevin
- Department of Educational and Counselling Psychology, McGill University, Montreal, Canada
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Asiri FK, Al Harbi NS, Alanazi MA, Aljuaid MM, Fahlevi M, Heidler P. A cross-sectional study factors associated with resilience among medical staff in radiology departments during COVID-19, Riyadh, Kingdom of Saudi Arabia. BMJ Open 2023; 13:e068650. [PMID: 37202141 DOI: 10.1136/bmjopen-2022-068650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/20/2023] Open
Abstract
OBJECTIVES This study aims to assess the level of resilience of medical workers in radiology departments in Riyadh, Kingdom of Saudi Arabia, during the COVID-19 outbreak and to explore associated factors. SETTING Medical staff, including nurses, technicians, radiology specialists and physicians, working in radiology departments at government hospitals in Riyadh, Saudi Arabia during the COVID-19 outbreak. DESIGN A cross-sectional study. PARTICIPANTS The study was conducted among 375 medical workers in radiology departments in Riyadh, Kingdom of Saudi Arabia. The data collection took place from 15 February 2022 to 31 March 2022. RESULTS The total resilience score was 29.37±6.760 and the scores of each dimension showed that the higher mean score was observed in the domain of 'flexibility', while the lowest was observed in 'maintaining attention under stress'. Pearson's correlation analysis showed that there was a significant negative correlation between resilience and perceived stress (r=-0.498, p<0.001). Finally, based on multiple linear regression analysis, factors affecting resilience among participants are the availability of psychological hotline (available, B=2.604, p<0.050), knowledge of COVID-19 protective measures (part of understanding, B=-5.283, p<0.001), availability of adequate protective materials (partial shortage, B=-2.237, p<0.050), stress (B=-0.837, p<0.001) and education (postgraduate, B=-1.812, p<0.050). CONCLUSIONS This study sheds light on the level of resilience and the factors that contribute to resilience in radiology medical staff. Moderate levels of resilience call for health administrators to focus on developing strategies that can effectively help cope with workplace adversities.
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Affiliation(s)
| | - Nouf Sahal Al Harbi
- Department of Health Administration, King Saud University, Riyadh, Saudi Arabia
| | - Manal Abdullah Alanazi
- Department of Diagnostic Radiology, Prince Sultan Military Hospital, Riyadh, Saudi Arabia
| | - Mohammed M Aljuaid
- Department of Health Administration, King Saud University, Riyadh, Saudi Arabia
| | - Mochammad Fahlevi
- Management Department, BINUS Online Learning, Bina Nusantara University, Jakarta, 11480, Indonesia
| | - Petra Heidler
- Institute of International Trade and Sustainable Economy, IMC University of Applied Sciences Krems, Krems, Austria
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Emirza S, Yılmaz Kozcu G. Protecting healthcare workers' mental health against COVID-19-related stress: The effects of stress mindset and psychological resilience. Nurs Health Sci 2023. [PMID: 37098413 DOI: 10.1111/nhs.13018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 02/20/2023] [Accepted: 03/28/2023] [Indexed: 04/27/2023]
Abstract
Healthcare workers have been on the frontline of the battle against COVID-19 disease. However, this has taken a toll on them, resulting in elevated stress and poor mental health. We argue that healthcare workers' stress mindset and resilience could mitigate negative outcomes of COVID-19-related stress by helping them view this stressful situation in a more positive light and appraise it as a challenge rather than a threat. Accordingly, we hypothesized that both a stress-is-enhancing mindset about COVID-19-related stress and resilience would improve healthcare workers' appraisal of their personal resources and increase their challenge appraisals, positively contributing to their mental health. We collected data from 160 healthcare workers and performed structural equation modeling for hypothesis testing. The results indicate that both a stress-is-enhancing mindset about COVID-19-related stress and psychological resilience are indirectly related to better mental well-being and lower health-related anxiety through challenge appraisals. This study contributes to research in mental health by suggesting that protecting and promoting healthcare workers' mental health is possible by empowering them through increasing personal resources such as a positive mindset about stressful situations and resilience.
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Affiliation(s)
- Sevgi Emirza
- Department of Business Administration, Dokuz Eylül University, İzmir, Turkey
| | - Gizem Yılmaz Kozcu
- Department of Business Administration, Dokuz Eylül University, İzmir, Turkey
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Yang HM, Tong KK, Chen JH, Yu EWY, Wu AMS. Growing amidst the COVID-19 pandemic: The interplay among transformational leadership in government, public trust, and posttraumatic growth. JOURNAL OF PACIFIC RIM PSYCHOLOGY 2023. [DOI: 10.1177/18344909221146254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
Individuals may experience positive changes or gain growths after struggling with traumas or challenging circumstances such as the COVID-19 pandemic. This study aimed to assess potential levels of posttraumatic growth (PTG) of the general public during the COVID-19 pandemic and PTG's associations with perceptions of transformational leadership in local government and public trust. The data of a probability sample of 1011 community-dwelling adults (61.2% females; Mean age = 41.2 years, SD = 15.8) in Macao, China, were collected via a telephone poll survey. Multiple regression analyses were conducted and a bootstrapping approach was utilized to test the hypothesized moderating effects and mediating effects of trust in local government on the association between perceived transformational leadership and PTG, respectively. Results showed that about half of the respondents reported at least a medium level of PTG. Whereas perceived transformational leadership in the Macao local government was positively associated with four individual aspects of PTG (i.e., appreciation of life, new possibilities, personal strength, and relating to others) as well as the overall PTG, while controlling for the demographic variables, trust in the local government showed no moderating or mediating effects in these associations. Our findings suggest the value of governments’ transformational leadership in promoting people's PTG in the face of public crises such as COVID-19. More transformational leadership behaviors, such as attending to citizens’ personal needs and conveying an inspirational vision, in government are called for to bring about greater positive responses from individuals and ensure social vitality and resilience during this long-term public health battle.
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Affiliation(s)
- Hong Mian Yang
- Department of Psychology, Faculty of Social Sciences, University of Macau, Macao, China
- Centre for Cognitive and Brain Sciences, Institute of Collaborative Innovation, University of Macau, Macao, China
| | - Kwok Kit Tong
- Department of Psychology, Faculty of Social Sciences, University of Macau, Macao, China
| | - Juliet Honglei Chen
- Department of Psychology, Faculty of Social Sciences, University of Macau, Macao, China
- Centre for Cognitive and Brain Sciences, Institute of Collaborative Innovation, University of Macau, Macao, China
| | - Eilo Wing-yat Yu
- Department of Government and Public Administration, Faculty of Social Sciences, University of Macau, Macao, China
| | - Anise M. S. Wu
- Department of Psychology, Faculty of Social Sciences, University of Macau, Macao, China
- Centre for Cognitive and Brain Sciences, Institute of Collaborative Innovation, University of Macau, Macao, China
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Cogan N, Kennedy C, Beck Z, McInnes L, MacIntyre G, Morton L, Tanner G, Kolacz J. ENACT study: What has helped health and social care workers maintain their mental well-being during the COVID-19 pandemic? HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e6656-e6673. [PMID: 36068667 PMCID: PMC9539329 DOI: 10.1111/hsc.13992] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Revised: 07/07/2022] [Accepted: 08/20/2022] [Indexed: 06/01/2023]
Abstract
A growing body of research has highlighted the adverse impact of COVID-19 stressors on health and social care workers' (HSCWs) mental health. Complementing this work, we report on the psychosocial factors that have had both a positive and negative impact on the mental well-being of HSCWs during the third lockdown period in Scotland. Using a cross-sectional design, participants (n = 1364) completed an online survey providing quantitative data and free open-text responses. A multi-method approach to analysis was used. The majority of HSCWs were found to have low well-being scores, high levels of COVID-19 stress, worry, burnout and risk perception scores and almost half of HSCWs met the clinical cut-off for acute stress (indicative of PTSD). HSCWs with higher scores on adaptive coping strategies and team resilience reported higher scores on mental well-being. HSCWs were significantly more likely to seek informal support for dealing with personal or emotional problems compared to formal supports. Barriers to formal help-seeking were identified including stigma and fear of the consequences of disclosure. HSCWs mostly valued peer support, workplace supports, visible leadership and teamwork in maintaining their mental well-being. Our findings illuminate the complexity of the effects of the COVID-19 pandemic on HSCWs' well-being and will inform future intervention development seeking to increase positive adaptation and improve staff well-being. Addressing barriers to mental health help-seeking among HSCWs is essential. The implications emphasise the importance of lessons learned across health and social care contexts, planning and preparedness for future pandemics.
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Affiliation(s)
- Nicola Cogan
- School of Psychological Sciences & HealthUniversity of StrathclydeGlasgowUK
| | - Chloe Kennedy
- School of Psychological Sciences & HealthUniversity of StrathclydeGlasgowUK
| | - Zoe Beck
- School of Psychological Sciences & HealthUniversity of StrathclydeGlasgowUK
| | - Lisa McInnes
- School of Psychological Sciences & HealthUniversity of StrathclydeGlasgowUK
| | - Gillian MacIntyre
- School of Social Work & Social PolicyUniversity of StrathclydeGlasgowUK
| | - Liza Morton
- School of Psychological Sciences & HealthUniversity of StrathclydeGlasgowUK
| | - Gary Tanner
- School of Psychological Sciences & HealthUniversity of StrathclydeGlasgowUK
| | - Jacek Kolacz
- Traumatic Stress Research Consortium (TSRC)Kinsey Institute, Indiana UniversityBloomingtonIndianaUSA
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Na H, Lee G, Si E, Jun WH, Park C. Character Strength and Mental Health Problems among Children from Low-Income Families in South Korea. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9101599. [PMID: 36291535 PMCID: PMC9600044 DOI: 10.3390/children9101599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 10/17/2022] [Accepted: 10/18/2022] [Indexed: 12/04/2022]
Abstract
This study was conducted to understand the association between character strength and mental health problems among children in early adolescence from low-income families in South Korea. This study used a cross-sectional and descriptive study design with 214 fifth- and sixth-grade elementary school children from low-income families enrolled in 20 community centers and receiving government financial assistance. A bivariate probit model was used to examine the association between character strength and mental health problems in the children. We found that character strength lowers the likelihood of developing hyperactivity-inattention and emotional symptoms among children from low-income families. Additionally, adverse life events were associated with increased mental health problems, whereas adverse life events were not significantly correlated with character strength in the current study. Specific interventions should be developed to cultivate character strength among children in early adolescence from low-income families who are at a high risk of mental health problems under cumulative adverse life events.
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Affiliation(s)
- Hyunjoo Na
- College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Seochogu, Seoul 65091, Korea
| | - Gyungjoo Lee
- College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Seochogu, Seoul 65091, Korea
- Correspondence: ; Tel.: (+82)-2-2258-7009
| | - Euna Si
- College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Seochogu, Seoul 65091, Korea
| | - Won Hee Jun
- College of Nursing, Keimyung University, 1905 Dalgubeol-daero, Dalseogu, Daegu 42601, Korea
| | - Chang Park
- College of Nursing, University of Illinois at Chicago 845 S. Damen Ave., MC 802, Chicago, IL 60612, USA
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Zeng W, Huang D, Li Q, Xu Y, Xu Z, Wu C, Chen Z, Yang Y, Shao J, Wu X, Zhu Z, Wu J, Zeng Y. Negative emotions and creativity among Chinese college students during the COVID-19 pandemic: the mediating role of psychological resilience and the moderating role of posttraumatic growth. Arch Public Health 2022; 80:194. [PMID: 35996164 PMCID: PMC9395776 DOI: 10.1186/s13690-022-00954-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Accepted: 08/11/2022] [Indexed: 11/24/2022] Open
Abstract
Background The aim of the study was to use a moderated mediation model to understand and examine the relationship between negative emotions and creativity among college students during the COVID-19 pandemic, using psychological resilience as a mediator and posttraumatic growth as a moderator. Methods A sample of 881 college students in mainland China completed a self-report questionnaire that included four scales: the Depression-Anxiety-Stress Scale, Psychological Resilience Scale, Runco Ideational Behavior Scale and Posttraumatic Growth Inventory. Results Findings indicated that:(1) negative emotions were a strong predictor of creativity; (2) psychological resilience partially mediated the association between negative emotions and creativity; and (3) posttraumatic growth moderated the positive effect of psychological resilience, such that the indirect effect between negative emotions and creativity via psychological resilience was stronger for someone with a low level of resilience. Conclusion The findings further clarify the mechanisms that affect the relationship between negative emotions and creativity among college students.
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Adjorlolo S, Adjorlolo P, Andoh-Arthur J, Ahiable EK, Kretchy IA, Osafo J. Post-Traumatic Growth and Resilience among Hospitalized COVID-19 Survivors: A Gendered Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191610014. [PMID: 36011649 PMCID: PMC9408188 DOI: 10.3390/ijerph191610014] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 08/06/2022] [Accepted: 08/08/2022] [Indexed: 05/16/2023]
Abstract
The literature on behavioral outcomes associated with the COVID-19 pandemic is inundated with mental health burdens such as depression and stress disorders. The current study investigated gender invariance on resilience and post-traumatic growth (PTG) as positive psychological changes associated with the COVID-19 pandemic. A total of 381 survivors of the COVID-19 infection completed measurements of resilience, PTG, violence and stigma experience, and mental health problems like post-traumatic stress disorder (PTSD). The data were analyzed using descriptive statistics, correlation, multivariate regression, and a latent profile analysis. The results revealed that more than half of the participants had high scores on resilience (53.6%) and PTG (60.9%). The positive psychological changes, although independent of each other, were moderated by gender, and influenced by the negative experiences of participants such as stigma, violence, and PTSD. Latent profile analyses revealed three classes of participants, two of which were characterized by high scores on mental health problems and PTG. The clusters were invariant across gender. Surviving COVID-19 contributed to resilience and PTG. These can be targeted for intervention programs to mitigate the mental health burden occasioned by the pandemic.
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Affiliation(s)
- Samuel Adjorlolo
- Department of Mental Health, School of Nursing and Midwifery, College of Health Sciences, University of Ghana, Legon, Accra P.O. Box LG 43, Ghana
- Research and Grant Institute of Ghana, Legon, Accra P.O. Box LG 1004, Ghana
- Correspondence:
| | - Paul Adjorlolo
- Department of Statistics and Actuarial Science, College of Basic and Applied Sciences, University of Ghana, Legon, Accra P.O. Box LG 43, Ghana
| | - Johnny Andoh-Arthur
- Department of Psychology, School of Social Sciences, College of Humanities, University of Ghana, Legon, Accra P.O. Box LG 84, Ghana
| | | | - Irene Akwo Kretchy
- Department of Pharmacy Practice and Clinical Pharmacy, School of Pharmacy, College of Health Sciences, University of Ghana, Legon, Accra P.O. Box LG 43, Ghana
| | - Joseph Osafo
- Department of Psychology, School of Social Sciences, College of Humanities, University of Ghana, Legon, Accra P.O. Box LG 84, Ghana
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Yang YS, Bae SM. Association between resilience, social support, and institutional trust and post-traumatic stress disorder after natural disasters. Arch Psychiatr Nurs 2022; 37:39-44. [PMID: 35337437 DOI: 10.1016/j.apnu.2022.01.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2021] [Revised: 12/04/2021] [Accepted: 01/10/2022] [Indexed: 11/29/2022]
Abstract
Disasters can cause significant personal and social distress and adversely affect mental health. Compared with research on the risk factors of post-disaster post-traumatic stress disorder (PTSD), limited studies have reported protective factors against PTSD. We investigated whether resilience, social support, and trust in government were associated with PTSD in disaster survivors, after adjustment for the perceived damage and demographic variables including sex, age, and economic status. We investigated 2311 disaster survivors, using data from the "Long-term survey on the change of life of Disaster victim" performed by NDMI(National Disaster Management Research Institute). Hierarchical regression analysis was used in this study. A high level of trust in institutions was associated with few PTSD symptoms after adjustment for resilience and social support. Among the subfactors of institutional trust, psychological counseling and environmental and facility restoration were associated with PTSD. Psychological counseling and environmental and facility restoration support for disaster survivors were associated with reduced PTSD symptoms. Post-disaster policy support, including psychological counseling and environmental and facility restoration services, is important. Our findings highlight the protective factors against PTSD symptoms and may serve as guidelines for specific interventions for the management of post-disaster PTSD.
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Affiliation(s)
- Ye-Seul Yang
- Department of Psychology, Graduate School, Dankook University, Cheonan, Republic of Korea
| | - Sung-Man Bae
- Department of Psychology, Graduate School, Dankook University, Cheonan, Republic of Korea; Department of Psychology and Psychotherapy, College of Health Science, Dankook University, Cheonan, Republic of Korea.
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Elam T, Taku K. Differences Between Posttraumatic Growth and Resiliency: Their Distinctive Relationships With Empathy and Emotion Recognition Ability. Front Psychol 2022; 13:825161. [PMID: 35418895 PMCID: PMC8996075 DOI: 10.3389/fpsyg.2022.825161] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Accepted: 03/03/2022] [Indexed: 11/24/2022] Open
Abstract
Posttraumatic growth (PTG) and resiliency have been observed among people who experienced life crises. Given that the direct relationships between PTG and resiliency have been equivocal, it is important to know how they are different in conjunction with cognitive ability. The purpose of this study is to examine how perceived PTG and resiliency would be, respectively, associated with empathy and emotion recognition ability. A total of 420 college students participated in an online survey requiring them to identify emotions based on photographs of facial expressions, report their traumatic experiences, and respond to the PTG Inventory, Brief Resilience Scale, and Questionnaire of Emotional Empathy. The results suggest that perceived PTG was not associated with empathy but significantly predicted increased emotion recognition, whereas resiliency showed a negative relationship with empathy but no significant relationship with emotion recognition. These findings demonstrate that self-perceived PTG may be associated with cognitive ability, which could be due to one's growth within relationships and social interactions. Even though growing after trauma may promote resilient characteristics, the current results indicate that PTG and resiliency may foster different outcomes. Since empathy and emotion recognition are affected by other contextual factors, future studies should assess how empathy and the type of errors in emotion recognition may be associated with situational factors that are beyond personal factors such as post-traumatic life experiences or personality.
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Kiye S, Boysan M. Relationships between character strengths, internalising and externalising problems among adolescents: a latent class analysis. BRITISH JOURNAL OF GUIDANCE & COUNSELLING 2022. [DOI: 10.1080/03069885.2021.1872768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Semra Kiye
- Department of Guidance and Counselling, Faculty of Educational Sciences, Ankara University, Ankara, Turkey
| | - Murat Boysan
- Department of Psychology, Faculty of Social Sciences and Humanities, Ankara Social Sciences University, Ankara, Turkey
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15
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Scott E, May M, Silva G, Taylor R, Fenlon N, Lowery-Gionta E, Matson L. Variation in trauma-related behavioral effects using a preclinical rat model of three predator exposure stress. Stress 2022; 25:276-290. [PMID: 35920240 DOI: 10.1080/10253890.2022.2105647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/16/2022] Open
Abstract
The underlying mechanisms of trauma-related disorders are challenging to discover and the disorders are difficult to treat, in part due to the complex and varied expressions of response to traumatic stress. These challenges will be easier to overcome as more is understood about the variability in response to trauma. Incorporating assessment of variability into animal models of traumatic stress may allow better translation to clinical research and treatment development. In this study, we characterized variability in behavioral responses following traumatic stress exposure using a predator exposure (PE) animal model. Elevated plus maze (EPM) and acoustic startle response (SR) were used to study avoidance and arousal symptoms in male Sprague-Dawley rats. Behavioral data were compared between control (n = 31) and predator-exposed (n = 30) rats. PE behavior was clustered using k-means principal components analysis. Four clusters and three distinct subgroups were identified and were characterized as avoidant (Cluster 4, 30%), moderately avoidant (Clusters 2 and 3, 49%), and unaffected (Cluster 1, 17%). These results demonstrate that rodent responses to PE are varied, similar to human presentations following traumatic stress, suggesting it may be possible to develop treatment strategies for varied symptom presentations using a preclinical animal model.
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Affiliation(s)
- Emily Scott
- Behavioral Biology Branch, Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Spring, MD, USA
| | - Matthew May
- Behavioral Biology Branch, Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Spring, MD, USA
| | - Gabriella Silva
- Behavioral Biology Branch, Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Spring, MD, USA
| | - Rachel Taylor
- Behavioral Biology Branch, Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Spring, MD, USA
| | - Nicole Fenlon
- Behavioral Biology Branch, Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Spring, MD, USA
| | - Emily Lowery-Gionta
- Behavioral Biology Branch, Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Spring, MD, USA
| | - Liana Matson
- Behavioral Biology Branch, Center for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Spring, MD, USA
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16
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Yu Z, Wang L, Chen W, Perrin N, Gross D. Childhood adversity and mental health among Chinese young adults: The protective role of resilience. J Adv Nurs 2021; 77:4793-4804. [PMID: 34617614 DOI: 10.1111/jan.15070] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 09/07/2021] [Accepted: 09/26/2021] [Indexed: 11/28/2022]
Abstract
AIM The aims of this study were to examine the prevalence of adverse childhood experiences (ACEs) among health science students in China; associations between the number of ACE exposures and severity of depressive and anxiety symptoms; and the extent to which resilience moderates the effect of ACEs on mental health outcomes. DESIGN This descriptive, cross-sectional study was conducted May-August 2020. METHODS Five hundred and sixty-six health science students (18-38 years) from China completed online surveys measuring ACEs using the Simplified Chinese version of the ACE-International Questionnaire, depressive and anxiety symptoms and resilience. Descriptive statistical analysis, ANOVA with Tukey HSD post hoc tests and multiple regression analysis were performed using SPSS 27. RESULTS 88.5% of participants reported at least one ACE; 42.6% reported four or more ACEs. Higher number of ACEs was associated with more symptoms of depression and anxiety. Four or more ACEs were associated with significantly worse mental health outcomes than those with no ACEs and those with one to three ACEs. Greater resilience significantly attenuated the effects of ACEs on mental health symptoms. CONCLUSIONS ACEs are highly prevalent among Chinese health science students but their impact on mental health can be buffered by higher levels of resilience. IMPACT Screening for ACEs and strength-based, trauma-informed interventions on fostering resilience is needed to promote mental health among Chinese young adults.
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Affiliation(s)
- Zhiyuan Yu
- Johns Hopkins School of Nursing, Baltimore, Maryland, USA
| | - Lin Wang
- Shanghai Jiao Tong University School of Nursing, Shanghai, China
| | - Wenyi Chen
- Johns Hopkins School of Nursing, Baltimore, Maryland, USA
| | - Nancy Perrin
- Johns Hopkins School of Nursing, Baltimore, Maryland, USA
| | - Deborah Gross
- Johns Hopkins School of Nursing, Baltimore, Maryland, USA
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17
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The mediating role of social connectedness in the effect of positive personality, alexithymia and emotional granularity on life satisfaction: Analysis based on a structural equation model. PERSONALITY AND INDIVIDUAL DIFFERENCES 2021. [DOI: 10.1016/j.paid.2020.110473] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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18
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Waters L, Algoe SB, Dutton J, Emmons R, Fredrickson BL, Heaphy E, Moskowitz JT, Neff K, Niemiec R, Pury C, Steger M. Positive psychology in a pandemic: buffering, bolstering, and building mental health. JOURNAL OF POSITIVE PSYCHOLOGY 2021. [DOI: 10.1080/17439760.2021.1871945] [Citation(s) in RCA: 34] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
- Lea Waters
- Centre for Positive Psychology, University of Melbourne, Melbourne, Australia
| | | | - Jane Dutton
- Ross School of Business, University of Michigan, Ann Arbor, USA
| | - Robert Emmons
- Department of Psychology, University of California, Davis
| | | | - Emily Heaphy
- Isenberg School of Management, University of Massachusetts, Amherst, USA
| | - Judith T. Moskowitz
- Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, USA
| | - Kristin Neff
- Educational Psychology Department, University of Texas at Austin, Austin, TX, USA
| | | | - Cynthia Pury
- Clemson University Department of Psychology, Clemson University, Clemson, SC, USA
| | - Michael Steger
- Center for Meaning and Purpose, Department of Psychology, Optentia Research Programme, Colorado State University, North-West University, Fort Collins, Vanderbijlpark, CO, USA, South Africa
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Gong J, Chen G, Qi Z, Zhong S, Su T, Pan Y, Wang J, Huang L, Wang Y. Psychological Effects of People Isolated in Hubei Due to COVID-19 Epidemic. Front Psychiatry 2021; 12:597894. [PMID: 34393837 PMCID: PMC8355422 DOI: 10.3389/fpsyt.2021.597894] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2020] [Accepted: 06/30/2021] [Indexed: 01/10/2023] Open
Abstract
The Coronavirus Disease 2019 (COVID-19) epidemic broke out from Wuhan in Hubei province, China, spread nationwide and then gradually developed into other countries in the world. The implementation of unprecedented strict isolation measures has affected many aspects of people's lives and posed a challenge to psychological health. To explore whether people isolated for 14 days due to having contact with COVID-19 patients had more psychosocial problems. We conducted an online survey from February 29 to March 10, 2020. Depression, anxiety, post-traumatic stress disorder (PTSD) symptoms, and coping style were assessed by the Patient Health Questionnaire-9 (PHQ-9), 7-item Generalized Anxiety Disorder Scale (GAD-7), Impact of Event Scale-Revised (IES-R), and Simplified Coping Style Questionnaire-20-Chinese Version. This study included 1,315 isolated respondents in Hubei province (58.5% located in Wuhan). 69.3% respondents isolated at home, 30.7% respondents isolated at centralized quarantined spot. Of all respondents, 66.8% reported depressive symptoms, 49.7% reported anxiety symptoms, 89.0% reported PTSD symptoms. The Cronbach α of the IES-R, PHQ-9, GAD-7, and total SCSQ-20 were 0.935, 0.847, 0.843, and 0.888, respectively. Persons who isolated at home were associated with a lower risk of PTSD, depressive and anxiety symptoms (P < 0.01). People who knew someone to have COVID-19 were associated with severe symptoms of PTSD symptoms (P = 0.001). As for coping style, higher level of passive coping style was associated with severe symptoms of PTSD, depression and anxiety (P < 0.001). Our findings identify that person isolated during the COVID-19 epidemic was associated with high proportion of depression, anxiety, and PTSD symptoms. Public health officials should be aware of and prepared to take necessary measures.
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Affiliation(s)
- Jiaying Gong
- Medical Imaging Center, First Affiliated Hospital of Jinan University, Guangzhou, China.,Department of Radiology, Six Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
| | - Guanmao Chen
- Medical Imaging Center, First Affiliated Hospital of Jinan University, Guangzhou, China.,Institute of Molecular and Functional Imaging, Jinan University, Guangzhou, China
| | - Zhangzhang Qi
- Medical Imaging Center, First Affiliated Hospital of Jinan University, Guangzhou, China.,Institute of Molecular and Functional Imaging, Jinan University, Guangzhou, China
| | - Shuming Zhong
- Department of Psychiatry, First Affiliated Hospital of Jinan University, Guangzhou, China
| | - Ting Su
- Medical Imaging Center, First Affiliated Hospital of Jinan University, Guangzhou, China.,Institute of Molecular and Functional Imaging, Jinan University, Guangzhou, China
| | - Youling Pan
- Medical Imaging Center, First Affiliated Hospital of Jinan University, Guangzhou, China.,Institute of Molecular and Functional Imaging, Jinan University, Guangzhou, China
| | - Jurong Wang
- Medical Imaging Center, First Affiliated Hospital of Jinan University, Guangzhou, China.,Institute of Molecular and Functional Imaging, Jinan University, Guangzhou, China
| | - Li Huang
- Medical Imaging Center, First Affiliated Hospital of Jinan University, Guangzhou, China.,Institute of Molecular and Functional Imaging, Jinan University, Guangzhou, China
| | - Ying Wang
- Medical Imaging Center, First Affiliated Hospital of Jinan University, Guangzhou, China.,Department of Psychiatry, First Affiliated Hospital of Jinan University, Guangzhou, China
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20
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Kim SR, Kim HY, Nho JH, Ko E, Moon KS, Jung TY. Relationship among symptoms, resilience, post-traumatic growth, and quality of life in patients with glioma. Eur J Oncol Nurs 2020; 48:101830. [PMID: 32971413 DOI: 10.1016/j.ejon.2020.101830] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 09/03/2020] [Accepted: 09/10/2020] [Indexed: 11/20/2022]
Abstract
PURPOSE The aims of this study were to explore the relationship among symptoms, resilience, post-traumatic growth, and quality of life, and to identify the influence of these variables on quality of life in patients with glioma. METHODS A correlational, cross-sectional research design was used. A convenience sample of 120 patients was recruited from an outpatient neurosurgery clinic. Data analyses included descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical regression analysis and were performed with the SPSS WIN 25.0 program. RESULTS Quality of life positively correlated with the duration of disease diagnosis and resilience and negatively correlated with age, age at onset, severity of symptoms, and interference in symptoms. Resilience was negatively correlated with severity of symptoms and interference with symptoms, and was positively correlated with post-traumatic growth. Hierarchical regression analysis showed that demographic and clinical factors explained 39.3% of the variance in quality of life in glioma patients. The explanatory power increased by 22.1% and 15.1%, respectively, when interference in symptoms and resilience were considered. CONCLUSIONS Assessment of quality of life in patients with glioma should consider symptoms and resilience, along with demographic and clinical factors. Interventions developed to improve quality of life in glioma patients must also consider these factors.
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Affiliation(s)
- Sung Reul Kim
- College of Nursing, Korea University Nursing Research Institute, Korea University, Seoul, South Korea.
| | - Hye Young Kim
- College of Nursing, Jeonbuk Research Institute of Nursing Science, Jeonbuk National University, Jeonju, South Korea.
| | - Ju-Hee Nho
- College of Nursing, Jeonbuk Research Institute of Nursing Science, Jeonbuk National University, Jeonju, South Korea.
| | - Eun Ko
- Department of Nursing, College of Life Science and Natural Resources, Sunchon National University, Suncheon, South Korea.
| | - Kyung-Sub Moon
- Department of Neurosurgery, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Medical School and Hwasun Hospital, Hwasun, South Korea.
| | - Tae-Young Jung
- Department of Neurosurgery, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Medical School and Hwasun Hospital, Hwasun, South Korea.
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21
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Mental Health in Frontline Medical Workers during the 2019 Novel Coronavirus Disease Epidemic in China: A Comparison with the General Population. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17186550. [PMID: 32916836 PMCID: PMC7558595 DOI: 10.3390/ijerph17186550] [Citation(s) in RCA: 87] [Impact Index Per Article: 21.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 09/03/2020] [Accepted: 09/07/2020] [Indexed: 02/07/2023]
Abstract
BACKGROUND Since December 2019, China has been affected by a severe outbreak of coronavirus disease 2019 (COVID-19). Frontline medical workers experienced difficulty due to the high risk of being infected and long and distressing work shifts. The current study aims to evaluate psychological symptoms in frontline medical workers during the COVID-19 epidemic in China and to perform a comparison with the general population. METHODS An online survey was conducted from 14 February 2020 to 29 March 2020. A total of 899 frontline medical workers and 1104 respondents in the general population participated. Depression, anxiety, insomnia, and resilience were assessed via the Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder Scale (GAD-7), Insomnia Severity Index (ISI), and abbreviated Connor-Davidson Resilience Scale (CD-RISC-10), respectively. RESULTS Overall, 30.43%, 20.29%, and 14.49% of frontline medical workers in Hubei Province and 23.13%, 13.14%, and 10.64% of frontline medical workers in other regions reported symptoms of depression, anxiety, and insomnia, respectively. In addition, 23.33%, 16.67%, and 6.67% of the general population in Hubei Province and 18.25%, 9.22%, and 7.17% of the general population in other regions reported symptoms of depression, anxiety, and insomnia, respectively. The resilience of frontline medical staff outside Hubei Province was higher than that of the general population outside Hubei Province. CONCLUSION A large proportion of frontline medical workers and the general public experienced psychological symptoms during the COVID-19 outbreak. Psychological services for frontline medical workers and the general public are needed.
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22
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Su YJ, Chow CC. PTSD, depression and posttraumatic growth in young adult burn survivors: Three-year follow-up of the 2015 Formosa fun coast water park explosion in Taiwan. J Affect Disord 2020; 274:239-246. [PMID: 32469812 DOI: 10.1016/j.jad.2020.05.025] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2019] [Revised: 04/02/2020] [Accepted: 05/10/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVE The 2015 Formosa Fun Coast Water Park explosion was a devastating disaster in Taiwan, leaving 15 dead and 484 burn injured. The present study estimated the prevalence of probable PTSD, major depression (MDD), and significant posttraumatic growth (PTG) in burn survivors three years after the explosion. Potential predictors of PTSD and depressive symptoms and PTG (demographic, burn-related, and psychosocial variables) were examined. METHODS Participants were 125 young adult burn survivors. The mean age at the incident was 22.4 years (SD = 4.1) and 62.4% were female. The average total body surface area burned was 51.6% (SD = 19.2%). RESULTS Three years after the explosion, 16.8% and 8.8% of the burn survivors met DSM-5 criteria of probable PTSD and MDD. Gender differences were observed in the prevalence of MDD but not PTSD. PTG was still highly prevalent, with 47.2%, 78.4%, and 84.0% of participants reporting significant PTG at the total scale, subscale, and item levels, respectively. Using hierarchical regression, psychosocial variables explained large amounts of variance in PTSD and depressive symptoms and PTG post-burn (△R2 = 0.411, 0.377, and 0.523) beyond that explained by demographic and burn-related variables. More avoidance and less approach coping predicted greater PTSD and/or depression symptoms post-burn. More approach coping and greater social support strongly predicted higher PTG post-burn. CONCLUSION Rates of probable PTSD and MDD were relatively high in burn survivors, however, PTG was also highly prevalent. Coping styles and social support may play distinct roles in psychosocial adjustment after burn injury.
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Affiliation(s)
- Yi-Jen Su
- Graduate Institute of Behavioral Sciences, Chang Gung University, Taoyuan, Taiwan, No.259, Wenhua 1st Rd., Guishan Dist., Taoyuan City 33302, Taiwan; Department of Psychiatry, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan. No.5, Fuxing St., Guishan Dist., Taoyuan City 333, Taiwan.
| | - Chia-Chi Chow
- Research Department of Clinical, Educational, and Health Psychology, University College, London, United Kindom. Gower Street, London, WC1E 6BT, UK
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23
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MONTANI F, SOMMOVIGO V, SETTI I, GIORGI G, ARGENTERO P. The moderating effect of exposure to robbery on the relationship between post-traumatic stress and job satisfaction. INDUSTRIAL HEALTH 2020; 58:335-344. [PMID: 31983711 PMCID: PMC7417505 DOI: 10.2486/indhealth.2019-0096] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Accepted: 01/16/2020] [Indexed: 06/10/2023]
Abstract
Research has disregarded the boundary conditions of the effects of post-traumatic stress symptoms (PTSS) at work. Addressing this issue, the present study examines the moderating impact of the (shared vs. isolated) exposure to robbery on the relationship between PTSS and employee job satisfaction. Drawing on the conservation of resources theory, we argue that PTSS would positively affect employee job satisfaction when the robbery is experienced collectively. To test our predictions, we conducted a two-wave study-with a lag of two months between measurements-on 140 employees from a national bank in Italy. Results from hierarchical regression analyses supported our prediction: the exposure to robbery moderated the relationship between PTSS and job satisfaction. While within the "isolated exposure" group the job satisfaction score was higher among less symptomatic victims, within the "shared exposure" group those with high PTSS reported higher job satisfaction levels than those with low PTSS. We discuss the implications of these findings for theory and practice.
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Affiliation(s)
| | - Valentina SOMMOVIGO
- Department of Brain and Behavioural Sciences, Unit of Applied
Psychology, University of Pavia, Italy
| | - Ilaria SETTI
- Department of Brain and Behavioural Sciences, Unit of Applied
Psychology, University of Pavia, Italy
| | | | - Piergiorgio ARGENTERO
- Department of Brain and Behavioural Sciences, Unit of Applied
Psychology, University of Pavia, Italy
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24
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Liang Y, Zheng H, Cheng J, Zhou Y, Liu Z. Associations between Posttraumatic Stress Symptoms, Creative Thinking, and Trait Resilience among Chinese Adolescents Exposed to the Lushan Earthquake. JOURNAL OF CREATIVE BEHAVIOR 2020. [DOI: 10.1002/jocb.460] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Yiming Liang
- Chinese Academy of Sciences
- University of Chinese Academy of Sciences
| | - Hao Zheng
- Chinese Academy of Sciences
- University of Chinese Academy of Sciences
| | | | - Yueyue Zhou
- Chinese Academy of Sciences
- University of Chinese Academy of Sciences
| | - Zhengkui Liu
- Chinese Academy of Sciences
- University of Chinese Academy of Sciences
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25
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Yang X, Wang Q, Wang X, Mo PKH, Wang Z, Lau JTF, Wang L. Direct and Indirect Associations Between Interpersonal Resources and Posttraumatic Growth Through Resilience Among Women Living with HIV in China. AIDS Behav 2020; 24:1687-1700. [PMID: 31624976 DOI: 10.1007/s10461-019-02694-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
This study aims to test the associations between interpersonal resources and posttraumatic growth (PTG) and their indirect associations through resilience among women living with HIV (WLWH). A cross-sectional study interviewed 546 WLWH from eight clinics of Yunnan and Guangxi provinces in China. PTG, resilience and doctors' empathy were assessed by the validated scales. Family support, friend support, and partner intimacy were assessed by the self-constructed scales. Significant background factors of PTG included duration of residence in the area, monthly family income, number of years since HIV diagnosis, self-reported presence of AIDS-related symptoms, and current pregnancy. Family social support, partner intimacy, doctors' empathy, and resilience were positively associated with PTG; friend support was negatively associated with PTG (p < .05). Furthermore, resilience partially mediated the relationships between family support/partner intimacy and PTG, explaining 13.6-14.2% of the variance. Structural equation modeling showed that family support was significantly and indirectly associated with PTG through resilience when controlling for other interpersonal resource indicators. Implications and potential interventions to promote PTG are discussed.
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26
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Duan W, Chen Z, Ho SMY. Editorial: Positive Education: Theory, Practice, and Evidence. Front Psychol 2020; 11:427. [PMID: 32210901 PMCID: PMC7075418 DOI: 10.3389/fpsyg.2020.00427] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2020] [Accepted: 02/24/2020] [Indexed: 11/13/2022] Open
Affiliation(s)
- Wenjie Duan
- School of Social and Public Administration, East China University of Science and Technology, Shanghai, China
| | - Zheng Chen
- Institute of Education, Wuhan University, Wuhan, China
| | - Samuel M Y Ho
- Department of Social and Behavioral Sciences, City University of Hong Kong, Hong Kong, China
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27
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Xi Y, Yu H, Yao Y, Peng K, Wang Y, Chen R. Post-traumatic stress disorder and the role of resilience, social support, anxiety and depression after the Jiuzhaigou earthquake: A structural equation model. Asian J Psychiatr 2020; 49:101958. [PMID: 32078953 DOI: 10.1016/j.ajp.2020.101958] [Citation(s) in RCA: 32] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Revised: 12/19/2019] [Accepted: 02/08/2020] [Indexed: 01/26/2023]
Abstract
This is the first study to investigate the mechanism of Post traumatic stress disorder (PTSD) after the 2017 7.0 Ritcher scale Jiuzhaigou earthquake. In order to identify the mechanism underling interactions among different factors associated with PTSD symptoms. Three months after the earthquake, 607 participants from the heavy damaged areas were recruited in this survey. Demographic information and scale measurements on social support, resilience, anxiety, depression, and PTSD were collected using standardized questionnaire. The result showed that PTSD, anxiety symptoms, and depressive symptoms prevalence in the severely affected area were 52.7 %, 53.8 % and 69.6 %, respectively. Resilience and social support had direct effects on PTSD, as well as indirect effects on PTSD through anxiety and depression. The proposed mechanism on PTSD explained the paths among the measured variables, which explained the risk and protective factors related to PTSD. This current study has important practical implications for understanding mental health status of earthquake victims.
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Affiliation(s)
- Yingjun Xi
- The National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Mental Disorders & Advanced Innovation Center for Human Brain Protection, Beijing Anding Hospital, Capital Medical University, China
| | - Hui Yu
- Division of Psychology, Faculty of Health and Life Sciences, De Montfort University, Leicester, UK
| | - Yiming Yao
- The National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Mental Disorders & Advanced Innovation Center for Human Brain Protection, Beijing Anding Hospital, Capital Medical University, China
| | - Ke Peng
- The George Institute for Global Health, UNSW, Sydney, Australia; School of Public Health, The University of Sydney, Sydney, Australia
| | - Yuanyuan Wang
- Division of Psychology, Faculty of Health and Life Sciences, De Montfort University, Leicester, UK.
| | - Runsen Chen
- The National Clinical Research Center for Mental Disorders, Beijing Key Laboratory of Mental Disorders & Advanced Innovation Center for Human Brain Protection, Beijing Anding Hospital, Capital Medical University, China; Department of Psychiatry, University of Oxford, Oxford, UK.
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28
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Sinclair VG, Adams SM, Dietrich M. Associations between changes in resilient coping and posttraumatic stress disorder symptoms. Res Nurs Health 2020; 43:255-262. [PMID: 32067237 DOI: 10.1002/nur.22014] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Accepted: 01/25/2020] [Indexed: 12/27/2022]
Abstract
The pervasive, damaging nature of posttraumatic stress disorder (PTSD) presents enormous clinical challenges. Understanding the relationship between patients' perceptions of PTSD symptoms and resilient coping strategies may prompt investigation of clinical interventions that improve adaptive, resilient coping skills. In this study, we examined whether changes in resilient coping were related to changes over time in the PTSD symptoms of intrusion and avoidance. A secondary analysis was conducted using longitudinal data from the community-based Washington State Twin Registry. Participants completed the four-item Brief Resilient Coping Scale (BRCS) and the Avoidance and Intrusion subscales of the Impact of Events Scale (IES) at two points in time that were at least 2 years apart. To limit analyses to participants reporting PTSD symptoms at baseline, an initial value of at least 1.0 on either Avoidance (n = 1,337) or Intrusion (n = 1,206) was required for inclusion in the sample. Using linear regression, we assessed associations of change in BRCS with a change in IES scores, controlling for the respective initial scores on each measure. Controlling for initial BRCS and IES-Intrusion values, we observed a small, statistically significant association between change in BRCS and change in IES-Intrusion scores (b* = -0.07; p = .003). There was no statistically significant association between change in BRCS and change in IES-Avoidance (b* < 0.01; p = .869). In this large, longitudinal sample, increases in resilient coping were related to decreases in intrusive thoughts over time. Because coping patterns can be taught, these results warrant further investigations into adaptive coping patterns associated with diminishing PTSD symptoms.
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Affiliation(s)
| | - Susan M Adams
- Vanderbilt University School of Nursing, Nashville, Tennessee
| | - Mary Dietrich
- Vanderbilt University School of Nursing, Nashville, Tennessee
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Yu L, Chan KL. Moderating effects of personal strengths in the relationship between juvenile victimization and delinquent behaviors. CHILD ABUSE & NEGLECT 2019; 93:79-90. [PMID: 31075573 DOI: 10.1016/j.chiabu.2019.04.019] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/10/2018] [Revised: 04/24/2019] [Accepted: 04/30/2019] [Indexed: 06/09/2023]
Abstract
BACKGROUND Robust evidence suggests a strong association between juvenile victimization and delinquency. Yet, there is a lack of research on the protective factors at the individual level that may buffer the relationship between victimization and delinquent behaviors. OBJECTIVES This study adopted a positive psychology perspective to examine the effects of three types of personal strength (self-regulation, interpersonal, and intellectual) on the relationship between different types of victimization and delinquency. PARTICIPANTS AND SETTING Data were collected from 631 Chinese migrant children (mean age = 10.52 ± 0.92 years) via convenience sampling. METHODS Participants completed a self-reported questionnaire that assessed experiences of victimization in family, interpersonal, and community settings, involvement in delinquent behaviors, and personal strengths. RESULTS The prevalence of different delinquent behaviors was significantly higher in the victimization groups than in the non-victimization groups. Regression analyses revealed that all three types of personal strength served as direct predictors of delinquency (Bself-regulation = -0.46, SEself-regulation = .09, p < .001; Binterpersonal strength = -0.23, SEinterpersonal strength = .06, p < .001; Bintellectual strength = -0.19, SEintellectual strength = .05, p < .001), while self-regulation further moderated the victimization-delinquency relationship. When self-regulation was high, the association between victimization and delinquency was significantly weaker than when self-regulation was low. CONCLUSIONS Our findings suggest that personal strengths are important protective factors for youth exposed to experiences of victimization. Identifying methods to help victims recognize, develop, and use their personal strengths should be integral to support and intervention efforts for young victims.
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Affiliation(s)
- Lu Yu
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China.
| | - Ko Ling Chan
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China
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Kermott CA, Johnson RE, Sood R, Jenkins SM, Sood A. Is higher resilience predictive of lower stress and better mental health among corporate executives? PLoS One 2019; 14:e0218092. [PMID: 31185049 PMCID: PMC6559706 DOI: 10.1371/journal.pone.0218092] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2019] [Accepted: 05/24/2019] [Indexed: 01/05/2023] Open
Abstract
Objective To assess the impact of resilience, the ability to withstand and bounce back from adversity, on measures of well-being, self-reported stress, and mental health diagnoses. Methods This study was a cross-sectional survey of participants seen at an executive health practice at Mayo Clinic, Rochester, Minnesota, from January 2012 through September 2016. Participants completed an anonymous survey that included demographic information and 3 validated survey instruments—the 10-item Connor-Davidson Resilience Scale (CD-RISC), the 12-item Linear Analogue Self-Assessment Scale (LASA), and the 14-item Perceived Stress Scale (PSS). Self-reported history of mental health diagnoses was also collected. CD-RISC scores were used to stratify participants into lower (<30), medium (30–34), or higher (≥35) resilience categories. Participants’ LASA scores, PSS scores, and self-reported mental health diagnoses were compared among resilience categories. Results Of the 2,027 eligible participants, 1,954 met the study inclusion criteria as currently employed corporate-sponsored executive or business professionals (self-designated) who completed the CD-RISC survey. Most participants (62.5%) were aged 40 to 59 years. The majority were male (78.3%), white (95.3%), educated (86.2%), and in a committed relationship (89.7%). Among participants, 41.7% reported higher resilience, 34.3% had medium resilience, and 24.0% had lower resilience. The quality of life and overall LASA scores were positively associated with higher resilience (P < .001). PSS scores and self-reported mental health diagnoses were negatively associated with higher resilience (P < .001). These associations remained significant after adjusting for patient characteristics. Conclusions In this cross-sectional survey of a large cohort of corporative executives, the lower-resilience cohort had a 4-fold higher prevalence of depression and an almost 3-fold higher prevalence of anxiety compared with the higher-resilience cohort. High resilience was positively associated with well-being and negatively associated with perceived stress. Our findings suggest that higher resilience in the executive workplace environment is associated with better mental health, reduced stress, and greater well-being.
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Affiliation(s)
- Cindy A. Kermott
- Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, United States of America
- Division of Preventive Medicine, Mayo Clinic, Rochester, Minnesota, United States of America
| | - Ruth E. Johnson
- Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, United States of America
| | - Richa Sood
- Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, United States of America
- * E-mail:
| | - Sarah M. Jenkins
- Division of Biostatistics and Informatics, Mayo Clinic, Rochester, Minnesota, United States of America
| | - Amit Sood
- Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, United States of America
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Kang X, Fang Y, Li S, Liu Y, Zhao D, Feng X, Wang Y, Li P. The Benefits of Indirect Exposure to Trauma: The Relationships among Vicarious Posttraumatic Growth, Social Support, and Resilience in Ambulance Personnel in China. Psychiatry Investig 2018; 15:452-459. [PMID: 29695152 PMCID: PMC5976003 DOI: 10.30773/pi.2017.11.08.1] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2017] [Accepted: 11/08/2017] [Indexed: 01/01/2023] Open
Abstract
OBJECTIVE Ambulance personnel who witness trauma experienced by patients have been reported to experience positive changes, known as vicarious posttraumatic growth (VPTG). We examined VPTG and its relationship with social support and resilience among ambulance personnel. METHODS The sample (n=227) was recruited from six emergency centers in China. The measures included the Posttraumatic Growth Inventory (PTGI), the Social Support Rating Scale (SSRS), and the 10-item Connor-Davidson Resilience Scale (CD-RISC-10). Structure Equation Modeling (SEM) and the bootstrapping procedure were used to examine indirect effects. RESULTS The participants' mean score for VPTG was 68.96 (SD=15.51). Social support had significant direct effects on resilience (β=0.51, p<0.001) and VPTG (β=0.25, p=0.001), and resilience (β=0.58, p<0.001) had a significant direct effect on VPTG. Furthermore, social support had a significant indirect effect (0.51×0.58=0.30, p<0.001) on VPTG through resilience. CONCLUSION Although the nature of the work of ambulance personnel is not expected to change, the negative effects of the trauma they encounter can be reduced by providing them with more support resources and interventions to foster their resilience, which in turn, promote VPTG.
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Affiliation(s)
- Xiaofei Kang
- School of Nursing, Shandong University, Shandong, China
| | - Yueyan Fang
- School of Nursing, Shandong University, Shandong, China
| | - Sihan Li
- School of Nursing, Shandong University, Shandong, China
| | - Yadong Liu
- Shandong Chest Hospital, Shandong, China
| | - Di Zhao
- School of Nursing, Shandong University, Shandong, China
| | - Xiujuan Feng
- School of Nursing, Shandong University, Shandong, China
| | - Yaqi Wang
- School of Nursing, Shandong University, Shandong, China
| | - Ping Li
- School of Nursing, Shandong University, Shandong, China
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Wang Q, Zhou T, Gao J, Xu K, Qu W, Yang Y. Attachment, Social Support, Resilience and Posttraumatic Stress Disorder Symptoms in Chinese Adults Living with HIV/AIDS. JOURNAL OF LOSS & TRAUMA 2018. [DOI: 10.1080/15325024.2017.1419803] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Qian Wang
- Beijing Anding Hospital, Capital Medical University, Beijing, China
- Department of Clinical Psychology, Capital Medical University, Beijing, China
| | - Ting Zhou
- School of Management, Beijing University of Chinese Medicine, Beijing, China
| | - Jun Gao
- Department of Psychology, Fudan University, Shanghai, China
| | - Keyi Xu
- WHO Collaborating Centre for Comprehensive Management of HIV Treatment and Care, Beijing Ditan Hospital, Capital Medical University, Beijing, China
| | - Wenyan Qu
- WHO Collaborating Centre for Comprehensive Management of HIV Treatment and Care, Beijing Ditan Hospital, Capital Medical University, Beijing, China
| | - Yunping Yang
- Beijing Anding Hospital, Capital Medical University, Beijing, China
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Walsh DMJ, Morrison TG, Conway RJ, Rogers E, Sullivan FJ, Groarke A. A Model to Predict Psychological- and Health-Related Adjustment in Men with Prostate Cancer: The Role of Post Traumatic Growth, Physical Post Traumatic Growth, Resilience and Mindfulness. Front Psychol 2018; 9:136. [PMID: 29497391 PMCID: PMC5818687 DOI: 10.3389/fpsyg.2018.00136] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2017] [Accepted: 01/29/2018] [Indexed: 11/13/2022] Open
Abstract
Background: Post traumatic growth (PTG) can be defined as positive change following a traumatic event. The current conceptualization of PTG encompasses five main dimensions, however, there is no dimension which accounts for the distinct effect of a physical trauma on PTG. The purpose of the present research was to test the role of PTG, physical post traumatic growth (PPTG), resilience and mindfulness in predicting psychological and health related adjustment. Method: Ethical approval was obtained from relevant institutional ethics committees. Participants (N = 241), who were at least 1 year post prostate cancer treatment, were invited to complete a battery of questionnaires either through an online survey or a paper and pencil package received in the post The sample ranged in age from 44 to 88 years (M = 64.02, SD = 7.76). Data were analysis using confirmatory factor analysis and structural equation modeling. Results: The physical post traumatic growth inventory (P-PTGI) was used to evaluate the role of PPTG in predicting adjustment using structural equation modeling. P-PTGI predicted lower distress and improvement of quality of life, whereas conversely, the traditional PTG measure was linked with poor adjustment. The relationship between resilience and adjustment was found to be mediated by P-PTGI. Conclusion: Findings suggest the central role of PTG in the prostate cancer survivorship experience is enhanced by the inclusion of PPTG. Adjusting to a physical trauma such as illness (internal transgressor) is unlike a trauma with an external transgressor as the physical trauma creates an entirely different framework for adjustment. The current study demonstrates the impact of PPTG on adjustment. This significantly adds to the theory of the development of PTG by highlighting the interplay of resilience with PTG, PPTG, and adjustment.
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Affiliation(s)
- Deirdre M J Walsh
- School of Psychology, National University of Ireland Galway, Galway, Ireland
| | - Todd G Morrison
- Department of Psychology, University of Saskatchewan, Saskatoon, SK, Canada
| | - Ronan J Conway
- School of Psychology, University College Dublin, Dublin, Ireland
| | | | - Francis J Sullivan
- University Hospital Galway, Galway, Ireland.,Prostate Cancer Institute, National University of Ireland Galway, Galway, Ireland
| | - AnnMarie Groarke
- School of Psychology, National University of Ireland Galway, Galway, Ireland
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Nishikawa S, Fujisawa TX, Kojima M, Tomoda A. Type and Timing of Negative Life Events Are Associated with Adolescent Depression. Front Psychiatry 2018; 9:41. [PMID: 29491843 PMCID: PMC5817059 DOI: 10.3389/fpsyt.2018.00041] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2017] [Accepted: 01/30/2018] [Indexed: 11/26/2022] Open
Abstract
Previous studies have demonstrated an association between negative life events (NLEs) in childhood and resilience/posttraumatic growth (PTG) with regard to the pathogenesis of major depressive disorder. We hypothesized that the type and timing of NLEs interact to influence mental health in the general youth population. Therefore, the present study aimed to examine the effects of NLE timing and intensity on current depressive symptoms, and to determine the direct and indirect effects of NLEs/resilience on PTG and depression among non-clinical adolescents. Data were collected from 1,038 high-school students across seven high schools in Fukui, Japan, during their freshman and sophomore years (648 boys and 390 girls, mean age = 15.71, SD = 0.524). Respondents completed a set of questionnaires designed to evaluate the type and timing of NLEs, depressive and traumatic symptoms, and PTG. Cluster analysis was used to divide participants into three groups based on outcomes: "cluster 1" (n = 631), for whom depressive scores were significantly lower than other two subgroups (p < 0.05, for both); "cluster 2" (n = 52), for whom levels of current and past perceived stress associated with NLEs were significantly higher than those of the other two subgroups (p < 0.05, for both); "cluster 3" (n = 374), for whom perceived stress at the time of NLE was significantly higher than that of participants in the cluster 1 (p < 0.05) group, but not the cluster 2 group. Our findings indicated that exposure to NLEs at a younger age resulted in stronger negative outcomes and that NLE timing and intensity were associated with PTG and current symptoms of depression. Furthermore, path analysis demonstrated that associations between perceived stress at the time of NLEs were direct and indirect predictors of current depression via PTG and that posttraumatic stress symptom and PTG mediate the association between NLEs/trait-resiliency and current depression. In conclusion, our findings suggest that event intensity, NLE timing, and gender may play a role in emotional vulnerability during adolescence.
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Affiliation(s)
- Saori Nishikawa
- Research Center for Child Mental Development, Fukui University, Fukui, Japan
| | - Takashi X Fujisawa
- Research Center for Child Mental Development, Fukui University, Fukui, Japan
| | - Masahiko Kojima
- Research Center for Child Mental Development, Fukui University, Fukui, Japan
| | - Akemi Tomoda
- Research Center for Child Mental Development, Fukui University, Fukui, Japan
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Kim JH, Hawley CE, Gonzalez R, Vo AK, Barbir LA, McMahon BT, Lee DH, Lee JH, Lee YW. Resilience From a Virtue Perspective. REHABILITATION COUNSELING BULLETIN 2017. [DOI: 10.1177/0034355217714995] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Resilience refers to one’s ability to adapt and navigate through challenges in the face of a chronic illness and disability (CID). Originally reported in posttraumatic stress literature, resilience has been studied in various contexts; however, very few studies have been conducted from a virtue perspective. Virtue, in psychological terms, is consistent, everyday action toward a worthwhile pursuit, based on one’s values. From a virtue perspective, resilience is defined as a positive by-product of having endured adversities while transforming them into insightful opportunities for renewal. This article introduces the virtue-based psychosocial adaptation model (V-PAM) and its applicability to the study of resilience. College students with CID ( N = 256) were recruited, and their resilience was empirically examined based on the proposed model.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Yun Woo Lee
- Hankook Seonjin School, Gyeonggi-do, South Korea
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Li T, Duan W, Guo P. Character strengths, social anxiety, and physiological stress reactivity. PeerJ 2017; 5:e3396. [PMID: 28584721 PMCID: PMC5452949 DOI: 10.7717/peerj.3396] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2017] [Accepted: 05/09/2017] [Indexed: 01/08/2023] Open
Abstract
In this paper, the effects of character strengths on the physiological reactivity to social anxiety induced by the Trier Social Stress Task were reported. On the basis of their scores in the Chinese Virtues Questionnaire, 30 college students were assigned to either high- (n = 15) or low-character-strength (n = 15) groups. Their psychological stress and physiological data across three laboratory stages (namely, baseline, stress exposure, and post-stress) were collected. Results indicated that individuals with high character strengths exhibited rapid cardiovascular recovery from baseline to post-stress even if high- and low-character-strength groups showed similar patterns of cardiovascular arousal in response to the stress at baseline and stress exposure. These results prove that character strengths are stress-defense factors that allow for psychological and physiological adaptation to stress.
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Affiliation(s)
- Tingting Li
- School of Public Administration and Humanities, Dalian Maritime University, Dalian, Liaoning, P.R. China
| | - Wenjie Duan
- Department of Sociology, Wuhan University, Wuhan, Hubei, P.R. China
| | - Pengfei Guo
- Hospital (T.C.M.) Affiliated to Southwest Medical University, Luzhou, Sichuan, P.R. China
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Correlation Between Posttraumatic Growth and Posttraumatic Stress Disorder Symptoms Based on Pearson Correlation Coefficient: A Meta-Analysis. J Nerv Ment Dis 2017; 205:380-389. [PMID: 27875386 DOI: 10.1097/nmd.0000000000000605] [Citation(s) in RCA: 67] [Impact Index Per Article: 9.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
The literature on posttraumatic growth (PTG) is burgeoning, with the inconsistencies in the literature of the relationship between PTG and posttraumatic stress disorder (PTSD) symptoms becoming a focal point of attention. Thus, this meta-analysis aims to explore the relationship between PTG and PTSD symptoms through the Pearson correlation coefficient. A systematic search of the literature from January 1996 to November 2015 was completed. We retrieved reports on 63 studies that involved 26,951 patients. The weighted correlation coefficient revealed an effect size of 0.22 with a 95% confidence interval of 0.18 to 0.25. Meta-analysis provides evidence that PTG may be positively correlated with PTSD symptoms and that this correlation may be modified by age, trauma type, and time since trauma. Accordingly, people with high levels of PTG should not be ignored, but rather, they should continue to receive help to alleviate their PTSD symptoms.
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Duan W, Bu H. Development and initial validation of a short three-dimensional inventory of character strengths. Qual Life Res 2017; 26:2519-2531. [PMID: 28429239 DOI: 10.1007/s11136-017-1579-4] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/13/2017] [Indexed: 11/30/2022]
Abstract
PURPOSE Character strength is described as a positive and organized pattern of emotions, thoughts, and behaviors. It serves as a schema that organizes categories of information toward the self, others, and the world, and provides the self-aware knowledge that facilitates the pursuit of goals, values, and ethical principles. Recent research has suggested that three reliable factors emerge from the measures of character strengths: caring, inquisitiveness, and self-control. The goal of this paper is to develop a psychometrically sound short measure of character strength. METHODS The questions were addressed in two studies using two independent samples: a cross-cultural (i.e., 518 Asians and 556 Westerners) sample, and a cross-population (i.e., 175 community participants and 171 inpatients) sample in China. RESULTS Findings from the exploratory and confirmatory factor analysis suggested a cross-cultural three-factor model of character strength that could be measured by the Three-dimensional Inventory of Character Strengths (TICS). A multigroup confirmatory factor analysis further indicated that the number of factors and factor loadings was invariant in the medical and community samples. This result indicated that the brief inventory could be applied to a medical context. Internal reliability, content validity, and predictive validity were good, although the predictive validity of the three character strengths for psychological symptoms in the medical sample was more modest than that in the community sample. CONCLUSIONS TICS is expected to be used for screening populations at risk, and a tool to aid mental health professionals in group-based treatment/intervention planning. It also should be noted that this short inventory should be used with caution for individual decision making.
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Affiliation(s)
- Wenjie Duan
- Department of Sociology, Wuhan University, 299 Bayi Road, Wuchang District, Wuhan, Hubei, People's Republic of China.
| | - He Bu
- Department of Sociology, Wuhan University, 299 Bayi Road, Wuchang District, Wuhan, Hubei, People's Republic of China
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Zang Y, Gallagher T, McLean CP, Tannahill HS, Yarvis JS, Foa EB. The impact of social support, unit cohesion, and trait resilience on PTSD in treatment-seeking military personnel with PTSD: The role of posttraumatic cognitions. J Psychiatr Res 2017; 86:18-25. [PMID: 27886636 DOI: 10.1016/j.jpsychires.2016.11.005] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2016] [Revised: 11/04/2016] [Accepted: 11/15/2016] [Indexed: 10/20/2022]
Abstract
BACKGROUND The personal resources of social support, unit cohesion, and trait resilience have been found to be associated with posttraumatic stress disorder (PTSD) severity among military personnel. However, the underlying mechanisms of these relationships are unclear. We hypothesized that negative posttraumatic cognitions, which are associated with PTSD, mediate the relationships between these personal resources and PTSD. METHODS The relationship between PTSD symptom severity and a latent factor comprised of social support, unit cohesion, and trait resilience was evaluated using cross-sectional data from 366 treatment-seeking active duty military personnel with PTSD following deployments to or near Iraq or Afghanistan. Structural equation modeling (SEM) was used to test whether posttraumatic cognitions mediated this relationship. RESULTS The SEM model indicated that (1) a robust latent variable named personal resources (indicated by social support, unit cohesion, and trait resilience) was negatively associated with PTSD severity; (2) personal resources were negatively associated with negative posttraumatic cognitions; (3) negative posttraumatic cognitions fully mediated the association between personal resources and PTSD severity. The final SEM mediation model showed a highly satisfactory fit [χ2 (22) = 16.344, p = 0.798; χ2/df = 0.743; CFI = 1; RMSEA = 0.000]. CONCLUSIONS These findings suggest that among active duty military personnel seeking treatment for PTSD, personal resources (social support, unit cohesion, and trait resilience) may mitigate PTSD severity by reducing negative posttraumatic cognitions.
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Affiliation(s)
- Yinyin Zang
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.
| | - Thea Gallagher
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
| | - Carmen P McLean
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
| | - Hallie S Tannahill
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
| | - Jeffrey S Yarvis
- Headquarters, Carl R. Darnall Army Medical Center, Fort Hood, TX, USA
| | - Edna B Foa
- Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA
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Duan W, Ho SMY. Three-Dimensional Model of Strengths: Examination of Invariance Across Gender, Age, Education Levels, and Marriage Status. Community Ment Health J 2017; 53:233-240. [PMID: 27324904 DOI: 10.1007/s10597-016-0038-y] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2015] [Accepted: 06/15/2016] [Indexed: 11/29/2022]
Abstract
Strengths are positive qualities that significantly contributed to well-being of individuals and community. Therefore, a reliable and valid measure of strengths for research and practice is needed. The Brief Strengths Scale (BSS) is a newly developed tool for measuring the three-dimensional strengths model (i.e., temperance, intellectual, and interpersonal strength). However, empirical support for the measurement invariance of the BSS has not been obtained. This study examined the three-factor structure of BSS across gender, age, education, and marriage groups in a community sample (n = 375) using multi-group confirmatory factor analysis. After removing one item of each subscale from the original version, the revised model provided a good fit to the data at different subgroups. The revised nine-item BSS indicated that measurement invariance across gender and age groups was achieved. In addition, the measurement was more influenced by social-cultural factors than biological factors.
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Affiliation(s)
- Wenjie Duan
- Department of Sociology, Wuhan University, Wuhan, Hubei, China.
| | - Samuel Mun Yin Ho
- Department of Applied Social Sciences, City University of Hong Kong, Kowloon Tong, Hong Kong SAR, China
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Latent Profiles of Posttraumatic Growth and Their Relation to Differences in Resilience among Only-Child-Lost People in China. PLoS One 2016; 11:e0167398. [PMID: 28005990 PMCID: PMC5179078 DOI: 10.1371/journal.pone.0167398] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2016] [Accepted: 11/14/2016] [Indexed: 11/19/2022] Open
Abstract
AIMS Since the early 1980s, the one-child policy has been implemented nationwide in China. A special group called the "only-child-lost family" (OCL family) has emerged and has become a social phenomenon that cannot be ignored. We report latent profiles of posttraumatic growth and their relation to differences in resilience among OCL people in China. METHODS A total of 222 OCL people were investigated using the Posttraumatic Growth Inventory and the Connor-Davidson Resilience Scale. Latent profile analysis was applied to explore PTG latent profiles. Multinomial logistic regression was used to analyze the socio-demographic variables in each latent profile and the association between profile membership and resilience. RESULTS Three latent profiles were identified and labeled the "high appreciation-power group" (30.6%), the "general moderate growth group" (47.7%) and the "low growth and extreme possibility group" (21.7%). Compared to those in the high appreciation-power group, individuals with monthly income >2000 ($312) were less likely to be in the general moderate growth group (OR = 0.13, P<0.01), whereas individuals with a spouse were less likely to be in the low growth and extreme possibility group (OR = 0.43, P<0.01). Individuals in the "general moderate growth group"(OR = 0.92, P<0.01, 95%CI:0.89-0.94) and the "low growth and extreme possibility" groups (OR = 0.83, P<0.01, 95%CI:0.79-0.87) demonstrated significantly lower levels of resilience compared to the high appreciation-power group. CONCLUSION The PTG patterns in only-child-lost parents were varied. Promoting resilience may be a way to foster these parents' PTG. Targeted intervention should be developed based on the characteristics of each latent class, and timely attention must be paid to the mental health of OCL parents who are without a spouse and have low income.
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Vezzali L, Versari A, Cadamuro A, Trifiletti E, Di Bernardo GA. Out-group threats and distress as antecedents of common in-group identity among majority and minority group members in the aftermath of a natural disaster. INTERNATIONAL JOURNAL OF PSYCHOLOGY 2016; 53:417-425. [DOI: 10.1002/ijop.12406] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2016] [Accepted: 11/02/2016] [Indexed: 11/08/2022]
Affiliation(s)
- Loris Vezzali
- Dipartimento di Educazione e Scienze Umane; University of Modena and Reggio Emilia; Modena Italy
| | - Annalisa Versari
- Dipartimento di Educazione e Scienze Umane; University of Modena and Reggio Emilia; Modena Italy
| | - Alessia Cadamuro
- Dipartimento di Educazione e Scienze Umane; University of Modena and Reggio Emilia; Modena Italy
| | - Elena Trifiletti
- Department of Philosophy, Education and Psychology; University of Verona; Verona Italy
| | - Gian Antonio Di Bernardo
- Dipartimento di Educazione e Scienze Umane; University of Modena and Reggio Emilia; Modena Italy
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Zhang Y, Luo X, Che X, Duan W. Protective Effect of Self-Compassion to Emotional Response among Students with Chronic Academic Stress. Front Psychol 2016; 7:1802. [PMID: 27920736 PMCID: PMC5118418 DOI: 10.3389/fpsyg.2016.01802] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2016] [Accepted: 11/01/2016] [Indexed: 11/13/2022] Open
Abstract
The literature has shown that self-compassion is a protective factor of an individual's emotional response to chronic stress. However, this stress-buffering effect has not been completely analyzed in individuals who report significantly high academic stress. The present study explored the role of self-compassion in a group of undergraduate students who experience chronic academic stress. A total of 208 undergraduate students who were preparing for the Postgraduate Entrance Examination (PEE) were recruited and completed the Self-Compassion Scale, Adolescent Self-Rating Life Event Check List, and Positive and Negative Affect Schedule. Differences analysis confirmed that the participants reported significantly higher academic stress than their peers who were not preparing for PEE. Self-compassion positively related to positive affect but negatively related to negative affect and learning stress. Further analysis showed that self-compassion negatively mediated the relationship between chronic academic stress and negative affect. Findings imply that self-compassion-centered interventions can be developed in the educational context to assist students cope with chronic academic stress.
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Affiliation(s)
- Yonghong Zhang
- School of Cultural and Social Development, Southwest University Chongqing, China
| | - Xi Luo
- School of Cultural and Social Development, Southwest University Chongqing, China
| | - Xianwei Che
- Monash Alfred Psychiatry Research Centre, Central Clinical School and the Alfred, Monash University Melbourne, VIC, Australia
| | - Wenjie Duan
- Department of Sociology, Wuhan University Wuhan, China
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Duan W. The benefits of personal strengths in mental health of stressed students: A longitudinal investigation. Qual Life Res 2016; 25:2879-2888. [DOI: 10.1007/s11136-016-1320-8] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/13/2016] [Indexed: 10/21/2022]
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Duan W, Guo P. Association between virtues and posttraumatic growth: preliminary evidence from a Chinese community sample after earthquakes. PeerJ 2015; 3:e883. [PMID: 25870774 PMCID: PMC4393816 DOI: 10.7717/peerj.883] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2014] [Accepted: 03/18/2015] [Indexed: 11/28/2022] Open
Abstract
Objective. Relationship, vitality, and conscientiousness are three fundamental virtues that have been recently identified as important individual differences to health, well being, and positive development. This cross-sectional study attempted to explore the relationship between the three constructs and post-traumatic growth (PTG) in three directions, including indirect trauma samples without post-traumatic stress disorder (PTSD), direct trauma samples without PTSD, and direct trauma samples with PTSD. Methods. A total of 340 community participants from Sichuan Province, Mainland China involved in the study, most of which experienced Wenchuan and Lushan Earthquake. Participants were required to complete the self-reported questionnaire packages at one time point for obtaining their scores on virtues (Chinese Virtues Questionnaire), PTSD (PTSD Checklist-Specific), and PTG (Post-traumatic Growth Inventory-Chinese). Results. Significant and positive correlations between the three virtues and PTG were identified (r = .39–.56; p < .01). Further regression analysis by stepwise method reveled that: in the indirect trauma samples, vitality explained 32% variance of PTG. In reference to the direct trauma sample without PTSD, both relationship and conscientiousness explained 32% variance of PTG, whereas in the direct trauma sample with PTSD, only conscientiousness accounted for 31% the variance in PTG. Conclusion.This cross-sectional investigation partly revealed the roles of different virtues in trauma context. Findings suggest important implications for strengths-based treatment.
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Affiliation(s)
- Wenjie Duan
- Department of Applied Social Sciences, City University of Hong Kong , Hong Kong , China
| | - Pengfei Guo
- Hospital (T. C. M) Affiliated to Luzhou Medical College , Luzhou, Sichuan , China
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