• Title, Summary, Keyword: posttraumatic growth

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Effects of Psychological Acceptance and Social Support on Posttraumatic Growth in Stomach Cancer Patients (위암 환자의 심리적 수용, 사회적 지지가 외상 후 성장에 미치는 영향)

  • Cho, Hyun Mi
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.3
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    • pp.265-274
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    • 2019
  • Purpose: The purpose of this study was to identify the effects of psychological acceptance and social support on posttraumatic growth in stomach cancer patients. Methods: The questionnaires were administered from January 14 to February 11, 2015 to 123 subjects who had stomach cancer surgery six months prior. SPSS statistics 21.0 software was used to analyze the data for t-test, ANOVA, Pearson's correlations, Scheffé test and multiple regression analysis. Results: The results of this study are as follows: The major factors related to posttraumatic growth included gender (t=-2.72, p=.007), age (r=-.21, p=.016), having a religion (t=-3.40, p<.001), perceived importance of religion (r=.43, p<.001), seriousness of cancer diagnosis (r=.25, p=.005) and impact of cancer diagnosis (r=.32, p<.001). There were significant relationships between psychological acceptance (r=.18, p=.041) and social support (r=.32, p<.001) on posttraumatic growth. Significantly influential factors of posttraumatic growth were age (β=-.19, p=.021), perceived importance of religion (β=.41, p<.001) and family support (β=.29, p<.001), which together accounted for 36.5% of the variance in posttraumatic growth. Conclusion: The result of current study indicated that age, importance of religion, and family support influenced posttraumatic growth. Based on the findings of this study, developing nursing intervention programs focusing on increasing posttraumatic growth in stomach cancer patients is recommended.

Factors Influencing Posttraumatic Growth in Fathers of Chronically ill Children (만성질환아 아버지의 외상 후 성장에 영향을 미치는 요인)

  • Kim, Mi Young
    • Journal of Korean Academy of Nursing
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    • v.45 no.6
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    • pp.890-899
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    • 2015
  • Purpose: The purpose of this study was to identify the level of distress and posttraumatic growth in fathers of chronically ill children and also, to identify the relation between characteristics of the fathers and children and their posttraumatic growth and to investigate factors that influence posttraumatic growth. Methods: In this study, 48 fathers who visited a university hospital in Seoul, Korea and who gave written consent completed the questionnaire between September 23 and November 19, 2013. Data were analyzed using Mann-Whitney U test, Kruskal-Wallis test, Pearson correlation coefficient and stepwise multiple regression. Results: The level of distress in fathers of chronically ill children was relatively high and the majority of them were experiencing posttraumatic growth. Models including the variable (deliberate rumination, religiousness, optimism) explained 64.3% (F=26.38, p <.001) of the variance for posttraumatic growth. Deliberate rumination (${\beta}=.59$, p <.001) was the most influential factor. Conclusion: The findings demonstrate that it is essential for nurses to intervene and facilitate continuously so as to promote posttraumatic growth and relieve distress in fathers of chronically ill children. Furthermore, it is also necessary for nurses to find ways to develop ideal interventions to activate deliberate rumination and offer spiritual care and help maintain optimism in these individuals.

Factors Influencing Posttraumatic Growth of North Korean Defectors in South Korea (북한이탈주민의 외상 후 성장에 영향을 미치는 요인)

  • Kim, Yun Ah;Kim, MiYoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.332-338
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    • 2016
  • This study examined the posttraumatic growth of North Korean defectors, the relation between their characteristics and posttraumatic growth and the factors influencing their posttraumatic growth, and explored methods of improving their mental health status. 145 North Korean defectors, who were trained in B city and G city, participated in the survey from February 1 to March 10, 2016. The posttraumatic growth, resilience, self-esteem, deliberate rumination, and impact of the (traumatic) event were measured using the PTGI (Posttraumatic Growth Inventory), RS (Rumination Scale, Resilience Scale), SES (Self-esteem Scale) and ISR (Impact of Event). The data were analyzed using the t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression. The mean scores were 29.64 for posttraumatic growth. There were significant positive correlations between posttraumatic growth and resilience and between posttraumatic growth and rumination. The influence of the independent variables on the total posttraumatic growth was examined using regression analysis. Models including the variables (resilience, positive self-esteem, and rumination) explained 54.2% of the variance for the posttraumatic growth. These findings demonstrate that it is essential for nurses to continuously intervene and help North Korean defectors so as to promote their posttraumatic growth and resilience. Furthermore, it is also necessary for nurses to find ways to develop ideal interventions in order to activate deliberate rumination.

The Effects of Resilience and Posttraumatic Growth on Posttraumatic Stress Symptoms in Korean Firefighters (소방공무원의 탄력성과 외상후성장이 외상후스트레스 증상에 미치는 영향)

  • Won, Sung-Doo;Jung, Young-Eun;Chae, Jeong-Ho;Park, Joo Eon
    • Anxiety and mood
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    • v.12 no.1
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    • pp.28-33
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    • 2016
  • Objective : One of the aims of this study was to confirm the relationship in firefighters who have a high risk of developing posttraumatic stress disorder. We also explored the mediation effects of resilience and posttraumatic growth (PTG) on the association between traumatic experiences and posttraumatic stress symptoms. Methods : A total of 677 firefighters were assessed in terms of the intensity of job-related traumatic experiences using the Visual Analogue Scale. They completed the Korean version of the Posttraumatic Growth Inventory (PTGI), the Korean version of the Impact of Event Scale-Revised (IES-R), and the Korean version of the 10-item Connor-Davidson Resilience Scale (CD-RISC-10). Results : The intensity of traumatic experiences was significantly negatively related to the CD-RISC-10 score, but it was positively related to the PTGI and the IES-R scores. The CD-RISC-10 score had a significantly positive correlation with the PTGI score, but it was negatively correlated to the IES-R score. Path analyses revealed that resilience and PTG independently mediated the association between traumatic experiences and posttraumatic stress symptoms. Conclusion : These results suggest that traumatic experiences contribute to posttraumatic stress symptoms and that these impacts may be mediated through resilience and PTG.

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Posttraumatic Growth of Adolescents with Childhood Leukemia and their Parents

  • Hong, Sungsil;Park, Ho Ran;Choi, Sun Hee
    • Child Health Nursing Research
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    • v.25 no.1
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    • pp.9-16
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    • 2019
  • Purpose: Childhood leukemia is a serious trauma affecting both adolescents and their parents, who experience painful process. However, adolescents with leukemia and their parents also experience positive changes, which is referred to as posttraumatic growth. We examined posttraumatic growth, core beliefs, impact of event, and event-related rumination in adolescents within 5 years of a diagnosis of childhood leukemia and their parents. Methods: The participants were 68 adolescents with childhood leukemia (aged 13~18 years) and their parents, who were recruited from C university hospital in Korea from May to September 2016. The Posttraumatic Growth Inventory, Core Belief Inventory, Impact of Event Scale-Revised, and Event-related Rumination Inventory were completed by the adolescents and their parents. The mean scores and correlations between variables were investigated for both set of participants. Results: Parents showed significantly higher levels of posttraumatic growth, disruption of core beliefs, impact of event, and invasive rumination than adolescents. Disruption of core beliefs and deliberate rumination were positively correlated with posttraumatic growth in both groups. Conclusion: Nursing intervention programs that involve modifying core beliefs and inducing a positive thought can help adolescents with leukemia and their parents grow after traumatic events.

Viewpoints of Family Caregivers about Posttraumatic Growth in Cancer Patients

  • Tahory, Hale;Mohammadian, Robab;Rahmani, Azad;Seyedrasooli, Alehe;Lackdezajy, Sima;Heidarzadeh, Mehdi
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.2
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    • pp.755-758
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    • 2016
  • Background: There is little information about the objectivity of posttraumatic growth experienced by cancer patients. So, the aim of present study was to investigate the viewpoints of family caregivers regarding posttraumatic growth in cancer patients. Materials and Methods: This descriptive study was conducted in one referral medical center in East Azerbaijan Province in northwest of Iran. 120 primary family caregivers of cancer patients participated with a convenience sampling method. The Posttraumatic Growth Inventory (PTGI) and Perception about Prognosis Scale (PPS) were applied for data collection with analysis performed using SPSS statistical software. Results: Family caregivers believed that their patients had a good prognosis (score 3.95 from 5). The total score of PTGI was 60.7 (SD=18.8) that indicates a moderate level of growth as reported by family caregivers. Conclusions: Family caregivers of cancer patients have incorrect viewpoints about the prognosis of their patients and reported moderate levels of growth. These findings showed that posttraumatic growth among cancer patients is an objective phenomenon.

Influence of Hope, Core beliefs and Social support on Posttraumatic growth in Mothers of Chronically Ill Children (만성질환아 어머니의 희망, 핵심신념, 사회적 지지가 외상 후 성장에 미치는 영향)

  • Kim, Mi Young;Kim, Keum-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.4
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    • pp.493-502
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    • 2012
  • Purpose: The purpose of this study was to identify the influence of hope, core beliefs, and social support on the posttraumatic growth of mothers with chronically ill children. Methods: In this study, 94 mothers who gave written consent completed the questionnaires between July 21 and July 31, 2012 when they visited a university hospital in Seoul, Korea. Data were analyzed using t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression. Results: Hope, core belief and social support had positive correlations with posttraumatic growth. Models including these variables explained 64.8% (F=55.276, p<.001) of the variance for posttraumatic growth. Hope (${\beta}$=.441, p<.001) was the most influential factor. Conclusion: The findings demonstrate that it is essential for nurses to mediate and facilitate posttraumatic growth of mothers caring for chronically ill children. Furthermore, there is an need to develop and implement new strategies in clinical practice that will result in improvements in posttraumatic growth.

A Structural Equation Model of Factors Influencing Posttraumatic Growth of Earthquake Victims (지진 피해자의 외상 후 성장에 영향을 미치는 요인들 간의 구조모형)

  • Kwak, Minyeong
    • Journal of Korean Academy of Community Health Nursing
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    • v.30 no.3
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    • pp.345-356
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    • 2019
  • Purpose: The purpose of this study is to construct and test a structural equation model of posttraumatic growth (PTG) of earthquake victims based on Tedeschi and Calhoun's model (2004). Methods: Data were collected from 195 earthquake victims living in K. City. The exogenous variables include distress perception, resilience, and social support, and the endogenous variables include intrusive rumination, deliberate rumination, and posttraumatic growth. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed. Results: The modified model showed a good fitness to the data. Moreover, 6 of the 9 paths of the final model were statistically significant, which include PTG affected by deliberate rumination (${\beta}=.58$, p<.001), resilience (${\gamma}=.18$, p=.001), and distress perception (${\gamma}=.20$, p=.002). These predictors explain 51.8% of variance in posttraumatic growth. Conclusion: Based on the results of this study, it is necessary to develop and disseminate preventive intervention programs to increase the resilience of earthquake-prone communities. In addition, after exposure to a community-scale traumatic event such as earthquake, we should provide social supports to alleviate distress perception and transition from intrusive rumination to deliberate rumination so that we can seek new meaning from the earthquake and facilitate posttraumatic growth.

A Qualitative Study on the Posttraumatic Growth Experience of Firefighters after Colleague's Suicide (소방공무원의 동료자살 이후 외상 후 성장 경험에 관한 질적연구)

  • Kwak, Min-Yeong
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.303-312
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    • 2019
  • The purpose of this study was to describe the semantic system and process of posttraumatic growth experience of firefighters after colleague's suicide. Grounded theory methodology based on symbolic interactionism was utilized. The subjects of this study were 7 firefighters who experienced the colleague's suicide. Data were collected by using in-depth interviews from October 1 to November 30, 2015. The results showed that "Gradually becoming more resilient" was analyzed to be the core category of firefighters' posttraumatic growth. We derived four categories and nine subcategories. Based on the results, it is necessary to develop a convergence intervention program to promote posttraumatic growth of firefighters exposed to various traumatic events.

Effects of Hope and Self-Efficacy on Posttraumatic Growth in Mothers of Children with Cancers (소아암 환아 어머니의 희망, 자기효능감이 외상 후 성장에 미치는 영향)

  • Jeon, Ji Eun;Kim, Miyoung
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.2
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    • pp.142-151
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    • 2016
  • Purpose: The aim of this study was to identify the effects of hope and Self-efficacy on posttraumatic growth in mothers of children with cancers. Methods: A descriptive research design was used and 102 mothers participated in the study. They were primary care givers of children with cancers who were being treated at a tertiary care hospital in Seoul. A structured questionnaires which measured the degree of hope, self-efficacy, and posttraumatic growth was used for data collection. Data analysis was conducted using descriptive statistics, independent t-test, one-way analysis of variance, Pearson correlation coefficient, and multiple regression. Results: There were positive correlations between posttraumatic growth and hope (r=.44, p<.001) as well as self-efficacy (r=.33, p=.003). The major predictors of posttraumatic growth were religion (${\beta}=0.29$, p=.001), only child or first child (${\beta}=-0.25$, p=.015), the number of children in the family (${\beta}=0.25$, p=.016), and hope (${\beta}=0.38$, p=.001). This model explained about 30.4% of the total variables found in posttraumatic growth (F=9.84, p<.001). Conclusion: The findings from this study show that posttraumatic growth in mothers of children with cancers is largely predicted by hope indicating a need to develop nursing intervention programs to enhance hope in these mothers.