• Title/Summary/Keyword: Post-traumatic Growth (PTG)

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Post-traumatic Stress Disorder and Post-traumatic Growth in Breast Cancer Patients - a Systematic Review

  • Parikh, Darshit;Ieso, Paolo De;Garvey, Gail;Thachil, Thanuja;Ramamoorthi, Ramya;Penniment, Michael;Jayaraj, Rama
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.2
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    • pp.641-646
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    • 2015
  • Breast cancer (BC) is potentially a traumatic stressor which may be associated with negative outcomes, such as post-traumatic stress disorder (PTSD) or positive changes, such as post-traumatic growth (PTG). This study aims to identify the core issues of BC related PTSD, PTG and psychological distress by interrogating the literature in BC survivors. We have also highlighted issues related to the assessment, diagnosis and clinical management of PTSD and PTG. The authors systematically reviewed studies published from 1985 to 2014 pertaining to PTSD, psychological distress and PTG in BC survivors with particular attention paid to incidence rates and causative factors. Multiple studies intimated that women with BC have evidence of PTSD at the initial stages of diagnosis, whereas PTG develops once patients undergo treatment. Early diagnosis and treatment of PTSD/PTG is paramount from literature review but the previously mentioned relationship between PTSD and PTG in BC patients could not be verified. It is evident from the literature that a small percentage of BC patients experience PTSD, while the majority experience PTG after BC diagnosis and treatment. Future research should include prospective studies focusing on high-risk patients, causative factors and the development of psychological interventions.

Post-traumatic Growth and it's associations with Deliberate Rumination, Self-disclosure, and Social Support among Intensive Care Unit Nurses (중환자실 간호사의 의도적 반추, 자기 노출, 사회적 지지가 외상 후 성장에 미치는 영향)

  • Min, Sae Mi;Kim, Hee Jun;Kim, Chun-Ja;Ahn, Jeong-Ah
    • Journal of Korean Critical Care Nursing
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    • v.15 no.2
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    • pp.50-63
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    • 2022
  • Purpose : This study aimed to identify intensive care units (ICU) nurses' experience of traumatic events, deliberate rumination, self-disclosure, social support, and post-traumatic growth (PTG), and to explore relationships among the variables. Methods : Participants were 157 nurses who have provided direct patient care for six months or more in ICUs at a university hospital. Collected data were analyzed using descriptive statistics, independent t-tests, one-way ANOVAs, Pearson correlations, and multiple linear regressions using the SPSS/WIN version 23.0. Results : The PTG was found to be significantly associated with deliberate rumination (r=0.36, p<.001), self-disclosure (r=0.39, p<.001), and social support (r=0.54, p<.001). Factors that affect PTG significantly were found in the order of social support (𝛽=0.40, p<.001), self-disclosure (𝛽=0.25, p<.001), and deliberate rumination (𝛽=0.24, p<.001). The final regression model explained 40.1% of the variance of PTG (F=26.33, p<.001). Conclusion : The influencing factors identified in this study on PTG, including social support, self-disclosure, and deliberate rumination should be included in programs to promote PTG for ICU nurses who may experience traumatic events repeatedly.

Have you Exposure to a trauma and No PTSD? Which factors help and which are not?

  • Bulathwatta, Asanka;Witruk, Evelin;Reschke, Konrad
    • The Korean Journal of Food & Health Convergence
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    • v.5 no.1
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    • pp.21-31
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    • 2019
  • Exposure to a traumatic events gives people many post traumatic conditions resulting Post Traumatic Stress Disorder (PTSD) or Post Traumatic Growth (PTG). Some of them may come up with acute Stress Disorder and some may having with grievances. But most of people overcome their traumatic condition with using their Emotional Intelligence and Resilience capacities. This article is focused on indicating basic mechanisms and resources in which can be lead to have better social rehabilitation along with the matters that can be important in trauma coping. The later part of the article appeals the concept of social work theory highlighting the psych dynamic approach which can be impact positively on psycho social rehabilitation. Traumatic experiences are really unpredictable and it can be resulted Post Traumatic Stress Disorders, Post traumatic growth in the end. But developing skills that required to overcoming trauma is facilitated by the Emotional Intelligence, Resilience, and Coping capacities that people having with. Exposure to a traumatic experience and not having a PTSD is determined by the many other factors such as social support system and government facilitation of the wellbeing afterwards the trauma. Here in this article the basic components of Emotional Intelligence, Resilience, and coping mechanisms have been considered as the major factors.

A Structural Model on the Post-Traumatic Growth of Police Officers (경찰공무원의 외상 후 성장 구조모형)

  • Han, Seung Woo;Choi, Eun Suk
    • Research in Community and Public Health Nursing
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    • v.31 no.3
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    • pp.348-359
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    • 2020
  • Purpose: The purpose of this study is to construct and test a structural model for the Post-traumatic Growth (PTG) of police officers. The conceptual model is based on Calhoun and Tedeschi's PTG theory. Methods: Data were collected from 269 police officers working at 10 police stations in Seoul from September 26 to October 9, 2017. The exogenous variable was traumatic experiences, and endogenous variables were pain perception, self disclosure, social support, deliberate rumination, and PTG. The collected data were analyzed in order to calculate the direct and indirect effects of factors affecting PTG using SPSS/WIN 23.0 and AMOS 21.0. Results: The hypothetical model showed a good fit to the data: 𝑥2/df=2.57, GFI=.90, CFI=.95, TLI=.91, RMSEA=.07, SRMR=.07. The hypothetical model showed a similar result with the data, and out of 10 paths, 7 were statistically significant. The model explained 36% of the variance in the PTG of police officers. The model confirmed that social support and deliberate rumination had a direct effect, and that self-disclosure had an indirect effect on police officers' PTG. Conclusion: Nursing intervention programs to increase PTG of police officers should focus on deliberate rumination, social support, and self-disclosure. In addition, they should be accompanied by various crisis managements and consultations that can promote PTG.

Latent Profile Analysis of PTSD symptoms and PTG among Adults in South Korea: the Differences in Binge Eating, Non-Suicidal Self-Injury, and Problem Drinking Behaviors (잠재프로파일분석(LPA)을 활용한 PTSD 증상과 외상 후 성장 수준의 양상: 폭식, 비자살적 자해, 문제성 음주행동에서의 차이)

  • DeokHee Lee;DongHun Lee;HayoungJung
    • Korean Journal of Culture and Social Issue
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    • v.25 no.4
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    • pp.325-351
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    • 2019
  • The present study examined patterns of co-occurrence between DSM-5 posttraumatic stress disorder(PTSD) symptoms and posttraumatic growth(PTG) among Korean populations(n= 860). Latent profile analysis was used to identify subclasses and suggested that the 3-class model fit best: (1) Low PTSD/Mild PTG group (2) Low PTSD/High PTG group; (3) High PTSD/High PTG group. Class membership was predicted by demographic variables, social isolation, and frequency of traumatic experiences. Classes also differed with respect to self-destructive behaviors(binge eating, non-suicidal self-injury, and problem drinking). These findings contribute to future research about the coexisting patterns of PTSD and PTG, and to identify high-risk individuals who suffer from trauma-related problems in clinical practice.

Posttraumatic Growth and Social Support in Turkish Patients with Cancer

  • Tanriverd, Derya;Savas, Esen;Can, Ganime
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.9
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    • pp.4311-4314
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    • 2012
  • Posttraumatic growth (PTG) is the experience of positive change that occurs as a result of the struggle with highly challenging life crises. The need to understand PTG in relation to actual changes in an individual's life has recently been raised. Little is known about the role of social support in the experience of positive outcomes. The purpose of this study is to investigate the role of perceived social support in enhancing PTG in cancer patients. This study involved 105 cancer patients. The data were collected using a questionnaire that determined the socio-demographic features, posttraumatic growth inventory (PTGI) and perceived social support. Participants reported relatively high levels of PTG and social support. Total perceived social support, support from family, and friends were significantly positive associated with the development of PTG among cancer patients. Accordingly, the social surroundings of the patient should be informed about the importance of social support and how it helps the patient; they should be made aware of necessity of social support.

The Effect of Positive Psychotherapy(PPT) programs on Participants' Happiness and Resilience

  • WOO, Moon-Sik;WOO, Jung-Hyen;YANG, Hoe-Chang
    • The Journal of Economics, Marketing and Management
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    • v.10 no.5
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    • pp.15-24
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    • 2022
  • Purpose: The purpose of this study is to find a way to improve and overcome the psychological treatment limited to the negative factors dealt with in psychology from a positive psychological point of view. To this end, this study aims to verify whether a positive psychotherapy program can improve happiness, resilience, and post-traumatic growth along with improvement of psychological symptoms such as depression. Research design, data and methodology: To this end, in this study, mean difference analysis was conducted using t-test on 10 participants in the 16th PPT program and 14 in the control group. Also, after setting the main variables, we tried to confirm the effectiveness through simple regression analysis and multiple regression analysis of the causal relationship model. Results: As a result of the independent sample t-test and the paired sample t-test, it was confirmed that the group participating in the PPT program had higher flourish, happiness, resilience, post-traumatic growth, and lower depression. In addition, as a result of regression analysis, it was confirmed that post-traumatic growth had a positive effect, and that depression was a life-threatening factor. Conclusions: Since the PPT program has a positive effect on the participants with relatively negative psychological symptoms, it is necessary to expand it. In addition, it is necessary to introduce various preventive programs such as PPT as well as traditional psychological treatment for negative symptoms such as depression.

Factors Influencing Posttraumatic Growth in Survivors of Breast Cancer (유방암생존자의 외상 후 성장에 영향을 미치는 요인)

  • Park, Jin-Hee;Jung, Yong-Sik;Jung, Youngmi
    • Journal of Korean Academy of Nursing
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    • v.46 no.3
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    • pp.454-462
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    • 2016
  • Purpose: Posttraumatic growth (PTG) is defined as 'positive psychological change experienced as a result of a struggle with highly challenging life circumstances'. The purpose of this study was to identify the level of PTG and its correlates in Korean patients with breast cancer. Methods: A sample of 120 participants was recruited from outpatients, who had successfully completed primary treatment of breast cancer at a university hospital., Data were collected from June to December, 2014 using Posttraumatic Growth Inventory, Illness Intrusiveness Rating Scale, Cancer Coping Questionnaire, Revised Life Orientation Test and The Multidimensional Scale of Perceived Social Support. Results: Total score for the PTG was $79.18{\pm}17.54$ in patients surviving breast cancer. Bivariate analyses indicated that PTG was positively associated with having a religion, perceived social support, greater optimism, cancer coping, and illness intrusiveness. Results of the regression analysis showed that cancer coping (${\beta}=.29$, p=.001), optimism (${\beta}=0.28$, p=.001) and illness intrusiveness (${\beta}=0.17$, p=.037) were statistically significant in patients' PTG. Conclusion: The research findings show that the variables of cancer coping, optimism and illness intrusiveness significantly explain PTG and these psychological variables can be used to provide improvement in PTG for patients with breast cancer.

From Trauma To growth: Posttraumatic Growth Clock (외상 후 병리에서 성장으로: 외상 후 성장 시계)

  • Lee, Hong-Seock
    • Korean Journal of Cognitive Science
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    • v.27 no.4
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    • pp.501-539
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    • 2016
  • The human mind is a self-evolving system that develops along a multidimensional hierarchical pathway in response to traumatic stimulus. In absence of trauma, a mind integrated in conflict-free state is called monistic. When the monistic mind responses to a traumatic stimulus, a response polarity forms toward stimulus polarity within the mind, turning it into a bipartite structure. Dialectical interaction between the two opposites, originating from their incompatibility, creates a new third polarity in the upper dimension. Thereby, the mind turns into a trinity structure. When the interaction among the three polarities becomes optimized, the plasticity of the mind gets maximized into the "far-from-equilibrium state," and the function of three polarities is synchronized. Through this recalibration, the mind returns back to its monistic structure. If the mind with the recurred monistic structure responds to another traumatic stimulus, this cycle of hierarchical transformation repeats itself in this cyclical and fractal growth process through synchronization of basic trinity system. Applying this concept to the process of post-traumatic growth (PTG), this paper explores how the mind transforms traumatic experiences into PTG and proposes a 'PTG Clock' that shows a fundamental sequence in the development of the human mind. The PTG Clock consists of seven hierarchical phases, and each of the first six phases has two opposite sub-phases: shocked/numbed, feared/intrusive, paranoid/avoidant, obsessional/explosive, dependent/depressive, and meaningless/searching for meaning. The seventh, the synchronization phase, completes one cycle of the mind's transformation, realizing a grand trinity system, where the mind synchronizes its biological, social, and existential dimensions. At that point, the mind becomes more susceptible to not only the stimulus of its own traumatic experience but also the pain of others. Thereby, the PTG Clock sets out on a journey to another cycle of transformation in higher dimensions. The validity of this transformational process for the PTG Clock will be examined by comparing it to Horowitz's theory of stress response syndrome.

Convergence Factors to Posttraumtic Growth in Female Urogenital Neoplasm Survivors (여성생식기 암 대상자의 외상 후 성장을 위한 융합적 관련 요인)

  • Kang, Hye-Kyung
    • Journal of the Korea Convergence Society
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    • v.8 no.10
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    • pp.115-124
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    • 2017
  • The purpose of the study was to investigate the convergence factors to posttraumatic growth(PTG) in survivors with female urogenital neoplasm survivors. A self-reported questionnaire was completed by 141 female urogenital neoplasm survivors via e-mail from September to October, 2016. The questionnaire consisted of PTG inventory, illness intrusiveness rating scale, cancer coping, family cohesion evaluation scale, and medical outcomes study social support survey. The data were analyzed by ANOVA, Pearson-correlation coefficient, and multiple regression analysis. Total score of PTG was 84.13points and statistically significant according to age, religion, marital status and positively associated with coping, family cohesion and social support. Results of the regression analysis showed religion(${\beta}=.127$), marital status(${\beta}=.081$), coping(${\beta}=.232$) and family cohesion(${\beta}=.415$), it were explained 44.7%. This study indicates that it is important to understand general characteristics of personal. And a convergent approach is needed to promote PTG by hospital and community.