The current study aimed to examine two potential positive outcomes of an earthquake experience, namely posttraumatic growth (PTG) and earthquake preparedness behavior. Variables that may be related to PTG and earthquake preparedness behavior were examined after earthquake victimization by using two models, which were the Person Relative to Event (PrE) Model (Mulilis &amp / Duval, 1997) to understand earthquake preparedness behavior, and Model of Life Crises and Personal Growth (Schaefer &amp / Moos, 1992) to understand PTG. In order to examine earthquake preparedness behavior, the roles of demographic variables, event-related variables, cognitive appraisal factors, and coping strategies, and in order to examine PTG, environmental factors, system factors, event related factors, earthquake specific coping and cognitive appraisal factors, and general ways of coping responses factors were examined. Data was collected by a questionnaire consisting of three parts. The first part was a socio-demographic information form. The second part of the questionnaire included set of items designed to examine past earthquake experience, the severity of past earthquake experience and reasons to prepare for a possible future earthquake. The third part of the questionnaire consisted of eight scales. These scales were Ways of Coping Inventory (WCI) to measure coping strategies used in stressful situations, Revised and Translated Mulilis-Lippa Earthquake Preparedness Scale (MLEPS) to measure the level of earthquake preparedness behavior, perceived difficulty and perceived effectiveness of being prepared, Religiousness Scale (RS) to measure the level of religious resources of participants, The Multidimensional Scale of Perceived Social Support (MSPSS) to measure perceived adequacy of social support, The Quality of Life Scale (WHOQOL) to measure the quality of life of the participants, Psychological Well-Being Scale to measure the level of psychological well-being of participants, Traumatic Stress Symptom Checklist (TSSC) to measure posttraumatic stress, and Post-traumatic Growth Inventory (PTGI) to measure stress-related growth. One hundred ninety nine adults (105 females and 94 males with an age range of 18 to 73) were participants of the study. The participants were from Kaynasli, D&uuml / zce. The participants were selected on the basis of their age, gender, and the type of their houses. They were contacted through home visits. In the result section, the level of the different categories of earthquake preparedness behavior, self-efficacy and outcome efficacy / the reasons of preparedness and nonpreparedness for earthquakes, the variables related to earthquake preparedness behavior and PTG were presented. Hierarchical regression analysis results revealed that perceived responsibility to prepare for earthquakes, outcome efficacy, and problem-focused coping were positively and posttraumatic stress was negatively related to earthquake preparedness behavior. As a result of the regression analysis, it was found that being married, perceived social support, well-being, problem-focused coping, and seeking social support coping were significant predictors of the level of PTG. The results of regression analysis also showed that, general problem focused coping was more efficient than earthquake specific active coping after earthquake victimization for the development of PTG. The results of the study were discussed within the relevant literature, shortcomings of the current study, clinical implications and suggestions for future research were proposed.

The aim of the study was to test three mediation and a moderation models in order to investigate the mediating role of coping styles and both mediating and moderating roles of perceived social support between dispositional hope-posttraumatic growth/PTSD relationships among postoperative breast cancer patients. Accordingly, it was hypothesized that 1) Problem-focused coping styles (PFC) would mediate the relationship between dispositional hope and posttraumatic growth among postoperative breast cancer patients. 2) Emotion-focused coping style (EFC) would mediate the relationship between dispositional hope and posttraumatic stress disorder among postoperative breast cancer patients. 3) Perceived social support would mediate the relationship between dispositional hope and posttraumatic growth among postoperative breast cancer patients. 4) Perceived social support would moderate the relationships between dispositional hope and posttraumatic growth among postoperative breast cancer patients. The study was conducted with 73 postoperative breast cancer women (mean age = 44.44, SD = 7.43) who were undergoing postoperative chemotherapy and radiotherapy. Participants were from different cities but receiving treatment from Dr. Abdurrahman Yurtaslan Ankara Oncology Education and Research Hospital. Measurements were applied orally to participants. According to results of the study, PFC did not mediate the relationship between dispositional hope and PTG and its subscales. Similarly, the relationship between dispositional hope and PTSD and its subscales was not mediated by EFC. Beside, perceived social support and its sources did not mediate the relationship between dispositional hope and PTG and its subscales. However, perceived social support and perceived social support from friend moderated the relationship between dispositional hope and PTG. Results, limitations, clinical implications of the study and directions for future studies were discussed in the light of the literature.

Many survivors of sexual trauma describe the forensic rape exam as a second rape (Campbell et al., 1999; Parrot, 1991). Rape crisis medical advocates (RCMAs) assist survivors through this process, a time of particular vulnerability to retraumatization (Resnick, Acierno, Holmes, Kilpatrick, & Jager, 1999), by providing emotional support, education, and advocacy for comprehensive and respectful services. Campbell (2006) stated that the primary role of the RCMA is to reduce victim-blame, or the tendency to blame the victim of a crime for the crime or the circumstances leading up to it. The literature has consistently shown that survivors who worked with RCMAs received more medical and legal services and were less likely to feel revictimized (Campbell, 2006; Resnick et al., 1999; Wasco et al., 2004), but the impact of the work on RCMAs has not been sufficiently examined. Previous research has shown that many advocates experienced anger and fear in relation to the work (Wasco & Campbell, 2002), that RCMAs who witnessed more victim-blame reported less satisfaction with the work and lower levels of affective commitment to the job (Hellman & House, 2006), and that professional counselors who worked with trauma survivors reported higher levels of vicarious trauma than those who did not (Schauben & Frazier, 1995). Other researchers have shown that counselors who worked with trauma survivors reported higher traumatic stress than those who did not, and counselors who worked with victims of sexual trauma endorsed more disruptive beliefs about self, others, and the world (Bober & Regehr, 2005). However, the appropriateness of generalizing results observed among counselors to RCMAs is unclear. The purpose of this study was to examine possible predictors of RCMAs’ experiences of vicarious trauma (VT) and vicarious post-traumatic growth (VPTG). Since a great deal of research examining the effects of trauma on care-providers focuses on individual-level contributing variables like personality style, coping skills, and history of victimization (Kelley, Schwerin, Farrar, & Lane, 2005; King, King, Fairbank, & Adams, 1998; Pearlman & Mac Ian, 1995), in this study I examined the predictive ability of several environmental/contextual/systemic variables on RCMAs ratings of VT and VPTG, including caseload, amount of formal individual and group supervision received, ratings of social community at work, meaning of the work, emotional demands of the work, and perceptions of witnessing VB by police and medical staff. One hundred and sixty-four RCMAs participated in this internet-based survey research. A series of hierarchical regression analyses demonstrated that higher ratings of VT were predicted by younger age, lower amounts of formal group supervision received, and lower ratings of the social community at work and the meaning of the work. Ratings of VPTG were significantly and positively predicted by amount of formal individual supervision received, and negatively predicted by age and educational achievement. Interpretations and recommendations are provided to assist rape crisis agencies in supporting RCMAs in their work.

The high prevalence of sexual abuse suffered by women as children is well documented, both internationally and in South Africa. The life outcomes of women who had experienced childhood sexual abuse are generally reported as adverse, yet some of these survivors manage to overcome the abusive relationship and experience positive changes in themselves and their lives. Emerging trauma literature thus supports a philosophical shift from a pathogenic to a autogenic paradigm in which the focus is on positive and adaptive post trauma outcomes. Previous trauma models, which were based on a pathogenic model, are now shifting to a positive psychology trend by incorporating a salutary component, which includes a spiritual and existential dimension as well as an area of potential emerging growth. Information on the constructive coping behaviours, posttraumatic growth and psychological well-being of women who had experienced childhood sexual abuse can lead to the formulation of guidelines with strategies for an intervention programme that can facilitate and enhance coping, posttraumatic growth and psychological well-being in survivors of childhood sexual abuse. This research investigated the coping behaviours, posttraumatic growth and psychological well-being of women who had experienced childhood sexual abuse. The research was carried out in South Africa in the greater Gauteng Province and surrounding areas, with women who had experienced sexual abuse in childhood. A mixed method research design was used in which: the first phase was quantitative research conducted with validated psychometric instruments measuring coping behaviour, posttraumatic growth and psychological well-being. These instruments were the COPE (Coping Self-efficacy Scale), the Posttraumatic Growth Inventory, the Mental Health Continuum, Rosenberg’s Self-esteem Scale and the General Health Questionnaire. The second phase was of a qualitative nature, and explored the stories and experiences of women identified as coping constructively, manifesting posttraumatic growth and psychological well-being, by using semi-structured interviews. Lastly, the data obtained was used to formulate guidelines with specific strategies, which can be used by helping professionals in a group context to facilitate and enhance constructive coping, posttraumatic growth and psychological well-being in survivors of childhood sexual abuse. The results of this research were as follows: prevalence of constructive coping, posttraumatic growth and psychological well-being was determined, and indicated that 58% of participants manifested constructive coping, 60% manifested posttraumatic growth and 42% manifested psychological well-being. Semi-structured interviews conducted with the women scoring in the upper range of coping constructively, growing after the trauma and emerging psychologically well were transcribed and analysed by means of interpretative phenomenological analysis, and the following broad themes emerged: psycho-socio spiritual resources, the healing process and positive strengths. These themes and sub-themes produced data which could be used in the formulation of guidelines with strategies for an intervention programme aimed at enhancing and facilitating constructive coping, posttraumatic growth and psychological well-being thereby improving the therapeutic services available to childhood sexual abuse survivors. Finally the study was evaluated and conclusions and recommendations were made. / PhD, Psychology, North-West University, Vaal Triangle Campus, 2012

Understandings of the longer-term experiences of recovery from road trauma are limited. Many studies to date have examined the psychological and psychiatric consequences of road accidents in the short term, but few have moved to a focus on the psychosocial and subjective aspects of recovery, and the longer-term challenges of this process. (For complete abstract open document)

Thesis (Ph. D.)--Miami University, Dept. of Psychology, 2004. / Title from second page of PDF document. Includes bibliographical references (p. 68-74).

Posttraumatic stress and posttraumatic growth in members of fire rescue service (Abstract) Firefighters often work under circumstances that endanger their lives or physical integrity and witness traumatic experiences of other people while managing effects of devastating emergency situations. As a result of this exposure they can suffer from trauma and stress related disorders. However, traumatic experiences may also offer potential for growth. This thesis is aimed at posttraumatic stress - symptoms of posttraumatic stress disorder (PTSD) and posttraumatic growth in members of fire rescue service. The main objective is widening of existing posttraumatic research in professional rescuers with findings from multinational sample of firefighters. Sample consisted of firefighters from Czech Republic (N=302) and six other European countries (N=2241). Study was carried out through questionnaire-based data gathering. Symptoms of posttraumatic stress were assessed via self-rating measure Impact of event scale - revised, posttraumatic growth via Posttraumatic growth inventory - short form. Comparison of Czech and European firefighters was made with the premise that among members of this professional group there would be found no differences. Subtle dissimilarities were, however, observed in several measured...

abstract: This study examined four research questions investigating relationships among the experience of trauma, identity development, distress, and positive change. There were 908 participants in the study, ranging in age from 18 to 24 which is known as the period of emerging adulthood. Participants completed an online survey regarding their exposure to trauma and reactions to these experiences. The first research question examined the experience of trauma for the sample. The second question examined group differences among the participant's identity status, gender, and posttraumatic stress disorder (PTSD) diagnostic status on the hypothesized variables. In general, comparisons among the four identity status groups found participants who experienced greater identity exploration (diffused and moratorium) experienced more distress, whereas the identity status groups that reported greater identity commitments (foreclosed and achieved) were associated with positive change. Similar findings were found for PTSD diagnostic status indicating more distress and identity exploration for participants with the diagnosis and more positive change and identity commitments for participants without the diagnosis. Female participants were found to experience more PTS symptoms, centrality of the trauma event, and positive growth than males. Examination of the relationships between trauma severity and posttraumatic growth revealed an inverted U-shaped relationship (quadratic) that was a significant improvement from the linear model. An S-shaped relationship (cubic) was found for the relationship between trauma exposure and posttraumatic growth. Regression analyses found the centrality of the trauma event to one's identity predicted identity distress above and beyond the experience of trauma. In addition, identity distress and the centrality of the trauma contributed to the variance for identity exploration, while only identity distress contributed to identity commitments. Finally, identity development significantly predicted positive change above and beyond, identity distress, centrality of the trauma event, and the experience of trauma. Collectively, these results found both distress and growth to be related to the experience of trauma. Distress within one's identity can contribute to difficulties in the psychosocial stage of identity development among emerging adults. However, the resolution of identity exploration towards commitments to goals, roles, and beliefs, can help trauma survivors experience resilience and growth after stressful experiences. / Dissertation/Thesis / Ph.D. Counseling Psychology 2013

Posttraumatic growth, defined as positive psychological changes in the aftermath of adversity and suffering, is a relatively recent focus in psychological research. The addition of this concept to the literature has provided a new, more resiliency-based framework through which to view survivors of various forms of trauma. Despite estimates that over half of all sexual assaults are not reported to the authorities, current crime statistics indicate that 1 in 4 women are sexually assaulted in their lifetime (Campbell & Wasco, 2005). Given the large percentage of the population that is impacted by sexual assault, it is essential that professionals better understand the factors that influence the successful healing and growth that can occur post-trauma. The purpose of this study was to further expand the literature on posttraumatic growth in sexual assault survivors by considering this phenomenon through the lens of attachment theory. Specifically, this study tested a proposed model of the inter-relationships among subjective and objective perceptions of threat during the sexual assault, adult romantic attachment, and posttraumatic growth. It was hypothesized that adult romantic attachment and parent-child attachment would mediate the relationship between subjective, or perceived threat, defined as the victim's perception of life threat, and objective threat, defined as the severity of the sexually aggressive act perpetrated on the victim, and posttraumatic growth. Finally, it was hypothesized that subjective threat appraisal would better predict posttraumatic growth than objective threat appraisal. Contrary to hypotheses, results of the study indicated that adult romantic attachment and parent-child attachment did not mediate the relationship between subjective and objective threat appraisal and posttraumatic growth. Thus, both path analytic models were not viable. However, exploratory analysis indicated that both subjective and objective threat appraisal were directly related to posttraumatic growth, with subjective perceived threat appraisal accounting for more of the variance.

Huntington disease (HD) is a genetically transmitted fatal neurodegenerative condition that currently has no cure. The symptoms of HD are manifested as cognitive declines, neuropsychiatric disturbances, and motor dysfunction. An autosomal dominant genetic defect is responsible for the onset of HD, which means that the children of an affected parent have a 50% chance of inheriting the disease. Predictive genetic testing for HD has been available since 1993, and a positive test result means that a person will develop HD with 100% certainty. People who have the HD-gene expansion, but have not yet manifested unequivocal motor signs, are said to be in the prodromal phase of HD. A number of studies have examined concerns about the utility of genetic testing and its negative psychological consequences for gene-expanded and non-expanded individuals (e.g., traumatization, suicidal ideation). Although research has understandably focused on the potential for distress, there has been some evidence suggesting that individuals may actually experience psychological growth related to a receiving a genetic test result (e.g., improved relationships, pursuing new opportunities). The aim of the present study was to understand the relationship between genetic testing, prodromal HD symptoms, and posttraumatic growth (PTG). Participants were recruited through the multinational PREDICT-HD study (Jane Paulsen, PI) and they completed the Posttraumatic Growth Inventory (PTGI; Tedeschi & Calhoun, 1996) to assess permanent positive psychological change as a result of learning about their HD-gene status. The Symbol Digit Modalities Test (Smith, 1991), Unified Huntington's Disease Rating Scale Motor Exam (Huntington's Study Group, 1996), and the SCl-90-R Depression subscale (Derogatis, 1994) were also completed. A total of 82 gene-expanded patients and 37 non-expanded patients took part in this study. Results revealed that gene-expanded and non-expanded individuals reported experiencing PTG, particularly in their appreciation for life and ability to relate to others. Gene-expanded and non-expanded participants did not differ in the amount of growth they reported, which indicated that the outcome of genetic testing was not related to how much growth people experienced. Age and gender were associated with PTG, with younger participants and women reporting the most growth. The amount of time elapsed since genetic testing, estimated proximity to a diagnosis of HD, and the clinical characteristics of prodromal HD were not related to PTG. In conclusion, people experience positive psychological change as result of genetic testing for HD. The findings of this study have important implications for future research and for mental health professionals assisting people through the genetic counseling process.