abstract: It is not a new idea that there may be a "silver lining" in depression for some people; that grappling with this condition has the potential to make them stronger or more capable in some way. Over the past three decades, research has proliferated on growth associated with adversity; from life-threatening illness to natural disasters, the death of a loved one, physical abuse, and numerous other forms of trauma. However, very little empirical attention has been paid to the topic of growth resulting from the process of working through psychological distress. Rather, the extant literature tends to consider conditions like depression and anxiety as unsuccessful outcomes, or failed attempts at coping. Furthermore, evidence suggests there is considerable variability in the types of growth perceived by individuals experiencing different forms of adversity. Using interpretative phenomenological analysis (IPA), a qualitative research method, the current study elucidates the experience of growth associated with depression among six individuals from diverse backgrounds. The superordinate themes that emerged from the analysis include: depression as a catalyst for personal development (creative, spiritual, and intellectual); social support and connection; greater presence or engagement in life; a more adaptive and realized sense of self; feelings of gratitude and appreciation; and a recognition of the timing of depression. Each of these themes is examined in relation to participants' processes of meaning making in their experience of growth. The findings of the current study are broadly compatible with, yet qualitatively distinct from, previously identified models of adversarial growth. Implications for future research and clinical practice are discussed. / Dissertation/Thesis / Ph.D. Counseling Psychology 2014

Individuals with fibromyalgia are at greater risk for depressive symptoms than the general population, and this may be partially attributable to physical symptoms that impair day-to-day functioning. However, individual-level protective characteristics may buffer risk for psychopathology. For instance, the ability to perceive a “silver lining” in one’s illness may be related to better mental and physical health. We examined perceived silver lining as a potential moderator of the relation between fibromyalgia impact and depressive symptoms. Our sample of persons with fibromyalgia (N = 401) completed self-report measures including the Fibromyalgia Impact Questionnaire-Revised, Depression Anxiety Stress Scales, and the Silver Lining Questionnaire. Moderation analyses covaried age, sex, and ethnicity. Supporting hypotheses, increasing impact of disease was related to greater depressive symptoms, and perceptions of a silver lining attenuated that association. Despite the linkage between impairment and depressive symptoms, identifying positive aspects or outcomes of illness may reduce risk for psychopathology. Therapeutically promoting perception of a silver lining, perhaps via signature strengths exercises or a blessings journal, and encouraging cognitive reframing of the illness experience, perhaps via Motivational Interviewing or Cognitive Behavioral Therapy, may reduce depressive symptoms in persons with fibromyalgia.

The transformative process of personal growth following suffering and challenges, or posttraumatic growth (PTG), is limited in persons with acquired disability. The dimensions of acquired disability, as outlined by the World Health Organization, include impairments in body functions, body structures, and growth restrictions in activities and participation. The 5 domains of PTG include personal strength, new possibilities, relating to other people, appreciation of life, and spiritual change. Using discriminant function analysis, the purpose of this quantitative study was to identify a discriminant analysis of the dimensions of acquired disability on the domains of posttraumatic growth. The first research question focused on investigating the number of statistically significant uncorrelated linear combinations. The second research question reviewed the multivariate profile (or profiles if there is more than one statistically significant function) of the Posttraumatic Growth Inventory domains that discriminant the dimensions of acquired disability. A cross-sectional survey design was used to gather data from 161 individuals with acquired disability who were over 18 years of age and were at least 1 year postdiagnosis. Participants were invited to participate using a Facebook page and targeted advertising, as well as personal invitations to online support groups advocating for persons with acquired disability. This study and analysis only found 1 significant pairwise connection between impairment in body structure and growth, activity, and participation with the PTG domain of personal strength. Results may be used to guide the planning and implementation of aftercare programs for individuals diagnosed with an acquired disability to help promote PTG.