a Tulane University School of Social Work , New Orleans , LA , USA.
b Hebrew University School of Social Work and Social Welfare , Jerusalem , Israel.
Anxiety Stress Coping. 2018 Jul;31(4):418-430. doi: 10.1080/10615806.2018.1454740. Epub 2018 Apr 12.
Posttraumatic stress disorder, a commonly researched mental health outcome associated with trauma, does not develop in the majority of survivors. More common trajectories of adaptation include resilience, and posttraumatic growth (PTG). The objectives of the current study were to: (1) describe posttrauma adaptation profiles in a sample of Israeli male military veterans (N = 448); and (2) to explore the protective factors that promote constructive PTG within two profiles of posttrauma adaptation.
The study used secondary data to estimate latent profile mixture models and a series of logistic regression analyses.
Demographic controls, combat related variables, endorsement of coping strategies, and reports of improvement in social support were not significant predictors of constructive growth in the resilient class. However, those in the struggling growth subset of the sample who reported improvement in perceived social support increased the odds of reaching constructive growth.
These findings highlight the importance of tailored clinical interventions that account for more complex profiles of posttrauma adaptation; and further, provide evidence that adaptation takes place over time. Finally, these findings call for future research to continue to explore the quality of PTG and the contexts in which protective factors promote positive adaptation.
创伤后应激障碍是一种常见的与创伤相关的心理健康研究结果，但它并未在大多数幸存者中发展。更常见的适应轨迹包括韧性和创伤后成长（PTG）。本研究的目的是：（1）描述以色列男性退伍军人样本中的创伤后适应模式（N=448）；（2）探讨在两种创伤后适应模式中促进建设性 PTG 的保护因素。
本研究使用二次数据来估计潜在剖面混合模型和一系列逻辑回归分析。
人口统计学控制因素、与战斗相关的变量、应对策略的认可以及社会支持改善的报告并不是韧性组中建设性成长的显著预测因素。然而，在样本中挣扎成长亚组中，那些报告感知社会支持有所改善的人，其达到建设性成长的可能性增加。
这些发现强调了针对更复杂的创伤后适应模式的个性化临床干预的重要性；并进一步证明适应是随着时间的推移而发生的。最后，这些发现呼吁未来的研究继续探索 PTG 的质量以及保护因素促进积极适应的背景。
