The Pennsylvania State University, USA.
University of Connecticut, USA.
Appl Psychol Health Well Being. 2018 Jul;10(2):254-271. doi: 10.1111/aphw.12129. Epub 2018 Apr 19.
Perceived growth (PG) refers to perceptions of positive changes that unfold over time after experiencing trauma. Higher PG is often associated with positive long-term health, but the processes through which PG may influence health are unclear. The present study examines two potential pathways among individuals living with asthma or RA: (1) by promoting momentary indicators of health and well-being in everyday life, and (2) by buffering against stress.
In a micro-longitudinal design, 128 participants with asthma (n = 97) or rheumatoid arthritis (n = 31) reported perceived growth using the Post-Traumatic Growth (PTG) Inventory and subsequently completed ecological momentary assessments (EMAs) for one week. Participants were signaled five times a day to report on health-related indicators, including affect, disease interference, social interactions, and stress.
Multilevel modeling revealed that higher PTG was associated with significantly less negative affect and greater positive affect in everyday life. There were no significant associations between PTG and momentary disease interference, pleasantness of social interactions, or stress, nor evidence that PTG buffered against effects of stress on health-related outcomes.
This research highlights the utility of examining PG in everyday life. Results suggest that closer examination of momentary affect as a process by which PG may facilitate positive health outcomes is warranted.
感知成长(PG)是指在经历创伤后,随着时间的推移而产生的积极变化的感知。较高的 PG 通常与积极的长期健康相关,但 PG 影响健康的过程尚不清楚。本研究在哮喘或 RA 患者中检验了两种潜在途径:(1)通过促进日常生活中健康和幸福感的瞬间指标,(2)通过缓冲压力。
在微观纵向设计中,97 名哮喘患者(n=97)或 31 名类风湿关节炎患者(n=31)使用创伤后成长量表(PTG)报告感知成长,随后完成了一周的生态瞬时评估(EMA)。参与者每天被提示五次报告与健康相关的指标,包括情绪、疾病干扰、社交互动和压力。
多层次模型显示,较高的 PG 与日常生活中较少的负性情绪和更多的正性情绪显著相关。PG 与瞬时疾病干扰、社交互动的愉悦程度或压力之间没有显著关联,也没有证据表明 PG 对健康相关结果的压力缓冲作用。
这项研究强调了在日常生活中检验 PG 的效用。结果表明,更仔细地研究 PG 作为促进积极健康结果的过程的瞬间影响是有必要的。