Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China.
North Sichuan Medical College, Clinical Medical School, Nanchong, Sichuan, China.
J Affect Disord. 2025 Jan 1;368:727-733. doi: 10.1016/j.jad.2024.09.113. Epub 2024 Sep 17.
The frequent occurrence of global disasters poses unprecedented challenges to nursing practice. The frontline nurses in disaster relief are exposed to these events and bear significant levels of stress and psychological distress. Resilience and posttraumatic growth (PTG) are essential protective factors that contribute to sustaining their mental health. The purpose of this study was to determine the directional relationship between resilience and PTG using a cross-lagged design. Furthermore, employing longitudinal mediation to test whether the T1 resilience of frontline nurses would promote the development of T3 resilience through the mediating role of T2 PTG.
A total of 258 frontline nurses were selected as subjects. They completed self-reported measurements in three periods. The present study was conducted using a cross-lagged panel model and a longitudinal mediation model.
The results of cross-lagged path analysis from T2 to T3 showed that PTG could positively predict the development of resilience (β = 0.235, p < 0.001). Resilience did not positively predict the development of PTG (p > 0.05). The analysis of mediating effect results showed that the development of PTG at T2 mediated the relationship between resilience from T1 to T3.
Findings may be limited by self-report, recall bias of resilience before the epidemic and short tracking frequency.
These results can identify individuals with an increased risk of low resilience under disaster and the mediating role of posttraumatic growth in promoting the development of nurses' resilience, which provides a theoretical basis for psychological crisis intervention and the resilience promotion plan for posttraumatic growth under disaster events.
全球灾害频发，对护理实践提出了前所未有的挑战。参与灾害救援的一线护士直面这些事件，承受着巨大的压力和心理困扰。韧性和创伤后成长（PTG）是维持心理健康的重要保护因素。本研究旨在采用交叉滞后设计确定韧性和 PTG 之间的方向关系。此外，采用纵向中介检验，检验一线护士 T1 韧性是否通过 T2PTG 的中介作用促进 T3 韧性的发展。
共选取 258 名一线护士作为研究对象，他们在三个时期完成了自我报告测量。本研究采用交叉滞后面板模型和纵向中介模型进行分析。
从 T2 到 T3 的交叉滞后路径分析结果显示，PTG 可以正向预测韧性的发展（β=0.235，p<0.001）。韧性不能正向预测 PTG 的发展（p>0.05）。中介效应结果分析显示，T2 时的 PTG 发展在 T1 到 T3 之间的韧性关系中起中介作用。
研究结果可能受到自我报告、疫情前韧性的回忆偏差和跟踪频率短的限制。
这些结果可以识别出在灾害下韧性较低的个体，以及创伤后成长在促进护士韧性发展方面的中介作用，为灾害事件下的心理危机干预和创伤后成长的韧性提升计划提供了理论依据。
