Skip to main content

Advertisement

Log in

Predicting Posttraumatic Growth in Mothers and Fathers of Critically Ill Children: A Longitudinal Study

  • Published:
Journal of Clinical Psychology in Medical Settings Aims and scope Submit manuscript

Abstract

Research on parental psychological effects related to a child’s critical illness has focused on studying negative outcomes, while the possibility of posttraumatic growth (PTG), defined as the perception of positive changes after a traumatic event, has been overlooked. This study explores the degree of parental PTG after a child’s hospitalization in a pediatric intensive care unit (PICU) and the role of resilience, emotions, perceived severity of the child’s condition and stress in predicting PTG. In the first 48 h after their child’s discharge from a PICU, N = 196 parents were assessed for resilience, emotions, perceived stress, and the degree to which they perceived their child’s condition as severe. 6 months later N = 143 parents were assessed PTG. 6 months post discharge, 37.1% of parents reported PTG at least to a medium degree. Path analyses with latent variables showed that the psychological variables assessed at discharge predicted between 20 and 21% of the total variance in PTG. Resilience affected PTG indirectly, through the bias of positive emotions. PTG is a frequent phenomenon. Psychological interventions aimed at encouraging parental PTG after a child’s critical admission should focus on boosting resilience and positive emotions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Alonso-Tapia, J., Rodríguez-Rey, R., Garrido-Hernansaiz, H., Nieto, C., & Ruiz, M. (2016). Coping assessment from the perspective of the person-situation interaction: Development and validation of the Situated Coping Questionnaire for Adults (SCQA). Psicothema, 28(4), 479–486.

    PubMed  Google Scholar 

  • Balluffi, A., Kassam-Adams, N., Kazak, A., Tucker, M., Dominguez, T., & Helfaer, M. (2004). Traumatic stress in parents of children admitted to the pediatric intensive care unit. Pediatric Critical Care Medicine, 5(6), 547–553.

    Article  PubMed  Google Scholar 

  • Barr, P. (2011). Posttraumatic growth in parents of infants hospitalized in a neonatal intensive care unit. Journal of Loss and Trauma, 16(2), 117–134.

    Article  Google Scholar 

  • Bensimon, M. (2012). Elaboration on the association between trauma, PTSD and posttraumatic growth: The role of trait resilience. Personality and Individual Differences, 52(7), 782–787.

    Article  Google Scholar 

  • Bonanno, G. A. (2005). Clarifying and extending the construct of adult resilience. American Psychologist, 60, 265–267.

    Article  Google Scholar 

  • Bonanno, G. A., Westphal, M., & Mancini, A. D. (2011). Resilience to loss and potential trauma. Annual Review of Clinical Psychology, 7, 511–535.

    Article  PubMed  Google Scholar 

  • Bronner, M. B., Peek, N., Knoester, H., Bos, A. P., Last, B. F., & Grootenhuis, M. A. (2010). Course and predictors of posttraumatic stress disorder in parents after pediatric intensive care treatment of their child. Journal of Pediatric Psychology, 35(9), 966–974.

    Article  PubMed  Google Scholar 

  • Carter, M. C., & Miles, M. S. (1989). The parental stressor scale: Pediatric intensive care unit. Maternal-Child Nursing Journal, 18(3), 187–198.

    CAS  PubMed  Google Scholar 

  • Colville, G., & Cream, P. (2009). Post-traumatic growth in parents after a child’s admission to intensive care: Maybe Nietzsche was right? Intensive Care Medicine, 35(5), 919–923.

    Article  PubMed  Google Scholar 

  • Colville, G., & Pierce, C. (2012). Patterns of post-traumatic stress symptoms in families after paediatric intensive care. Intensive Care Medicine, 38(9), 1523–1531.

    Article  PubMed  Google Scholar 

  • Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18, 71–82.

    Article  Google Scholar 

  • Fredrickson, B. L. (2000). Cultivating positive emotions to optimize health and well-being. Prevention & Treatment. https://doi.org/10.1037/1522-3736.3.1.31a.

    Article  Google Scholar 

  • Fredrickson, B. L. (2000). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. The American Psychologist, 56(3), 218–226.

    Article  Google Scholar 

  • Fredrickson, B. L., Tugade, M. M., Waugh, C. E., & Larkin, G. R. (2003). What good are positive emotions in crises? A prospective study of resilience and emotions following the terrorist attacks on the united states on September 11th, 2001. Journal of Personality and Social Psychology, 84(2), 365–376.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis. Upper Saddle River: Pearson-Prentice Hall.

    Google Scholar 

  • Helgeson, V. S., Reynolds, K. A., & Tomich, P. L. (2006). A meta-analytic review of benefit finding and growth. Journal of Consulting and Clinical Psychology, 74(5), 797–816.

    Article  PubMed  Google Scholar 

  • Ho, S. M. Y., Chan, C. L. W., & Ho, R. T. H. (2004). Posttraumatic growth in Chinese cancer survivors. Psychooncology, 13(6), 377–389.

    Article  PubMed  Google Scholar 

  • Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.

    Article  Google Scholar 

  • Janoff-Bulman, R. (2004). Posttraumatic growth: Three explanatory models. Psychological Inquiry, 15(1), 30–34.

    Google Scholar 

  • Kazak, A. E., Kassam-Adams, N., Schneider, S., Zelikovsky, N., Alderfer, M. A., & Rourke, M. (2006). An integrative model of pediatric medical traumatic stress. Journal of Pediatric Psychology, 31, 343–355.

    Article  PubMed  Google Scholar 

  • Levine, S. Z., Laufer, A., Stein, E., Hamama-Raz, Y., & Solomon, Z. (2009). Examining the relationship between resilience and posttraumatic growth. Journal of Traumatic Stress, 22(4), 282–286.

    Article  PubMed  Google Scholar 

  • Luthar, S. S. (2006). Resilience in development: A synthesis of research across five decades. In D. Cicchetti & D. J. Cohen (Eds.), Development psychopathology: Risk, disorder and adaptation (2nd ed., pp. 740–795). New York: Wiley.

    Google Scholar 

  • McDonald, R. P., & Ho, M. H. R. (2002). Principles and practice in reporting structural equation analyses. Psychological Methods, 7, 64–82.

    Article  PubMed  Google Scholar 

  • Nelson, L. P., & Gold, J. I. (2012). Posttraumatic stress disorder in children and their parents following admission to the pediatric intensive care unit: A review. Pediatric Critical Care Medicine, 13(3), 338–347.

    Article  PubMed  Google Scholar 

  • Páez, D., Bobowik, M., Carrera, P., & Bosco, S. (2011). Evaluación de Afectividad durante diferentes episodios emocionales. [Affectivity assessment during various emotional episodes]. In D. Páez, C. Martin Beristain, J. L. González-Castro, J. de Rivera & N. Basabe (Eds.), Superando la violencia colectiva y construyendo cultura de paz (pp. 151–163). Madrid: Fundamentos.

    Google Scholar 

  • Philippe, F. L., Lecours, S., & Beaulieu-Pelletier, G. (2009). Resilience and positive emotions: Examining the role of emotional memories. Journal of Personality, 77(1), 139–176.

    Article  PubMed  Google Scholar 

  • Picoraro, J., Womer, J., Kazak, A., & Feudtner, C. (2014). Posttraumatic growth in parents and pediatric patients. Journal of Palliative Medicine, 17(2), 209–218.

    Article  PubMed  PubMed Central  Google Scholar 

  • Rodríguez-Rey, R., Alonso-Tapia, A., & Kassam-Adams, N. (2016). The factor structure of the posttraumatic growth inventory in parents of critically ill children. Psicothema, 28(4), 495–503.

    PubMed  Google Scholar 

  • Rodríguez-Rey, R., & Alonso-Tapia, J. (2016). Development of a screening measure of stress for parents of children hospitalized in a pediatric intensive care unit. Australian Critical Care, 29(3), 151–157.

    Article  PubMed  Google Scholar 

  • Rodríguez-Rey, R., Alonso-Tapia, J., & Hernansaiz-Garrido, H. (2016). Reliability and validity of the Spanish brief resilience scale (BRS). Psychological Assessment, 28(5), 101–110.

    Article  Google Scholar 

  • Salo, J. A., Qouta, S., & Punamaki, R. L. (2005). Adult attachment, posttraumatic growth and negative emotions among former political prisoners. Anxiety Stress & Coping, 18(4), 361–378.

    Article  Google Scholar 

  • Schroevers, M. J., Kraaij, V., & Garnefski, N. (2011). Cancer patients’ experience of positive and negative changes due to the illness: Relationships with psychological well-being, coping, and goal reengagement. Psychooncology, 20(2), 165–172.

    Article  PubMed  Google Scholar 

  • Slater, A., Shann, F., Pearson, G., & Paediatric Index of Mortality (PIM) Study Group (2003). PIM2: A revised version of the paediatric index of mortality. Intensive Care Medicine, 29(2), 278–285.

    Article  PubMed  Google Scholar 

  • Smith, B. W., Dalen, J., Wiggins, K., Tooley, E. M., Christopher, P. J., & Bernard, J. (2008). The brief resilience scale: Assessing the ability to bounce back. International Journal of Behavioral Medicine, 15(3), 194–200.

    Article  PubMed  Google Scholar 

  • Sumalla, E. C., Ochoa, C., & Blanco, I. (2009). Posttraumatic growth in cancer: Reality or illusion? Clinical Psychology Review, 29, 24–33.

    Article  PubMed  Google Scholar 

  • Tedeschi, R. G., & Calhoun, L. G. (1996). The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(3), 455–471.

    Article  CAS  PubMed  Google Scholar 

  • Tusaie, K., & Dyer, J. (2004). Resilience: A historical review of the construct. Holistic Nursing Practice, 18, 3–8.

    Article  PubMed  Google Scholar 

  • Vázquez, C., & Páez, D. (2010). Posttraumatic growth in Spain. In T. Weiss & R. Berger (Eds.), Posttraumatic growth and culturally competent practice: Lessons learned from around the globe (pp. 97–112). Hoboken: Wiley.

    Google Scholar 

  • Weiss, T., & Berger, R. (2006). Reliability and validity of a Spanish Version of the posttraumatic growth inventory. Research on Social Work Practice, 16, 191–199.

    Article  Google Scholar 

  • Westphal, M., & Bonanno, G. A. (2007). Posttraumatic growth and resilience to trauma: Different sides of the same coin or different coins? Journal of Applied Psychology, 56, 417–427.

    Article  Google Scholar 

  • Windle, G. (2010). What is resilience? A systematic review and concept analysis. Reviews in Clinical Gerontology, 21, 1–18.

    Google Scholar 

  • Windle, G., Bennett, K., & Noyes, J. (2011). A methodological review of resilience measurement scales. Health and Quality of Life Outcomes, 9(8), 2–18.

    Google Scholar 

  • Wu, K., Zhang, Y., Liu, Z., Zhou, P., & Wei, C. (2015). Coexistence and different determinants of posttraumatic stress disorder and posttraumatic growth among Chinese survivors after earthquake: Role of resilience and rumination. Frontiers in Psychology, 6, 1043.

    PubMed  PubMed Central  Google Scholar 

  • Yu, Y., Peng, L., Tang, T., Chen, L., Li, M., & Wang, T. (2014). Effects of emotion regulation and general self-efficacy on posttraumatic growth in Chinese cancer survivors: Assessing the mediating effect of positive affect. Psychooncology, 23(4), 473–478.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rocío Rodríguez-Rey.

Ethics declarations

Conflict of interest

Rocío Rodríguez-Rey and Jesús Alonso-Tapia declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

All procedures were in accordance with the ethical standards of the institutional research committees and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Rodríguez-Rey, R., Alonso-Tapia, J. Predicting Posttraumatic Growth in Mothers and Fathers of Critically Ill Children: A Longitudinal Study. J Clin Psychol Med Settings 26, 372–381 (2019). https://doi.org/10.1007/s10880-018-9594-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10880-018-9594-3

Keywords

Navigation