J Korean Acad Nurs. 2015 Dec;45(6):890-899. Korean.
Published online Dec 31, 2015.
© 2015 Korean Society of Nursing Science
Original Article

Factors Influencing Posttraumatic Growth in Fathers of Chronically ill Children

Mi Young Kim
    • College of Nursing, Eulji University, Seongnam, Korea.
Received June 04, 2015; Revised June 17, 2015; Accepted September 15, 2015.

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

The purpose of this study was to identify the level of distress and posttraumatic growth in fathers of chronically ill children and also, to identify the relation between characteristics of the fathers and children and their posttraumatic growth and to investigate factors that influence posttraumatic growth.

Methods

In this study, 48 fathers who visited a university hospital in Seoul, Korea and who gave written consent completed the questionnaire between September 23 and November 19, 2013. Data were analyzed using Mann-Whitney U test, Kruskal-Wallis test, Pearson correlation coefficient and stepwise multiple regression.

Results

The level of distress in fathers of chronically ill children was relatively high and the majority of them were experiencing posttraumatic growth. Models including the variable (deliberate rumination, religiousness, optimism) explained 64.3% (F=26.38, p <.001) of the variance for posttraumatic growth. Deliberate rumination (β=.59, p <.001) was the most influential factor.

Conclusion

The findings demonstrate that it is essential for nurses to intervene and facilitate continuously so as to promote posttraumatic growth and relieve distress in fathers of chronically ill children. Furthermore, it is also necessary for nurses to find ways to develop ideal interventions to activate deliberate rumination and offer spiritual care and help maintain optimism in these individuals.

Keywords
Chronic disease; Fathers; Growth; Rumination; Religion

Figures

Figure 1
A Theoretical Model of Posttraumatic Growth Model by Calhoun & Tedeschi (2006).

Tables

Table 1
Posttraumatic Growth according to the General Characteristics of Father and Child and Characteristics related Child's Disease (N=48)

Table 2
Posttraumatic Growth according to Fathers' Distress and Perception of Psychological Growth (N=48)

Table 3
Mean Scores and Correlations for Posttraumatic Growth, Optimism, Disruption of Core Beliefs, Deliberate Rumination, Social Support (N=48)

Table 4
Multiple Regression Analysis of Father's Posttraumatic Growth (N=48)

Notes

CONFLICTS OF INTEREST:The authors declared no conflict of interest.

References

    1. Han KJ, Kwon MK, Bang KS. In: Parent-child health and nursing. Seoul: Hyunmoon; 2010.
    1. Calhoun LG, Tedeschi RG. The foundation of posttraumatic growth: An expanded framework. In: Calhoun LG, Tedeschi RG, editors. Handbook of posttraumatic growth: Research and practice. Mahwah, NJ: Erlbaum; 2006. pp. 3-23.
    1. Kim Y, Schulz R, Carver CS. Benefit-finding in the cancer caregiving experience. Psychosom Med 2007;69(3):283–291. [doi: 10.1097/PSY.0b013e3180417cf4]
    1. Cho YK. The change of social structure and fathering in South Korea. Korean J Converging Humanit 2014;2(1):83–112. [doi: 10.14729/converging.k.2014.2.1.83]
    1. Dashiff C, Morrison S, Rowe J. Fathers of children and adolescents with diabetes: What do we know? J Pediatr Nurs 2008;23(2):101–119. [doi: 10.1016/j.pedn.2007.08.007]
    1. Kim J, Yun HJ. A study on the parenting experiences of fathers of children with disabilities. Spec Educ Res 2013;12(3):333–356.
    1. Hwang EJ. In: Experience of fathers raising children with disabilities: Conflicts, difficulties and positive changes [master's thesis]. Seoul: Chung Ang University; 2014.
    1. Tedeschi RG, Calhoun LG. The posttraumatic growth inventory: Measuring the positive legacy of trauma. J Trauma Stress 1996;9(3):455–471. [doi: 10.1002/jts.2490090305]
    1. Linley PA, Joseph S. Positive change following trauma and adversity: A review. J Trauma Stress 2004;17(1):11–21. [doi: 10.1023/B:JOTS.0000014671.27856.7e]
    1. Antoni MH, Lehman JM, Kilbourn KM, Boyers AE, Culver JL, Alferi SM, et al. Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer. Health Psychol 2001;20(1):20–32. [doi: 10.1037/0278-6133.20.1.20]
    1. Cann A, Calhoun LG, Tedeschi RG, Kilmer RP, Gil-Rivas V, Vishnevsky T, et al. The core beliefs inventory: A brief measure of disruption in the assumptive world. Anxiety Stress Coping 2010;23(1):19–34. [doi: 10.1080/10615800802573013]
    1. Thornton AA, Perez MA. Posttraumatic growth in prostate cancer survivors and their partners. Psychooncology 2006;15(4):285–296. [doi: 10.1002/pon.953]
    1. Hungerbuehler I, Vollrath ME, Landolt MA. Posttraumatic growth in mothers and fathers of children with severe illnesses. J Health Psychol 2011;16(8):1259–1267. [doi: 10.1177/1359105311405872]
    1. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods 2009;41(4):1149–1160. [doi: 10.3758/brm.41.4.1149]
    1. Song SH, Lee HS, Park JH, Kim KH. Validity and reliability of the Korean version of the posttraumatic growth inventory. Korean J Health Psychol 2009;14(1):193–214.
    1. Scheier MF, Carver CS, Bridges MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the life orientation test. J Pers Soc Psychol 1994;67(6):1063–1078. [doi: 10.1037/0022-3514.67.6.1063]
    1. Shin H. Testing the mediating effect of coping in the relation of optimism and pessimism to psychological adjustment in adolescents. Korean J Youth Stud 2005;12(3):165–192.
    1. Jo SM. In: The causal relationship of cognitive factors, social support and resilience on youth's posttraumatic growth [master's thesis]. Busan: Pusan National University; 2012.
    1. Cann A, Calhoun LG, Tedeschi RG, Triplett KN, Vishnevsky T, Lindstrom CM. Assessing posttraumatic cognitive processes: The event related rumination inventory. Anxiety Stress Coping 2011;24(2):137–156. [doi: 10.1080/10615806.2010.529901]
    1. Ahn HN, Joo HS, Min JW, Sim KS. Validation of the event related rumination inventory in a Korean population. Cognitive Behav Ther Korea 2013;13(1):149–172.
    1. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess 1988;52(1):30–41. [doi: 10.1207/s15327752jpa5201_2]
    1. Shin JS, Lee YB. The effects of social supports on psychosocial well-being of the unemployed. Korean J Soc Welf 1999;37:241–269.
    1. Polatinsky S, Esprey Y. An assessment of gender differences in the perception of benefit resulting from the loss of a child. J Trauma Stress 2000;13(4):709–718. [doi: 10.1023/a:1007870419116]
    1. Vishnevsky T, Cann A, Calhoun LG, Tedeschi RG, Demakis GJ. Gender differences in self-reported posttraumatic growth: A metaanalysis. Psychol Women Q 2010;34(1):110–120. [doi: 10.1111/j.1471-6402.2009.01546.x]
    1. Yi GO, Han SH, Park HJ. Changes and growth among families of children with disabilities: Based on child-rearing experiences of mothers and fathers. J Emot Behav Disord 2010;26(4):137–163.
    1. Bonner MJ, Hardy KK, Willard VW, Hutchinson KC. Brief report: Psychosocial functioning of fathers as primary caregivers of pediatric oncology patients. J Pediatr Psychol 2007;32(7):851–856. [doi: 10.1093/jpepsy/jsm011]
    1. Davies B, Gudmundsdottir M, Worden B, Orloff S, Sumner L, Brenner P. "Living in the dragon's shadow" fathers' experiences of a child's life-limiting illness. Death Stud 2004;28(2):111–135. [doi: 10.1080/07481180490254501]
    1. Shin SY, Chung NW. The effect of meaning in life and social support on posttraumatic growth: Rumination as a mediating variable. J Hum Underst Couns 2012;33(2):217–235.
    1. Park H, Ahn H. The effects of posttraumatic stress symptoms, spirituality, and rumination on posttraumatic growth. Korean J Couns 2006;7(1):201–214.
    1. Yoo YS, Cho OH, Cha KS, Boo YJ. Factors influencing post-traumatic stress in Korean forensic science investigators. Asian Nurs Res 2013;7(3):136–141. [doi: 10.1016/j.anr.2013.07.002]

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