posttraumatic growth, posttraumatic stress disorder and resilience of motor vehicle accident survivors创伤后成长、创伤后应激障碍和韧性机动车事故的幸存者.pdfVIP

Nishi et al. BioPsychoSocial Medicine 2010, 4:7 /content/4/1/7 R E S E A R C H Open Access Research Posttraumatic growth, posttraumatic stress disorder and resilience of motor vehicle accident survivors 1,2,3,4,5 1,2,3,4 3,4 Daisuke Nishi , Yutaka Matsuoka* and Yoshiharu Kim Abstract Background: Although some previous studies have suggested that posttraumatic growth (PTG) is comprised of several factors with different properties, few have examined both the association between PTG and posttraumatic stress disorder (PTSD) and between PTG and resilience, focusing on each of the factors of PTG. This study aimed to examine the hypothesis that some factors of PTG, such as personal strength, relate to resilience, whereas other factors, such as appreciation of life, relate to PTSD symptoms among Japanese motor vehicle accident (MVA) survivors. Methods: This cross-sectional study was performed with 118 MVA survivors at 18 months post MVA. Data analyzed included self-reporting questionnaire scores on the Posttraumatic Growth Inventory (PTGI), the Impact of Event Scale- Revised (IES-R), and the Sense of Coherence (SOC) scale, which is one of the most widely used scales for measuring resilience. Correlations between scores on the PTGI and IES-R, the PTGI and SOC scale, and the IES-R and SOC scale were established by calculating Spearmans correlation coefficients. Results: PTGI was positively correlated with both SOC and PTSD symptoms, in spite of an inverse relationship between SOC and PTSD symptoms. Relating to others, new possibilities, and personal strength on the PTGI were correlated positively with SOC, and spiritual change and appreciation of life on the PTGI were positively correlated with PTSD symptoms. Conclusions: Some factors o