Effect of Positive Psychological Intervention on Posttraumatic Growth Among Primary Healthcare Workers in China: A Preliminary Prospective Study

Overview

Journal Sci Rep

Specialty Science

Date 2016 Dec 21

PMID 27995960

Citations 22

Authors

Xin Xu

Mu-Li Hu

Yu Song

Zhang-Xiu Lu

You-Qiao Chen

Da-Xing Wu

Tao Xiao

Affiliations

Soon will be listed here.

Abstract

Posttraumatic growth (PTG) is defined as positive psychological change in the wake of highly challenging circumstances. Healthcare workers in particular are more vulnerable to stressors and trauma than the general population. The current study examined the use and effectiveness of a novel positive psychological intervention based on Chinese traditional culture to improve PTG in hospital healthcare workers. The intervention was provided to 579 healthcare workers at hospitals in Guilin, Shenzhen and Xiangtan. Scores on the Posttraumatic Growth Inventory (PTGI) and its subscales were significantly higher after intervention than before (p < 0.001). Of the five aspects of PTG, the aspect of "new possibilities" benefited the most from intervention (Cohen's d = 0.45). PTG in women, nurses and college graduates increased to a greater extent than other participants after intervention. It was concluded that our novel intervention is effective at improving PTG in medical staff.

Citing Articles

Post-traumatic growth among emergency nurses after COVID-19 in Shanghai, China: a qualitative study.

Jiang J, Liu Y, Han P, Zhang P, Shao H, Dai Z BMJ Open. 2024; 14(2):e081212.

PMID: 38387986 PMC: 10882300. DOI: 10.1136/bmjopen-2023-081212.

The prevalence and factors associated with posttraumatic growth after 3-years outbreak of COVID-19 among resident physicians in China: a cross-sectional study.

Zeng Z, Wang H, Zhou Y, Lu Z, Ci R, Lin Y Front Psychiatry. 2023; 14:1228259.

PMID: 37753265 PMC: 10518389. DOI: 10.3389/fpsyt.2023.1228259.

Perceived stress, stress coping strategies, and post-traumatic-growth among healthcare professionals during COVID-19 pandemic.

Salmani R, Kazemi H, Mehrtak M, Mehraban S, Mousazadeh Y Nurs Open. 2023; 10(7):4868-4879.

PMID: 37013833 PMC: 10277390. DOI: 10.1002/nop2.1739.

Healthcare Workers' Well-Being: A Systematic Review of Positive Psychology Interventions.

Townsley A, Li-Wang J, Katta R Cureus. 2023; 15(1):e34102.

PMID: 36843822 PMC: 9946896. DOI: 10.7759/cureus.34102.

Factors Associated with Post-Traumatic Growth in Healthcare Professionals: A Systematic Review of the Literature.

ODonovan R, Burke J Healthcare (Basel). 2022; 10(12).

PMID: 36554048 PMC: 9777806. DOI: 10.3390/healthcare10122524.

References

Wen J, Cheng Y, Hu X, Yuan P, Hao T, Shi Y . Workload, burnout, and medical mistakes among physicians in China: A cross-sectional study. Biosci Trends. 2016; 10(1):27-33. DOI: 10.5582/bst.2015.01175. View

Dai Y, Zhang B, Sun H, Li Z, Shen L, Liu Y . Prevalence and Correlates of Psychological Symptoms in Chinese Doctors as Measured with the SCL-90-R: A Meta-Analysis. Res Nurs Health. 2015; 38(5):369-83. DOI: 10.1002/nur.21673. View

Carciofo R, Yang J, Song N, Du F, Zhang K . Psychometric Evaluation of Chinese-Language 44-Item and 10-Item Big Five Personality Inventories, Including Correlations with Chronotype, Mindfulness and Mind Wandering. PLoS One. 2016; 11(2):e0149963. PMC: 4769279. DOI: 10.1371/journal.pone.0149963. View

Gong Y, Han T, Chen W, Dib H, Yang G, Zhuang R . Prevalence of anxiety and depressive symptoms and related risk factors among physicians in China: a cross-sectional study. PLoS One. 2014; 9(7):e103242. PMC: 4106870. DOI: 10.1371/journal.pone.0103242. View

McCue J, Sachs C . A stress management workshop improves residents' coping skills. Arch Intern Med. 1991; 151(11):2273-7. View

Linley P, 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. View

Goodman M, Schorling J . A mindfulness course decreases burnout and improves well-being among healthcare providers. Int J Psychiatry Med. 2012; 43(2):119-28. DOI: 10.2190/PM.43.2.b. View

Krasner M, Epstein R, Beckman H, Suchman A, Chapman B, Mooney C . Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. JAMA. 2009; 302(12):1284-93. DOI: 10.1001/jama.2009.1384. View

Sood A, Prasad K, Schroeder D, Varkey P . Stress management and resilience training among Department of Medicine faculty: a pilot randomized clinical trial. J Gen Intern Med. 2011; 26(8):858-61. PMC: 3138987. DOI: 10.1007/s11606-011-1640-x. View

10.

Xu J, Wu W . Work satisfaction and posttraumatic growth 1 year after the 2008 Wenchuan earthquake: the perceived stress as a moderating factor. Arch Psychiatr Nurs. 2014; 28(3):206-11. DOI: 10.1016/j.apnu.2013.12.006. View

11.

Xiao Y, Wang J, Chen S, Wu Z, Cai J, Weng Z . Psychological distress, burnout level and job satisfaction in emergency medicine: A cross-sectional study of physicians in China. Emerg Med Australas. 2014; 26(6):538-42. DOI: 10.1111/1742-6723.12315. View

12.

Mangelsdorf J, Eid M . What makes a thriver? Unifying the concepts of posttraumatic and postecstatic growth. Front Psychol. 2015; 6:813. PMC: 4477056. DOI: 10.3389/fpsyg.2015.00813. View

13.

Tedeschi R, Calhoun L . The Posttraumatic Growth Inventory: measuring the positive legacy of trauma. J Trauma Stress. 1996; 9(3):455-71. DOI: 10.1007/BF02103658. View

14.

Schernhammer E, Colditz G . Suicide rates among physicians: a quantitative and gender assessment (meta-analysis). Am J Psychiatry. 2004; 161(12):2295-302. DOI: 10.1176/appi.ajp.161.12.2295. View

15.

Saadat H, Snow D, Ottenheimer S, Dai F, Kain Z . Wellness program for anesthesiology residents: a randomized, controlled trial. Acta Anaesthesiol Scand. 2012; 56(9):1130-8. DOI: 10.1111/j.1399-6576.2012.02705.x. View

16.

Wu K, Zhang Y, Liu Z, Zhou P, Wei C . Coexistence and different determinants of posttraumatic stress disorder and posttraumatic growth among Chinese survivors after earthquake: role of resilience and rumination. Front Psychol. 2015; 6:1043. PMC: 4523726. DOI: 10.3389/fpsyg.2015.01043. View

17.

Wu X, Zhou X, Wu Y, An Y . The role of rumination in posttraumatic stress disorder and posttraumatic growth among adolescents after the wenchuan earthquake. Front Psychol. 2015; 6:1335. PMC: 4559646. DOI: 10.3389/fpsyg.2015.01335. View

18.

Itzhaki M, Peles-Bortz A, Kostistky H, Barnoy D, Filshtinsky V, Bluvstein I . Exposure of mental health nurses to violence associated with job stress, life satisfaction, staff resilience, and post-traumatic growth. Int J Ment Health Nurs. 2015; 24(5):403-12. DOI: 10.1111/inm.12151. View

19.

Sabin-Farrell R, Turpin G . Vicarious traumatization: implications for the mental health of health workers?. Clin Psychol Rev. 2003; 23(3):449-80. DOI: 10.1016/s0272-7358(03)00030-8. View

20.

Bal A, Jensen B . Post-traumatic stress disorder symptom clusters in Turkish child and adolescent trauma survivors. Eur Child Adolesc Psychiatry. 2007; 16(7):449-57. DOI: 10.1007/s00787-007-0618-z. View