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The Posttraumatic Growth Inventory: Factor Structure and Invariance in a Sample of Breast Cancer Patients and in a Non-Clinical Sample

Published online by Cambridge University Press:  03 October 2016

Catarina Ramos*
Affiliation:
ISPA - University Institute (Portugal)
Isabel Leal
Affiliation:
ISPA - University Institute (Portugal)
Ana Lúcia Marôco
Affiliation:
ISPA - University Institute (Portugal)
Richard G. Tedeschi
Affiliation:
University of North Carolina at Charlotte (USA)
*
*Correspondence concerning this article should be addressed to Catarina Ramos. WJCR - William James Center for Research, ISPA - University Institute. Rua Jardim do Tabaco, 34. 1149–041. Lisbon (Portugal). E-mail: aramos@ispa.pt

Abstract

The Posttraumatic Growth Inventory (PTGI) is frequently used to assess positive changes following a traumatic event. The aim of the study is to examine the factor structure and the latent mean invariance of PTGI. A sample of 205 (Mage = 54.3, SD = 10.1) women diagnosed with breast cancer and 456 (Mage = 34.9, SD = 12.5) adults who had experienced a range of adverse life events were recruited to complete the PTGI and a socio-demographic questionnaire. We use Confirmatory Factor Analysis (CFA) to test the factor-structure and multi-sample CFA to examine the invariance of the PTGI between the two groups. The goodness of fit for the five-factor model is satisfactory for breast cancer sample (χ2(175) = 396.265; CFI = .884; NIF = .813; RMSEA [90% CI] = .079 [.068, .089]), and good for non-clinical sample (χ2(172) = 574.329; CFI = .931; NIF = .905; RMSEA [90% CI] = .072 [.065, .078]). The results of multi-sample CFA show that the model fit indices of the unconstrained model are equal but the model that uses constrained factor loadings is not invariant across groups. The findings provide support for the original five-factor structure and for the multidimensional nature of posttraumatic growth (PTG). Regarding invariance between both samples, the factor structure of PTGI and other parameters (i.e., factor loadings, variances, and co-variances) are not invariant across the sample of breast cancer patients and the non-clinical sample.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2016 

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References

Abraido-Lanza, A. F., Guier, C., & Colon, R. M. (1998). Psychological thriving among Latinas with chronic illness. Journal Social Issues, 54, 405424. http://dx.doi.org/10.1111/j.1540-4560.1998.tb01227.x CrossRefGoogle Scholar
Anderson, W. P., & Lopez-Baez, S. I. (2011). Measuring personal growth attributed to a semester of college life using the posttraumatic growth inventory. Counseling and Values, 56, 7382. http://dx.doi.org/10.1002/j.2161-007X.2011.tb01032.x CrossRefGoogle Scholar
Anderson, W. P., & Lopez-Baez, S. I. (2008). Measuring growth with the posttraumatic growth inventory. Measurement and Evaluation in Counseling and Development, 40, 215228.CrossRefGoogle Scholar
Antoni, M. H., Lehman, J. M., Kilbourn, K. M., Boyers, A. E., Culver, J. L., Alferi, S. M., ... Carver, C. S. (2001). Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer. Health Psychology, 20(1), 2032. http://dx.doi.org/10.1037/0278-6133.20.1.20 CrossRefGoogle ScholarPubMed
Bellizzi, K. M., Smith, A. W., Reeve, B. B., Alfano, C. M., Bernstein, L., Meeske, K., ... Ballard-Barbash, R. R. (2010). Posttraumatic growth and health-related quality of life in a racially diverse cohort of breast cancer survivors. Journal of Health Psychology, 15, 615626. http://dx.doi.org/10.1177/1359105309356364 Google Scholar
Brunet, J., McDonough, M. H., Hadd, V., Crocker, P. R. E., & Sabiston, C. M. (2010). The posttraumatic growth inventory: An examination of the factor structure and invariance among breast cancer survivors. Psycho-Oncology, 19, 830838. http://dx.doi.org/10.1002/pon.1640 CrossRefGoogle ScholarPubMed
Byrne, B. M. (2001). Structural equation modeling with AMOS: Basic concepts, applications, and programming. Mahwah, NJ: Lawrence Erlbaum.Google Scholar
Cann, A., Calhoun, L. G., Tedeschi, R. G., Kilmer, R. P., Gil-Rivas, V., Vishnevsky, T., & Danhauer, S. C. (2010). The core beliefs inventory: A brief measure of disruption in the assumptive world. Anxiety, Stress & Coping: An International Journal, 23(1), 1934. http://dx.doi.org/10.1080/10615800802573013 CrossRefGoogle ScholarPubMed
Cordova, M. J., Cunningham, L. L. C., Carlson, C. R., & Andrykowski, M. A. (2001). Posttraumatic growth following breast cancer: A controlled comparison study. Health Psychology, 20, 176185. http://dx.doi.org/10.1037/0278-6133.20.3.176 Google Scholar
Danhauer, S. C., Case, L. D., Tedeschi, R., Russell, G., Vishnevsky, T., Triplett, K., … Avis, N. E. (2013). Predictors of posttraumatic growth in women with breast cancer. Psycho-Oncology, 22, 26762683. http://dx.doi.org/10.1002/pon.3298 Google Scholar
Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (2006). Multivariate data analysis (6 th Ed.). Englewood, NJ: Prentice Hall.Google Scholar
Ho, S. M. Y., Chan, C. L. W., & Ho, R. T. H. (2004). Posttraumatic growth in Chinese cancer survivors. Psycho-Oncology, 13, 377389. http://dx.doi.org/10.1002/pon.758 CrossRefGoogle ScholarPubMed
Ho, S. M. Y., Law, L. S. C., Wang, G. L., Shih, S. M., Hsu, S. H., & Hou, Y. C. (2013). Psychometric analysis of the Chinese version of the posttraumatic growth inventory with cancer patients in Hong Kong and Taiwan. Psycho-Oncology, 22, 715719. http://dx.doi.org/10.1002/pon.3024 CrossRefGoogle Scholar
Jaarsma, T. A., Pool, G., Sanderman, R., & Ranchor, A. V. (2006). Psychometric properties of the Dutch version of the posttraumatic growth inventory among cancer patients. Psycho-Oncology, 15, 911920. http://dx.doi.org/10.1002/pon.1026 CrossRefGoogle ScholarPubMed
Joseph, S., Linley, P. A., & Harris, G. J. (2004). Understanding positive change following trauma and adversity: Structural clarification. Journal of Loss and Trauma: International Perspectives on Stress & Coping, 10(1), 8396. http://dx.doi.org/10.1080/15325020490890741 CrossRefGoogle Scholar
Koutrouli, N., Anagnostopoulos, F., & Potamianos, G. (2012). Posttraumatic stress disorder and posttraumatic growth in breast cancer patients: A systematic review. Women & Health, 52, 503516. http://dx.doi.org/10.1080/03630242.2012.679337 CrossRefGoogle ScholarPubMed
Konkolÿ Thege, B., Kovács, É., & Balog, P. (2014). A bifactor model of the posttraumatic growth inventory. Health Psychology and Behavioral Medicine: An Open Access Journal, 2(1), 529540. http://dx.doi.org/10.1080/21642850.2014.905208 CrossRefGoogle ScholarPubMed
Lamela, D., Figueiredo, B., Bastos, A., & Martins, H. (2014). Psychometric properties of the Portuguese version of the posttraumatic growth inventory short form among divorced adults. European Journal of Psychological Assessment, 30(1), 314. http://dx.doi.org/10.1027/1015-5759/a000161 CrossRefGoogle Scholar
Linley, P. A., Andrews, L., & Joseph, S. (2007). Confirmatory factor analysis of the posttraumatic growth inventory. Journal of Loss and Trauma: International Perspectives on Stress & Coping, 12, 321332. http://dx.doi.org/10.1080/15325020601162823 CrossRefGoogle Scholar
Marôco, J. (2010). Análise de equações estruturais: Fundamentos teóricos, software & aplicações [Structural equations analysis: Theoretical foundations, software and applications]. Pêro Pinheiro, Portugal: ReportNumber, Lda.Google Scholar
Martins da Silva, S. I., Moreira, H., & Canavarro, M. C. (2011). Growing after breast cancer: A controlled comparison study with healthy women. Journal of Loss and Trauma: International Perspectives on Stress & Coping, 16, 323340. http://dx.doi.org/10.1080/15325024.2011.572039 CrossRefGoogle Scholar
Morris, B. A., Shakespeare-Finch, J., Rieck, M., & Newbery, J. (2005). Multidimensional nature of posttraumatic growth in an Australian population. Journal of Traumatic Stress, 18, 575585. http://dx.doi.org/10.1002/jts.20067 CrossRefGoogle Scholar
Morris, B. A., Wilson, B., & Chambers, S. K. (2013). Newfound compassion after prostate cancer: A psychometric evaluation of additional items in the Posttraumatic Growth Inventory. Supportive Care in Cancer, 21, 33713378. http://dx.doi.org/10.1007/s00520-013-1903-7 Google Scholar
Palmer, G. A., Graca, J. J., & Occhietti, K. E. (2012). Confirmatory factor analysis of the posttraumatic growth inventory in a veteran sample with posttraumatic stress disorder. Journal of Loss and Trauma: International Perspectives on Stress & Coping, 17, 545556. http://dx.doi.org/10.1080/15325024.2012.678779 CrossRefGoogle Scholar
Park, C. L., Cohen, L. H., & Murch, R. L. (1996). Assessment and prediction of stress-related growth. Journal of Personality, 64(1), 71105. http://dx.doi.org/10.1111/j.1467-6494.1996.tb00815.x Google Scholar
Powell, S., Rosner, R., Butollo, W., Tedeschi, R. G., & Calhoun, L. G. (2003). Posttraumatic growth after war: A study with former refugees and displaced people in Sarajevo. Journal of Clinical Psychology, 59(1), 7183. http://dx.doi.org/10.1002/jclp.10117 CrossRefGoogle Scholar
Prati, G., & Pietrantoni, L. (2014). Italian adaptation and confirmatory factor analysis of the full and the short form of the posttraumatic growth inventory. Journal of Loss and Trauma: International Perspectives on Stress & Coping, 19(1), 1222. http://dx.doi.org/10.1080/15325024.2012.734203 CrossRefGoogle Scholar
Purc-Stephenson, R. J. (2014). The posttraumatic growth inventory: Factor structure and invariance among persons with chronic diseases. Rehabilitation Psychology, 59(1), 1018. http://dx.doi.org/10.1037/a0035353 Google Scholar
Sheikh, A. I., & Marotta, S. A. (2005). A cross-validation study of the posttraumatic growth inventory. Measurement and Evaluation in Counseling and Development, 38, 6677.Google Scholar
Silva, S. M., Moreira, H. C., Pinto, S. M. de A., & Canavarro, M. C. (2009). Cancro da mama e desenvolvimento pessoal e relacional: Estudo das características psicométricas do inventário de desenvolvimento pós-traumático numa amostra de mulheres da população Portuguesa [Breast cancer and personal and relational growth: Psychometric characteristics of the Portuguese version of the posttraumatic growth inventory in a sample of Portuguese women]. Revista Iberoamericana de Diagnóstico e Avaliação Psicológica, 28, 105133. Retrieved from https://www.researchgate.net/publication/234164878 Google Scholar
Soo, H., & Sherman, K. A. (2015). Rumination, psychological distress and post-traumatic growth in women diagnosed with breast cancer. Psycho-Oncology, 24(1), 7079. http://dx.doi.org/10.1002/pon.3596 CrossRefGoogle ScholarPubMed
Taku, K., Calhoun, L. G., Tedeschi, R. G., Gil-Rivas, V., Kilmer, R. P., & Cann, A. (2007). Examining posttraumatic growth among Japanese university students. Anxiety, Stress, and Coping, 20, 353367. http://dx.doi.org/10.1080/10615800701295007 CrossRefGoogle ScholarPubMed
Taku, K., Cann, A., Calhoun, L. G., & Tedeschi, R. G. (2008). The factor structure of the posttraumatic growth inventory: A comparison of five models using confirmatory factor analysis. Journal of Traumatic Stress, 21, 158164. http://dx.doi.org/10.1002/jts.20305 CrossRefGoogle ScholarPubMed
Tedeschi, R. G., & Calhoun, L. G. (1996). The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455471. http://dx.doi.org/10.1002/jts.2490090305 CrossRefGoogle ScholarPubMed
Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry: An International Journal for the Advancement of Psychological Theory, 15(1), 118. http://dx.doi.org/10.1207/s15327965pli1501_01 CrossRefGoogle Scholar
Teixeira, R. J., & Pereira, M. G. (2013). Growth and the cancer caregiving experience: Psychometric properties of the Portuguese posttraumatic growth inventory. Families, Systems & Health: The Journal of Collaborative Family Healthcare, 31, 382395. http://dx.doi.org/10.1037/a0032004 CrossRefGoogle ScholarPubMed
Weiss, T., & Berger, R. (2006). Reliability and validity of a Spanish version of the posttraumatic growth inventory. Research on Social Work Practice, 16, 191199. http://dx.doi.org/10.1177/1049731505281374 CrossRefGoogle Scholar