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Posttraumatic stress disorder and growth: Examination of joint trajectories in children and adolescents

Published online by Cambridge University Press:  07 June 2021

Xiao Zhou Open the ORCID record for Xiao Zhou [Opens in a new window]  and
Xinchun Wu
Xiao Zhou
Affiliation:
Department of Psychology and Behavioral Sciences, Zhejiang University, Hangzhou, China
Xinchun Wu*
Affiliation:
Faculty of Psychology, Beijing Normal University, Beijing, China
*
Author for Correspondence: Xinchun Wu, PhD, Faculty of Psychology, Beijing Normal University; E-mail: xcwu@bnu.edu.cn.
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Abstract

Positive health endpoints are not the opposite of negative endpoints. Previous studies examining posttraumatic stress disorders (PTSD) and posttraumatic growth (PTG) trajectories have overlooked the co-existence of PTSD and PTG, making it difficult to accurately distinguish individuals with various posttraumatic presentations, causing the effects of targeted interventions to be discounted. To fill this gap, the current study sought to examine joint PTSD and PTG trajectories in children and adolescents. Eight hundred and seventy-six Chinese children and adolescents were recruited to complete self-report questionnaires 6, 12, and 18 months after the Ya'an earthquake. Multiple-process growth mixture modeling analysis was used to test the study proposal. Five distinct joint PTSD and PTG trajectory types were found: recovery, growth, struggling, resistant, and delayed symptoms. Female students and students who felt trapped or fearful were more likely to be in the struggling group, and students who experienced injury to themselves or family members were more likely to belong to the delayed symptom group. These findings suggest that postdisaster psychological services should be provided to relieve delayed symptoms in individuals who experience injury to themselves or their family members, and individuals in the struggling group should be supported to achieve growth.

Keywords

joint trajectoriesPTSDPTG
Type
Regular Article
Information
Development and Psychopathology , Volume 34 , Issue 4 , October 2022 , pp. 1353 - 1365
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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