Classification and influencing factors of family resilience and post-traumatic growth in spinal tumor patients based on potential profile analysis / 中华全科医师杂志

Objective:To explore the classification and influencing factors of family resilience and post-traumatic growth in patients with spinal tumor.Methods:A cross-sectional investigation was conducted among 219 inpatients with spinal tumor admitted from July 2021 to July 2022. The General Demographic Information questionnaire, Chinese-Family Resilience Assessment Scale, Posttraumatic Growth Inventory, Family Crisis-Oriented Personal Evaluation Scales (F-COPES), and Social Support Rating Scale (SSRS) were used in the study. The ordinal and multivariate logistic regression analyses was applied to identify the factors associated with the classification of family resilience and post-traumatic growth.Results:Of the 219 patients, there were 62 cases of primary spinal tumors (28.3%). According to the results of latent profile analysis, the respondents were classified into three categories by family resilience and post-traumatic growth, namely family difficulty-resistant type ( n=38, 17.4%), general resilience-struggle type ( n=99, 45.2%) and family adaptation-growth type ( n=82, 37.4%). There were significant differences in occupational status, commitment to housework, family atmosphere( χ2=10.75, P=0.025; χ2=6.95, P=0.031; χ2=11.37, P=0.017), and total score of F-COPES and SSRS ( F=25.95, P<0.001; F=19.06, P<0.001)among three groups. Ordinal and multivariate logisitc regression analyses showed that retirement ( OR=2.928, 95% CI:1.098-7.808, P<0.05), family coping ( OR=1.113, 95% CI:1.063-1.165, P<0.05), and social support ( OR=1.226, 95% CI:1.103-1.362, P<0.05) were independently associated with family resilience and post-traumatic growth in patients with spinal tumor. Conclusion:Patients with spinal tumor have significant differences in characteristics by family resilience and post-traumatic growth. As a result, more targeted interventions should be provided for different categories of spinal tumor patients in the future.

Study on the status quo and influencing factors of post-traumatic growth in patients with benign central airway stenosis undergoing interventional therapy / 中国实用护理杂志

Objective:To investigate the post-traumatic growth status of patients with benign central airway stenosis undergoing interventional therapy, and analyze the influencing factors, so as to provide basis for the formulation of measures to improve the treatment tolerance and quality of life of patients.Methods:Patients with benign central airway stenosis treated by interventional therapy in the First Affiliated Hospital of Second Military Medical University from May 2020 to May 2022 were selected by convenient sampling. The general information questionnaire, Chinese Version of Post-traumatic Growth Inventory, Perceived Social Support Scale and Chronic Disease Patients′ Health Literacy Management Scale were used to conduct a cross-sectional survey. Multivariate linear regression was used to analyze the influencing factors of patients′ posttraumatic growth.Results:A total of 183 questionnaires were distributed, and 172 questionnaires were effectively collected, with an effective recovery rate of 93.99% (172/183). The posttraumatic growth score of 172 patients was (62.66 ± 9.54) points; Pearson correlation analysis showed that perceived social support, health literacy and post-traumatic growth were positively correlated ( r=0.483, 0.246, both P<0.05). Multivariate linear regression analysis showed that the degree of stenosis, the number of interventional therapy, social support, and health literacy were the main influencing factors for the post-traumatic growth of patients with benign central airway stenosis undergoing interventional therapy ( t values were -3.46-4.55, all P<0.05), could jointly explain 38.9% of the variation in post-traumatic growth scores. Conclusions:The post-traumatic growth of patients with benign airway stenosis undergoing interventional therapy is at a moderate level. The degree of stenosis and the number of interventional therapy are the limiting factors for post-traumatic growth. Systematic health education, social support and health literacy are conducive to more post-traumatic growth of patients. Medical staff can enhance patients' disease awareness, and provide more channels for acquiring disease knowledge through WeChat groups and WeChat official account, so as to promote patients' post-traumatic growth and reduce their painful experience during treatment.

Longitudinal investigation of post-traumatic growth and rumination in patients with coronary heart disease after percutaneous coronary intervention / 中国实用护理杂志

Objective:To describe the changes of post-traumatic growth and rumination in coronary heart disease patients at different time points after PCI, and to analyze the correlation between them in order to provide evidence for personalized intervention.Methods:A cross-sectional study was conducted, a total of 234 patients with coronary heart disease who underwent PCI for the first time in the Department of Cardiology, the First Affiliated Hospital of China Medical University from December 2021 to October 2022 were studied by convenience sampling. The general data questionnaire, the Chinese version of the Event-Related Rumination Inventory and the simplified Chinese version of the Posttraumatic Growth Inventory were used to survey before discharge (T 0), first month after surgery (T 1), and three months after surgery (T 2). Results:The total scores of post-traumatic growth at the time point of T 0, T 1 and T 2 were 53.08 ± 13.47, 54.77 ± 11.20 and 59.32 ± 7.95, the difference was statistically significant ( F = 78.45, P<0.01). The scores of instrusive rumination at the time point of T 0, T 1 and T 2 were 14.92 ± 6.07, 15.78 ± 4.64 and 12.31 ± 3.38, the difference was statistically significant ( F = 46.58, P<0.01). The scores of deliberate rumination were 14.63 ± 4.74, 15.52 ± 3.93 and 17.86 ± 3.70, the difference was statistically significant ( F = 76.20, P<0.01). Instrusive rumination at T 0, T 1 and deliberate rumination at each point were positively correlated with the total score of post-traumatic growth ( r values were 0.229 to 0.414, all P<0.01). Instrusive rumination at T 2 was negatively correlated with posttraumatic growth scores ( r = -0.351, P<0.01). The deliberate rumination at T 2 time point was positively correlated with the total score of post-traumatic growth ( r = 0.403, P<0.01). Conclusions:The level of posttraumatic growth in patients with coronary heart disease after PCI needs to be improved, and targeted intervention should be planned early to change patients′pessimistic cognition caused by the disease, promote the development of positive thinking, then promote their posttraumatic growth.

Mediating effect of rumination between affiliate stigma and post-traumatic growth in parents of autistic children / 中国心理卫生杂志

Objective:To explore the relationship among ruminating,affiliate stigma and post-traumatic growth in parents of autistic children.Methods:Totally 339 parents of autistic children were selected.The Affiliate Stigma Scale(ASS),Post-traumatic Growth Inventory(PTGI),ERRI Intrusive Subscale(ERRI-I)and ERRI De-liberate Subscale(ERRI-D)of Event Related Rumination Inventory(ERRI)were used to measure affiliate stigma,post-traumatic growth,intrusive ruminating and deliberate ruminating.SPSS macro program PROCESS was used to test the mediating role.Results:There were positive correlations among the scores of ASS,ERRI-I and ERRI-D(r=0.39-0.72,Ps＜0.01).The PTGl scores were negatively correlated with ASS scores(r=0.26,Ps＜0.01)and positively correlated with ERRI-D scores(r=0.10,Ps＜0.05).The ERRI-D scores played a partial mediating role in the relationship between ASS and PTGl scores(95％CI:0.01-0.07).The ERRI-I scores and ERRI-D scores played a serial mediating role in the relationship between ASS and PTGI scores(95％CI:0.03-0.14).Both me-diation paths had suppression effect.Conclusion:In the negative correlation between affiliate stigma and post-trau-matic growth in parents of autistic children,the deliberate ruminating plays a partial mediating role,while intrusive ruminating and deliberate ruminating play a serial mediating role.

Positive psychological capital and its influencing factors among parents of children with leukemia / 四川精神卫生

BackgroundPsychological capital has a significant impact on individual post-traumatic growth and well-being. However， there is limited research on the psychological capital and its related factors among parents of children with leukemia. ObjectiveTo explore the psychological capital status of parents of children with leukemia and analyze its influencing factors， in order to provide references for formulating intervention strategies to improve the psychological capital among these parents. MethodsFrom March 2021 to April 2022， 143 parents of children diagnosed with leukemia from the Department of Pediatrics at the First Affiliated Hospital of Xinjiang Medical University was selected. The general demographic information questionnaire， Positive Psychological Capital Questionnaire （PPQ）， Chinese-Posttraumatic Growth Inventory （C-PTGI） and Index of Well-being Scale （IWB） were used to investigate the participants. Multiple linear regression analysis was used to analyze the influencing factors of psychological capital. ResultsThe PPQ total score for parents of children with leukemia was （113.48±15.80）. The PPQ total score showed positive correlations with the scores of C-PTGI and IWB （r=0.727， 0.598， P<0.01）. The course of children's illness （β=0.136， P=0.017）， parental education level （β=0.139， P=0.012） and C-PTGI score （β=0.622， P<0.01） were influencing factors of psychological capital among these parents， collectively explaining 57.6% of the total variability. ConclusionThe level of positive psychological capital among parents of children with leukemia warrants improvement. Factors including course of the children's illness， parental education level and post-traumatic growth significantly impacted their psychological capital.［Funded by Innovation and Entrepreneurship Project for Graduate Students of Xinjiang Medical University （number， CXCY2022047）］

Effects of acceptance and commitment therapy on self-disclosure, coping style and post-traumatic growth of patients with ovarian cancer receiving chemotherapy after surgery / 中国实用护理杂志

Objective:To explorethe effect of acceptance and commitment therapy on self-disclosure, coping style and post-traumatic growth in patients with ovarian cancer undergoing chemotherapy after surgery.Methods:A total of 84 patients with ovarian cancer undergoing chemotherapy after surgery were recruited from the gynecology ward of the First Affiliated Hospital of University of Science and Technology of China for randomized controlled trial, from February 2022 to October 2022. All participants were divided into the intervention group and the control group with 42 patients in each group by random number table method. The patients in control group received routine care. The intervention group was given acceptance and commitment therapy (ACT) on the basis of the control group and intervened for three cycles of chemotherapy. The scores of Distress Disclosure Index (DDI), Cancer Coping Modes Questionnaire (CCMQ), and Post-Traumatic Growth Inventory (PTGI) were compared between the two groups before and after intervention.Results:There was no significant difference in the scores of DDI, CCMQ and PTGI between the two groups before intervention ( P>0.05). After intervention, DDI scorein intervention group was (38.81 ± 5.96) points, significantly higher than that in control group (34.43 ± 4.79) points, the difference was statistically significant ( t = 3.71, P<0.01). In terms of coping styles, after intervention, the scores of five dimensions of fantasy, resignation, avoidance, catharsis and confrontation were 6.00(6.00, 8.00), 9.00(8.00, 12.00), 9.00(8.75, 11.00), 7.00(6.00, 8.00) and 20.00(16.00, 21.00) points in the invention group, compared with the control group of 8.00(7.75, 9.00), 11.00(9.75, 13.00), 11.00(9.00, 13.00), 9.00(8.00, 12.00) and 16.00(13.00, 18.50) points, the differences were statistically significant ( Z = 2.86 to 5.11, all P<0.01). The total PTGI score in intervention group was (71.43 ± 8.68) points, significantly higher than that in control group(63.98 ± 6.92) points, the difference was statistically significant ( t = 4.35, P<0.01). Conclusions:ACT can increase self-disclosure, enhance positive coping, and promote post-traumatic growth in ovarian cancer patientsundergoing chemotherapy after surgery.

Validación de la Escala de Prácticas Espirituales con víctimas de violencia política en Chile / Validation of the Spiritual Practices Scale with victims of political violence in Chile

Resumen En este artículo se presenta la validación de una versión abreviada de la Escala de Prácticas Espirituales de Parsian y Dunning (2009). Para ello, se utilizó una muestra de personas adultas (n = 251, M = 60.85, DT = 13.40) víctimas de violencia política en Chile durante la dictadura cívico militar (1973-1990). Para valorar la estructura de la escala se realizó un Análisis Factorial Confirmatorio (AFC), se calculó el índice de fiabilidad (α = .85) y se valoró la validez convergente con una serie de correlaciones bivariadas entre variables. De acuerdo a lo esperado, el AFC informa un adecuado ajuste a la estructura unifactorial y los resultados dan cuenta de la relación significativa entre las prácticas espirituales y el crecimiento postraumático y entre las prácticas espirituales y la religiosidad. La relación entre estas dos últimas es media-baja (r = .29), lo cual permite concluir que, aunque relacionadas, son constructos diferentes. A partir del análisis de los datos, no se puede concluir que exista relación entre las prácticas espirituales con la edad y el nivel de ingresos. En conclusión, la versión abreviada de la Escala de Prácticas Espirituales presenta adecuados niveles de fiabilidad y validez, por lo que resulta recomendable para ser utilizada en la medición de prácticas espirituales, especialmente en aquellas poblaciones que no se adscriben a una fe teísta.

Abstract Spirituality, or what motivates the search for the sacred from particular and free positions, allows us to provide a framework from which to interpret the experience of loss and suffering, contributing in different ways to the resignification and re-authorship of people after the trauma. It is related to resilience, with that ability to overcome adverse events. It favors the mitigation of the negative effects of the traumatic event and fosters healthy and successful psychological development -despite the suffering caused by an external situation- by promoting the construction and redefinition of people's life purpose -one of the central components of human well-being-, being especially relevant in those who have been victims of trauma. Thus, spirituality can contribute to the reconfiguration of the narrative about the survived experience from practices that promote spiritual emotion such as the actions of meditating or praying, the latter considered as one of the mechanisms of self-revelation that is fundamental within the post traumatic growth process. Spirituality and religion maintain a complex interrelation that at times makes difficult the distinction between them. However, this distinction is especially sensitive and necessary when it comes to accounting for spirituality in people who do not profess a theistic faith. This is the case of a significant part of people with left-wing ideologies -who suffered some type of violence during the military dictatorships implanted from the second half of the 20th century in Latin America. Particularly in Chile, the civic-military dictatorship (1973-1990) was especially cruel with people of left-wing ideologies, many of them not ascribed to a belief of a theistic order. In this context, it is relevant to account for spiritual practices -differentiating them from religious beliefs- in relation to post-traumatic growth in people victims of political violence. For this objective we have proposed in this article the validation of the short version of the Parsian and Dunning (2009) Spiritual Practice Scale. For this purpose, we utilized a sample of adult people victims of political violence in Chile during the military dictatorship between 1973 and 1990 (n = 251, M = 60.85, DT = 13.40). To assess the structure of the scale, we estimated a confirmatory factor analysis (CFA). The reliability index was calculated (α = .85) and the convergent validity was assessed with a series of bivariate correlations between variables. As expected, the CFA reports an adequate adjustment to the unifactorial structure and the results show the significant relationship between spiritual practices and post-traumatic growth (r = .45), and between spiritual practices with religiosity (r = .29). Being the relationship between spiritual practices and religiosity medium-low, it allows us to conclude that although they are related, they are different constructs. From the analysis of the data, it cannot be concluded that there is a relationship between spiritual practices with age and income level. In conclusion, the short version of the Spiritual Practices Scale presents adequate levels of reliability and validity, so it is recommended to be used in the measurement of spiritual practices, especially in those populations that do not adhere to a theistic faith.

Post-traumatic growth status and influencing factors of tumor patients undergoing radiotherapy / 中华放射肿瘤学杂志

Objective:To investigate the post-traumatic growth status of tumor patients receiving radiotherapy and analyze its influencing factors, aiming to provide theoretical basis for clinical doctors and nurses to formulate targeted intervention strategies.Methods:A cross-sectional survey of 170 tumor patients receiving radiotherapy admitted to Department of Radiotherapy of Sun Yat-sen Memorial Hospital was conducted by convenience sampling method, general information questionnaire and a post-traumatic growth inventory (PTGI).Results:The average PTGI score of 170 patients was 83.11±16.74, and 141 cases of them had significant post-traumatic growth, accounting for 82.9%(score ≥71). Logistic regression analysis showed that personality type, work status, and the times of hospitalization were the influencing factors of post-traumatic growth (all P<0.05). Conclusions:Tumor patients undergoing radiotherapy obtain a high level of post-traumatic growth. Medical staff should make full use of the patients’ potential for post-traumatic growth and implement interventions as soon as possible to promote the physical and mental health of tumor patients undergoing radiotherapy.

Path analysis of the influence of social support and ruminant meditation on post-traumatic growth of pulmonary tuberculosis patients / 中国实用护理杂志

Objective:To explore the path and relationship between social support and ruminant meditation of tuberculosis patients on their post-traumatic growth (PTG).Methods:A total of 156 patients treated from January 2018 to August 2019 were selected as the research objects. The social support rating scale, event-related ruminant meditation questionnaire, and post-traumatic growth rating scale were used for investigation and analysis, and 150 valid questionnaires were obtained. The path analysis method was used to analyze the mutual influence between people.Results:The patient ′s post-traumatic growth, social support and ruminant meditation scores were (62.71±12.28), (38.19±9.79) and (27.28±11.18) points, respectively; social support and purposeful ruminant meditation directly affected tuberculosis patient's PTG (effect value was 0.57); social support indirectly positively affected the patient's PTG through purposeful ruminant meditation (indirect value was 0.77), and purposeful ruminant meditation was the mediating variable. Conclusion:The PTG, ruminant contemplation level and social support of pulmonary tuberculosis patients need to be improved. Social support can directly and indirectly affect the PTG level of pulmonary tuberculosis patients.

Otimismo e ganho percebido em cuidadores de crianças com câncer / Optimism and benefit finding in caregivers of children with cancer / Optimismo y crecimiento psicológico postraumático en los cuidadores de niños con câncer

Com o objetivo de analisar as relações entre otimismo e ganho percebido em cuidadores de crianças com câncer, constituiu-se uma amostra de conveniência de 60 cuidadores, com média de idade de 36,5 anos (DP=9,17), 81,7% de mulheres, em um hospital de referência. Utilizaram-se os instrumentos: Teste de Orientação da Vida, Inventário de Desenvolvimento Pós-Traumático, e questionário sociodemográfico e clínico. Após análise estatística descritiva e inferencial, verificou-se correlação positiva entre otimismo e ganho percebido (percepção de recursos e competências pessoais). Otimismo e ganho percebido também se associaram às variáveis clínicas e sociodemográficas: cuidadores casados e com crianças fora de quimioterapia referiram maior ganho percebido; e cuidadores cujos filhos tinham mais tempo de tratamento, se mostraram mais otimistas e com maior ganho percebido. Conclui-se que características individuais e clínicas devem ser consideradas em intervenções com foco na ressignificação da experiência de ter um filho com câncer e o crescimento frente à adversidade.

In order to analyze the relationship between optimism and benefit finding in caregivers of children with cancer, a convenience sample with 60 caregivers was made up, with an average age of 36.5 (DP=9.17), 81.7 women, in a referral hospital. The tools used were: Life Orientation Test, Post-traumatic Growth Inventory and socio-demographic and clinical questionnaire. After the descriptive and inferential statistical analysis, the positive correlation between optimism and benefit finding (perception of resources and personal skills) was observed. Optimism and benefit finding were also associated with clinical and socio-demographic variables: married caregivers and with children without chemotherapy reported greater benefit finding; and caregivers whose children had a longer treatment period turned out to be more optimistic and with greater benefit finding. It is concluded that individual and clinical characteristics should be considered in interventions focused on reframing the experience of having a child with cancer and the growth face to adversities.

Para analizar la relación entre optimismo y crecimiento psicológico postraumático en los cuidadores de niños con cáncer, se constituyó una muestra de conveniencia de 60 cuidadores, con una edad media de 36,5 años (DE = 9,17), 81,7 % de mujeres, en un hospital de referencia. Los instrumentos utilizados fueron: Life Orientation Test, Posttraumatic Growth Inventory y cuestionario sociodemográfico y clínico. Tras el análisis estadístico descriptivo e inferencial, se constató una correlación positiva entre el optimismo y la ganancia percibida (Percepción de recursos y habilidades personales). El optimismo y la ganancia percibida también se asociaron con variables clínicas y sociodemográficas: los cuidadores casados y los niños sin quimioterapia reportaron una mayor ganancia percibida; y los cuidadores cuyos hijos tuvieron más tiempo de tratamiento, fueron más optimistas y percibieron una mayor ganancia. Se concluye que las características individuales y clínicas deben ser consideradas en intervenciones enfocadas a replantear la experiencia de tener un hijo con cáncer y crecimiento ante la adversidad.

Mulheres diagnosticadas com câncer de mama: impacto do crescimento pós-traumático / Women diagnosed with breast cancer: impact of post-traumatic growth

Câncer é possivelmente a doença mais temida na atualidade. Por seu caráter crônico, exige ajustamentos em múltiplos domínios na vida do paciente, com evidências indicando que fatores físicos, emocionais, cognitivos, interpessoais e comportamentais estão inter-relacionados e contribuem para o ajustamento de cada indivíduo. A perspectiva de superação de uma experiência desafiadora como o câncer pode resultar no desenvolvimento do que alguns autores denominam de crescimento pós-traumático. O objetivo consistiu em identificar os fatores relacionados ao crescimento pós-traumático a partir do diagnóstico e tratamento de câncer de mama. Participaram deste estudo trinta mulheres diagnosticadas com câncer de mama em tratamento no Hospital de Base. Para o processo de coleta de dados foram utilizados, questionário sociodemográfico, Escala de Ansiedade e Depressão Hospitalar, Escala de esperança de Herth, Escala de Apoio Social, Escala de Ajustamento Mental para o câncer e Inventário de Crescimento Pós-Traumático. Como resultado verificou-se que variáveis como idade, possuir um companheiro, maior tempo de diagnóstico, esperança, menores indicadores de depressão, maior nível de escolaridade e religião são fatores que colaboram para o desenvolvimento do crescimento pós-traumático. Estes resultados apontam para a importância da identificação destas variáveis no perfil psicossocial de pacientes com câncer, e principalmente para a necessidade de elaborar intervenções que possam promover a manutenção e o desenvolvimento de fatores de proteção em face aos estressores do tratamento.

Cancer is possibly the most feared disease today. Due to its chronic nature, it requires adjustments in multiple domains in the patient's life, with evidence indicating that physical, emotional, cognitive, interpersonal and behavioral factors are interrelated and contribute to the adjustment of each individual. The prospect of overcoming a challenging experience like cancer can result in the development of what some authors call post-traumatic growth. The objective was to identify factors related to post-traumatic growth from the diagnosis and treatment of breast cancer. Thirty women diagnosed with breast cancer undergoing treatment at the Base Hospital participated in this study. For the data collection process, a sociodemographic questionnaire, Hospital Anxiety and Depression Scale, Herth's Hope Scale, Social Support Scale, Mental Adjustment Scale for cancer and Post-Traumatic Growth Inventory were used. As a result, it was found that variables such as age, having a partner, longer diagnosis time, hope, lower indicators of depression, higher level of education and religion are factors that contribute to the development of post-traumatic growth. These results point to the importance of identifying these variables in the psychosocial profile of cancer patients, and mainly to the need to develop interventions that can promote the maintenance and development of protective factors in the face of treatment stressors.

Effect of continued acceptance and commitment therapy intervention on post-traumatic growth of postoperative patients with breast cancer / 中国实用护理杂志

Objective@#To evaluate the effects of continued acceptance and commitment therapy intervention on post-traumatic growth of postoperative patients with breast cancer.@*Methods@#According to the hospitalization time, 120 patients with breast cancer were divided into observation group (62 cases) and control group (58 cases). From January to December 2017, 58 patients were used as control group. Regular health education and discharge follow-up were performed. Intervention with the commitment therapy 3 times; 62 patients from January to December 2018 were selected as the observation group. On the basis of the control group, the patient continued to receive and commit the intervention for 3 to 4 times from February to March after discharge. The post-traumatic growth status of patients before, at the time of discharge (after the intervention), at the hospital for 2 months, at the hospital for 3 months, and at the hospital for 6 months was assessed using the Simplified Chinese version of the Post-Treatment Growth Rating Scale (PTGI).@*Results@#There was no significant difference in the post-traumatic growth scores between the two groups (P>0.05). The post-traumatic growth scores of the two groups were 67.02±14.17, 66.93±14.24, which were better than 51.72±11.65, 51.86±11.67 before the intervention (t= 7.634, 7.725, P<0.05). At 3 months and 6 months after discharge, the post-traumatic growth scores of the observation group were (67.12±14.07) and (68.21±14.48), which were significantly better than the control group (54.17±11.64). 54.02±11.12), the difference was statistically significant (t= 7.957, 7.674, P<0.01).@*Conclusion@#Acceptance and commitment therapy intervention during hospitalization can effectively improve post-traumatic growth of postoperative patients with breast cancer. Continued admission and commitment therapy intervention after discharge can provide patients with out-of-hospital continuous care programs to improve post-traumatic growth of postoperative patients with breast cancer. It has a better long-term effect than the control group.

Chain-mediated effects of resilience and ruminant meditation on post-gastrectomy stress perception and post-traumatic growth in postoperative patients with gastric cancer / 中国实用护理杂志

Objective@#To analyze the correlation between pressure perception, psychological resilience, ruminant meditation and post-traumatic growth in postoperative patients with gastric cancer after gastrectomy.@*Methods@#Totally 384 patients with gastric cancer who underwent total gastrectomy or subtotal gastrectomy from January 2015 to January 2018 in 6 major hospitals in Lianyungang were selected as the subjects,who are measured at pressure perception, post-traumatic growth, post-traumatic growth and event-related ruminative.@*Results@#In postoperative patients with gastric cancer, ruminant meditation and psychological resilience all partially had mediation effect between pressure perception and post-traumatic growth (P<0.05), mediation effect was 0.34 and 0.31, accounting for 19.9% and 18.1% of the total effect. They had chain mediation effect with pressure perception and post-traumatic growth (P<0.05), mediation effect was 0.17, accounting for 10.0% of the total effect.@*Conclusion@#Psychological resilience and ruminant meditation can reduce stress perception, increase post-traumatic growth, and play a part of mediating effect and chain mediating effect between stress perception and post-traumatic growth in Patients with gastric cancer after gastrectomy.

Memoria traumática: estrategias de afrontamiento adaptativas e inadaptativas / Traumatic Memories: Adaptive and Maladaptive Coping Strategies

Resumen En este artículo se analiza la relación existente entre los recuerdos traumáticos y las posibles estrategias para hacerles frente. Los recuerdos traumáticos son difíciles de integrar en la biografía de las personas afectadas y pueden interferir de forma significativa en su funcionamiento social, académico y profesional. Se distingue psicopatológicamente entre los recuerdos normales y los recuerdos traumáticos. Asimismo se analizan las estrategias de afrontamiento adaptativas, tales como la evitación cognitiva, la exposición terapéutica a los recuerdos traumáticos o la capacidad de perdón. Pero también hay un afrontamiento inadaptativo (nostalgia, sentimientos de odio y de venganza o conductas autodestructivas) que puede dar cuenta de las dificultades de recuperación en algunos pacientes. Por último, se examinan las estrategias de regulación emocional cognitiva y el papel de la resiliencia y del crecimiento postraumático para afrontar los recuerdos traumáticos. Se comentan las implicaciones de este estudio para investigaciones futuras en esta área.

Abstract In this paper the relationship between traumatic memories and coping skills to deal with them is analyzed. Traumatic memories are difficult to be integrated into the survivor's life story and can significantly interfere with social, educational and occupational functioning. From a psychopathological point of view, a distinction between normal and traumatic memories is made. Adaptive coping skills to deal with traumatic memories, such as cognitive avoidance, therapeutic exposure to traumatic memories or forgiveness, are analyzed. But there is also maladaptive coping, such as nostalgia, hate and revenge feelings or self-destructive behaviors, which should be taken into account to explain the difficulties of recovery in some patients. Finally, the cognitive emotion regulation strategies and the role of resiliency and post-traumatic growth in some patients to cope with traumatic memories are examined. Implications of this study for future research in this field are commented upon.

A longitudinal study of posttraumatic growth and emotion regulation strategies in patients with moderate and severe burns in rehabilitation / 中国实用护理杂志

Objective To investigate the posttraumatic growth and emotional regulation strategies of patients with moderate and severe burns at different time points in the rehabilitation period, and to explore the correlation between posttraumatic growth and emotional regulation strategies, so as to provide a basis for targeted nursing intervention. Methods By convenience sampling method, 115 convalescent patients with moderate and severe burns in Linyi People′s Hospital burn plastic surgery center were investigated by General Information Questionnaire, Chinese Posttraumatic Growth Inventory (C-PTGI), Emotion Regulation Scale (ERQ) respectively on the day of discharge (T1), 3 months and 6 months after hospital discharge (T2, T3) from December 2017 to January 2019. Results The post-traumatic growth scores of patients T1, T2 and T3 were 58.18±9.51, 48.65±9.31 and 47.43±8.76, respectively. The post-traumatic growth scores showed a downward trend at three time points, and the difference was statistically significant (F=339.732,P<0.01). The scores of T1, T2 and T3 in the cognitive reassessment dimensions of patients′emotion regulation strategies were respectively 27.10±4.13, 26.95±3.76, 26.11±3.60. The scores are going down and the differences were statistically significant (F=27.798, P<0.01). The expression inhibition scores were 14.42±4.39, 15.20±3.30, 15.21±3.56 respectively. The scores are the rise and the differences were statistically significant (F=13.675, P < 0.01). There were positive correlations between cognitive reassessment scores and posttraumatic growth scores、scores of all dimensions (r=0.230-0.555, P<0.05). The expression inhibition scores were negatively correlated with the total post-traumatic growth scores, personal strength, and scores of new possibility dimensions (r=- 0.230-- 0.420, P<0.05). Conclusion Posttraumatic growth of patients with moderate to severe burns is not optimistic in the rehabilitation period. Therefore, it is necessary to pay attention to the guidance of emotional regulation strategies for patients with moderate to severe burns in the rehabilitation period, and carry out targeted interventions to promote the posttraumatic growth of patients.

Psychological growth experience of women with abnormal fetal induced labor based on positive psychology theory / 中国实用护理杂志

Objective To explore the emotional experience of abnormal fetal pregnant women after induced labor. Methods Phenomenological methods were used to conduct in-depth interviews with 20 pregnant women with abnormal fetal induced labor from November 2018 to January 2019. Colaizzi analysis method was used to sort, code, classify, summarize and extract the subjects. Results Two themes were extracted: Post-traumatic growth experiences and promotive factors of PTG. Post-traumatic growth experiences included traumatic reaction, new life attitude, exploring potential advantages, cherishing the relationship between relatives and friends, and actively seeking knowledge;Promotive factors of PTG included providing social support, mobilizing internal positive cognition, diverting attention, and planning for the future. Conclusions Medical staff should provide opportunities for pregnant women with abnormal fetal induced labor to express their emotions, fully integrate social and emotional support, mobilize internal positive cognition, and then promote their post-traumatic growth.

The correlation between post-traumatic growth and sleep quality among parents of children with epilepsy / 中国实用护理杂志

Objective To explore the correlation between post-traumatic growth (PTG) and sleep quality among parents of children with epilepsy. Methods In this cross-sectional study, 191 parents of children with epilepsy were selected from Shangdong Province Third Hospital by convenience sampling method, the questionnaire included socio- demographic questionnaire, the Post- Traumatic Growth Inventory (PTGI) and Pittsburgh Sleep Quality Index (PSQI). Results The score of PTGI and PSQI of parents of children with epilepsy were (28.63±10.85) and (5.97±3.72), respectively. The score of PTGI and PSQI in parents'health status with health, general, worse was (29.44±10.66), (25.28±11.26), (19.00±7.81) and (5.57 ± 3.51), (7.23 ± 3.53), (15.00 ± 1.73), the difference was significant (F=3.07, 12.69, P<0.05 or 0.01). The score of PSQI in parents with or without major negative events was (8.50±4.16), (5.67±3.57), the difference was significant (t =-3.12, P<0.01). There was a negative correlation between PTGI and PSQI among parents of children with epilepsy (r=-0.159, P<0.05). Hierarchical regression analysis showed that there was a significant positive correlation between the dimension of PTG appreciation life and the sleep quality of parents (B=0.455, P＜0.01). Conclusions Parents with epilepsy have normal sleep quality, but at the same time have a certain level of PTG, and the level of PTG appreciated by parents is related to their sleep quality. Therefore, by promoting parents with epilepsy to actively appreciate life, it helps to alleviate their sleep problems.

A longitudinal study of posttraumatic growth and emotion regulation strategies in patients with moderate and severe burns in rehabilitation / 中国实用护理杂志

Objective@#To investigate the posttraumatic growth and emotional regulation strategies of patients with moderate and severe burns at different time points in the rehabilitation period, and to explore the correlation between posttraumatic growth and emotional regulation strategies, so as to provide a basis for targeted nursing intervention.@*Methods@#By convenience sampling method, 115 convalescent patients with moderate and severe burns in Linyi People′s Hospital burn plastic surgery center were investigated by General Information Questionnaire, Chinese Posttraumatic Growth Inventory (C-PTGI), Emotion Regulation Scale (ERQ) respectively on the day of discharge (T1), 3 months and 6 months after hospital discharge (T2, T3) from December 2017 to January 2019.@*Results@#The post-traumatic growth scores of patients T1, T2 and T3 were 58.18±9.51, 48.65±9.31 and 47.43±8.76, respectively. The post-traumatic growth scores showed a downward trend at three time points, and the difference was statistically significant (F=339.732,P<0.01). The scores of T1, T2 and T3 in the cognitive reassessment dimensions of patients′emotion regulation strategies were respectively 27.10±4.13, 26.95±3.76, 26.11±3.60. The scores are going down and the differences were statistically significant (F=27.798, P<0.01). The expression inhibition scores were 14.42±4.39, 15.20±3.30, 15.21±3.56 respectively. The scores are the rise and the differences were statistically significant (F=13.675, P < 0.01). There were positive correlations between cognitive reassessment scores and posttraumatic growth scores、scores of all dimensions (r=0.230-0.555, P<0.05). The expression inhibition scores were negatively correlated with the total post-traumatic growth scores, personal strength, and scores of new possibility dimensions (r=-0.230--0.420, P<0.05).@*Conclusion@#Posttraumatic growth of patients with moderate to severe burns is not optimistic in the rehabilitation period. Therefore, it is necessary to pay attention to the guidance of emotional regulation strategies for patients with moderate to severe burns in the rehabilitation period, and carry out targeted interventions to promote the posttraumatic growth of patients.

Psychological growth experience of women with abnormal fetal induced labor based on positive psychology theory / 中国实用护理杂志

Objective@#To explore the emotional experience of abnormal fetal pregnant women after induced labor.@*Methods@#Phenomenological methods were used to conduct in-depth interviews with 20 pregnant women with abnormal fetal induced labor from November 2018 to January 2019. Colaizzi analysis method was used to sort, code, classify, summarize and extract the subjects.@*Results@#Two themes were extracted: Post-traumatic growth experiences and promotive factors of PTG. Post-traumatic growth experiences included traumatic reaction, new life attitude, exploring potential advantages, cherishing the relationship between relatives and friends, and actively seeking knowledge;Promotive factors of PTG included providing social support, mobilizing internal positive cognition, diverting attention, and planning for the future.@*Conclusions@#Medical staff should provide opportunities for pregnant women with abnormal fetal induced labor to express their emotions, fully integrate social and emotional support, mobilize internal positive cognition, and then promote their post-traumatic growth.

The correlation between post-traumatic growth and sleep quality among parents of children with epilepsy / 中国实用护理杂志

Objective@#To explore the correlation between post-traumatic growth (PTG) and sleep quality among parents of children with epilepsy.@*Methods@#In this cross-sectional study, 191 parents of children with epilepsy were selected from Shangdong Province Third Hospital by convenience sampling method, the questionnaire included socio-demographic questionnaire, the Post-Traumatic Growth Inventory (PTGI) and Pittsburgh Sleep Quality Index (PSQI).@*Results@#The score of PTGI and PSQI of parents of children with epilepsy were (28.63±10.85) and (5.97±3.72), respectively. The score of PTGI and PSQI in parents' health status with health, general, worse was (29.44±10.66), (25.28±11.26), (19.00±7.81) and (5.57±3.51), (7.23±3.53), (15.00±1.73), the difference was significant (F=3.07, 12.69, P<0.05 or 0.01). The score of PSQI in parents with or without major negative events was (8.50±4.16), (5.67±3.57), the difference was significant (t=-3.12, P<0.01). There was a negative correlation between PTGI and PSQI among parents of children with epilepsy (r=-0.159, P<0.05). Hierarchical regression analysis showed that there was a significant positive correlation between the dimension of PTG appreciation life and the sleep quality of parents (B=0.455, P<0.01).@*Conclusions@#Parents with epilepsy have normal sleep quality, but at the same time have a certain level of PTG, and the level of PTG appreciated by parents is related to their sleep quality. Therefore, by promoting parents with epilepsy to actively appreciate life, it helps to alleviate their sleep problems.