A short form of the posttraumatic growth and posttraumatic depreciation inventory - expanded (PTGDI-X-SF) among German adults.

BACKGROUND: After experiencing trauma, people often report both negative and positive changes, which can be operationally defined as posttraumatic growth (PTG) and posttraumatic depreciation (PTD). However, there is no brief measure for assessing both posttraumatic changes simultaneously. OBJECTIVE: This study describes the short form of the expanded version of the Posttraumatic Growth and Depreciation Inventory (PTGDI-X-SF) among German Adults. METHOD: Using a sample of 253 German adults, the dimensionality of the PTGDI-X-SF was examined by confirmatory factor analyses. Internal consistencies were determined. The relation of PTG and PTD was investigated. Regression analyses explored the relationships to established predictors as previously found for the full-scale version of the PTGDI-X. RESULTS: Findings indicate a 5-factor structure for the PTGDI-X-SF equivalent to the PTGDI-X as well as high reliability for PTG (α = .88) and PTD (α = .88). Participants reported more PTG (M = 2.53, SD = 1.20) than PTD (M = 1.41, SD = 1.16). PTG and PTD were weakly associated (r = -.148, p = .018). PTG was positively related to disruption of core beliefs (ß = .25, p < .001) and deliberate rumination directly after the trauma (ß = .38, p < .001). PTD was positively associated with recent rumination irrespective of whether it was intrusive (ß = .21, p < .05) or deliberate (ß = .33, p < .01). CONCLUSIONS: Overall, results support the applicability of the PTGDI-X-SF as a valid and efficient measure to assess PTG and PTD. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Coping and rumination as predictors of posttraumatic growth and depreciation.

PURPOSE: The present study examined the joint impact of coping and rumination after trauma on posttraumatic growth (PTG) and posttraumatic depreciation (PTD) based on the PTG model. METHODS: A cross-sectional study was conducted between October 2017 and May 2018. A sample of 253 individuals who had experienced a traumatic event in the last two years, was included. Participants completed an online self-reported survey, including demographic variables, trauma characteristics, the German Posttraumatic Growth and Depreciation Inventory - Expanded, the Brief COPE Inventory, and the Event Related Rumination Inventory. An analysis of correlation, a principal component analysis and hierarchical regression analyses were conducted. Statistical analyses were undertaken on SPSS (version 25.0; IBM, New York, USA). RESULTS: After controlling for the effects of personal and trauma characteristics, self-sufficient coping and socially supported coping were found to favor the emergence of PTG. Event-related and recent deliberate rumination were positively related to PTG. Avoidant-focused coping and recent intrusive rumination were positively associated with PTD. Overall, the final models accounted for 46% and 58% of the variance in PTG and PTD. CONCLUSION: Our findings confirm the PTG model and support the central role of deliberate rumination, self-sufficient coping and socially supported coping in the development of PTG. Our results indicate that a similar model of PTD with comparable influencing factors can be assumed: if the individual is stuck in ongoing intrusive rumination and uses more avoidance-focused coping, it might lead to more reports of PTD.

Migration background and overall satisfaction with pre-hospital emergency care.

OBJECTIVES: This study was designed to explore how sociodemographic factors of the patient/patient's relatives including migrant status and service-related aspects influence overall satisfaction with pre-hospital emergency care. METHODS: A descriptive-analytical study was conducted on 218 persons (57 migrants and 161 nonmigrants) who had received pre-hospital emergency care directly (as a patient) or indirectly (as a significant other) in Germany. Sociodemographic data and service-related aspects were entered into a hierarchical regression analysis in order to identify their influence on overall satisfaction. RESULTS: Altogether, 58.3% of the variance of the overall satisfaction with pre-hospital emergency care can be explained by the final model. Of this sum, only 9.8% is explained by sociodemographic factors and 47.3% by service-related aspects. Migrant status per se did not show any significant influence, whereas no or a basic level of German language skills is significantly negatively associated with overall satisfaction. Professional and emotional/social competencies of the emergency personnel are significantly positively associated with overall satisfaction with pre-hospital emergency care. CONCLUSIONS: Sociodemographic-related factors, excepted from language skills, seem to be largely unrelated to overall satisfaction with pre-hospital emergency care. Service-related factors such as the emergency personnel's professional and social/emotional competencies appear as the main factors determining overall satisfaction with pre-hospital emergency care.

Predictors of postevent distress and growth among firefighters after work-related emergencies--A cross-national study.

Firefighters may experience posttraumatic stress symptomatology (i.e., postevent distress) as a consequence of exposure to work-related distressing incidents. However, positive psychological changes (i.e., postevent growth) should also be taken into account. The aim of this cross-national study was to investigate both postevent distress and growth in firefighters following distressing incidents. A sample of 1,916 firefighters from 8 predominantly European countries recalled a work-related distressing incident. Two hierarchical regression analyses were run to reveal predictors of postevent distress and growth, respectively. Predictors included person pre-event characteristics, objective (e.g., type of incident, time since incident, fatalities) and subjective (e.g., perceived life-threat, peri-event distress, most distressing aspect) incident features, and the participant's country. Postevent distress was measured by the Impact of Event Scale-Revised (IES-R) and growth by the Posttraumatic Growth Inventory-Short Form (PTGI-SF). The final models explained 29% of the variation in postevent distress and 26% in growth. Postevent distress and growth were predicted by different variables. Country differences were found after controlling for all other variables. Further research is needed to explain these differences.

[The concept of culture from the perspective of emergency victims with migration background and experts in the context of emergency care]. / Der Kulturbegriff aus Sicht von Betroffenen mit Migrationshintergrund und Bevölkerungsschutzexperten im Kontext der Notfallversorgung.

OBJECTIVES: In the field of emergency care there is a lack of conceptual foundations of Intercultural Competence. This study aims to elaborate a practice relevant definition of the term culture in order to develop a qualification training. METHOD: Interviews were conducted with 43 emergency victims and 20 experts. The analysis was performed based on the statements concerning the individual interpretation of the term culture according to the principles of the qualitative content analysis. RESULTS: The content analysis showed 11 distinguishable categories. Socialisation was a factor frequently mentioned by all persons interviewed. Moreover, emergency victims often linked culture to the fields of behaviour and way of life whilst experts gave priority to functional aspects of culture. CONCLUSION: A single definition would not be suitable for a common understanding. Rather, several key aspects commonly associated with the term culture should be considered by taking into account complex life environments.

Risk perception, experience, and objective risk: a cross-national study with European emergency survivors.

Understanding public risk perceptions and their underlying processes is important in order to learn more about the way people interpret and respond to hazardous emergency events. Direct experience with an involuntary hazard has been found to heighten the perceived risk of experiencing the same hazard and its consequences in the future, but it remains unclear if cross-over effects are possible (i.e., experience with one hazard influencing perceived risk for other hazards also). Furthermore, the impact of objective risk and country of residence on perceived risk is not well understood. As part of the BeSeCu (Behavior, Security, and Culture) Project, a sample of 1,045 survivors of emergencies from seven European countries (i.e., Germany, the Czech Republic, Poland, Sweden, Spain, Turkey, and Italy) was drawn. Results revealed heightened perceived risk for emergency events (i.e., domestic and public fires, earthquakes, floods, and terrorist attacks) when the event had been experienced previously plus some evidence of cross-over effects, although these effects were not so strong. The largest country differences in perceived risk were observed for earthquakes, but this effect was significantly reduced by taking into account the objective earthquake risk. For fires, floods, terrorist attacks, and traffic accidents, only small country differences in perceived risk were found. Further studies including a larger number of countries are welcomed.

Risk perception of different emergencies in a sample of European firefighters.

OBJECTIVE: Firefighters frequently incur injuries while providing emergency services. Risk perception has been found to be associated with injury and safety behavior. This study examined risk perception of different emergency situations among firefighters. Along with risk perceptions, we investigated the role of practical experience, perceived training, tenure, and acute stress related to different emergency situations. PARTICIPANTS: Participants were a sample of 1324 firefighters from Germany and Italy. METHODS: A questionnaire was administered to participants on risk perceptions, practical experience, perceived training, tenure, and acute stress. RESULTS: The results showed that different levels of risk perception are related to different practical experience, acute stress reactions, and training. Higher risk perception was associated with higher perceived training, practical experience, and acute stress reactions. A significant difference was found between the German and the Italian sample in risk perceptions. More specifically the Italian sample perceived disasters (e.g., earthquakes) as more risky. Moreover, there were some differences in perceived training and practical experience about the different emergency situations, in the two samples. CONCLUSION: The results underline the importance of considering organizational factors in the prediction of risk perception among firefighters.

A descriptive analysis of relations between parents' self-reported smoking behavior and infants' daily exposure to environmental tobacco smoke.

BACKGROUND: The aims of the present study were to examine relations between parents' self-reported smoking behavior and infants' daily exposure to environmental tobacco smoke, as assessed by urinary cotinine-to-creatinine ratio (CCR), and to describe the CCR over seven days among infants at home. METHODS: A convenience sample of 27 households was drawn. Each household had to have at least one daily tobacco smoker and one child up to three years of age. Over a seven-day period, urine samples were obtained from the child daily. To examine relations between parents' self-reported smoking and infants' daily CCR, generalized estimating equation (GEE) analysis was used. RESULTS: The data revealed that infants from households with indoor smoking had higher CCRs than infants in households with outdoor smoking. CCRs were higher in girls than in boys. Older infants had lower CCRs than younger infants. Smoking outside the home versus inside the home, infant's gender, and infants' age accounted for 68% of the variance in CCR in a GEE data analysis model. No increase or decrease of CCR over time was found. CONCLUSION: The findings suggest that parents' self-reported smoking indoors at home versus outdoors is predictive of CCR among infants three and younger. Higher CCR concentrations in girls' urine need further examination. Furthermore, significant fluctuations in daily CCR were not apparent in infants over a seven-day time period.