Objectives: On August 4th, 2020, one of the biggest ammonium nitrate explosions took place in Beirut. This study is the first of its kind to examine post-traumatic growth and its relation to post-traumatic stress disorder after 6 months of the Beirut Blast.
Methods: This study targeted survivors defined as adults who were in areas affected by infrastructural damage at the time of the blast (within a 4.1 km radius from the epicenter). A total of 322 participants were recruited. Validated Arabic versions of the Post-Traumatic Growth Inventory (Short Form), Patient Health Questionnaire-9, and Post-Traumatic Stress Disorder Checklist Civilian version were employed.
Results: Of the participants, 75.8% had post-traumatic stress disorder and 79.8% had depression. Almost all survivors showed a degree of growth. Individuals with PTSD had 6 PTG degrees higher compared to the group without PTSD. Appreciation for life was the highest-scored PTG domain. There was no association between PTG and depression. Almost 5 degrees of higher PTG was seen in females, participants who had no children, and those who were <1.6 km at the time of the blast.
Discussion: Our findings are consistent with available literature on other disasters around the world. Unlike resilience, PTG is highly related to the development of PTSD. Possible common underpinnings for the development of PTSD and PTG are discussed. PTG may be a useful target for psychotherapeutic approaches.
Conclusion: Beirut blast survivors have an extremely high burden of psychiatric disorders that were left unaddressed after 6 months of the event. While most people had a degree of post-traumatic growth, this was especially higher in those with PTSD. Future efforts should focus on the clinical and social implications of PTG in Lebanon.