Communal coping and rumination in the aftermath of Chile earthquake: Multiple mediation analysis of the relationship between subjective severity and posttraumatic growth
Abstract:Communal coping and collective participation were recently proposed as a potential mechanism that may favour not only individual's capacity to bounce back but also community cohesion and social well‐being and posttraumatic growth in the aftermath of natural disasters. To date, there is a lack of studies simultaneously assessing the effect of communal coping strategies and cognitive strategies on the development of posttraumatic growth. Therefore, the aim of this study was to examine the role of communal coping… Show more
“…A sense of community identification along with a sense of collective efficacy were found to mediate the effect of an earthquake exposure on higher levels of PTG in a sample of Nepali participants (Muldoon et al, 2017). Likewise, communal positive reappraisals and participation in spiritual rituals, were found to mediate the link between subjective severity of trauma exposure and PTG following an earthquake in Chile (García & Wlodarczyk, 2018).…”
Objective: The present study, conducted after the 2014 Israel–Gaza conflict, was aimed to investigate 2 resources (i.e., personal mastery and community dedication) hypothesized to have a mediating effect on the relationship between trauma exposure and PTSS (posttraumatic stress symptoms) and PTG (posttraumatic growth) in the aftermath of a traumatic event. Method: Israeli civilians (N = 1,014) completed a questionnaire assessing levels of trauma exposure (the predictors), sense of mastery and community dedication (the mediators), and PTSS and PTG (the outcomes). Results: PTSS and PTG were positively related. Sense of mastery mediated the association between trauma exposure and PTSS symptoms and was negatively associated with PTSS and PTG. Community dedication was positively related to PTG and mediated the association of trauma with PTG. Conclusions: People higher in mastery may not need to search for a “silver lining” in coping with psychological consequences of trauma as they believe they are capable of handling it. Conversely, persons with higher levels of coping self-confidence may be denied the benefits of posttraumatic growth in coping with trauma. People’s connections to the community in times of coping with collective upheavals may not protect them against PTSS yet community orientation may bring postevent benefits of posttraumatic growth.
“…A sense of community identification along with a sense of collective efficacy were found to mediate the effect of an earthquake exposure on higher levels of PTG in a sample of Nepali participants (Muldoon et al, 2017). Likewise, communal positive reappraisals and participation in spiritual rituals, were found to mediate the link between subjective severity of trauma exposure and PTG following an earthquake in Chile (García & Wlodarczyk, 2018).…”
Objective: The present study, conducted after the 2014 Israel–Gaza conflict, was aimed to investigate 2 resources (i.e., personal mastery and community dedication) hypothesized to have a mediating effect on the relationship between trauma exposure and PTSS (posttraumatic stress symptoms) and PTG (posttraumatic growth) in the aftermath of a traumatic event. Method: Israeli civilians (N = 1,014) completed a questionnaire assessing levels of trauma exposure (the predictors), sense of mastery and community dedication (the mediators), and PTSS and PTG (the outcomes). Results: PTSS and PTG were positively related. Sense of mastery mediated the association between trauma exposure and PTSS symptoms and was negatively associated with PTSS and PTG. Community dedication was positively related to PTG and mediated the association of trauma with PTG. Conclusions: People higher in mastery may not need to search for a “silver lining” in coping with psychological consequences of trauma as they believe they are capable of handling it. Conversely, persons with higher levels of coping self-confidence may be denied the benefits of posttraumatic growth in coping with trauma. People’s connections to the community in times of coping with collective upheavals may not protect them against PTSS yet community orientation may bring postevent benefits of posttraumatic growth.
“…Increased behavioral disengagement and distraction could be indicative of a general avoidance of stressors. The understanding of baseline coping strategies could be used to tailor the intervention, build on youths’ existing strengths, and reduce maladaptive coping, which may promote well-being and lower stress ( García and Wlodarczyk, 2018 ).…”
IntroductionYouth in under-resourced communities are more likely to have greater social risk factors for mental health needs yet have less access to needed care. School-based mental health services are effective in treating common disorders such as adolescent depression; however, few have a family-centered approach, which may especially benefit specific populations.MethodsUtilizing a community-partnered approach, we adapted an established, trauma-informed, resilience skill-building family intervention for adolescents with depression. We conducted a small randomized controlled feasibility pilot of an adapted intervention in a large school district that serves predominately low-income, Latinx students in the Southwest United States between 2014-2017. Youth between the ages of 12-18 years old with a Patient Health Questionnaire (PHQ-8) score of 10 or higher, who spoke English or Spanish, were recruited from 12 school mental health clinics. Twenty-five eligible adolescents with depression and their participating caregivers were enrolled and randomly assigned to receive either the adapted intervention, Families OverComing Under Stress for Families with Adolescent Depression (FOCUS-AD), or usual care, Cognitive Behavioral Therapy (CBT) only. Most of the sample was Latinx and female. We evaluated feasibility, acceptability, and preliminary effectiveness.ResultsAmong participants who completed standardized assessments administered at baseline and approximately five months post-randomization (n = 10 FOCUS-AD, n = 11 CBT only), effectiveness was explored by identifying significant changes over time in adolescent mental health within the FOCUS-AD and CBT only groups and comparing the magnitude of these changes between groups. Nonparametric statistical tests were used. We found the FOCUS-AD intervention to be feasible and acceptable; participant retention was high. Adolescent symptoms of depression (measured by the PHQ-8) improved significantly from baseline to follow-up for youth in both FOCUS-AD (median decrease [MD] = 10, p = 0.02) and control (MD = 6, p = 0.01) groups, with no significant difference across the two groups. Results were similar for symptoms of PTSD (measured by the Child PTSD Symptom Scale; FOCUS-AD MD = 12.5, p = 0.01; CBT only MD = 7, p = 0.04; no significant difference between groups).ConclusionFamily-centered approaches to depression treatment among adolescents living in under-resourced communities may lead to improved mental health, although further research is warranted.
“…The activation of mental representations of significant events is also often emotionally intense and value-laden [156], which can make disengagement challenging. The experience of "event-based rumination" has been discussed in the realms of personal events [10,157], socio-political instabilities [9,158], and the collective experiences of natural disasters and pandemics [3,159].…”
Section: Interactions Between Internal and External Influences In The...mentioning
Rumination and its related mental phenomena share associated impairments in cognition, such as executive functions and attentional processes across different clinical conditions (e.g., in psychotic disorders). In recent decades, however, the notion of rumination has been increasingly narrowed to the “self-focused” type in depressive disorders. A closer review of the literature shows that rumination may be construed as a broader process characterized by repetitive thoughts about certain mental contents that interfere with one’s daily activities, not only limited to those related to “self”. A further examination of the construct of rumination beyond the narrowly focused depressive rumination would help expand intervention opportunities for mental disorders in today’s context. We first review the development of the clinical construct of rumination with regard to its historical roots and its roles in psychopathology. This builds the foundation for the introduction of the “Flow Model of Rumination (FMR)”, which conceptualizes rumination as a disruption of a smooth flow of mental contents in conscious experience that depends on the coordinated interactions between intention, memory, affect, and external events. The conceptual review concludes with a discussion of the impact of rapid technological advances (such as smartphones) on rumination. Particularly in contemporary societies today, a broader consideration of rumination not only from a cognition viewpoint, but also incorporating a human–device interaction perspective, is necessitated. The implications of the FMR in contemporary mental health practice are discussed.
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