“…In recent advances, however, both negative, positive or no change can be reported on each item (Marshall, Frazier, Frankfurt, & Kuijer, 2015;Nordstrand, Hjemdal, Holen, Reichelt, & Bøe, 2017). When using this format, positive developments have been found to correlate negatively with psychological distress (Nordstrand et al, 2017). Negative developments represent posttraumatic deprecation, increased distress and even other kinds of psychopathology, while positive posttraumatic development imply growth (PTG) unlinked to psychopathology and distress (Livneh, McMahon, & Rumrill, 2018).…”