Post accidental injury: Mediating roles of emotional expressivity, rumination, and posttraumatic growth

Pan, Yinzhu; Zhao, Haifeng; Xu, Huan; Huang, Yingying; Dong, Chaoqun

doi:10.1111/nhs.12919

Cited by 9 publications

(7 citation statements)

References 51 publications

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“…With the emphasis on harmonious and balanced relationships in Chinese culture, it is common for Chinese individuals to follow cultural expectations to conceal negative emotions in social interactions, even when facing traumatic events (Wei et al, 2013 ). In line with this, a previous study found that negative emotional expressivity was not associated with positive well-being among Chinese victims of accidental injuries (Pan et al, 2022 ). During the COVID-19 pandemic, a qualitative study also showed that Chinese healthcare workers experienced difficulties in expressing negative emotions with close others, to avoid disrupting social harmony (Hsu et al, 2020 ).…”

Section: Discussionsupporting

confidence: 72%

‘Caring for the helpers’: factors associated with professional quality of life among Hong Kong nurses during the fifth wave of the COVID-19 pandemic

Yeung

Tang

Lau

et al. 2023

European Journal of Psychotraumatology

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Background: Western studies have found that nurses are likely to experience both positive and negative emotions in their job, as a helping profession [professional quality of life (ProQoL)] during the coronavirus disease 2019 (COVID-19) pandemic, and that psychosocial and work-related variables (e.g. pandemic-related stressors, interpersonal and organizational support, coping strategies) are associated with such outcomes. However, relevant studies on nurses in the Asian context are limited. Objective: This study examined the psychosocial correlates of three indicators of ProQoL, i.e. compassion satisfaction, secondary traumatic stress (STS), and burnout, among nurses during the fifth wave of the COVID-19 pandemic in Hong Kong. Method: Nurses in Hong Kong ( N = 220) working in hospitals and community settings during the COVID-19 pandemic were recruited between 24 May and 27 June 2022 through nursing associations to complete an online survey measuring the aforementioned psychosocial variables. Results: Hierarchical regression results found that stressors from clinical work environments, insufficient emotional support, and less positive reframing were associated with poorer ProQoL (i.e. lower compassion satisfaction; higher STS and burnout) ( β from 0.16, p > .05, to 0.44, p > .001). In addition, COVID-19-related worries/uncertainties and emotional processing were associated with higher STS ( β from 0.21 to 0.23, p < .01), whereas insufficient organizational support for communication with the healthcare system was associated with higher burnout ( β = 0.12, p < .05). Conclusions: Our findings identified the important psychosocial determinants in ProQoL among nurses in Hong Kong and provide recommendations for services supporting the mental health of these nurses. Providing workshops for nurses to train their skills in coping with COVID-19-related uncertainties, worries, and stressors from the clinical work environment, in using adaptive coping strategies (e.g. positive reframing), and in soliciting emotional support from important others could facilitate their ProQoL. Moreover, the provision of organizational support through timely and transparent communication with the healthcare system could reduce STS in nurses.

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Section: Discussionsupporting

confidence: 72%

‘Caring for the helpers’: factors associated with professional quality of life among Hong Kong nurses during the fifth wave of the COVID-19 pandemic

Yeung

Tang

Lau

et al. 2023

European Journal of Psychotraumatology

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“…With Chinese culture's emphasis on interpersonal harmony that encourages concealing negative emotions in social interactions (Leung, 1998), it is not common for Chinese individuals to express distress even when facing traumatic events (Wei et al, 2013). Positive emotional expressivity (but not negative emotional expressivity) was found to be more associated with AG among Chinese victims of accidental injuries (Pan et al, 2022). Moreover, a qualitative study during COVID-19 showed that Chinese healthcare workers experienced difficulties with expressing negative emotions with close others to avoid disrupting social harmony (Hsu et al, 2020).…”

Section: Coping Strategies In Association With Agmentioning

confidence: 96%

“The light after the storm”: Psychosocial correlates of adversarial growth among nurses in Hong Kong amid the fifth wave of the COVID-19 pandemic.

Yeung¹,

Tang²,

Hui³

et al. 2024

Psychological Trauma: Theory, Research, Practice, and Policy

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Objective: Healthcare professionals are highly susceptible to adverse psychological outcomes amid the COVID-19 pandemic due to their job duties. As the largest part of the healthcare workforce, growing attention has been paid to nurses' adjustments to the pandemic. Despite the distress, recent studies found that nurses could still experience positive changes (i.e., adversarial growth, AG) during the pandemic. Research on the general populations has indicated that individuals' stress responses, coping resources, and coping strategies are associated with their AG during the pandemic. This study examined how sociodemographic characteristics, secondary traumatic and posttraumatic stress, coping resources, and coping strategies were associated with AG among nurses in Hong Kong amid the fifth wave (i.e., the most disastrous wave) of the COVID-19 pandemic. Method: Recruited through local nursing associations between May 24 and June 13, 2022, 209 nurses in Hong Kong completed an online questionnaire measuring the abovementioned variables. Results: Hierarchical regression results found that those affiliating with a religion, having participated in mental health-related workshops, higher levels of secondary traumatic stress (STS), social support, job satisfaction, plus more frequent emotional processing were associated with higher AG (βs ranging from 0.15 to 0.31, ps , .01). Conclusions: Nurses did report AG during the fifth wave of the COVID-19 pandemic in Hong Kong. To promote AG among those nurses, future interventions should enhance nurses' understanding about the potential impact of STS on their well-being, solicit their interpersonal and workrelated coping resources, plus facilitate their use of effective coping strategies. Clinical Impact StatementDespite the distress brought from intensive nursing duties for the containment of the COVID-19 pandemic, nurses did report positive changes during this difficult time. The study found that higher levels of secondary traumatic stress (STS), social support, job satisfaction, and emotional processing were associated with higher AG among nurses during the most disastrous wave of the pandemic in Hong Kong. Interventions aiming to enhance nurses' understanding about the potential impact of STS on well-being, solicit their interpersonal and work-related coping resources, plus facilitate effective coping strategies might facilitate those nurses' AG.

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“…Most previous research has focused on the relationship between rumination (both deliberate and intrusive) and post-traumatic growth. The results have shown that deliberate rumination is more conducive to post-traumatic growth ( 29 ). Therefore, we are inclined to encourage deliberate rumination after the experience of traumatic events, so as to enhance our understanding of such events and gain useful experience.…”

Section: Introductionmentioning

confidence: 99%

The influence of deliberate rumination on the post-traumatic growth of college students during the COVID-19 pandemic and the moderating role of self-efficacy

Yang²,

Liu³

et al. 2023

Front. Public Health

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ObjectiveTo understand the relationship between deliberate rumination and post-traumatic growth and the mechanisms affecting this relationship, we constructed an adjustment model to test the impact of deliberate rumination on the post-traumatic growth of college students and the moderating role of self-efficacy during the 2019 COVID-19 pandemic.Study design and settingA total of 881 college students from a university of science and technology in Guangdong Province, China, completed a questionnaire that measured deliberate rumination, post-traumatic growth, and self-efficacy. SPSS (version 26) and the PROCESS plug-in (version 4.0) were used for correlation and moderation analyses.ResultsThe correlation analysis showed that deliberate rumination was positively correlated with post-traumatic growth (r = 0.353, P < 0.01) and self-efficacy (r = 0.261, P < 0.01). Self-efficacy was also positively correlated with post-traumatic growth (r = 0.466, P < 0.01). In addition, we found that self-efficacy had a regulatory effect on the relationship between deliberate rumination and post-traumatic growth (R2 = 0.287, P < 0.001) and that this effect was significant.ConclusionThe results show that deliberate rumination can be a positive predictor of post-traumatic growth and can play a certain role in fostering such growth. In addition, self-efficacy is a moderator that plays a buffer role between deliberate rumination and post-traumatic growth. These results contribute to a more comprehensive understanding of the mechanisms that affect post-traumatic growth.

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Post accidental injury: Mediating roles of emotional expressivity, rumination, and posttraumatic growth

Cited by 9 publications

References 51 publications

‘Caring for the helpers’: factors associated with professional quality of life among Hong Kong nurses during the fifth wave of the COVID-19 pandemic

‘Caring for the helpers’: factors associated with professional quality of life among Hong Kong nurses during the fifth wave of the COVID-19 pandemic

“The light after the storm”: Psychosocial correlates of adversarial growth among nurses in Hong Kong amid the fifth wave of the COVID-19 pandemic.

The influence of deliberate rumination on the post-traumatic growth of college students during the COVID-19 pandemic and the moderating role of self-efficacy

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