Religious and Spiritual Factors and the Consequences of Trauma: A Review and Model of the Interrelationship

2008 ◽  
Vol 38 (4) ◽  
pp. 507-524 ◽  
Author(s):  
Frauke C. Schaefer ◽  
Dan G. Blazer ◽  
Harold G. Koenig

Objective: An increasing body of literature examines the association of religious factors with posttraumatic stress as well as posttraumatic growth. This review of selected empirical studies describes religious and spiritual factors that have been examined in their association with the consequences of trauma. A comprehensive model is proposed to explain the complex interrelationship. Method: We performed a qualitative review of empirical research in August 2006, updated in February 2008, using Medline (1950-present), PsychInfo (1806-present), Web of Science (1900-present), and PILOTS (1960-present). We searched the terms posttraumatic, post-traumatic stress, posttraumatic growth, and religion, religious, spirituality, spiritual, meditation, and forgiveness. Based on supporting data from reviewed literature, we then developed a model for key religious factors derived from this review predictive of the response to trauma over time. Results: Twenty-three studies were identified that describe religious pre-trauma characteristics, religious trauma-appraisal and post-trauma adjustment factors. The association of these factors with posttraumatic stress and growth is described. Conclusions: Intrinsic religious orientation, in particular, appears to be a useful construct in measuring religiosity in the association with the consequences of trauma. There are preliminary indications that the association between intrinsic religiosity and the consequences of trauma may change depending on the time after the event. Future studies should stratify outcome by the time after trauma or use longitudinal designs.

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Sadaf Anjum Masoodi ◽  
Prof. Shahina Maqbool

There has been a worrying trend in Kashmir i.e. the growth of posttraumatic stress disorder, a mental condition which is affecting people for more than two decades. The continuous political uncertainty, insecurity from armed forces; natural calamities are the contributory factors.  And it is found that Post Traumatic Stress Disorder (PTSD) is on the rise in Kashmir Valley after the worst ever floods hit the state few months back. Psychiatrists in Srinagar opine that there has been a remarkable increase in the number of patients who were suffering from “early symptoms” of PTSD.  Post Traumatic Stress Disorder is a condition that develops after an individual expose through a terrifying ordeal that involves physical harm or the threat of a physical harm. The condition develops amongst the people who may have gone through some physical harm or might have witnessed their loved ones or the people around them being harmed. The trauma affects people in three ways: negative, neutral and positive. Under the positive category, the affected person somehow gets encouraged and takes up challenges. Their condition does not make any difference to them. Highly stressful events or major life traumas (such as serious illness, road traffic accident, death of a relative or loved one, unemployment, divorce, etc.) can lead to a variety of  behavioral, psychological and emotional negative outcomes to the disruptive and aversive conditions (Taku, Cann, Tedeschi, & Calhoun, 2009). The positive side of the trauma is that it also leads to growth. This phenomenon has been recognized as a distinct construct – posttraumatic growth (Tedeschi & Calhoun, 1996), implying ‘‘positive psychological change experienced as a result of the struggle with highly challenging life circumstances’’ (Tedeschi & Calhoun, 2004, p. 1). Positive change has been noted in the literature by various authors and referred to in diverse terms – among others, benefit-finding (Affleck & Tennen, 1996), stress-related growth (Park, Cohen, & Murch, 1996), adversarial growth (Linley & Joseph, 2004), flourishing (Ryff & Singer, 1998), and thriving (O’Leary & Ickovics, 1995).  The main objective of the paper is to discuss the role of Islam with special reference to Qur’an and Sunna in posttraumatic Growth among violence victims in Kashmir valley India. Islamic practices such as prayer and listening Qur’an plays important role in coping with traumatic disorders. Islamic values and beliefs can be beneficial in overcoming traumatic life events and seeking posttraumatic Growth. The Holy Qur’an teaches us “The truly righteous — are those who endure with fortitude misfortune, hardship and peril. That is, who are patient in poverty and affliction, and in time of war” (2:178).


2017 ◽  
Vol 53 (3) ◽  
pp. 189-196 ◽  
Author(s):  
Yung Y Chen ◽  
Min C Kao

Background Previous research has revealed mixed findings with regard to the effects of disclosure on trauma recovery. More recently, studies on psychological trauma have found associations among religion, meaning, and health. This study investigated prior disclosure as a moderator for the association between religious emotional expression and adaptive trauma processing, as measured by post-traumatic stress disorder (PTSD) symptoms. Methods Using Pennebaker’s written emotional expression paradigm, 105 participants were assigned to either a conventional trauma-writing condition or religious trauma-writing condition. PTSD symptoms were assessed at baseline and again at one-month post writing. Results A two-way interaction was found between prior disclosure and writing condition on PTSD symptoms at follow-up. For the religious trauma-writing condition only, there was a significant difference between low versus high disclosure participants in PTSD symptoms at follow-up, such that low prior disclosure participants registered fewer PTSD symptoms than high prior disclosure participants, while prior disclosure did not have such effect in the conventional trauma-writing condition. Limitations: This two-way interaction may be further qualified by other important psychosocial variables, such as differences in personality, coping style, social support, or use of prayer as a form of disclosure, which were not assessed in this study. Conclusion Religious emotional expression may encourage adaptive trauma processing, especially for individuals with low prior disclosure. These findings encourage further investigation of the conditions under which disclosure and religion may be a beneficial factor in trauma adaptation and treatment.


2014 ◽  
Vol 45 (1) ◽  
pp. 165-179 ◽  
Author(s):  
J. Tsai ◽  
R. El-Gabalawy ◽  
W. H. Sledge ◽  
S. M. Southwick ◽  
R. H. Pietrzak

BackgroundThere is increasing recognition that, in addition to negative psychological consequences of trauma such as post-traumatic stress disorder (PTSD), some individuals may develop post-traumatic growth (PTG) following such experiences. To date, however, data regarding the prevalence, correlates and functional significance of PTG in population-based samples are lacking.MethodData were analysed from the National Health and Resilience in Veterans Study, a contemporary, nationally representative survey of 3157 US veterans. Veterans completed a survey containing measures of sociodemographic, military, health and psychosocial characteristics, and the Posttraumatic Growth Inventory-Short Form.ResultsWe found that 50.1% of all veterans and 72.0% of veterans who screened positive for PTSD reported at least ‘moderate’ PTG in relation to their worst traumatic event. An inverted U-shaped relationship was found to best explain the relationship between PTSD symptoms and PTG. Among veterans with PTSD, those with PTSD reported better mental functioning and general health than those without PTG. Experiencing a life-threatening illness or injury and re-experiencing symptoms were most strongly associated with PTG. In multivariable analysis, greater social connectedness, intrinsic religiosity and purpose in life were independently associated with greater PTG.ConclusionsPTG is prevalent among US veterans, particularly among those who screen positive for PTSD. These results suggest that there may be a ‘positive legacy’ of trauma that has functional significance for veterans. They further suggest that interventions geared toward helping trauma-exposed US veterans process their re-experiencing symptoms, and to develop greater social connections, sense of purpose and intrinsic religiosity may help promote PTG in this population.


2013 ◽  
Vol 2 (7) ◽  
pp. 195-201
Author(s):  
Allen Ayala ◽  
Melanie Geer

Multiple studies have associated post traumatic stress disorder (PTSD) with variable and high rates of smoking documented in different populations. This article will cover the neurobiology behind tobacco use, and its implications in those with PTSD. Discussion on cessation programs (e.g., effectiveness, drug interactions), and controversy over the use of varenicline will also be discussed.


Author(s):  
O. Tokhtamysh

This topic is particularly relevant in the context of combat operations in eastern Ukraine against the occupation of the country, where members of the combined forces operation in each day are in a situation threatening the life and risk of getting a military psychological trauma. The article considers the elements and conditions of post-traumatic growth in the context of the rehabilitation process and the social promotion of human development after a traumatic event. The phenomenon of post-traumatic growth can transform the concept of rehabilitation into a term that can be labeled as "proabilitation". The forms of social and rehabilitation support in terms of creating conditions for post-traumatic growth and their effectiveness are explored. The theoretical and applied models with resource elements of the rehabilitation process and post-traumatic growth process are analyzed. It is noted that the traditional model of posttraumatic growth pay attention to the process of rumination and getting control over it and ignores one of the basic symptom of posttraumatic stress disorder, such as uncontrolled visual images (flash backs). The two-component concept of post-traumatic growth, which may be «illusory» or «adaptive», can also be presented as a «compensatory» or «healing» type with regard to the presence or absence of post-traumatic stress disorder symptoms after reaching post-traumatic growth. Posttraumatic growth occurs in several domains and can be depending on the type of traumatic event experienced, the individual reactions and the psychological qualities of the person. This process is not such that it automatically eliminates the symptoms of post-traumatic stress disorder, the same, rejecting the need for psychotherapeutic and psychosocial care and focusing only on post-traumatic growth can be a false strategy for those who have experienced a traumatic event. Consequently, the phenomenon of post-traumatic growth can be regarded as a powerful resource factor for the rehabilitation process, in particular, as a motivational component of psychosocial assistance.


The work is devoted to solving the problems of definition, etiology and pathogenesis of primary diagnostics of posttraumatic stress disorder in combatants of the antiterrorist operation, who had rehabilitation in sanatorium and resort conditions. As a result of the study, the positive impact of hyppotherapy on the psychological state of combatants in the antiterrorist operation was shown, which was applied on the basis of the Psychosocial Rehabilitation Center Feldman Ecopark in sanatorium and resort conditions with medical and psychological rehabilitation. The main groups (clusters) of neurotic, pathopersonological and psychopathological manifestations in this contingent of patients are identified. The study also showed that the testees experienced childhood sexual abuse (or forcing entry into sexual relations with someone from the immediate environment of the child) correlated with higher levels of both depressive and anxiety symptoms later in adulthood. Premorbid personality characteristics of patients with posttraumatic stress disorder are heterogeneous. Although people in natural conditions that provoke anxiety are especially likely to develop post-traumatic stress disorder, these disorders often arise in obsessive, dependent and even schizoid personality type. However, it would be logical to expect that those individuals accessed via the questionnaire with higher level of neuroticism (or «big anxiety») are more likely to develop symptoms of posttraumatic stress disorder than those of phlegmatic temperament.


2020 ◽  
Vol 116 (5) ◽  
pp. 110-120
Author(s):  
Nataliya E. Kharlamenkova ◽  
◽  
Dariya A. Nikitina ◽  

The article is devoted to the study of delayed (post-traumatic) stress caused by different types of stressful situations (death of a loved one, life-threatening diseases, traffic accidents, situations of physical and emotional violence) during early adulthood, the analysis of specific psychological markers of its intensity. The study involved 509 people (232 men and 277 women) aged 17 to 35 years (Me = 21; SD = 4,3). Methods: Posttraumatic Stress Disorder Checklist (PCL-5) in the Russian-language adaptation by N. V. Tarabrina and co-authors for the diagnosis of stressful events and their psychological consequences; the list of stress situations contained in the Life Events Checklist (LEC-5) for DSM-5; the Symptom Check List-90-r-Revised (SCL-90-R) technique in the Russian-language adaptation by N. V. Tarabrina and co-authors was used to evaluate psychopathological symptoms. It has been shown that the most severe in intensity posttraumatic stress causes situations that pose a threat to the physical and psychological well-being of a person at the same time (violence and life-threatening disease). Taking into account the level of mental trauma and the type of stressor, an analysis of a number of features of psychopathological symptoms was carried out. The results of the study made it possible to identify markers of severe post-traumatic stress, which were indicators of violation of contact with reality, expressed in distancing a person from the surrounding reality, distrust of the world, suspicion, phobic anxiety.


Author(s):  
Tiffany H Taft ◽  
Sarah Quinton ◽  
Sharon Jedel ◽  
Madison Simons ◽  
Ece A Mutlu ◽  
...  

Abstract Background Patients with chronic illness are at increased risk for traumatic stress because of medical trauma. Initial studies of posttraumatic stress (PTS) in patients with inflammatory bowel disease (IBD) have found that approximately one-third of patients may experience significant PTS symptoms including flashbacks, nightmares, hypervigilance, disrupted sleep, and low mood. We aim to better characterize PTS in IBD and its relationship with patient outcomes in a large cohort of patients with IBD. Methods Adult patients registered with the Crohn’s & Colitis Foundation/University of North Carolina IBD Partners database were invited to complete a supplementary survey between February and July 2020. The Post Traumatic Stress Disorder Checklist-5th edition was administered as a supplemental survey. Additional data from IBD Partners included disease severity, surgery and hospital history, demographics, and health care utilization. Results A total of 797 patients participated (452 with Crohn disease, 345 with ulcerative colitis). No impacts on response patterns because of the COVID-19 pandemic were found. Although 5.6% of the sample reported an existing PTS diagnosis because of IBD experiences, 9.6% of participants met the full IBD-related PTS diagnostic criteria per the Post Traumatic Stress Disorder Checklist-5th edition. Female patients, younger patients, those with less educational attainment, non-White patients, and Hispanic patients reported higher levels of PTS symptoms. Patients with higher PTS symptoms were more likely to have been hospitalized, have had surgery, have more severe symptoms, and not be in remission. Increased PTS was also associated with increased anxiety, depression, pain interference, fatigue, and health care utilization. Conclusions The present findings support prior research that approximately one-quarter to one-third of patients with IBD report significant symptoms of PTS directly from their disease experiences, and certain demographic groups are at higher risk. In addition, PTS is associated with several IBD outcomes. Patients with higher PTS symptoms are less likely to be in remission and may utilize more outpatient gastrointestinal services. Intervention trials to mitigate PTS symptoms in patients with IBD are warranted.


2015 ◽  
Author(s):  
Wenjie Duan ◽  
Pengfei Guo

Objective: Relationship, vitality, and conscientiousness are three fundamental virtues that have been identified recently, which are important individual differences to health, well being, and positive development. This cross-sectional study attempted to explore the relationship between the three constructs and post-traumatic growth (PTG) in three directions, including indirect trauma samples without post-traumatic stress disorder (PTSD), direct trauma samples without PTSD, and direct trauma samples with PTSD. Methods: A total of 340 community participants from Sichuan Province, Mainland China involved in the study, most of which experienced Wenchuan and Lushan Earthquake. Participants were required to complete the self-reported questionnaire packages at one time point for obtaining their scores on virtues (Chinese Virtues Questionnaire), PTSD (PTSD Checklist-Specific), and PTG (Post-traumatic Growth Inventory-Chinese). Results: Significant and positive correlations between the three virtues and PTG were identified (r = .39 to .56; p < .01). Further regression analysis by stepwise method reveled that: in the indirect trauma samples, vitality explained 32% variance of PTG. In reference to the direct trauma sample without PTSD, both relationship and conscientiousness explained 32% variance of PTG; whereas in the direct trauma sample with PTSD, only conscientiousness accounted for 31% the variance in PTG. Conclusion: This cross-sectional investigation partly revealed the roles of different virtues in trauma context. Findings suggest important implications for strengths-based treatment.


2019 ◽  
Vol 8 (4) ◽  
pp. 93-106
Author(s):  
A.I. Sergienko

The article presents results of empirical studies of the effect of the subjective perception of parents of the severity of the psychophysical condition of a child with special needs and age (meaning the time elapsed after diagnosis) on depression symptoms ("Beck's depression inventory"), basic beliefs ("World Assumptions Scale") and posttraumatic growth ("Post Traumatic Growth Inventory") in parents of children with disabilities. Parents ' subjective perception of their child's condition with disabilities affects only on one of the scales of PTGI ("Spiritual changes"), as well as the severity of depressive symptoms. The period after the diagnosis of the child (i.e., the age of the child) has an impact on the symptoms of depression and baseline settings, but not on the indicators of PTGI. Based on the results obtained and the concept of PTGI, author formulated recommendations for providing psychological assistance to parents of children with disabilities, taking into account their perception of the severity of the disease and the age of the child.


Sign in / Sign up

Export Citation Format

Share Document