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date: 23 February 2017

Posttraumatic Growth

Abstract and Keywords

Trauma literature has seen a paradigm shift from pathology to embracing positive trajectories. Posttraumatic growth (PTG), defined as a positive psychological change resulting from a struggle with traumatic or life-changing events, may occur in a variety of populations and events. This entry, therefore, aims to increase our understanding of PTG. The entry begins with the conceptualization of PTG, followed by a discussion of protective factor associations, measures, and psychometric priorities. Nuanced attention is given to global translations and cultural aspects. The entry then presents debates about the challenges, controversy, and biases, as well as an overview of the empirical literature. The entry concludes with PTG contributions for social-work practice and pedagogy, together with recommendations for future research.

Keywords: posttraumatic growth, PTG, PTSD, trauma, vicarious trauma, posttraumatic stress disorder

What Is Posttraumatic Growth?

Pioneers in the field, Tedeschi and Calhoun (1995, 1996) initially coined the term posttraumatic growth (PTG) to convey a “positive psychological change experienced as a result of the struggle with highly challenging circumstances” (Tedeschi & Calhoun, 2004, p. 1). Conceptually, PTG was introduced as three aspects of perceived changes: (a) in self, (b) in sense of relationships with others, and (c) in philosophy of life (Tedeschi & Calhoun, 1995). Based on empirical evidence, PTG has undergone several conceptual transformations. The Posttraumatic Growth Inventory (PTGI) was developed into five domains of growth to measure renewed appreciation of life, new possibilities, enhanced personal strength, improved relationships with others, and spiritual change (Taku, Calhoun, Cann, & Tedeschi, 2008; Tedeschi & Calhoun, 1996). The latest model (Tedeschi & McNally, 2011) of PTG extends the work of Calhoun and Tedeschi (1998; 2006a, 2006b) and Tedeschi and Calhoun (2004) and endorses other variables that increase the possibility of psychological growth in the aftermath of trauma (Calhoun, Cann, & Tedeschi, 2010).

Tedeschi and McNally (2011, p. 19) summarized the broadened model of PTG as: (a) cognitive processing, engagement, or rumination; (b) disclosure of concerns surrounding traumatic events; (c) the reactions of others to self-disclosures; (d) the sociocultural context in which traumas occur and attempts to process, disclose, and resolve trauma; (e) the personal dispositions of the survivor and the degree to which they are resilient; and (f) the degree to which events either permit or suppress the aforementioned processes. The model also addresses how PTG may relate to wisdom, life satisfaction, and a sense of purpose in life.

Paradox: “Posttraumatic Stress Disorder—Posttraumatic Growth”

Exposure to a traumatic incident may predispose one to develop posttraumatic stress disorder (PTSD). Negative symptoms associated with PTSD have been described as anxiety, fatigue, depression, withdrawal, or lowered social aspiration, whereas positive changes may include closer relationships with family and friends or a greater appreciation of life (Tedeschi & Calhoun, 1995, 2004). The development of characteristic symptoms following exposure to an extreme traumatic event may also include symptoms of avoidance and/or increased arousal from trauma (American Psychiatric Association, 2000).

This section describes the continuum of detrimental and growth outcomes one may talk about following a variety of trauma experiences. Schuettler and Boals (2011) posit that individual reactions to trauma vary greatly. Although some individuals appear unaffected by events, others report a range of negative and/or positive trauma consequences—a paradoxical effect (Calhoun & Tedeschi, 2006a, 2008; Helgeson, Reynolds, & Tomich, 2006; Linley & Joseph, 2006). For some adults with child sexual abuse (CSA) histories the trauma can shatter the assumptive worldview without the possibility of rebuilding or withstanding future shocks (Finkelhor, 1994; Janoff-Bulman, 1992). However, there may also be an “upside” to trauma that may include enhanced personal strength and spiritual change within the model of PTG.

PTSD and PTG have been empirically linked (Lev-Wiesel, Amir, & Besser, 2005; Schuettler & Boals, 2011; Shakespeare-Finch & Copping, 2006; Shakespeare-Finch & Dassel, 2009). Mixed results have been reported concerning this paradox in which PTSD was reported to vary based on the type of traumatic event. In instances of nonsexual assault, women tend to report greater severity of PTSD symptoms (meeting criteria for PTSD). However, no significant gender differences were reported in CSA or adult sexual assault events (see Vishnevsky, Cann, Calhoun, Tedeschi, & Demakis, 2010). There is, however, a divergence in the scholarly literature regarding an association between PTSD and PTG. For example, one study (Lev-Wiesel et al., 2005) found a positive correlation between PTSD and PTG among female survivors of childhood sexual abuse in a predominately Israeli-born sample (n = 93). Further, the relation between PTSD and PTG was mediated by the identity of the perpetrator. That is, when the perpetrator was a family member, participants reported significantly high levels of PTSD, which in turn affected their levels of PTG (Lev-Wiesel et al.). Another study (McCaslin et al., 2009) indicated a curvilinear relationship between peritraumatic dissociation and PTG and between posttraumatic stress symptoms and PTG among Sri Lankan university students who had experienced a traumatic life event (for example, bombings, murder or purposeful killings, domestic violence, sexual and physical abuse, political-related war, arrest, or jail). McCaslin et al. suggested that instances of an optimal level of instantaneous and succeeding distress may promote the development of PTG, whereas low levels of distress may be lacking to arouse growth and an overwhelming amount of distress—during and following the trauma event—may impede the development of growth subsequent to occurrences. However, not all scholars agree that there is a link between PTSD and PTG. No statistically significant relationship was found between PTSD and PTG in an Australian sample of adult survivors of childhood sexual abuse (Shakespeare-Finch & Dassel). Greater understanding is warranted to comprehend the paradoxical effect between PTSD and PTG (Hagenaars & Minnen, 2010). Domains of PTG seem to correspond with Peterson, Park, Pole, D’Andrea, and Seligman’s (2008) characters of strength (for example, improved relationships with others [kindness, love] or openness to new possibilities [curiosity, creativity, love of learning]). Therefore, it is critical to examine the relation between PTG and prominent protective factors (such as rumination, spirituality, and social support).

The Role of Rumination in PTG

It appears that highly stressful events may shatter and rebuild one’s assumptive worldview, setting in motion the process of rumination for achieving the ultimate outcome of PTG (Cobb, Tedeschi, Calhoun, & Cann, 2006; Janoff-Bulman, 1992; Tedeschi & Calhoun, 2004). Moreover, Moberly and Watkins (2008) suggest that ruminative thinking can have negative consequences (intrusive rumination has been linked with depressive symptoms and anxiety) or can serve a more constructive function, such as helping one to recover and perhaps even grow posttrauma. Cann et al. (2009) posit that intrusive rumination tends to occur immediately after a trauma, leading to the development of PTSD, whereas deliberate rumination is more likely to occur later, leading to the development of PTG.

Descriptions of rumination (Calhoun & Tedeschi, 1998) have posited it as the process of repetitive thoughts between the stressor and related issues (that is, instructive). Other conceptualizations of rumination have made a distinction between brooding and reflective. Later accounts indicate a more deliberate, reflective process for rebuilding one’s general way of understanding the world (Calhoun & Tedeschi, 2006a, 2006b). The characteristics of the rumination process are a necessary element for coping with traumatic events and outcomes of PTG (Calhoun & Tedeschi, 2006a, 2006b; Phelps, Williams, Raichle, Turner, & Ehde, 2008).

Calhoun and Tedeschi (1998, 2006a, 2006b) also refer to rumination as the extent to which one finds meaning in an event, thus noticing changes in self. Results from two studies, for example, found a positive association between PTG and deliberate rumination (Cann, Lawrence, Tedeschi, & Solomon, 2010; Stockton, Hunt, & Joseph, 2011) and a negative relation to recent intrusive rumination (Cann et al., 2010). Other studies have shown negative (Roelofs, Muris, Huibers, Peeters, & Arntz, 2006; Shirotsuki, Sasagawa, & Nomura, 2007) and positive rumination in culturally diverse student populations (Noguchi & Fujiu, 2007; Taku et al., 2008).

PTG and Spirituality

Calhoun and Tedeschi’s (2006a) model of PTG incorporates renewed spirituality as part of its spiritual change domain. The empirical literature indicates that spiritual domains significantly impact the growth process in the aftermath of stressful life events (Bray, 2010). Sheridan (2004), in her article Predicting the use of spiritually derived interventions in social work practice: A survey of practitioners, defines spirituality as “the search for meaning, purpose, and connection with self, others, the universe, and ultimate reality, however one understands it, which may or may not be expressed through religious forms or institutions” (p. 10). She distinguishes spirituality and religion by stating that religion is “an organized structured set of beliefs and practices shared by a community related to spirituality” (p. 10). Calhoun and Tedeschi (1999) underscore that “the domain of spirituality is one in which individuals can experience significant posttraumatic growth” (p. 117).

Earlier research demonstrates mixed results between spiritual activities and PTG (Schultz, Tallman, & Altmaier, 2010; Vis & Boynton, 2008). PTG, spirituality, and religion have yielded mixed results (Kissil, Niño, Jacobs, Davey, & Tubbs, 2010; Schultz et al., 2010). Some findings suggest a decline in religion or spirituality in some survivors of abuse (Pargament, Desai, & McConnell, 2006), whereas other findings indicate religious coping is positively associated with PTG (Linley & Joseph, 2004). In another instance, PTG was important in mediating religion and spirituality (Schultz et al., 2010). Within the spiritual change domain, an individual’s intentional engagement with the stressor or traumatic event might include finding meaning, achieving interconnectedness with self or others, and actively seeking social support (Stanton, Bower, & Low, 2006). It is within this construct, then, that spirituality may play a key role in one’s search for meaning (Linely & Joseph, 2011) and perception of social support and outcomes of positive psychological change resulting from a struggle with traumatic or life-changing events (Rodgers, 2011a, 2013b).

Perceived Social Support and PTG

Social support is considered an important environmental resource for understanding PTG (Schaefer & Moos, 1998; Tedeschi & Calhoun, 2004). Social support has been defined as the emotional assistance, advice, guidance, and material aid and services people obtain from their relationships (Sarason, Levine, Basham, & Sarason, 1983; Thornton & Perez, 2006). Findings documenting this relationship are mixed. For example, perceived social support or satisfaction and PTG were related in some cancer survival populations (Senol-Durak & Ayvasik, 2010), bereaved HIV/AIDS caregivers (Cadell, Regehr, & Hemsworth, 2003), Gulf War I veterans (Maguen, Vogt, King, King, & Litz, 2006), refugee-like situations (Rodgers, 2008, 2012a), sexual assault survivors (Frazier, Tashiro, Berman, Steger, & Long, 2004), spinal cord injury sufferers (McMillen & Cook, 2003), Holocaust survivors (Lev-Wiesel & Amir, 2003), and women with multiple sclerosis (Mohr et al., 1999). However, this relationship was not pronounced in other cancer patients (for example, Cordova, Cunningham, Carlson, & Andrykowski, 2001; Sears, Stanton, & Danoff-Burg, 2003; Weiss, 2004b; Widows, Jacobsen, Booth-Jones, & Fields, 2005). Still others (Park, Cohen, & Murch, 1996; Tedeschi & Calhoun, 2004) found that people who reported satisfaction with social support and perceived greater availability of social support revealed significantly higher levels of growth than those with less or absent resources.

Still others (Park, Cohen, & Murch, 1996; Tedeschi & Calhoun, 2004) found that people who reported satisfaction with social support and perceived greater availability of social support revealed significantly higher levels of growth than those with less or absent resources. Rodgers (2008) also found a positive correlation between PTG and social support satisfaction, but an inverse relationship between the number of perceived social supports and PTG in Latina immigrants in refugee-like situations. Rodgers’ (2008) asserts that the latter finding is unique and important to interpret within the Latino Worldview (La Raza) conceptual framework (Añez, Paris, Bedregal, Davidson, & Grilo, 2005). Moreover, women in refugee-like situations likely emerged from the struggle associated with political repression and an absence of supportive resources through their Latino values that include Aguantarse (the ability to withstand stressful situations during difficult times) and the use of Latino spirituality or fatalismo, fatalism, fate—a belief in divine intervention and/or predetermination (Añez et al., 2005; Rodgers, 2008, 2012a).

Measuring PTG

PTG has been assessed using a variety of qualitative questions and quantitative measures (for example, the Stress Related Growth Scale or the PTGI). This entry highlights the latter. According to Tedeschi and Calhoun (2004), “The Posttraumatic Growth Inventory . . . was developed to allow qualification of the experiences of growth” (p. 5). The PTGI (Tedeschi & Calhoun, 1996) is widely used to capture positive changes following crisis, stressors, or trauma. The PTGI has well-established validity and reliability and its ability to capture the multidimensional quality of personal growth has been documented (Tedeschi & Calhoun, 1996). The original PTGI 21-item English version includes five factors: appreciation of life (5 items), relating to others (7 items), new possibilities (4 items), personal strength (3 items), and spiritual change (2 items) (Tedeschi & Calhoun, 1996). The original PTGI demonstrates good internal consistency, with Cronbach’s alpha = .90 (Tedeschi & Calhoun, 1996).

The Posttraumatic Growth Inventory Short Form (PTGI-SF) also assesses positive changes experienced in the aftermath of traumatic or life-changing events, reflecting five domains: appreciation of life, relating to others, new possibilities, personal strength, and spiritual change (Tedeschi & Calhoun, 1996). Respondents answer the 10-item measure on a 6-point Likert scale (0 = no change; 5 = very great degree). The PTGI-SF has an internal reliability only slightly lower than that of the full-form PTGI, and the reliability of the total score was generally in the range of .90 across a variety of samples (Cann et al., 2009).

The Format Posttraumatic Growth Inventory (PTGI-42; Baker, Kelly, Calhoun, Cann, & Tedeschi, 2008) is a revision of the PTGI (Tedeschi & Calhoun, 1996). The scale includes the 21 items from the original PTGI and 21 matched but negatively worded items developed by Baker et al. (2008) to measure posttraumatic depreciation. On a Likert scale, the participants are asked to indicate the degree to which they experienced the change described by each item using a 6-point scale ranging from 0 (“I did not experience this change as a result of my crisis”) to 5 (“I experienced this change to a very great degree as a result of my crisis”). Participants are encouraged to consider both types of change, growth and depreciation, at the same time. This also should facilitate the scorer’s mapping of the two changes onto the same scale. The 21 positive items and the 21 negative items are separately summed to create PTG and posttraumatic depreciation composite scores (possible range of 0 to 105). In the development of the scale, the internal reliabilities for both composite scores were at least .89 across two separate samples.

PTG experiences in children and adolescents have also been examined using open-ended questions and a mixture of quantitative and qualitative measures (for example, Ickovics, Meade, & Kershaw, 2006; Kimhi, Eshel, Zysberg, & Hantamn, 2010; Kissil et al., 2010).

An adaptation of the Posttraumatic Growth Inventory for Children (PTGI-C) (Cryder, Kilmer, Tedeschi, & Calhoun, 2006) was revised (PTGI-C-R), shortened, and simplified to facilitate efficient assessment of PTG in clinical and research settings (Kilmer et al., 2009). According to Kilmer (2006), the PTGI-C-R includes 2 open-ended items and 10 items assessing five PTG domains (new possibilities, relating to others, personal strength, appreciation of life, and spiritual change) on a 4-point scale. The PTGI-C-R provides a brief means of assessing PTG in children; its simplified format, content, and language addresses the developmental challenges inherent in such work (Kilmer, 2006).

PTGI: Global Translations

The PTG instrument has been widely used around the globe (Shakespeare-Finch & Copping, 2006; Splevins, Cohen, Bowley, & Joseph, 2010) and translated to Arabic (Salo, Qouta, & Punamäki, 2005), Bosnian (Powell, Rosner, Butollo, Tedeschi, & Calhoun, 2003), Chinese (Ho, Chan, & Ho, 2004), Dutch (Jaarsma, Pool, Sanderman, & Ranchor, 2006), Greek (Mystakidou et al., 2007), German (Maercker & Langner, 2001), Hebrew (Laufer & Solomon, 2006; Solomon & Laufer, 2005), Japanese (Taku et al., 2007), Norwegian (Holgersen, Boe, & Holen, 2010), Spanish (Weiss & Berger, 2006), and Turkish (Kilic, 2005). Cross-cultural validation of the PTGI has been conducted in a growing number of studies (Kroo & Nagy, 2011). Some translations have yielded only a few of the same conceptual domains as in the original English PTGI. Whereas the Dutch version of the PTGI validated reported a five-factor structure among cancer survivors (Jaarsma et al., 2006), others have reported a four-factor (Ho et al., 2004; Maercker & Langner; Taku et al., 2008) or three-factor (Dirik & Karanci, 2008; Powell et al., 2003; Salo et al., 2005; Weiss & Berger) structure. Peltzer (2000) evidenced the five-factor solution in a South African study. With the exception of an Iranian sample (76.1%, Rahmani et al., 2012), mean scores were lower in non-U.S. samples: German (64.3%, Maercker & Langner), Chinese (59.3%, Ho et al.); Dutch (45%, Jaarsma, 2006), and Arabic (45.9%, Salo, 2005). According to Tedeschi and Calhoun’s (1996) U.S. sample, total PTGI mean scores were 75.18 for females and 67.77 for males.

Diverse worldviews may have implications for the growth process (Calhoun et al., 2010; Splevins et al., 2010). Although several studies have changed the wording of the PTGI to enhance its meaningfulness, (for example, Powell et al., 2003; Taku et al., 2008), Shakespeare-Finch and Copping (2006) contend that these differences in dimensions or items of PTG seem to vary depending on cultural characteristics. For example, Thombre, Sherman, & Simonton (2010) reported that reappraisal of worldviews was the strongest concurrent predictor of PTG. One explanation offered by Shakespeare-Finch and Copping suggests that the PTGI does not entirely capture growth in non-U.S. trauma survivors. Using the domain of spiritual change (Tedeschi & Calhoun, 1996) as an example, some researchers have documented that certain European populations are less likely to answer spirituality items or view religiosity as a form of strength (Harms & Talbot, 2007; Znoj, 2006). At the other end of the spectrum, religious coping has been reported to be positively associated with PTG (Linley & Joseph, 2004) in women of color (Stanton et al., 2006). Consequently, PTG remains controversial because of such measurement challenges (Park & Lechner, 2006).

Validating PTG: Challenges, Controversy, Biases

PTG has been identified as the most widely used term for describing adaptations to traumatic stressors (Gibbons, Murphy, & Joseph, 2011), Yet, challenges in validating the construct of PTG include opposition from skeptics who argue that the self-reports obtained through interviews or questionnaires are invalid (for example, Frazier & Kaler, 2006). Attempts to distinguish PTG from closely related constructs represent another challenge (Joseph & Linley, 2008).

Challenges in validating the construct of PTG include attempts to distinguish PTG from closely related constructs including benefit finding (Helgeson et al., 2006; Nolen-Hoeksema & Davis, 2004; Sears et al., 2003; Linley & Joseph, 2006), hardiness (Kobasa, Maddi, & Kahn, 1982), stress-related growth (Park et al., 1996), thriving (O’Leary & Ickovics, 1995), and resilience (Bonanno, 2004). Upon closer inspection, the link between struggling with an event and positive outcome expectancies has been conceptualized as dispositional optimism, a construct originating from self-regulation theory, a trait reflecting a positive expectancy of good outcomes by the individual confronting major problems or stress (Scheier & Carver, 1985); hardiness (the perceptions of one’s ability to handle problems or difficulties and the required skills to successfully resolve situations created by stressful events) (Kobasa et al., 1982); thriving, grounded in constructivist self-development theory (the ability, in some instances, to go beyond the original level of psychological functioning, to grow vigorously, “bounce forward,” even flourish following a stressful encounter; O’Leary & Ickovics); resilience (the ability to go through difficulties such as a violent life-threatening situation and regain satisfactory quality, healthy levels of psychological and physical functioning and generate experiences and positive emotions) (Bonanno, 2004, 2005); benefit finding (the ability to successfully adapt in the face of adaptation) (Janoff-Bulman & McPharson-Frantz, 1997); and PTG (the positive psychological change as a result of the struggle with highly, stressful events) (Calhoun & Tedeschi, 1999; Tedeschi & Calhoun, 2004).

The validity of difference between PTG and resilience has remained a controversial discussion in the literature (Bonanno, 2004; Westphal & Bonanno, 2007). Tedeschi and Calhoun (1996, 2004) assert that PTG is distinct from resilience in that resilient individuals are the least likely to experience transformation caused by an emphasis on single-trait-like responses, whereas PTG is transformative because of its multiple-component model (that is, new possibilities, relating to others, personal strength, appreciation of life, spiritual change). Tedeschi and Kilmer (2005) have posited that PTG captures the essentials of transformative positive changes that (a) occur most distinctively in the aftermath of an extreme stressor rather than during lower level stress, (b) appear to go beyond the original level of physiological functioning, (c) are experienced as an outcome rather than a coping mechanism, and (d) require a shattering of basic assumptions about one’s life that extreme stressors cause but lower levels of stress do not. Calhoun and Tedeschi (1999) argue that whereas PTG is transformative, resilience is not. PTG is most pronounced among those who report extreme stressor experiences (Tedeschi & Calhoun, 1996).

Conversely, Lepore and Revenson (2006) contend that both resilience—which is rooted in the abnormality of behaviors and risk factors of poverty in children (Garmezy, 1993)—and PTG are forms of reconfiguration. However, PTG is different from resilience, in that the concept is usually considered an ability to adjust back to baseline functioning after experiencing adversity (Kissil et al., 2010). This unresolved theoretical debate reinforces the need to further examine when growth outcomes are most likely to occur.

Smith and Cook (2004) posed the question of whether PTG was positively biased. Several researchers (Holgersen et al., 2010; Maercker & Zoellner, 2004; Westphal & Bonanno, 2007) posit that perceptions and measures of PTG are positively biased and illusory because measures have not allowed samples to report possible negative posttraumatic changes that may also result from negative occurrences. As a response, Baker created the PTGI-42 (Baker, Kelly, Calhoun, Cann, & Tedeschi, 2008), which includes the 21 items from the original PTGI and 21 matched but negatively worded items developed by Baker et al. (2008) to measure posttraumatic depreciation.

An Empirical Overview

Multiple approaches were employed to identify relevant studies that examine Calhoun and Tedeschi’s (1998) and Tedeschi and Calhoun’s (2004) model of PTG. Initially, the author conducted an extensive search of computerized databases—SociIndex, PsychINFO, Medline, and Academic Search Premier. Follow-up searches were conducted using reference lists from articles and book chapters. PTG has been evidenced in a variety of populations following a wide range of traumatic circumstances (Linley & Joseph, 2004; Taku et al., 2008). Examples are listed here and in the Further Reading section.


Cadell et al. (2003)

Engelkemeyer and Marwit (2008)

Bombings and terrorism

Butler et al. (2005)

Hall et al. (2010)

Val and Linley (2006)

Brain injury

Powell, Gilson, and Collin (2012)

Cancer survivors

Arpawong, Richeimer, Weinstein, Elghamrawy, and Milam (2013)

Cordova et al. (2001)

Weiss (2002, 2004a, 2004b)

Childhood sexual abuse

Shakespeare-Finch and Dassel (2009)

Lev-Wiesel et al. (2005)

Rodgers (2011a)

Ex-prisoners of war, refugees, and refugee-like situations

Dekel (2007)

Hussain and Bhushan (2011)

Kroo and Nagy (2011)

Powell et al. (2003)

Salo et al. (2005)

Rodgers (2008, 2012a)

HIV/AIDS caregivers, HIV-infected and HIV-related stigma

Cadell et al. (2003)

Milam (2006)

Nightingale, Sher, and Hansen (2010)

Intimate partner violence

Cobb et al. (2006)

Heart disease

Bluvstein, Moravchick, Sheps, Schreiber, and Bloch (2013)

Historical trauma

Rodgers (2013a)

Holocaust experiences

Lev-Wiesel and Amir (2003)


Danhauer et al. (2013)

Loss of a child

Polatinsky and Esprey (2000)

Parents of hospitalized infants

Barr (2011)

Police officers and duty-related shootings

Chopko (2013)

Rheumatoid arthritis

Dirik and Karanci (2008)

Rape and sexual assault

Frazier et al. (2004)

Bush, Skopp, McCann, and Luxton (2011)

Kimhi et al. (2010)

Maguen et al. (2006)

Mothers of children with acquired disabilities

Konard (2006)

Motor vehicle and traffic accidents

Harms and Talbot (2007)

Zöellner, Rabe, Karl, and Maercker (2008)

Multiple sclerosis

Mohr et al. (1999)

Natural disasters—hurricanes, earthquakes, and tsunamis

Bhushan (2012)

Cryder et al. (2006)

Holgersen et al. (2010)

Kilmer and Gil-Rivas (2008)

Lowe, Manove, and Rhodes (2013)

Rhodes and Tran (2013)

Physical assault

Grubaugh and Resick (2007)

Kleim and Ehlers (2009)

Spinal cord injury

McMillen and Cook (2003)


Gangstad, Norman, and Barton (2009)

Substance use in homeless women

Stump and Smith (2008)

Vicarious trauma

Rodgers (2013b)


Kleim and Ehlers (2009)

Kunst (2010)

Proffitt, Cann, Calhoun, and Tedeschi (2007)

A recent meta-analysis was conducted by Vishnevsky et al. (2010) and Prati and Pietrantoni (2009) to examine the direction and magnitude of gender differences in self-reported PTG and the role of optimism, social support, and coping strategies in contributing to PTG, respectively. Concerning gender differences, Vishnevsky and colleagues reported small to moderate gender differences, with women reporting more PTG than men. However, Kimhi et al. (2010) found that females reported lower levels of PTG compared with their male counterparts. Additionally, Prati and Pietrantoni showed that although gender was a significant moderator of religious coping, effect size did not differ based on gender. Other results from Prati and Pietrantoni’s meta-analysis revealed that certain variables yielded significant effect sizes (religious coping and positive reappraisal coping, acceptance coping, social support, seeking social support coping, spirituality, and optimism).

Prati and Pietrantoni (2009) also found age to be a significant moderator of religious coping. Other studies of demographic characteristics including age yielded inconsistent findings. Some studies (for example, Carver & Antoni, 2004; Kimhi et al., 2010; Powell et al., 2003; Widows et al., 2005) found that younger age was associated with greater PTG in people with cancer and from war-afflicted communities, whereas others reported nonsignificant results in cancer survivors (see Calhoun & Tedeschi, 2006b).

Research documenting PTG in culturally and ethnically diverse populations is also evolving (Calhoun et al., 2010; Splevins et al., 2010). Ethnicity, in particular person of color status, has been associated with greater PTG (Stanton et al., 2006). Specifically, African American and Latina women with breast cancer reported greater PTG than White women (Bellizzi et al., 2010; Tomich & Helgeson, 2004; Urcuyo, Boyers, Carver, & Antoni, 2005). Additional studies are needed that make clearer ethnic distinctions among study samples and cross-cultural variation in PTG experiences (Helgeson et al., 2006; Kissil et al., 2010; Milam, 2006; Rhodes & Tran, 2013).

PTG Contributions to Social-Work Practice and Pedagogy

There is little debate that social work has focused attention on empowerment and that strength-based perspectives have a strong likeness to PTG’s positive psychological perspectives (DuBois & Miley, 2011). Notwithstanding the profession’s set of core values including service, social justice, dignity and worth of the person, importance of human relationships, integrity, and competence (Preamble, Code of Ethics, National Association of Social Workers, 1996), another central purpose of social work is to engage various populations who experience trauma. In light of the growing challenges faced by social-work students, opportunities exist for a greater contribution of cross-cultural understanding of PTG within social-work practice and pedagogy (for example, National Association of Social Workers, 2008; Rhodes & Tran, 2013; Roberts, Barnett, & Kelley, 2012; Rodgers, 2011b, 2014).

Researchers (Gibbons et al., 2011; Rodgers, 2012b, 2013b; Tosone et al., 2003) who have used various PTGI measures to examine PTG in social workers and social-work students have reported moderate levels of PTG. Breckenridge and James (2010), Knight (2010), and Rodgers (2012b, 2013b) affirm that social-work students and supervisors alike face unprecedented challenges to respond effectively to a variety of trauma-related experiences, including globalization, civil wars and political strife, human trafficking, incest, forced migration, HIV/AIDS, violence, and technological and natural disasters. Given the earlier evidence that PTG occurs in a variety of populations encountered by social workers at micro, messo, and macro levels, there is an impetus for social-work educators to prepare students to practice and pedagogy PTG content is immersed throughout the social-work curriculum—research, diversity, policy, human behavior, and technology (Council on Social Work Education [CSWE], 2008).

In particular, greater emphasis should be placed on field placement, also referred to as the “signature pedagogy” of social-work education, because the CSWE has deemed it the central form of instruction and learning in which a profession socializes its students to perform the role of practitioner (Council on Social Work Education Commission on Accreditation, 2012). The signature pedagogy is an essential, tangible benefit of professional education and is the central mechanism through which students learn to integrate and apply theory and practice (CSWE, 2008; Knight, 2000; Rodgers, 2014). Research findings (Rodgers, 2013b) underscore the need for curricular modifications to expose students and supervisors (Rodgers & Cudjoe, 2012) to specific knowledge of traumatic events and coping responses. Based on an extensive review, future studies should continue to explore aspects of social-work interventions using Tedeschi and McNally’s (2011) latest model of PTG, as well as an examination of cultural aspects of PTG (Calhoun et al., 2010; Splevins et al., 2010).


American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Find this resource:

Añez, L. M., Paris, M., Bedregal, L. E., Davidson, L., & Grilo, C. (2005). Application of cultural constructs in the care of first generation Latino clients in a community mental health setting. Journal of Psychiatric Practice, 11, 221–230.Find this resource:

Arpawong, T. E., Richeimer, S. H., Weinstein, F., Elghamrawy, A., & Milam, J. E. (2013). Posttraumatic growth, quality of life, and treatment symptoms among cancer chemotherapy outpatients. Health Psychology, 32(4), 397–408. doi:10.1037/a0028223Find this resource:

Baker, J. M., Kelly, C., Calhoun, L. G., Cann, A., & Tedeschi, R. G. (2008). An examination of posttraumatic growth and posttraumatic depreciation. Journal of Loss & Trauma, 13, 450–465. doi:10.1080/15325020802171367Find this resource:

Barr, P. (2011). Posttraumatic growth in parents of infants hospitalized in a neonatal intensive care unit. Journal of Loss and Trauma, 16, 117–134. doi:10.1080/15325024.2010.519265Find this resource:

Bellizzi, K. M., Smith, A. W., Reeve, B. B., Alfano, C. M., Bernstein, L., Meeske, K., et al. (2010). Post-traumatic growth and health-related quality of life in a racially diverse cohort of breast cancer survivors. Journal of Health Psychology, 15(4), 615–626.Find this resource:

Bhushan, B. (2012). A study of posttraumatic stress and growth in tsunami relief volunteers. Journal of Loss and Trauma, 17, 113–124. doi:10.1080/15325024.2011.635580Find this resource:

Bluvstein, I., Moravchick, L., Sheps, D., Schreiber, S., & Bloch, M. (2013). Posttraumatic growth, posttraumatic stress symptoms and mental health among coronary heart disease survivors. Journal of Clinical Psychology Medical Settings, 20(2), 164–172. doi:10.1007/s10880-012-9318-zFind this resource:

Bonanno, G. A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist, 59, 20–28. doi:10.1037/0003-066X.59.1.20Find this resource:

Bonanno, G. A. (2005). Resilience in the face of potential trauma. Current Directions in Psychological Science, 14, 135–138.Find this resource:

Bray, P. (2010). A broader framework for exploring the influence of spiritual experience in the wake of stressful life events: Examining connections between posttraumatic growth and psycho-spiritual transformation. Mental Health, Religion & Culture, 13(3), 293–308. doi:10.1080/13674670903367199Find this resource:

Breckenridge, J., & James, K. (2010). Educating social work students in multifaceted interventions of trauma. Social Work Education, 29(3), 259–275. doi:10.1080/02615470902912250Find this resource:

Bush, N. E., Skopp, N. A., McCann, R., & Luxton, D. D. (2011). Posttraumatic growth as protection against suicidal ideation after deployment and combat exposure. Military Medicine, 176(11), 1215–1222.Find this resource:

Butler, L. D., Blasey, C. M., Garlan, R. W., McCaslin, S. E., Azarow, J., Chen, X. H., et al. (2005). Posttraumatic growth following the terrorist attacks of September 11, 2001: Cognitive, coping, and trauma symptom predictors in an internet convenience sample. Traumatology, 11, 247–267.Find this resource:

Cadell, S., Regehr, C., & Hemsworth, D. (2003). Factors contributing to posttraumatic growth: A proposed structural equation model. American Journal of Orthopsychiatry, 73, 287–297.Find this resource:

Calhoun, L. G., Cann, A., & Tedeschi, R. G. (2010). The posttraumatic growth model: Socio-cultural considerations. In T. Weiss & R. Berger (Eds.), Posttraumatic growth and culturally competent practice: Lessons learned from around the globe (pp. 1–14). New York, NY: Wiley.Find this resource:

Calhoun, L. G., & Tedeschi, R. G. (1998). Beyond recovery from trauma: Implications for clinical practice and research. Journal of Social Issues, 54, 357–371.Find this resource:

Calhoun, L. G., & Tedeschi, R. G. (1999). Facilitating posttraumatic growth: A clinician’s guide. Mahwah, NJ: Erlbaum.Find this resource:

Calhoun, L. G., & Tedeschi, R. G. (2006a). The foundations of posttraumatic growth: An expanded framework. In L. G. Calhoun & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 3–23). Mahwah, NJ: Erlbaum.Find this resource:

Calhoun, L. G., & Tedeschi, R. G. (Eds.). (2006b). Handbook of posttraumatic growth: Research and practice. Mahwah, NJ: Erlbaum.Find this resource:

Calhoun, L., & Tedeschi, R. (2008). The paradox of struggling with trauma: Guidelines for practice and directions for research. In S. Joseph & P. Linley (Eds.), Trauma, recovery, and growth (pp. 325–337). Hoboken, NJ: Wiley.Find this resource:

Cann, A., Calhoun, L. G., Tedeschi, R. G., Kilmer, R. P., Gil-Rivas, V., Vishnevsky, T., et al. (2009). The Core Beliefs Inventory: A brief measure of disruption in the assumptive world. Anxiety Stress Coping, 23(1), 19–34.Find this resource:

Cann, A., Lawrence, G. C., Tedeschi, R. G., & Solomon, D. T. (2010). Posttraumatic growth and depreciation as independent experiences and predictors of well-being. Journal of Loss and Trauma, 15, 151–166, 2010. doi:10.1080/15325020903375826Find this resource:

Carver, C. S., & Antoni, M. H. (2004). Finding benefit in breast cancer during the year after diagnosis predicts better adjustment 5 to 8 years after diagnosis. Health Psychology, 23, 595–598.Find this resource:

Chopko, B. A. (2010). Posttraumatic distress and growth: An empirical study of police officers. American Journal of Psychotherapy, 64(1), 55–72.Find this resource:

Cobb, A. R., Tedeschi, R. G., Calhoun, L. G., & Cann, A. (2006). Correlates of posttraumatic growth in survivors of intimate partner violence. Journal of Traumatic Stress, 19, 895–903. doi:10.1002/jts.20171Find this resource:

Cordova, M. J., Cunningham, L. L., Carlson, C. R., & Andrykowski, M. A. (2001). Posttraumatic growth following breast cancer: A controlled comparison study. Health Psychology, 20, 176–185.Find this resource:

Council on Social Work Education (CSWE). (2008). Council on Social Work Education curriculum policy statements. Alexandria, VA: Author.Find this resource:

Council on Social Work Education Commission on Accreditation. (2012). Council on Social Work Education EPAS handbook. Alexandria, VA: Council on Social Work Education.Find this resource:

Cryder, C. H., Kilmer, R. P., Tedeschi, R. G., & Calhoun, L. G. (2006). An exploratory study of posttraumatic growth in children following a natural disaster. American Journal of Orthopsychiatry, 76, 65–69.Find this resource:

Danhauer, S. C., Russell, G. B., Tedeschi, R. G., Jesse, M. T., Vishnevsky, T., Daley, K., et al. (2013). A longitudinal investigation of posttraumatic growth in adult patients undergoing treatment for acute leukemia. Journal of Clinical Psychology Medical Settings, 20(1), 13–24.Find this resource:

Dekel, R. (2007). Posttraumatic distress and growth among wives of prisoners of war: The contribution of husbands’ posttraumatic stress disorder and wives’ own attachment. The Journal of Orthopsychiatry, 77, 419–426. doi:10.1037/0002-9432.77.3.419Find this resource:

Dirik, G., & Karanci, A. N. (2008). Variables related to posttraumatic growth in Turkish rheumatoid arthritis patients. Journal of Clinical Psychology in Medical Settings, 15, 193–203.Find this resource:

DuBois, B., & Miley, K. K. (2011). Social work: An empowering profession (7th ed.). Boston, MA: Allyn & Bacon.Find this resource:

Engelkemeyer, S., & Marwit, S. (2008). Posttraumatic growth in bereaved parents. Journal of Traumatic Stress, 21(3), 344–346.Find this resource:

Frazier, P. A., & Kaler, M. E. (2006). Assessing the validity of self-reported stress-related growth. Journal of Consulting and Clinical Psychology, 74, 859–869.Find this resource:

Frazier, P., Tashiro, T., Berman, M., Steger, M., & Long, J. (2004). Correlates of levels and patterns of positive life changes following sexual assault. Journal of Consulting and Clinical Psychology, 72, 19–30.Find this resource:

Garmezy, N. (1993). Children in poverty: Resilience despite risk. Psychiatry, 56, 97–111.Find this resource:

Gibbons, S., Murphy, D., & Joseph, S. (2011). Countertransference and positive growth in social workers. Journal of Social Work Practice, 25, 17–30.Find this resource:

Grubaugh, A. L., & Resick, P. A. (2007). Posttraumatic growth in treatment-seeking female assault victims. Psychiatric Quarterly, 78, 145–155.Find this resource:

Hall, B. J., Hobfoll, S. E., Palmieri, P. A., Canetti-Nisim, D., Shapira, O., Johnson, R. J., et al. (2010). The psychological impact of impending forced settler disengagement in Gaza: Trauma and posttraumatic growth. Journal of Traumatic Stress, 21(1), 22–29. doi:10.1002/jts.20301Find this resource:

Hagenaars, M. A., & Minnen, A. V. (2010). Posttraumatic growth in exposure therapy for PTSD. Journal of Traumatic Stress, 23(4), 504–508. doi:10.1002/jts.20551Find this resource:

Harms, L., & Talbot, M. (2007). The aftermath of road trauma: Survivors’ perceptions of trauma and growth. Health & Social Work, 32(2), 127–137.Find this resource:

Helgeson, V. S., Reynolds, K. A., & Tomich, P. L. (2006). A metaanalytic review of benefit finding and growth. Journal of Consulting and Clinical Psychology, 74, 797–815. doi:10.1037/0022-006X.74.5.797Find this resource:

Ho, S. M., Chan, S. M., & Ho, R. T. (2004). Posttraumatic growth in Chinese cancer survivors. Psycho-Oncology, 13, 377–389. doi:10.1002/pon.758Find this resource:

Holgersen, K. H., Boe, H. J., & Holen, A. (2010). Long-term perspectives on posttraumatic growth in disaster survivors. Journal of Traumatic Stress, 23(3), 413–416. doi:10.1002/jts.20530Find this resource:

Hussain, D., & Bhushan, B. (2011). Posttraumatic stress and growth among Tibetan refugees: The mediating role of cognitive-emotional regulation strategies. Journal of Clinical Psychology, 67(7), 720–735. doi:10.1002/jclp.20801Find this resource:

Ickovics, J. R., Meade, C. S., & Kershaw, T. S. (2006). Urban teens: Trauma, post traumatic growth, and emotional distress among female adolescents. Journal of Consulting and Clinical Psychology, 74, 841–850. doi:10.1037/0022-006X.74.5.841Find this resource:

Jaarsma, T. A., Pool, G., Sanderman, R., & Ranchor, A. V. (2006). Psychometric properties of the Dutch version of the Posttraumatic Growth Inventory among cancer patients. Psycho-Oncology, 15, 911–920. doi:10.1002/pon.1026Find this resource:

Janoff-Bulman, R. (1992). Shattered assumptions. New York, NY: Free Press.Find this resource:

Janoff-Bulman, R., & McPharson-Frantz, C. (1997). The impact of trauma on meaning: From meaningless world to meaningful life. In M. J. Power & C. R. Brewin (Eds.), The transformation of meaning in psychological therapies (pp. 91–106). New York, NY: Wiley.Find this resource:

Joseph, S., & Linley, P. A. (Eds.). (2008). Trauma, recovery and growth: Positive psychological perspectives on posttraumatic stress. Hoboken, NJ: Wiley.Find this resource:

Kilic, C. (2005). Posttraumatic growth: A Turkish perspective. In R. Tedeschi (Chair) (Ed.), International perspectives on posttraumatic growth. Symposium conducted at the 113th Annual Convention of the American Psychological Association, Washington, DC.Find this resource:

Kilmer, R. P. (2006). Resilience and posttraumatic growth in children. In L. G. Calhoun & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice. Mahwah, NJ: Erlbaum.Find this resource:

Kilmer, R. P., & Gil-Rivas, V. (2008). Posttraumatic growth in youth following disasters. The Prevention Researcher, 15, 18–20.Find this resource:

Kilmer, R. P., Gil-Rivas, V., Tedeschi, R. G., Cann, A., Calhoun, L. G., Buchanan, T., et al. (2009). Use of the revised Posttraumatic Growth Inventory for Children. Journal of Traumatic Stress, 22(3), 248–253. doi:10.1002/jts.20410Find this resource:

Kimhi, S., Eshel, Y., Zysberg, L., & Hantamn, S. (2010). Postwar winners and losers in the long run: Determinants of war related stress symptoms and posttraumatic growth. Community Mental Health Journal, 46, 10–19. doi:10.1007/s10597-009-9183-xFind this resource:

Kissil, K., Niño, A., Jacobs, S., Davey, M., & Tubbs, C. Y. (2010). “It has been a good growing experience for me”: Growth experiences among African American youth coping with parental cancer. Families, Systems, & Health, 28(3), 274–289. doi:10.1037/a0020001Find this resource:

Kleim, B., & Ehlers, A. (2009, February). Evidence for a curvilinear relationship between posttraumatic growth and posttrauma depression and PTSD in assault survivors. Journal of Traumatic Stress, 22(1), 45–52. doi:10.1002/jts.20378Find this resource:

Knight, C. (2000). Engaging the student in the field instruction relationship: BSW and MSW students’ views. Journal of Teaching in Social Work, 20(3/4), 173–201.Find this resource:

Knight, C. (2010). Indirect trauma in the field practicum: Secondary traumatic stress, vicarious trauma, and compassion fatigue among social work students, and their field instructors. The Journal of Baccalaureate Social Work, 15(1), 31–52.Find this resource:

Kobasa, S. C., Maddi, S. R., & Kahn, S. (1982). Hardiness and health: A prospective study. Journal of Personality and Social Psychology, 42, 168–177.Find this resource:

Konard, S. C. (2006). Posttraumatic growth in mothers of children with acquired disabilities. Journal of Loss and Trauma, 11, 101–113. doi:10.1080/15325020500358274Find this resource:

Kroo, A., & Nagy, H. (2011). Posttraumatic growth among traumatized Somali refugees in Hungary. Journal of Loss and Trauma, 16, 440–458. doi:10.1080/15325024.2011.575705Find this resource:

Finkelhor, D. (1994). The international epidemology of child sexual abuse. Child Abuse and Neglect, 18, 409–417.Find this resource:

Laufer, A., & Solomon, Z. (2006). Posttraumatic symptoms and posttraumatic growth among Israeli youth exposed to terror incidents. Journal of Social and Clinical Psychology, 25, 429–447. doi:10.1521/jscp.2006.25.4.429Find this resource:

Lepore, S. J., & Revenson, T. A. (2006). Resilience and posttraumatic growth, recovery, resistance, and reconfiguration. In L. G. Calhoun & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 24–46). Mahwah, NJ: Erlbaum.Find this resource:

Lev-Wiesel, R., & Amir, M. (2003). Posttraumatic growth among Holocaust child survivors. Journal of Loss and Trauma, 8, 229–237. doi:10.1080/15325020305884Find this resource:

Lev-Wiesel, R., Amir, M., & Besser, A. (2005). Posttraumatic growth among female survivors of childhood sexual abuse in relation to the perpetrator identity. Journal of Loss and Trauma, 10, 7–18. doi:10.1080/I532502049089060GFind this resource:

Linley, P. A., & Joseph, S. (2004). Positive change following trauma and adversity: A review. Journal of Traumatic Stress, 17, 11–21.Find this resource:

Linley, P., & Joseph, S. (2006). The positive and negative effects of disaster work: A preliminary investigation. Journal of Loss and Trauma, 11, 229–245.Find this resource:

Linley, P. A., & Joseph, S. (2011). Meaning in life and posttraumatic growth. Journal of Loss and Trauma, 16, 150–159. doi: 10.1080/15325024.2010.519287Find this resource:

Lowe, S. R., Manove, E. E., & Rhodes, J. E. (2013). Posttraumatic stress and posttraumatic growth among low-income mothers who survived Hurricane Katrina. Journal of Consulting and Clinical Psychology, 81(5), 877–889. doi:10.1037/a0033252Find this resource:

Maercker, A., & Langner, R. (2001). Posttraumatic personal growth: Validation of German versions of 2 questionnaires. Diagnostica, 47, 153–162. doi:10.1026//0012-1924.47.3.153Find this resource:

Maercker, A., & Zoellner, T. (2004). The Janus face of self-perceived growth: Toward a two-component model of posttraumatic growth. In Commentaries on “Posttraumatic growth: Conceptual foundations and empirical evidence.” Psychological Inquiry, 15, 41–48.Find this resource:

Maguen, S., Vogt, D., King, L., King, D., & Litz, B. (2006). Posttraumatic growth among Gulf War I veterans: The predictive role of development-related experiences and background characteristics. Journal of Loss and Trauma, 11, 373–388. doi:10.1080/15325020600672004Find this resource:

McCaslin, S. E., de Zoysa, P., Butler, L. D., Hart, S., Marmar, C. R., Metzler, T. J., et al. (2009). The relationship of posttraumatic growth to peritraumatic reactions and posttraumatic stress symptoms among Sri Lankan university students. Journal of Traumatic Stress, 22(4), 334–339. doi:10.1002/jts.20426Find this resource:

McMillen, J. C., & Cook, C. L. (2003). The positive by-products of spinal cord injury and their correlates. Rehabilitation Psychology, 48, 77–85.Find this resource:

Milam, J. (2006). Posttraumatic growth and HIV disease progression. Journal of Consulting and Clinical Psychology, 74, 817–827.Find this resource:

Moberly, N. J., & Watkins, E. R. (2008). Ruminative self-focus and negative affect: An experience sampling study. Journal of Abnormal Psychology, 117, 314–323. doi:10.1037/0021-843X.117.2.314Find this resource:

Mohr, D. C., Dick, L. P., Russo, D., Pinn, J., Boudewyn, A. C., Likosky, W., et al. (1999). The psychosocial impact of multiple sclerosis: Exploring the patient’s perspective. Health Psychology, 18, 376–382.Find this resource:

Mystakidou, K., Parpa, E., Tsilika, E., Pathiaki, M., Galanos, A., & Vlahos, L. (2007). Traumatic distress and positive changes in advanced cancer patients. American Journal of Hospice and Palliative Medicine, 24, 270–276.Find this resource:

National Association of Social Workers. (1996). Code of ethics of the National Assosciation of Social Workers. Washington, DC: Author.Find this resource:

National Association of Social Workers. (2008). Code of ethics of the National Association of Social Workers. Washington, DC: Author.Find this resource:

Nightingale, V. R., Sher, T. G., & Hansen, N. B. (2010). The impact of receiving an HIV diagnosis and cognitive processing on psychological distress and posttraumatic growth. Journal of Traumatic Stress, 23(4), 452–460. doi:10.1002/jts.20554Find this resource:

Noguchi, R., & Fujiu, H. (2007). The effort of depression and anger in on affect and cardiac response. Japanese Journal of Health Psychology, 20, 64–72.Find this resource:

Nolen-Hoeksema, S., & Davis, C. G. (2004). Theoretical and methodological issues in the assessment and interpretation of posttraumatic growth. Psychological Inquiry, 15, 60–64.Find this resource:

O’Leary, V. E., & Ickovics, J. R. (1995). Resilience and thriving in response to challenge: An opportunity for a paradigm shift in women’s health. Women’s Health: Research on Gender, Behavior, and Policy, 1, 121–142.Find this resource:

Pargament, K. I., Desai, K. M., & McConnell, K. M. (2006). Spirituality: A pathway to posttraumatic growth or decline? In L. G. Calhoun & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 121–137). London: Erlbaum.Find this resource:

Park, C. L., Cohen, L. H., & Murch, R. L. (1996). Assessment and prediction of stress-related growth. Journal of Personality, 64, 71–105. doi:10.1111/j.1467-6494.1996.tb00815.xFind this resource:

Park, C. L., & Lechner, S. (2006). Measurement issues in assessing growth following stressful life experiences. In L. G. Calhoun & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 47–67). Mahwah, NJ: Erlbaum.Find this resource:

Peltzer, K. (2000). Trauma symptom correlates of criminal victimization in an urban community sample, South Africa. Journal of Psychology in South Africa, 10, 49–62.Find this resource:

Peterson, C., Park, N., Pole, N., D’Andrea, W., & Seligman, M. E. P. (2008). Strengths of character and posttraumatic growth. Journal of Traumatic Stress, 21(2), 214–217. doi:10.1002/jts.20332Find this resource:

Phelps, L. F., Williams, R. M., Raichle, K. A., Turner, A. P., & Ehde, D. M. (2008). The importance of cognitive processing to adjustment in the 1st year following amputation. Rehabilitation Psychology, 53, 28–38.Find this resource:

Polatinsky, S., & Esprey, Y. (2000). An assessment of gender difference in the perception of benefit resulting from the loss of a child. Journal of Traumatic Stress, 13, 709–718. doi:10.1023/A:1007870419116Find this resource:

Powell, S., Rosner, R., Butollo, W., Tedeschi, R. G., & Calhoun, L. G. (2003). Posttraumatic growth after war: A study with former refugees and displaced people in Sarajevo. Journal of Clinical Psychology, 59, 71–83. doi:10.1002/jclp.10117Find this resource:

Powell, T., Gilson, R., & Collin, C. (2012). TBI 13 years on: Factors associated with post-traumatic growth. Disability Rehabilitation, 34(17):1461–1467. doi:10.3109/09638288.2011.644384Find this resource:

Prati, G., & Pietrantoni, L. (2009). Optimism, social support, and coping strategies as factors contributing to posttraumatic growth: A meta-analysis. Journal of Loss and Trauma, 14, 364–388. doi:10.1080/15325020902724271Find this resource:

Proffitt, D., Cann, A., Calhoun, L. G., & Tedeschi, R. G. (2007). Judeo-Christian clergy and personal crisis: Religion, posttraumatic growth and well being. Journal of Religion and Health, 46, 219–231.Find this resource:

Rahmani, A., Mohammadian, R., Ferguson, C., Golizadeh, L., Zirak, M., & Chavoshi, H. (2012, July–September). Posttraumatic growth in Iranian cancer patients. Indian Journal of Cancer, 49(3), 287–292.Find this resource:

Rhodes, A. M., & Tran, T. V. (2013). Measurement equivalence of seven selected items of posttraumatic growth between black and white adult survivors of Hurricane Katrina. Psychological Reports: Mental & Physical Health, 112(1), 60–71. doi:10.2466/02.08.09.PR0.112.1.60-71Find this resource:

Roberts, M. C., Barnett, J. E., & Kelley, J. F. (Eds.). (2012). Multicultural practice in professional psychology. Professional Psychology: Research and Practice, 43(3), 165–269.Find this resource:

Rodgers, S. (2008). Perceived availability of and satisfaction with social support and posttraumatic growth in Latina immigrants in refugee-like situations. Unpublished Ph.D. dissertation, Garden City, NY: Adelphi University.Find this resource:

Rodgers, S. (2011a. From childhood sexual abuse to spiritual well-being: In all ways a survivor. In L. Rodgers-Rose & Z. Zai’mah (Eds.), Healing black women from violence: Reclamation and peace (Conference Volume Book Chapter, 45–58). Norfolk, VA: Traces.Find this resource:

Rodgers, S. (2011b, November 8). The role of posttraumatic growth and social work in existing social service integrated models in New York City. Meeting the Challenge of Social Service Delivery Symposium, Seoul, South Korea.Find this resource:

Rodgers, S. (2012a). Exposing the hushed Latina immigration experience: The global reality of refugee-like situations in America. The Global Studies Journal, 47(1), 147–159.Find this resource:

Rodgers, S. (2012b, March 23). Lived experiences of vicarious trauma, coping, and posttraumatic growth in undergraduate social work students who attend urban public colleges. American Association of Blacks in Higher Education 2012 National Conference, Healthy Communities through Access, Education, Research and Collaboration. Atlanta, GA.Find this resource:

Rodgers, S. (2013a, September 26) Ensuring Black women are [a]part of the global agenda: Perceptions of posttraumatic growth in the aftermath of historical and contemporary trauma. The National Association of Social Workers—South Africa, in association with the International Federation for Social Workers Voices for Development Conference. Johannesburg, South Africa.Find this resource:

Rodgers, S. (2013b, Winter). The trauma pipeline in baccalaureate social work students enrolled in field education at urban public colleges. The National Journal of Urban Education & Practice: Advancing Excellence and Equity in Education. Special Edition, 6(3), 174–187.Find this resource:

Rodgers, S. (2014, July). “Fulbright Specialist’s Report on revisioning social work education in Europe’s most improvised country: Global perspectives, post-Soviet pedagogies, curriculum development.” Joint World Conference on Social Work, Education and Social Development: Promoting Social and Economic Equity. South Melbourne.Find this resource:

Rodgers, S., & Cudjoe, T. (2012, April 4). Rise up social workers: From vicarious trauma to posttraumatic growth. The National Association of Black Social Workers 44th Annual Conference. A New Era of Social Justice and Civil Rights. Atlanta, GA.Find this resource:

Roelofs, J., Muris, P., Huibers, M., Peeters, F., & Arntz, A. (2006). On the measurement of rumination: A psychometric evaluation of the ruminative response scale and the rumination on sadness in undergraduates. Journal of Behavior Therapy and Experimental Psychiatry, 37, 299–313.Find this resource:

Salo, J., Qouta, S., & Punamäki, R. L. (2005). Adult attachment, posttraumatic growth and negative emotions among former political prisoners. Anxiety, Stress and Coping, 18, 361–378. doi:10.1080/10615800500289524Find this resource:

Sarason, I. G., Levine, H. M., Basham, R. G., & Sarason, B. R. (1983). Assessing social support. The Social Support Questionnaire. Journal of Personality and Social Psychology, 44, 127–139.Find this resource:

Schaefer, J. A., & Moos, R. H. (1998). The context for posttraumatic growth: Life crises, individual and social resources and coping. In R. G. Tedeschi, C. L. Park, & L. G. Calhoun (Eds.), Posttraumatic growth: Positive changes in the aftermath of crisis (pp. 99–125). Mahwah, NJ: Erlbaum.Find this resource:

Scheier, M., & Carver, C. (1985). Optimism, coping, and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4, 219–247.Find this resource:

Schuettler, D., & Boals, A. (2011). The path to posttraumatic growth versus posttraumatic stress disorder: Contributions of event centrality and coping. Journal of Loss and Trauma, 16, 180–194. doi:10.1080/15325024.2010.519273Find this resource:

Schultz, S., Tallman, B., & Altmaier, E. (2010). Pathways to posttraumatic growth: The contributions of forgiveness and importance of religion and spirituality. Psychology of Religion and Spirituality, 2(2), 104–114.Find this resource:

Sears, S. R., Stanton, A. L., & Danoff-Burg, S. (2003). The Yellow Brick Road and the Emerald City: Benefit finding, positive reappraisal, and posttraumatic growth in women with early stage breast cancer. Health Psychology, 22, 487–497. doi:10.1037/0278-6133.22.5.487Find this resource:

Senol-Durak, E., & Ayvasik, H. B. (2010). Factors associated with posttraumatic growth among myocardial infarction patients: Perceived social support, perception of the event and coping. Journal of Clinical Psychology Medical Settings, 17, 150–158. doi:10.1007/s10880-010-9192-5Find this resource:

Shakespeare-Finch, J., & Copping, A. (2006). A grounded theory approach to understanding cultural difference in posttraumatic growth. Journal of Loss and Trauma, 11, 355–371. doi:10.1080/15325020600671949Find this resource:

Shakespeare-Finch, J., & Dassel, T. D. (2009). The impact of child sexual abuse on victim/survivors: Exploring posttraumatic outcomes as a function of child sexual abuse. Journal of Child Sexual Abuse, 18, 523–640. doi:10.1080/10538710903317224Find this resource:

Sheridan, M. J. (2004). Predicting the use of spiritually derived interventions in social work practice: A survey of practitioners. Journal of Religion and Spirituality in Social Work, 23(4), 5–25.Find this resource:

Shirotsuki, K., Sasagawa, S., & Nomura, S. (2007). The effects of negative rumination on social anxiety. Japanese Journal of Health Psychology, 20, 42–48.Find this resource:

Smith, S. G., & Cook, S. L. (2004). Are reports of posttraumatic growth positively biased? Journal of Traumatic Stress, 17(4), 353–358.Find this resource:

Solomon, Z., & Laufer, A. (2005). In the shadow of terror: Changes in world assumptions in Israeli youth. Journal of Aggression Maltreatment & Trauma, 9, 353–364.Find this resource:

Splevins, K., Cohen, K., Bowley, J., & Joseph, S. (2010). Theories of posttraumatic growth: Cross-cultural perspectives. Journal of Loss and Trauma, 15(3), 259–277. doi:10.1080/15325020903382111Find this resource:

Stanton, A. L., Bower, J. E., & Low, C. A. (2006). Posttraumatic growth after cancer. In L. G. Calhoun & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 138–175). Mahwah, NJ: Erlbaum.Find this resource:

Stockton, H., Hunt, N., & Joseph, S. (2011). Cognitive processing, rumination, and posttraumatic growth. Journal of Traumatic Stress, 24(1), 85–92. doi:10.1002/jts.20606Find this resource:

Stump, M. J., & Smith, J. E. (2008). The relationship between posttraumatic growth and substance use in homeless women with histories of traumatic experiences. The American Journal on Addictions, 17, 478–487. doi:10.1080/10550490802409017Find this resource:

Taku, K., Calhoun, L., Cann, A., & Tedeschi, R. (2008). The role of rumination in the coexistence of distress and posttraumatic growth among bereaved Japanese university students. Death Studies, 32, 428–444. doi:10.1080/07481180801974745Find this resource:

Taku, K., Calhoun, L. G., Tedeschi, R., Gil-Rivas, V., Kilmer, R. P., & Cann, A. (2007). Examining posttraumatic growth among Japanese university students. Anxiety, Stress & Coping, 20, 353–367. doi:10.1080/10615800701295007Find this resource:

Tedeschi, R. G., & Calhoun, L. G. (1995). Trauma and transformation: Growing in the aftermath of suffering. Thousand Oaks, CA: Sage.Find this resource:

Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455–471. doi:10.1002/jts.2490090305Find this resource:

Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15, 1–18. doi:10.1207/s15327965pli1501_01Find this resource:

Tedeschi, R. G., & Kilmer, R. P. (2005). Assessing strengths, resilience, and growth to guide clinical interventions. Professional Psychology: Research and Practice, 36, 230–237.Find this resource:

Tedeschi, R. G., & McNally, R. J. (2011). Can we facilitate posttraumatic growth in combat veterans? American Psychologist, 66(1), 19–24.Find this resource:

Thombre, A., Sherman, A. C., & Simonton, S. (2010). Posttraumatic growth among cancer patients in India. Journal of Behavior Medicine, 33, 15–23. doi:10.1007/s10865-009-9229-0Find this resource:

Thornton, A. A., & Perez, M. A. (2006). Posttraumatic growth in prostate cancer survivors and their partners. Psycho-Oncology, 15, 285–296.Find this resource:

Tomich, P. L., & Helgeson, V. S. (2004). Is finding something good in the bad always good? Benefit finding among women with breast cancer. Health Psychology, 23, 16–23. doi:10.1037/0278-6133.23.1.16Find this resource:

Tosone, C., Bialkin, L., Campbell, M., Charters, M., Gieri, K., Gross, S., et al. (2003). Shared trauma: Group reflections on the September 11th disaster. Psychoanalytic Social Work, 10, 57–77. doi:10.1300/J032v10n01 06Find this resource:

Urcuyo, K. R., Boyers, A. E., Carver, C. S., & Antoni, M. H. (2005). Finding benefit in breast cancer: Relations with personality, coping and concurrent well-being. Psychology and Health, 20, 175–192.Find this resource:

Val, E., & Linley, P. (2006). Posttraumatic growth, positive changes, and negative changes in Madrid residents following the March 11, 2004 Madrid train bombings. Journal of Loss and Trauma, 11, 409–424.Find this resource:

Vis, J. A., & Boynton, H. M. (2008). Spirituality and transcendent meaning making: Possibilities for enhancing posttraumatic growth. Journal of Religion and Spirituality in Social Work, 27, 69–86.Find this resource:

Vishnevsky, T., Cann, A., Calhoun, L. G., Tedeschi, R. G., & Demakis, G. J. (2010). Gender differences in self-reported posttraumatic growth: A metaanalysis. Psychology of Women Quarterly, 34, 110–120. doi:10.1111/j.1471-6402.2009.01546.xFind this resource:

Weiss, T. (2002). Posttraumatic growth in women with breast cancer and their husbands: An intersubjective validation study. Journal of Psychosocial Oncology, 20, 65–80. doi:10.1300/J077v20n02_04Find this resource:

Weiss, T. (2004a). Correlates of posttraumatic growth in husbands of breast cancer survivors. Psycho-Oncology, 13, 260–268.Find this resource:

Weiss, T. (2004b). Correlates of posttraumatic growth in married breast cancer survivors. Journal of Social and Clinical Psychology, 23, 733–746.Find this resource:

Weiss, T., & Berger, R. (2006). Reliability and validity of a Spanish version of the Posttraumatic Growth Inventory. Research on Social Work Practice, 16, 191–199. doi:10.1177/1049731505281374Find this resource:

Westphal, M., & Bonanno, G. A. (2007). Posttraumatic growth and resilience to trauma: Different sides of the same coin or different coins? Applied Psychology, 56, 417–427. doi:10.1111/j.1464-0597.2007.00298.xFind this resource:

Widows, M. R., Jacobsen, P. B., Booth-Jones, M., & Fields, K. K. (2005). Predictors of posttraumatic growth following bone marrow transplantation for cancer. Journal of Health Psychology, 24, 266–273. doi:10.1037/0278-6133.24.3.266Find this resource:

Znoj, H. (2006). Bereavement and posttraumatic growth. In L. G. Calhoun & R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 176–196). Mahwah, NJ: Erlbaum.Find this resource:

Zöellner, T., Rabe, S., Karl, A., & Maercker, A. (2008). Posttraumatic growth in accident survivors: Openness and optimism as predictors of its constructive or illusory sides. Journal of Clinical Psychology, 64, 245–263.Find this resource:

Further Reading

Ai, A. L., Tice, T. N., Whitsett, D. D., Ishisaka, T., & Chim, M. (2007). Posttraumatic symptoms and growth of Kosovar war refugees: The influence of hope and cognitive coping. Journal of Positive Psychology, 2, 55–65. doi:10.1002/jts.20623Find this resource:

Armstrong, D., & Shakepeare-Finch, J. (2011). Relationship to the bereaved and perceptions of severity of trauma differentiate elements of posttraumatic growth. OMEGA, 63(2), 125–140. doi:10.2190/OM.63.2.bFind this resource:

Berger, R., & Weiss, T. (2002). Immigration and posttraumatic growth: A missing link. Journal of Immigrant and Refugee Issues, 1, 21–39.Find this resource:

Berger, R., & Weiss, T. (2006). Posttraumatic growth in Latina immigrants. Journal of Immigrants and Refugee Studies, 4, 55–72.Find this resource:

Blix, I., Hansen, M. B., Birkeland, M. S., Nissen, A., & Heir, T. (2013). Posttraumatic growth, posttraumatic stress and psychological adjustment in the aftermath of the 2011 Oslo bombing attack. Health and Quality of Life Outcomes, 11, 160–166. doi:10.1186/1477-7525-11-160Find this resource:

Boyraz, G., & Efstathiou, N. (2011). Self-focused attention, meaning, and posttraumatic growth: The mediating role of positive and negative affect for bereaved women. Journal of Loss and Trauma, 16, 13–32, 2011. doi:10.1080/15325024.2010.507658Find this resource:

Denney, R. M., Aten, J. D., & Leavell, K. (2011). Posttraumatic spiritual growth: A phenomenological study of cancer survivors. Mental Health, Religion & Culture 14(4), 371–391. doi:10.1080/13674671003758667Find this resource:

Devine, K. A., Reed-Knight, B., Loiselle, K. A., Fenton, N., & Blount, R. L. (2010). Posttraumatic growth in young adults who experienced serious childhood illness: A mixed-methods approach. Journal of Clinical Psychology in Medical Settings, 17, 340–348. doi:10.1007/s10880-010-9210-7Find this resource:

Fischer, P., & Ai, A. L. (2008). International terrorism and mental health: Recent research and future directions. Journal of Interpersonal Violence, 23, 339–361.Find this resource:

Frazier, P., Conlon, A., & Glaser, T. (2001). Positive and negative life changes following sexual assault. Journal of Consulting and Clinical Psychology, 69, 1048–1055.Find this resource:

Kaler, M. E., Erbes, C. R., Tedeschi, R. G., Arbisi, P. A., & Polusny, M. A. (2011). Factor structure and concurrent validity of the Posttraumatic Growth Inventory–Short Form among veterans from the Iraq War. Journal of Traumatic Stress, 24(2), 200–207. doi:10.1002/jts.20623Find this resource:

Levine, S. Z., Laufer, A., Hamama-Raz, Y., Stein, E., & Solomon, Z. (2009). Examining the relationship between resilience and posttraumatic growth. Journal of Traumatic Stress, 22(4), 282–286. doi:10.1002/jts.20409Find this resource:

Linley, P. A., Joseph, S., & Goodfellow, B. (2008). Positive changes in outlook following trauma and their relationship to subsequent posttraumatic stress, depression, and anxiety. Journal of Social and Clinical Psychology, 27, 877–891. doi:10.1521/jscp.2008.27.8.877Find this resource:

Love, C., & Sabiston, C. M. (2011). Exploring the links between physical activity and posttraumatic in young adult cancer survivors. Psycho-Oncology, 20, 278–286. doi:10.1002/pon.1733Find this resource:

Milam, J. E., Ritt-Oslon, A., & Unger, J. B. (2004). Posttraumatic growth among adolescents. Journal of Adolescent Research, 19(2), 192–204.Find this resource:

Morris, B. A., Shakespeare-Finch, J., Rieck, M., & Newbery, J. (2005). Multidimensional nature of posttraumatic growth in an Australian population. Journal of Traumatic Stress, 18, 575–585. doi:10.1002/jts.20067Find this resource:

Murphy, P., & Hevey, D. (2013). The relationship between internalised HIV-related stigma and posttraumatic growth. AIDS and Behavior, 17, 1809–1818. doi:10.1007/s10461-013-0482-4Find this resource:

Nishi, D., Matsuoka, Y., & Kim, Y. (2010). Posttraumatic growth, posttraumatic stress disorder and resilience of motor vehicle accident survivors. Biosocial Medicine, 4(7), 1–7.Find this resource:

Salsman, J., Segerstrom, S., Brechting, E., Carlson, C., & Andrykowski, M. (2009). Posttraumatic growth and PTSD symptomatology among colorectal cancer survivors: A 3-month longitudinal examination of cognitive processing. Psycho-Oncology, 18, 30–41.Find this resource:

Shakespeare-Finch, J., & Armstrong, D. (2010). Trauma type and post-trauma outcomes: Differences between survivors of motor vehicle accidents, sexual assault and bereavement. Journal of Loss and Trauma, 15(2), 65–82.Find this resource:

Shaw, A., Joseph, S., & Linley, P. A. (2005). Religion, spirituality, and posttraumatic growth: A systematic review. Mental Health, Religion, and Culture, 8, 1–11.Find this resource:

Solomon, Z., & Dekel, R. (2007). Posttraumatic stress disorder and posttraumatic growth among Israeli ex-POWs. Journal of Traumatic Stress, 20, 303–312.Find this resource:

Tedeschi, R., & Calhoun, L. (2008). Beyond the concept of recovery: Growth and the experience of loss. Death Studies, 32, 27–39.Find this resource:

Updegraff, K. A., Taylor, S. E., Kemeny, M. E., & Wyatt-Gail, E. (2002). Positive and negative effects of HIV infection in women with low socioeconomic resources. Personality and Social Psychology Bulletin, 28, 282–294.Find this resource:

Weiss, T., & Berger, R. (2010). Posttraumatic growth and culturally competent practice: Lessons learned from around the globe. Hoboken, NJ: Wiley.Find this resource:

Wolchik, S. A, Cox, S., Tein, J. Y., Sandler, I. N., & Ayers, T. S. (2008–2009). Six-year longitudinal predictors of posttraumatic growth in parentally bereaved adolescents and young adults. OMEGA, 58(2), 107–128. 2008-2009 doi.10.2190/OM.58.2.bFind this resource:

Wong, M. L., Cavanaugh, C. E., MacLeamy, J. B., Sojourner-Nelson, A., & Koopman, C. (2009). Posttraumatic growth and adverse long-term effects of parental cancer in children. Families, Systems, & Health, 27(1), 53–63. doi:10.1037/a0014771Find this resource: