The study was funded by a grant from the Psychiatry Research Trust. Anke Ehlers is a Wellcome Trust Principal Research Fellow. We would like to thank Ed Glucksman and Thomas Ehring, and the staff of King's College Hospital Accident and Emergency Department for their support. We would also like to thank Franziska Wallott, Johanna Hissbach, Silke Frank, Stephanie Spengler, Jennifer Baumeister, and Sarah Ueberall for their help with the study.
Evidence for a curvilinear relationship between posttraumatic growth and posttrauma depression and PTSD in assault survivors†
Article first published online: 19 FEB 2009
Copyright © 2009 International Society for Traumatic Stress Studies
Journal of Traumatic Stress
Volume 22, Issue 1, pages 45–52, February 2009
How to Cite
Kleim, B. and Ehlers, A. (2009), Evidence for a curvilinear relationship between posttraumatic growth and posttrauma depression and PTSD in assault survivors. J. Traum. Stress, 22: 45–52. doi: 10.1002/jts.20378
- Issue published online: 20 FEB 2009
- Article first published online: 19 FEB 2009
- Psychiatry Research Trust
Two studies of assault survivors (Ns = 180, 70) examined associations between posttraumatic growth (PTG) and posttrauma psychopathology. Both studies found significant curvilinear associations between PTG and posttraumatic stress disorder, whereas only Study 1 found a curvilinear association between PTG and depression symptom severity. Survivors with no or high growth levels reported fewer symptoms than those who reported moderate growth. Study 1 also investigated potential PTG predictors. Non-Caucasian ethnicity, religiousness, peritraumatic fear, shame, and ruminative thinking style, assessed at 2 weeks, predicted growth at 6 months. Posttraumatic growth may thus be most relevant in trauma survivors who attach enduring significance to the trauma for their lives and show initial distress. Moderate levels of PTG do not seem to ameliorate posttrauma psychopathology.