Caregivers’ Traumatic Experiences and Children’s Psychosocial Difficulties: the Mediation Effect of Caregivers’ Sense of Coherence

Author(s):  
Grace S. M. Leung ◽  
Janelle S. K. Lai ◽  
Mei-Chun Cheung ◽  
Qiaobing Wu ◽  
Rui Yuan
2013 ◽  
Vol 42 (4) ◽  
pp. 452-463 ◽  
Author(s):  
Markus Streb ◽  
Pascal Häller ◽  
Tanja Michael

Background: Paramedics are frequently subjected to traumatic experiences and have higher PTSD prevalence rates than people in the general population. However, the vast majority of paramedics do not develop PTSD. While several risk factors for PTSD have been established, little is known about protective factors. It has been suggested that a good sense of coherence (SOC) and high resilience lower the risk for developing PTSD. Aims: To examine whether SOC and resilience are associated with PTSD severity in paramedics. Method: A cross-sectional study investigated SOC, resilience and PTSD in paramedics (N = 668). PTSD was assessed with the Posttraumatic Stress Diagnostic Scale (PDS); resilience and SOC were measured with the Resilience Scale (RS-11) and the Sense of Coherence Scale (SOC-L9). Further measures included preparation of dealing with traumatic events and availability of psychological help. Results: As expected, both resilience and SOC were negatively correlated with PTSD symptoms. The regression analysis showed that 19.2% of the total variance in symptom severity was explained by these variables. However, SOC was a better predictor than resilience for PTSD severity, as it accounted for more unique variance. Paramedics who were prepared for dealing with work-related traumatic events and who received psychological help had less severe PTSD symptoms and higher SOC scores than paramedics for whom these services were not available. Conclusions: Enhancing resilience, and especially SOC, seems a promising approach to reduce PTSD symptom severity in high risk groups like paramedics.


Psichologija ◽  
2005 ◽  
Vol 32 ◽  
pp. 46-59
Author(s):  
Evaldas Kazlauskas ◽  
Danutė Gailienė

Tyrime dalyvavo 724 buvę politiniai kaliniai, nukentėję nuo komunistinių represijų. Potrauminė simptomatika buvo matuojama Traumos simptomų klausimynu (TSK-35). Tyrimo duomenų analizė atlikta naudojant hierarchinę daugialypę regresiją. Potrauminę simptomatiką geriausiai prognozavo: traumų, patirtų per visą gyvenimą, kiekis, vidinė darna, sutuoktinio mirtis, lytis, sveikatos pablogėjimas po represijų ir dabartinės sveikatos siejimas su represijų patirtimi. Galutinė regresijos lygtis paaiškino 43,7 proc. traumos simptomų klausimyno rezultatų variacijos. Tyrimo rezultatai patvirtino traumų psichologijos teorinį teiginį, kad traumos intensyvumas geriausiai paaiškina jos psichologinius padarinius, tačiau tyrimas taip pat parodė, kad prognozuojant potrauminę simptomatiką būtina atsižvelgti į daugiau veiksnių.Pagrindiniai žodžiai: trauma, politinės represijos, potrauminis stresas, rizikos veiksniai, ilgalaikiai padariniai. LINKS BETWEEN POSTTRAUMATIC REACTIONS, HEALTH EFFECTS, TRAUMATIC EXPERIENCES AND SENSE OF COHERENCE AMONG LITHUANIAN SURVIVORS OF POLITICAL REPRESSIONEvaldas Kazlauskas, Danutė Gailienė SummaryBackground: During Nazi and Soviet occupations in the years 1940–1958 one third of Lithuanian population were killed or deported to Siberia. Almost 300,000 people were deported to highly remote regions of Siberia. Former political prisoners and deportees experienced prolonged torture and persecutions, even after release from prison. Little is known in traumatic stress literature about effects of such extreme and prolonged traumatisation. The aim of the present study was to find out predictors of posttraumatic reactions in the group of survivors of political imprisonment. Methods: Former political prisoners (n = 724) were randomly selected from the national registry of Genocide and Resistance Research Centre of Lithuania. All former political prisoners are officially acknowledged as victims of Soviet repression by Lithuanian laws and are fully rehabilitated. The mean age of political prisoners was 75.8 (SD = 5,8) years. Questionnaires covering questions about lifetime traumatic experiences, exposure to political violence, posttraumatic symptoms as well as possible mediating factors between trauma and consequences have been mailed to participants of the study. Posttraumatic reactions were assessed using Lithuanian version of Traumatic Symptom Checklist (TSC-35). Results: Posttraumatic reactions correlated with demographic factors (gender, level of education), health effects, traumatic experiences and sense of coherence. Variables using hierarchical stepwise model were entered into multiple regression analysis. Demographic factors explained 8.1 % of posttraumatic reactions variance. Both health effects and demographic variables explained 19.6 % of variance. Traumatic experiences increased prediction of posttraumatic reactions to 31.6 %. Final equation, with sense of coherence entered on the fourth step, explained 43.7 % of posttraumatic symptom variance. Significant predictors of posttraumatic reactions among former Lithuanian political prisoners were: accumulative lifetime traumatic experiences, sense of coherence, gender (women showing higher levels of victimization), death of spouse, somatic complains immediately after imprisonment or forced deportation, and attribution of current poor health status to experienced political violence.Keywords: trauma, political repression, posttraumatic stress, risk factors, long-term effects.


Trauma Care ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 119-129
Author(s):  
Joshua Yuhan ◽  
David C. Wang ◽  
Andrea Canada ◽  
Jonathan Schwartz

The psychological impact of a traumatic event includes potentially both negative (e.g., PTSD, depression, and anxiety) as well as positive (e.g., post-traumatic growth) outcomes. The construct of self-compassion—the capacity to be compassionate towards oneself—has been associated with various psychological benefits following disasters; however, the association between self-compassion and PTG have not yet been examined in natural disaster settings. This study aimed to examine the relationship between these constructs, with self-compassion as a potential mediator in this relationship. Three hundred and nine undergraduate students affected by the impact of Hurricane Harvey were recruited. Statistical analyses revealed a significant mediation effect, with PTSD symptoms being both directly and indirectly (via self-compassion) associated with PTG. The capacity to grow from traumatic experiences is mediated by one’s disposition to be compassionate towards oneself, serving as a resilience factor to provide individuals with the cognitive and emotional resources to grow after trauma. These findings have significant implications in both clinical and research contexts, including the use of self-compassion interventions to protect against PTSD and other comorbid psychopathology and also act as a catalyst for growth following natural disaster events.


Diagnostica ◽  
2012 ◽  
Vol 58 (4) ◽  
pp. 194-210 ◽  
Author(s):  
Yesim Erim ◽  
Mingo Beckmann ◽  
Sefik Tagay ◽  
Sanem Aygün ◽  
Peykan Gökalp Gencoglu ◽  
...  

Bei türkischstämmigen Migranten ist die Inanspruchnahme psychotherapeutischer Behandlung häufig mit somatoformen Beschwerden verknüpft. Zur besseren Objektivierung dieser Beschwerden wurde das Screening für Somatoforme Störungen (SOMS), das körperliche Beschwerden nicht organischer Genese erfasst, in die türkische Sprache übersetzt und anhand einer Stichprobe von 114 türkischsprachigen Patienten einer muttersprachlichen psychosomatischen Ambulanz sowie einer Gruppe von 105 psychisch unauffälligen türkischen Migranten validiert. Die türkische Version des SOMS wies eine hohe interne Konsistenz (von α = 0.78 bis α = 0.93), eine hohe konkurrente und divergente Validität (von r = .37 bis r = –.48) anhand von Depressivitätsscores nach dem Beck-Depressions-Inventar und dem Gesamtscore des Kohärenzgefühls nach der Sense of Coherence Scale sowie eine hohe diskriminante Validität auf. Mit der türkischen Version des SOMS wird ein verständliches, reliables und valides Instrument zur Erfassung somatoformer Symptome bei türkischen Migranten vorgelegt.


2018 ◽  
Vol 34 (3) ◽  
pp. 206-215 ◽  
Author(s):  
Rahel Bachem ◽  
Andreas Maercker

Abstract. The present study introduces a revised Sense of Coherence (SOC) scale, a new conceptualization and operationalization of the resilience indicator SOC. It outlines the scale development and aims for testing its reliability, factor structure, and validity. Literature on Antonovsky’s SOC (SOC-A) was critically reviewed to identify needs for improving the scale. The scale was investigated in two samples. Sample 1 consisted of 334 bereaved participants, Sample 2 of 157 healthy controls. The revised SOC Scale, SOC-A, and theoretically relevant questionnaires were applied. Explorative and confirmatory factor analyses established a three-factor structure in both samples. The revised SOC Scale showed significant but discriminative associations with related constructs, including self-efficacy, posttraumatic growth, and neuroticism. The revised measure was significantly associated with psychological health indicators, including persistent grief, depression, and anxiety, but not to the extent as the previous SOC-A. Stability over time was sufficient. The study provides psychometric support for the revised SOC conceptualization and scale. It has several advantages over the previous SOC-A scale (unique variance, distinct factor structure, stability). The scale could be used for clinical and health psychological testing or research into the growing field of studies on resilience over the life span.


2004 ◽  
Vol 20 (4) ◽  
pp. 227-236 ◽  
Author(s):  
Sara Holmberg ◽  
Anders Thelin ◽  
Eva-Lena Stiernström

Summary: The concept of “sense of coherence” (SOC) has been widely recognized since it was first introduced by Antonovsky. The originality and usefulness of the SOC scale and its relation to other psychosocial measures has been the subject of lively debate. The aim of this paper was to test for associations between SOC and work-related psychosocial factors (mainly the Job Demand-Control model), general living conditions, education, and social network factors. Cross-sectional data from a population-based sample of 1782 rural males from nine counties in Sweden were analyzed with a multiple regression technique. The subjects were occupationally active at inclusion and the mean age was 50 years (range 40-60). SOC was assessed with the original 29-item questionnaire. Psychosocial variables and lifestyle factors were assessed using questionnaires and structured interviews. The mean SOC among the subjects was 152.3 (standard deviation, 19.4). A strong negative correlation was found between SOC and job demand, whereas a positive correlation with job control was demonstrated. A positive correlation with general living conditions and with social support was also found. However, there was no correlation to education and occupation. Thus, SOC was shown to be strongly correlated to work-related psychosocial factors and social support, but independent of sociodemographic factors.


2018 ◽  
Vol 34 (5) ◽  
pp. 352-360 ◽  
Author(s):  
Silvia Bonino ◽  
Federica Graziano ◽  
Martina Borghi ◽  
Davide Marengo ◽  
Giorgia Molinengo ◽  
...  

Abstract. This research developed a new scale to evaluate Self-Efficacy in Multiple Sclerosis (SEMS). The aim of this study was to investigate dimensionality, item functioning, measurement invariance, and concurrent validity of the SEMS scale. Data were collected from 203 multiple sclerosis (MS) patients (mean age, 39.5 years; 66% women; 95% having a relapsing remitting form of MS). Fifteen items of the SEMS scale were submitted to patients along with measures of psychological well-being, sense of coherence, depression, and coping strategies. Data underwent Rasch analysis and correlation analysis. Rasch analysis indicates the SEMS as a multidimensional construct characterized by two correlated dimensions: goal setting and symptom management, with satisfactory reliability coefficients. Overall, the 15 items reported acceptable fit statistics; the scale demonstrated measurement invariance (with respect to gender and disease duration) and good concurrent validity (positive correlations with psychological well-being, sense of coherence, and coping strategies and negative correlations with depression). Preliminary evidence suggests that SEMS is a psychometrically sound measure to evaluate perceived self-efficacy of MS patients with moderate disability, and it would be a valuable instrument for both research and clinical applications.


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