Posttraumatic growth reflects beneficial psychological processes in persons with traumatic experiences. Existing measures of growth were criticized due to their retrospective self-report format that may cause biases in capturing the growth processes in individuals with several specific kinds of trauma, such as physical or psychological disabilities of close family members, bereavement and some others kinds of traumatic experience. In this case, the feelings of guilt may prevent the persons from being aware of the favorable personal changes. The objective of this study was to develop and to evaluate an alternative measuring instrument that uses a status quo response format instead of retrospective items and covers additional areas of growth-related changes. The samples comprised 440 adult persons with traumatic experience, including 181 parents of children with mental and/or physical disabilities. Exploratory and confirmatory factor analyses revealed a 7-factors solution, corresponding to the following subscales: Relationships to Others, New Possibilities, Personal Strength, Appreciation of Life, Spiritual Changes, Generativity, and Openness. Results showed good reliability and concurrent validity. The PGSI is recommended particularly for use in longitudinal studies as well as in samples of persons whose trauma relates to a severe psychological or physical disability in their families.
Affleck, G., & Tennen, H. (1996). Construing benefits from adversity: Adaptational significance and dispositional underpinnings. Journal of Personality, 64, 900-922. http://dx.doi.org/10.1111/j.1467-6494.1996.tb00948.x
Affleck, G., Tennen, H., Croog, S., & Levine, S. (1987). Causal attribution, perceived benefits, and morbidity following a heart attack. Journal of Consulting and Clinical Psychology, 55, 29-35. http://dx.doi.org/10.1037/0022-006X.55.1.29
Alexander, T., & Wilz, G. (2010). Family caregivers of stroke patients: Gender differences in coping with new requirements. Rehabilitation Psychology, 55, 159-169. http://dx.doi.org/10.1037/a0019253
American Psychological Association (1999). Standards for educational and psychological testing. Washington: AERA Publication.
Antoni, M. H., Lehman, J. M., Kilbourn, K. M., Boyers, A. E., Culver J. L, Alferi, S. M., Yount, S. E., McGregor, B. A., Arena, P. L., Harris, S. D., Price, A. A., & Carver, C. S. (2001). Cognitive-behavioral stress management intervention decreased the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer. Health Psychology, 20, 20-32. http://dx.doi.org/10.1037/0278-6133.20.1.20
Antonovsky, A. (1987). Unraveling the mystery of health. How people manage stress and stay well. San Francisco, Washington, London: Jossey-Bass Publishers.
Armeli, S., Gunthert, K. C., & Cohen, L. H. (2001). Stressor appraisals, coping, and post-event outcomes: The dimensionality and antecedents of stress-related growth. Journal of Social and Clinical Psychology, 20, 366-395. http://dx.doi.org/10.1521/jscp.20.3.366.22304
Barskova, T., & Oesterreich, R. (2009). Posttraumatic growth in people living with a serious medical condition and its relations to physical and mental health: A systematic review. Disability and Rehabilitation, 31, 1709-1733. http://dx.doi.org/10.1080/09638280902738441
Batra, A. P., Slifkin, L., & Fahrenberg, J. (1995). Somatic complaints in the German population. Journal of Psychosomatic Research, 39, 809-819. http://dx.doi.org/10.1016/0022-3999(94)00151-0
Byrne, B. M. (2001). Structural equation modeling with AMOS. Basic concepts, applications, and programming. Erlbaum.
Cadell, S., & Sullivan, R. (2006). Posttraumatic growth and HIV bereavement: When does it start and when does it end? Traumatology, 12, 45-59.
Calhoun, L. G., & Tedeschi, R. G. (1999). Facilitating posttraumatic growth: A clinician’s guide. Mahwah, NJ: Lawrence Erlbaum.
Carver, S. C. (1997). You want to measure coping but your protocol’s too long: Consider the brief COPE. International Journal of Behavioral Medicine, 4, 92-100. http://dx.doi.org/10.1207/s15327558ijbm0401_6
Carmines, E. G., & McIver, J. P. (1981). Analyzing models with unobserved variables: Analysis of Covariance structures. In G. W. Bohrnstedt, & E. F. Borgatta (Eds.), Social measurement: Current issues (pp. 65-115). Beverly Hills, CA: Sage Publications.
Connor-Smith, J. K., & Flachsbart, C. (2007). Relations between personality and coping: A meta-analysis. Journal of Personality and Social Psychology, 93, 1080-1307. http://dx.doi.org/10.1037/0022-3514.93.6.1080
Creamer, M., Bell, R., & Failla, S. (2003). Psychometric properties of the impact of event scale—Revised. Behaviour Research and Therapy, 41, 1489-1496. http://dx.doi.org/10.1016/j.brat.2003.07.010
Crocker, L., & Algina, J. (1986). Introduction to classical and modern test theory. Chicago: Holt Rinehart and Winston.
Dalton, D., & Ortegren, M. (2011). Gender differences in ethics research: The importance of controlling for the social desirability response bias. Journal of Business Ethics, 103, 73-93. http://dx.doi.org/10.1007/s10551-011-0843-8
Danoff-Burg, S., & Revenson, T. A. (2005). Benefit-finding among patients with rheumatoid arthritis: Positive effects on interpersonal relationships. Journal of Behavioral Medicine, 28, 91-103. http://dx.doi.org/10.1007/s10865-005-2720-3
Derogatis, L. R. (1993). BSI brief symptom inventory. Administration, scoring, and procedures manual (4th ed.). Minneapolis, MN: National Computer Systems.
Derogatis, L. R., & Melisaratos, N. (1983). The brief symptom inventory: An introductory report. Psychological Medicine, 13, 595-605. http://dx.doi.org/10.1017/S0033291700048017
Fahrenberg, J. (1995). Somatic complaints in the German population. Journal of Psychosomatic Research, 39, 809-817.
Fiedler, K. (1991). The tricky nature of skewed frequency tables: An information loss account of distinctiveness-based illusory correlations. Journal of Personality and Social Psychology, 60, 24-36. http://dx.doi.org/10.1037/0022-3514.60.1.24
Goffman, E. (1986). Stigma. Notes on the management of spoiled identity. Markham, CA: Simon and Schuster.
Ho, S. M, Chan, C. L. W., & Ho, R. T. H. (2004). Posttraumatic growth in Chinese cancer survivors. Psycho-Oncology, 13, 377-389. http://dx.doi.org/10.1002/pon.758
Hu, L. T., & Bentler, P. M. (1995). Evaluating model fit. In R. H. Hoyle (Ed.), Structural equation modeling: Concepts, issues and application (pp. 77-99). Thousand Oaks, CA: Sage.
Johnson, R. F., O’Reilly, M., & Vostanis, P. (2006). Caring for children with learning disabilities who present problem behaviours: A maternal perspective. Journal of Child Health Care, 10, 188-198. http://dx.doi.org/10.1002/pon.758
Joreskog, K. G., & Sorbom, D. (1984). Advances in factor analysis and structural equation models. Lanham: Rowman & Littlefield Publishers.
Kim, Y., Schulz, R., & Carver, C. S. (2007). Benefit finding in the cancer caregiver experience. Psychosomatic Medicine, 69, 283-291. http://dx.doi.org/10.1097/PSY.0b013e3180417cf4
Kountrouli, N., Anagnostopoulos, F., & Potamianos, G. (2012). Posttraumatic stress disorder and posttraumatic growth in breast cancer patients: A systematic review. Women Health, 52, 503-516. http://dx.doi.org/10.1080/03630242.2012.679337
Lechner, S. C., Carver, C. S., Antoni, M. H., Weaver, K. E., & Phillips, K. M. (2006). Curvilinear associations between benefit finding and psychosocial adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 74, 828-840. http://dx.doi.org/10.1037/0022-006X.74.5.828
Linley, P. A., & Joseph, S. (2004). Positive change following trauma and adversity: A review. Journal of Traumatic Stress, 17, 11-21. http://dx.doi.org/10.1023/B:JOTS.0000014671.27856.7e
Loehlin, J. C. (2004). Latent variable models. London: Lawrence Erlbaum.
Loiselle, K. A., Devine, K. A., Reed-Knight, B., & Blount, R. L. (2011). Posttraumatic growth associated with a relative’s serious illness. Families, Systems and Health, 29, 64-72. http://dx.doi.org/10.1037/a0023043
MacCallum, R. C., Browne, M. W., & Sugawara, H. M. (1996). Power analysis and determination of sample size for covariance structure modelling. Psychological Methods, 1, 130-149. http://dx.doi.org/10.1037/1082-989X.1.2.130
Maercker, A., & Langner, R. (2001). Posttraumatic personal growth: Validation of German versions of two questionnaires. Diagnostica, 47, 153-162. http://dx.doi.org/10.1026//0012-1924.47.3.153
McMillen, J., & Cook, C. L. (2003). The positive by-products of spinal cord injury and their correlates. Rehabilitation Psychology, 48, 77-85. http://dx.doi.org/10.1037/0090-5550.48.2.77
Mohr, D. C., Dick, L. P., Russo, D., Pinn, J., Boudewyn, A. C., Likosky, W., & Goodkin, D. E. (1999). The psychosocial impact of multiple sclerosis: Exploring the patient’s perspective. Health Psychology, 18, 376-382. http://dx.doi.org/10.1037/0278-6133.18.4.376
Morris, B. A., Shakespeare-Finch, J., & Scott J. L (2007). Coping processes and dimensions of posttraumatic growth. The Australasian Journal of Disaster and Trauma Studies, 1, 1-10.
McFarland, C., & Alvaro, C. (2000). The impact of motivation on temporal comparison: Coping with traumatic events by perceiving personal growth. Journal of Personality and Social Psychology, 79, 327-343. http://dx.doi.org/10.1037/0022-3514.79.3.327
Meichenbaum, D. (1985). Stress inoculation training. New York: Pergamon Press.
Milam, J. E. (2004). Posttraumatic growth among HIV/AIDS patients. Journal of Applied Social Psychology, 34, 2353-2376.
Muller, L., & Spitz, E. (2003). Multidimensional assessment of coping: Validation of the Brief COPE among French population. L’Encephale, 29, 507-518.
Nunnaly, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.) New York: McGraw-Hill.
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, 1, 121-142.
Pakenham, K. I. (2007). The nature of benefit finding in multiple sclerosis (MS). Psychology Health and Medicine, 12, 190-196. http://dx.doi.org/10.1080/13548500500465878
Park, C. L., Cohen, L. H., & Murch, R.L. (1996). Assessment and prediction of stress-related growth. Journal of Personality, 64, 71-105. http://dx.doi.org/10.1111/j.1467-6494.1996.tb00815.x
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.
Peters, K., & Jackson, D. (2009). Mothers’ experiences of parenting a child with attention deficit hyperactivity disorder. Journal of Advanced Nursing, 65, 62-71. http://dx.doi.org/10.1111/j.1365-2648.2008.04853.x
Sanna, L. J., Schwarz, N., & Stocker, S. L. (2002). When debiasing backfires: Accessible content and accessibility experiences in debiasing hindsight. Journal of Experimental Psychology: Learning, Memory, and Cognition, 28, 497-502. http://dx.doi.org/10.1037/0278-7393.28.3.497
Schaefer, J. A., & Moos, R. H. (1992). Life crisis and personal growth. In B. N. Carpenter (Ed.), Personal coping: Theory, research, and application (pp. 149-170). Westport, CT: Praeger.
Schirmer, B., & Alexander, T. (2013). Eltern autistischer Kinder erzahlen: Lebenserfahrung und Erweiterung eigener Perspektiven (Experience of parenting a child with autism: Resources and possibilities for personal growth). Monograph. Berlin: Weidler. In press.
Schmidt, S., Blank, T., Belizzi, K., & Park, C. (2012). The relationship of coping strategies, social support, and attachment style with posttraumatic growth in cancer survivors. Journal of Health Psychology, 17, 1033-40. http://dx.doi.org/10.1177/1359105311429203
Siegel, K., & Schrimshaw, E. W. (2000). Perceiving benefits in adversity: Stress-related growth in women living with HIV/AIDS. Social Science and Medicine, 51, 1543-1554. http://dx.doi.org/10.1016/S0277-9536(00)00144-1
Siegel, K., & Schrimshaw, E. W. (2007). The stress moderating role of benefit finding on psychological distress and well-being among women living with HIV/AIDS. AIDS Behaviour, 11, 421-433. http://dx.doi.org/10.1007/s10461-006-9186-3
Smith, S. G., & Cook, S. L. (2004). Are reports of posttraumatic growth positively biased? Journal of Traumatic Stress, 17, 353-358.
Stanton, A. L., Kirk, S. B., Cameron, C. L., & Danoff-Burg, S. (2000). Coping through emotional approach: Scale construction and validation. Journal of Personality and Social Psychology, 78, 1150-1169. http://dx.doi.org/10.1037/0022-3514.78.6.1150
Taku, K., Cann, A., Calhoun, L. G., & Tedeschi, R. G. (2008). The factor structure of the Posttraumatic Growth Inventory: A comparison of five models using confirmatory factor analysis. Journal of Traumatic Stress, 21, 158-164. http://dx.doi.org/10.1002/jts.20305
Taylor, S. E., & Stanton, A. L. (2007). Coping resources, coping processes, and mental health. Annual Review of Clinical Psychology, 3, 377-401. http://dx.doi.org/10.1146/annurev.clinpsy.3.022806.091520
Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15, 1-18. http://dx.doi.org/10.1207/s15327965pli1501_01
Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455-471. http://dx.doi.org/10.1002/jts.2490090305
Tedeschi, R. G., & Calhoun, L. G. (2006). 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.
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. http://dx.doi.org/10.1037/0278-6133.23.1.16
Tversky, A. & Kahneman, D. (1974). Judgment under uncertainty: Heuristics and biases. Science, 185, 1124-1131.
Updegraff, J. A., Taylor, S. E., Kemeny, M. E., & Wyatt, G. E. (2002). Positive and negative effects of HIV infection in women with low socioeconomic resources. Personality and Social Psychology Bulletin, 28, 382-394. http://dx.doi.org/10.1177/0146167202286009
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. http://dx.doi.org/10.1080/08870440512331317634
Vrana, S., & Lauterbach, D. (1994). Prevalence of traumatic events and posttraumatic psychological symptoms in a nonclinical sample of college students. Journal of Traumatic Stress, 7, 289-302. http://dx.doi.org/10.1002/jts.2490070209
Weaver, K. E., Llabre, M. M., Lechner, S. C., Penedo, F., & Antoni, M. H. (2008). Comparing unidimensional and multidimensional models of benefit finding in breast and prostate cancer. Quality of Life Research, 17, 771-781. http://dx.doi.org/10.1007/s11136-008-9348-z
Weiss, D. S., & Marmar, C. R. (1997). The impact of event scale— Revised. In J. Wilson, & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 399-411). New York: Guilford.