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Journal of Religion and Health

, Volume 54, Issue 5, pp 1612–1628 | Cite as

Posttraumatic Growth in Widowed and Non-widowed Older Adults: Religiosity and Sense of Coherence

  • J. López
  • C. Camilli
  • C. Noriega
Original Paper

Abstract

Older people may experience psychological growth following a life major event. The objective of this study is to analyze the degree of posttraumatic growth (PTG) developed by widowed and non-widowed older adults (n = 103) as well as the impact of possible predicting variables such as sociodemographic characteristics, experienced or witnessed life major events, religiosity and sense of coherence. The findings suggest that, in spite of widowhood, elder people develop PTG in the same way that non-widowed elder people. Therefore, the support of a religious community, age, life major events experienced and the subjective meaning given to them correlated with PTG.

Keywords

Elderly Posttraumatic growth Religiosity Sense of coherence Widowhood 

Notes

Acknowledgments

This work was supported by a grant from the San Pablo CEU University of Madrid (Grant USPCEU 01_08).

References

  1. Aguerre, C., & Bouffard, L. (2008). Envejecimiento exitoso: teorías, investigaciones y aplicaciones clínicas [Successful aging: Theory, research and clinical aplications]. Revista de la Asociación Colombiana de Geriatría y Gerontología, 22, 1146–1162.Google Scholar
  2. Almanza, J., Monroy, M., Bimbela, A., Payne, D. K., & Holland, J. C. (2000). Spanish version of the systems of belief inventory (SBI-15-R): Cross cultural research on spiritual and religious beliefs. Psychosomatics, 41, 158.Google Scholar
  3. American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders, fourth edition, text revision (DSM-IV-TR). Washington: American Psychiatric Association.CrossRefGoogle Scholar
  4. Antonovsky, A. (1987). Unraveling the mystery of health. How people manage stress and stay well. San Francisco: Jossey- Bass Publishers.Google Scholar
  5. Antonovsky, A. (1993). The structure and properties of the sense of coherence scale. Social Science and Medicine, 36, 725–733. doi: 10.1016/0277-9536(93)90033-Z.CrossRefPubMedGoogle Scholar
  6. Arinero, M. (2006). Análisis de la eficacia de un programa de intervención psicológico para víctimas de violencia doméstica Analysis of the effectiveness of a psychological intervention program for domestic violence victims.(Unpublished doctoral dissertation). University Complutense de Madrid, Madrid.Google Scholar
  7. Bellizzi, K. M., & Blank, T. O. (2006). Predicting posttraumatic growth in breast cancer survivors. Health Psychology, 25, 47–56. doi: 10.1037/0278-6133.25.1.47.CrossRefPubMedGoogle Scholar
  8. Bonanno, G. (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.59.1.20.CrossRefPubMedGoogle Scholar
  9. Bower, J., Low, C., Moskowitz, J., Sepah, S., & Epel, E. (2008). Benefit finding and physical health: Positive psychological changes and enhanced allostasis. Social and Personality Psychology Compass, 2, 223–244. doi: 10.1111/j.1751-9004.2007.00038.x.CrossRefGoogle Scholar
  10. Butler, L. D. (2007). Growing pains: Commentary on the field of posttraumatic growth and Hobfoll and colleagues´ recent contributions to it. Applied Psychology, 56, 367–378. doi: 10.1111/j.1464-0597.2007.00293.x.CrossRefGoogle Scholar
  11. Calhoun, L. G., Cann, A., Tedeschi, R. G., & McMillan, J. (2000). A correlational test of relationships between posttraumatic growth, religion and cognitive processing. Journal of Traumatic Stress, 13, 521–527. doi: 10.1023/A:1007745627077.CrossRefPubMedGoogle Scholar
  12. Calhoun, L., & Tedeschi, R. (1998). Beyond recovery from trauma: Implications for clinical practice and research. Journal of Social Issues, 54, 357–371. doi: 10.1111/0022-4537.701998070.CrossRefGoogle Scholar
  13. Calhoun, L., & Tedeschi, R. (2006). The foundations of posttraumatic growth: An expanded framework. In L. Calhoun & R. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 3–23). Mahwah: Lawrence Erlbaum Associates.Google Scholar
  14. Carr, D., & Utz, R. (2002). Late-life widowhood in the United States: New directions in research and theory. Ageing International, 27, 65–88. doi: 10.1007/s12126-001-1016-3.CrossRefGoogle Scholar
  15. Caserta, M., Lund, D., Utz, R., & De Vries, B. (2009). Stress-related growth among the recently bereaved. Aging & Mental Health, 13, 463–476. doi: 10.1080/13607860802534641.CrossRefGoogle Scholar
  16. Davis, C. G., Nolen-Hoeksema, S., & Larson, J. (1998). Making sense of loss and benefiting from the experience: Two construals of meaning. Journal of Personality and Social Psychology, 75, 561–574. doi: 10.1037//0022-3514.75.2.561.CrossRefPubMedGoogle Scholar
  17. Echeburúa, E., Corral, P., Amor, P. J., Zubizarreta, I., & Sarasua, B. (1997). Escala de gravedad de síntomas del trastorno de estrés postraumático: propiedades psicométricas [The severity of symptom scale of posttraumatic stress disorder: Psychometric properties]. Análisis y Modificación de Conducta, 23, 503–526.Google Scholar
  18. Frankl, V. E. (1963). Man´s search for meaning: An introduction to logotherapy. New York: Washington Square Press.Google Scholar
  19. Frazier, P., Tennen, H., Gavian, M., Park, C., Tomich, P., & Tashiros, T. (2009). Does self-reported posttraumatic growth reflect genuine positive change? Psychological Science, 20, 912–919. doi: 10.1111/j.1467-9280.2009.02381.x.CrossRefPubMedGoogle Scholar
  20. Fredrickson, B. L. (1998). What good are positive emotions? Review of General Psychology, 2, 300–319. doi: 10.1037/1089-2680.2.3.300.CrossRefPubMedCentralPubMedGoogle Scholar
  21. Fredrikson, B. L., Tugade, M. M., Waugh, C. E., & Larkin, G. R. (2003). What Good are Positive Emotions in Crises? A prospective study of resilience and emotions following the terrorist attacks on the United States on September 11th, 2001. Journal of Personality and Social Psychology, 84, 365–376. doi: 10.1037/1089-2680.2.3.300.CrossRefGoogle Scholar
  22. Fromm, E. (1942). The fear of freedom. London: Routledge & Kegan Paul.Google Scholar
  23. García-Montalvo, J. I., Rodríguez, L., & Ruipérez, I. (1992). Validación del cuestionario de Pfeiffer y la escala de incapacidad mental de la Cruz Roja en la detección del deterioro mental en los pacientes externos de un servicio de Geriatría [Validation of the Pfeiffer Questionnaire and the Red Cross Cognitive Incapacity to detect cognitive impairment in a outpatient geriatric service]. Revista Española de Geriatría y Gerontología, 27, 129–133.Google Scholar
  24. Garlick, M. A. (2009). Physical, psychological, spiritual, and posttraumatic growth experiences of women with breast cancer participating in a psychospiritual integration and transformation course. Dissertation Abstracts International: Section B. Sciences and Engineering, 70(5), 2882.Google Scholar
  25. Gillham, J. E., & Seligman, M. E. (1999). Footsteps on the road to a positive psychology. Behaviour Research and Therapy, 37, S163–S173. doi: 10.1016/S0005-7967(99)00055-8.CrossRefPubMedGoogle Scholar
  26. Harrison, T., Kahn, D., & Hsu, M. (2004). A hermeneutic phenomenological study of widowhood for African American women. Journal of Death and Dying, 50, 131–149. doi: 10.2190/U122-9K12-3CLM-AJ9W.CrossRefGoogle Scholar
  27. Heckhausen, J. (2001). Adaptation and resilience in midlife. In M. E. Lachman (Ed.), Handbook of midlife development (pp. 345–394). New York: John Wiley.Google Scholar
  28. Hill, P., & Pargament, K. (2003). Advances in the conceptualization and measurement of religion and spirituality. American Psychological, 58, 64–74. doi: 10.1037/0003-066X.58.1.64.CrossRefGoogle Scholar
  29. Holland, J., Kash, K., Passik, S., Gronert, M., Sison, A., Lederberg, M., et al. (1998). A brief spiritual beliefs inventory for use in quality of life research in life-threatening illness. Psycho-Oncology, 7, 460–469. doi: 10.1002/(SICI)1099-1611(199811/12)7:6<460::AID-PON328>3.0.CO;2-R.CrossRefPubMedGoogle Scholar
  30. Jimenez, M. G. (2008). Resiliencia y vejez [Resilience and elderly]. Informes Portal Mayores, 80, Madrid: Instituto de Mayores y Servicios Sociales (IMSERSO).Google Scholar
  31. Johnson, R., Hobfoll, E., Hall, B., Canetti-Nisim, D., Galea, S., & Palmieri, P. (2007). Posttraumatic growth: Action and reaction. Applied Psychology, 56, 428–436. doi: 10.1111/j.1464-0597.2007.00296.x.CrossRefGoogle Scholar
  32. Kira, I. A., Templin, T., Lewandowski, L., Clifford, D., Wiencek, P., Hammad, A., et al. (2006). The effects of torture: Two community studies. Peace and Conflict: Journal of Peace Psychology, 12, 205–228. doi: 10.1207/s15327949pac1203_1.CrossRefGoogle Scholar
  33. Klauer, T., Ferring, D., & Filliph, F. H. (1988). Still stable after this…? Temporal comparison in coping with severe and chronic disease. International Journal Behavioral Development, 22, 339–355. doi: 10.1080/016502598384405.CrossRefGoogle Scholar
  34. Koenig, H. (2009). Research on religion, spirituality and mental health: A review. The Canadian Journal of Psychiatry, 54, 283–291.Google Scholar
  35. Linley, P. A., Andrews, L., & Joseph, S. (2007). Confirmatory factor analysis of the Posttraumatic Growth Inventory. Journal of Loss and Trauma, 12, 321–332. doi: 10.1080/15325020601162823.CrossRefGoogle Scholar
  36. Maercker, A., & Herrle, J. (2003). Long-term effects of the Dresden bombing: Relationships to control beliefs, religious belief, and personal growth. Journal of Traumatic Stress, 16, 579–587. doi: 10.1023/B:JOTS.0000004083.41502.2d.CrossRefPubMedGoogle Scholar
  37. Mancini, A. D., Bonanno, G. A., & Clark, A. E. (2011). Stepping off the hedonic treadmill: Latent class analyses of individual differences in response to major life events. Journal of Individual Differences, 32, 144–152. doi: 10.1027/1614-0001/a000047.CrossRefGoogle Scholar
  38. Maslow, A. (1943). A theory of human motivation. Psychological Review, 50, 370–396. doi: 10.1037/h0054346.CrossRefGoogle Scholar
  39. Miles, R. C. (2008). Identity and meaning construction in multiple-widowhood. Dissertation Abstracts International: Section B. Sciences and Engineering, 69(2), 1336.Google Scholar
  40. Ong, A. D., Fuller-Rowell, T., & Bonanno, G. A. (2010). Prospective predictors of positive emotions following spousal loss. Psychology and Aging, 25, 653–660. doi: 10.1037/a0018870.CrossRefPubMedGoogle Scholar
  41. Pargament, K., Desai, K., & McConnell, K. (2006). Spirituality: A pathway to posttraumatic growth or decline? In L. Calhoun & R. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 121–137). Mahwah: Lawrence Erlbaum Associates.Google Scholar
  42. Park, C. L., Cohen, L. H., & Murch, R. (1996). Assessment and prediction of stress-related growth. Journal of Personality, 64, 71–105. doi: 10.1111/j.1467-6494.1996.tb00815.x.CrossRefPubMedGoogle Scholar
  43. Pérez-Sales, P. (2006). Trauma, culpa y duelo [Trauma, guilt and bereavement]. Bilbao: Desclée de Brouwer.Google Scholar
  44. 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.10117.CrossRefPubMedGoogle Scholar
  45. Pretter, S. (2002). Religiosity, social support, and sense of coherence as psychosocial resources for caregiving spouses of terminally ill cancer patients. Dissertation Abstracts International: Section B. Sciences and Engineering, 63(3), 1611.Google Scholar
  46. Rogers, K. (1961). On becoming a person: A therapist´s view of psychotherapy. London: Constable.Google Scholar
  47. Ryff, C. D., & Singer, B. (1999). Interpersonal flourishing: A positive health agenda for the new millennium. Personality and Social Psychology Review, 4, 30–44. doi: 10.1207/S15327957PSPR0401_4.CrossRefGoogle Scholar
  48. Salmon, P., Manzi, F., & Valori, R. M. (1996). Measuring the meaning of life for patients with incurable cáncer: The Life Evaluation Questionnaire (LEQ). European Journal of Cancer, 32, 755–760. doi: 10.1016/0959-8049(95)00643-5.CrossRefGoogle Scholar
  49. Sánchez, P., Algado, M. T., Centelles, F., López, J., & Jiménez, B. (2009). Viudedaz y vejez. Estrategias de adaptación a la viudedaz de las personas mayores en España [Widowhood and elderly: Coping estrategies of widowed older adults in Spain]. Valencia: Na Llibres.Google Scholar
  50. Seligman, M. (2008). Authentic happiness. New York: The Free Press.Google Scholar
  51. Seligman, M., & Csikszentmihalyi, M. (2000). Positive psychology: An introduction. American Psychologist, 55, 5–14. doi: 10.1037//0003-066X.55.1.5.CrossRefPubMedGoogle Scholar
  52. Shakespeare-Finch, J., & Armstrong, D. (2010). Trauma type and posttrauma outcomes: Differences between survivors of motor vehicle accidents, sexual assault and bereavement. Journal of Loss and Trauma, 15, 69–82. doi: 10.1080/15325020903373151.CrossRefGoogle Scholar
  53. Shaw, A., Joseph, S., & Linley, A. (2005). Religion, spirituality and posttraumatic growth: A systematic review. Mental Health, Religion and Culture, 8, 1–11. doi: 10.1080/1367467032000157981.CrossRefGoogle Scholar
  54. Stroebe, M., Schut, H., & Stroebe, W. (2007). Health outcomes of bereavement. The Lancet, 370, 1960–1973. doi: 10.1016/S0140-6736(07)61816-9.CrossRefGoogle Scholar
  55. 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: 10.1007/BF02103658.CrossRefPubMedGoogle Scholar
  56. Tedeschi, R. G., & Calhoun, L. G. (2004a). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15, 1–18. doi: 10.1207/s15327965pli1501_01.CrossRefGoogle Scholar
  57. Tedeschi, R. G., & Calhoun, L. G. (2004b). The foundations of posttraumatic growth: New considerations. Psychological Inquiry, 15, 93–102. doi: 10.1207/s15327965pli1501_03.CrossRefGoogle Scholar
  58. Tedeschi, R. G., & Calhoun, L. G. (2008). Beyond the concept of recovery: Growth and the experience of loss. Death Studies, 32, 27–39. doi: 10.1080/07481180701741251.CrossRefPubMedGoogle Scholar
  59. Tracy, T. L. (1992). Social support and sense of coherence as predictors of spousal grief during the first few months of bereavement. Dissertation Abstracts International: Section B. Sciences and Engineering, 53(5), 2574.Google Scholar
  60. Vázquez, C., & Castilla, C. (2007). Emociones positivas y crecimiento postraumático en el cáncer de mama [Positive emotions and posttraumatic growth following breast cancer]. Psicooncología, 4, 385–404.Google Scholar
  61. Vázquez, C., Castilla, C., & Hervás, G. (2009). Reacciones frente al trauma: vulnerabilidad, resistencia y crecimiento [Reactions to trauma: Vulnerability, resilience and growth]. In Fernández-Abascal E. (Coord.) Emociones positivas [Positive emotions]. (pp. 375–392). Madrid: Pirámide.Google Scholar
  62. Vecina, M. L. (2006). Emociones positivas [Positive emotions]. Papeles del Psicólogo, 27, 9–17.Google Scholar
  63. Virués-Ortega, J., Martínez-Martín, P., Del Barrio, J. L., & Lozano, L. M. (2007). Validación transcultural de la escala de sentido de coherencia de Antonovsky (OLQ-13) en ancianos mayores de 70 años [Cross-cultural validation of Antonovsky’s sense of coherence scale (OLQ-13) in Spanish elders aged 70 years or more]. Medicina Clínica, 128, 486–492. doi: 10.1157/13100935.CrossRefPubMedGoogle Scholar
  64. Wagner, B., Forstmeier, S., & Maercker, A. (2007). Posttraumatic growth as a cognitive process with behavioral components. Applied Psychology, 56, 407–416. doi: 10.1111/j.1464-0597.2007.00295.x.CrossRefGoogle Scholar
  65. Walker, L. E. (2007). The relationship of self-esteem, spirituality, negative emotional symptoms and locus of control to posttraumatic growth in older, middle class adults. Dissertation Abstracts International: Section B. Sciences and Engineering, 68(1), 7681.Google Scholar
  66. 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: 10.1177/1049731505281374.CrossRefGoogle Scholar
  67. Wortman, C. B., & Silver, R. C. (1989). The myths of coping with loss. Journal of Consulting and Clinical Psychology, 57, 349–357. doi: 10.1037//0022-006X.57.3.349.CrossRefPubMedGoogle Scholar
  68. Wortman, C. B., Silver, R. C., & Kessler, R. C. (1993). The meaning of loss and adjustment to bereavement. In M. S. Stroebe, W. Stroebe, & R. O. Hansson (Eds.), Bereavement: A sourcebook of research and interventions (pp. 349–366). London: Cambridge University Press.CrossRefGoogle Scholar

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© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of Psychology, School of MedicineUniversidad CEU San PabloMadridSpain
  2. 2.Institute of Family StudiesUniversidad CEU San PabloMadridSpain
  3. 3.Department of Behavioral SciencesUniversidad MetropolitanaCaracasVenezuela
  4. 4.Department of EducationUniversidad CEU San PabloMadridSpain

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