Skip to main content
Log in

After Experiencing a Tornado: Adolescents’ Longitudinal Trajectories in Posttraumatic Growth and Their Association with Posttraumatic Stress Symptoms

  • Original Article
  • Published:
Child Psychiatry & Human Development Aims and scope Submit manuscript

Abstract

This study investigated the trajectories in posttraumatic growth (PTG) among adolescents who survived from the Yancheng tornado in China, and explored the effects of posttraumatic stress symptoms (PTSS) on these trajectories. Participants (n = 246) finished 4 assessments at 6, 9, 12, and 18 months after the tornado. Growth mixture model and logistic regression were used to examine the heterogeneous trajectories and the role of PTSS for differentiating trajectories respectively. Two latent PTG trajectories were observed: group with decreasing PTG and group with fluctuant PTG, which might stem from the illusory component and the factual component of PTG respectively based on the two-component model; and adolescents with more PTSS had higher probabilities generating decreasing PTG, that is, illusory PTG. This study suggested differentiating PTG trajectories and related influencing factors to improve the post-disaster psychological interventions in a longitudinal perspective.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Kakaki M, Theleritis C, Roussos A (2007) Adolescent health and trauma. Lancet N Am Ed 369(9579):2077

    Article  Google Scholar 

  2. An Y, Yuan G, Liu Z, Zhou Y, Xu W (2018) Dispositional mindfulness mediates the relationships of parental attachment to posttraumatic stress disorder and academic burnout in adolescents following the Yancheng tornado. Eur J Psychotraumatol 9(1):1472989

    Article  PubMed  PubMed Central  Google Scholar 

  3. Lin C, Wu X, Zhang Y, Zang W, Zhou X, Dai Y (2013) Investigation on Mental Health State of Primary and Secondary School students after 30 months of Wenchuan earthquake. Psychol Dev Educ 29(06):631–640

    Google Scholar 

  4. Alisic E, Van der Schoot TA, Van Ginkel JR, Kleber RJ (2008) Looking beyond posttraumatic stress disorder in children: posttraumatic stress reactions, posttraumatic growth, and quality of life in a general population sample. J Clin Psychiatry 69(9):1455–1461

    Article  PubMed  Google Scholar 

  5. Meyerson DA, Grant KE, Carter JS, Kilmer RP (2011) Posttraumatic growth among children and adolescents: a systematic review. Clin Psychol Rev 31(6):949–964

    Article  PubMed  Google Scholar 

  6. Wu X, Zhou X, Lin C, Chen J (2015) Adolescent’s psychological reactions following traumatic events: influencing mechanism and intervention. Psychol Dev Educ 31(1):117–127

    Google Scholar 

  7. An Y, Ding X, Fu F (2017) Personality and post-traumatic growth of adolescents 42 months after the wenchuan earthquake: a mediated model. Front Psychol 8:2152

    Article  PubMed  PubMed Central  Google Scholar 

  8. Zhang Y, Xu W, Yuan G, An Y (2018) The relationship between posttraumatic cognitive change, posttraumatic stress disorder, and posttraumatic growth among Chinese adolescents after the Yancheng Tornado: the mediating effect of rumination. Front Psychol 9:474

    Article  PubMed  PubMed Central  Google Scholar 

  9. Tedeschi RG, Calhoun LG (2004) Posttraumatic growth: conceptual foundations and empirical evidence. Psychol Inq 15(1):1–18

    Article  Google Scholar 

  10. Thapar A, Collishaw S, Pine DS, Thapar AK (2012) Depression in adolescence. Lancet 379(9820):1056–1067

    Article  PubMed  PubMed Central  Google Scholar 

  11. Milam JE, Ritt-Olson A, Unger JB (2004) Posttraumatic growth among adolescents. J Adolesc Res 19(2):192–204

    Article  Google Scholar 

  12. An Y, Yuan G, Zhang N, Xu W, Liu Z, Zhou F (2018) Longitudinal cross-lagged relationships between mindfulness, posttraumatic stress symptoms, and posttraumatic growth in adolescents following the Yancheng tornado in China. Psychiatry Res 266:334–340

    Article  PubMed  Google Scholar 

  13. Salawali SH, Susanti H, Daulima NHC, Putri AF (2020) Posttraumatic growth in adolescent survivors of earthquake, tsunami, and liquefaction in Palu Indonesia: a phenomenological study. Pediatric Rep 12(S1):34–38

    Google Scholar 

  14. Danhauer SC, Russell G, Case LD, Sohl SJ, Tedeschi RG, Addington EL et al (2015) Trajectories of posttraumatic growth and associated characteristics in women with breast cancer. Ann Behav Med 49(5):650–659

    Article  PubMed  Google Scholar 

  15. Tsai J, Pietrzak RH (2017) Trajectories of posttraumatic growth among US military veterans: a 4-year nationally representative, prospective cohort study. Acta Psychiatr Scand 136(5):483–492

    Article  PubMed  Google Scholar 

  16. Zhou X, Zhen R, Wu X (2019) Trajectories of posttraumatic growth among adolescents over time since the Wenchuan earthquake. J Adolesc 74:188–196

    Article  PubMed  Google Scholar 

  17. Maercker A, Zoellner T (2004) The Janus face of self-perceived growth: toward a two-component model of posttraumatic growth. Psychol Inq 15:41–48

    Google Scholar 

  18. Zoellner T, Maercker A (2006) Posttraumatic growth in clinical psychology. A critical review and introduction of a two component model. Clin Psychol Rev 26:626–653

    Article  PubMed  Google Scholar 

  19. Calhoun LG, Tedeschi RG (2006) The foundations of posttraumatic growth: an expanded framework. In: Calhoun LG, Tedeschi RG (eds) Handbook of posttraumatic growth. Lawrence Erlbaum Associates, Mahwah, pp 1–23

    Google Scholar 

  20. Zhou X, Wu X, An Y, Chen J (2014) The roles of rumination and social support in the associations between core belief challenge and post-traumatic growth among adolescent survivors after the Wenchuan earthquake. Acta Psychol Sin 46(10):1509–1520

    Article  Google Scholar 

  21. Sumalla EC, Ochoa C, Blanco I (2009) Posttraumatic growth in cancer: reality or illusion? Clin Psychol Rev 29(1):24–33

    Article  PubMed  Google Scholar 

  22. Wagner B, Forstmeier S, Maercker A (2007) Posttraumatic growth as a cognitive process with behavioral components: a commentary on Hobfoll et al. (2007). Appl Psychol 56:407–416

    Article  Google Scholar 

  23. Taylor SE (1983) Adjustment to threatening events. A theory of cognitive adaptation. Am Psychol 38:1161–1173

    Article  Google Scholar 

  24. Taylor SE, Armor DA (1996) Positive illusions and coping with adversity. J Pers 64:873–898

    Article  PubMed  Google Scholar 

  25. Phipps S, Long AM, Ogden J (2007) Benefit finding scale for children: preliminary findings from a childhood cancer population. J Pediatr Psychol 32:1264–1271

    Article  PubMed  Google Scholar 

  26. Marshall EM, Frazier P, Frankfurt S, Kuijer RG (2015) Trajectories of posttraumatic growth and depreciation after two major earthquakes. Psychol Trauma 7(2):112–121

    Article  PubMed  Google Scholar 

  27. Wang W, Wu X, Zhou X (2018) Prevalence and predictors of posttraumatic stress disorder and posttraumatic growth among adolescent survivors after Wenchuan earthquake. J BNU Soc Sci 2:51–63

    Google Scholar 

  28. Tedeschi RG, Calhoun LG (1996) The posttraumatic growth inventory: measuring the positive legacy of trauma. J Trauma Stress 9(3):455–471

    Article  PubMed  Google Scholar 

  29. Taku K, Calhoun LG, Cann A, Tedeschi RG (2008) The role of rumination in the coexistence of distress and posttraumatic growth among bereaved Japanese university students. Death Stud 32(5):428–444

    Article  PubMed  Google Scholar 

  30. Wu X, Zhou X, Wang W, Tian Y (2018) Dialectical understanding posttraumatic stress disorder and posttraumatic growth: a perspective of integration and comparison. J BNU Soc Sci 2:41–50

    Google Scholar 

  31. La Greca AM, Silverman WK, Lai B, Jaccard J (2010) Hurricane-related exposure experiences and stressors, other life events, and social support: concurrent and prospective impact on children’s persistent posttraumatic stress symptoms. J Consult Clin Psychol 78(6):794–805

    Article  PubMed  Google Scholar 

  32. Fan F, Zhang Y, Yang Y, Mo L, Liu X (2011) Symptoms of posttraumatic stress disorder, depression, and anxiety among adolescents following the 2008 Wenchuan earthquake in China. J Trauma Stress 24(1):44–53

    Article  PubMed  Google Scholar 

  33. Gold JI, Taft CT, Keehn MG, King DW, King LA, Samper RE (2007) PTSD symptom severity and family adjustment among female Vietnam veterans. Milit Psychol 19(2):71–81

    Article  Google Scholar 

  34. Silva SM, Moreira HC, Canavarro MC (2012) Examining the links between perceived impact of breast cancer and psychosocial adjustment: the buffering role of posttraumatic growth. Psychooncology 21(4):409–418

    Article  PubMed  Google Scholar 

  35. Dekel S, Ein-Dor T, Solomon Z (2012) Posttraumatic growth and posttraumatic distress: a longitudinal study. Psychol Trauma 4(1):94–101

    Article  Google Scholar 

  36. Lahav Y, Solomon Z, Levin Y (2016) Posttraumatic growth and perceived health: the role of posttraumatic stress symptoms. Am J Orthopsychiatry 86(6):693–703

    Article  PubMed  Google Scholar 

  37. Frazier P, Conlon A, Glaser T (2001) Positive and negative life changes following sexual assault. J Consult Clin Psychol 69(6):1048–1055

    Article  PubMed  Google Scholar 

  38. Levine SZ, Laufer A, Hamama-Raz Y, Stein E, Solomon Z (2008) Posttraumatic growth in adolescence: examining its components and relationship with PTSD. J Trauma Stress 21(5):492–496

    Article  PubMed  Google Scholar 

  39. Jin Y, Liu D, Li J (2014) Promoting factors of post-traumatic growth model and intervene. Adv Psychol Sci 22(2):304–313

    Article  Google Scholar 

  40. Schroeder JM, Polusny MA (2004) Risk factors for adolescent alcohol use following a natural disaster. Prehospital Disaster Med 19(01):122–127

    Article  PubMed  Google Scholar 

  41. Trickey D, Siddaway AP, Meiser-Stedman R, Serpell L, Field AP (2012) A meta-analysis of risk factors for post-traumatic stress disorder in children and adolescents. Clin Psychol Rev 32(2):122–138

    Article  PubMed  Google Scholar 

  42. Alisic E, Zalta AK, van Wesel F, Larsen SE, Hafstad GS, Hassanpour K et al (2014) Rates of post-traumatic stress disorder in trauma-exposed children and adolescents: meta-analysis. Br J Psychiatry 204(05):335–340

    Article  PubMed  Google Scholar 

  43. Garrido-Hernansaiz H, Alonso-Tapia J (2017) Associations among resilience, posttraumatic growth, anxiety, and depression and their prediction from stress in newly diagnosed people living with HIV. J Assoc Nurses Aids Care 28(2):289–294

    Article  PubMed  Google Scholar 

  44. Zhou X, An Y, Wu X, Chen H, Long C (2014) Social support mediate the associations between gratitude and post-traumatic growth in middle school students at 3.5 years after Wenchuan earthquake. Psychol Dev Educ 30(1):68–74

    Google Scholar 

  45. Wang J, Chen Y, Wang Y, Liu X (2011) Revision of the Posttraumatic Growth Inventory and testing its reliability and validity. J Nurs Sci 26(14):26–28

    Google Scholar 

  46. Wu X, Zhou X, Wu Y, An Y (2015) The role of rumination in posttraumatic stress disorder and posttraumatic growth among adolescents after the wenchuan earthquake. Front Psychol 6:1335

    PubMed  PubMed Central  Google Scholar 

  47. Foa EB, Johnson KM, Feeny NC, Treadwell KRH (2001) The Child PTSD Symptom Scale: a preliminary examination of its psychometric properties. J Clin Child Psychol 30(3):376–384

    Article  PubMed  Google Scholar 

  48. Ying L, Wu X, Lin C, Chen C (2013) Prevalence and predictors of posttraumatic stress disorder and depressive symptoms among child survivors 1 year following the Wenchuan earthquake in China. Eur Child Adolesc Psych 22(9):567–575

    Article  Google Scholar 

  49. Ying L, Wu X, Lin C, Jiang L (2014) Traumatic severity and trait resilience as predictors of posttraumatic stress disorder and depressive symptoms among adolescent survivors of the Wenchuan earthquake. PLoS ONE 9(2):e89401

    Article  PubMed  PubMed Central  Google Scholar 

  50. Wu X, Zhang Y, Lin C, Zang W (2013) The effect of disaster exposure on PTSD of primary and secondary students: mediating and moderating effects. Psychol Dev Educ 29(6):641–648

    Google Scholar 

  51. Nylund KL, Asparouhov T, Muthén BO (2007) Deciding on the number of classes in latent class analysis and growth mixture modeling: a Monte Carlosimulation study. Struct Equ Modeling 14:535–569

    Article  Google Scholar 

  52. Muthén B, Kaplan D, Hollis M (1987) On structural equation modeling with data that are not missing completely at random. Psychometrika 52(3):431–462

    Article  Google Scholar 

  53. Enders C, Bandalos D (2001) The relative performance of full information maximum likelihood estimation for missing data in structural equation models. Struct Equ Modeling 8(3):430–457

    Article  Google Scholar 

  54. Tsai J, Sippel LM, Mota N, Southwick SM, Pietrzak RH (2016) Longitudinal course of posttraumatic growth among US military veterans: results from the national health and resilience in veterans study. Depress Anxiety 33:9–18

    Article  PubMed  Google Scholar 

  55. Bachem R, Mitreuter S, Levin Y, Stein JY, Xiao Z, Solomon Z (2018) Longitudinal development of primary and secondary posttraumatic growth in aging veterans and their wives: domain-specific trajectories. J Trauma Stress 31(5):730–741

    Article  PubMed  PubMed Central  Google Scholar 

  56. Schwarzer R, Luszczynska A, Boehmer S, Taubert S, Knoll N (2006) Changes in benefit finding after cancer surgery and the prediction of well-being one year later. Soc Sci Med 63:1614–1624

    Article  PubMed  Google Scholar 

  57. Zoellner T, Rabe S, Karl A, Maercker A (2008) Posttraumatic growth in accident survivors: openness and optimism as predictors of its constructive or illusory sides. J Clin Psychol 64(3):245–263

    Article  PubMed  Google Scholar 

  58. Butler LD, Blasey CM, Garlan RW, McCaslin SE, Azarow J, Chen XH et al (2005) Posttraumatic growth following the terrorist attacks of September 11, 2001: cognitive, coping, and trauma symptom predictors in an internet convenience sample. Traumatol 11(4):247–267

    Article  Google Scholar 

Download references

Funding

This research was funded by The National Social Science Fund of China (Grant no. 20CSH068).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yuanyuan An.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This study was approved by the Research Ethics Committee of School of Psychology, Nanjing Normal University, China.

Informed Consent

Informed consent was obtained from all enrolled participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zhao, J., An, Y., Li, X. et al. After Experiencing a Tornado: Adolescents’ Longitudinal Trajectories in Posttraumatic Growth and Their Association with Posttraumatic Stress Symptoms. Child Psychiatry Hum Dev 54, 786–795 (2023). https://doi.org/10.1007/s10578-021-01278-4

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10578-021-01278-4

Keywords

Navigation