Abstract
The theory of conservation of resources (COR) can be used to search for mechanisms that explain spiritual changes caused by trauma. The present study aimed to verify whether PTSD could be a potential moderator between the distribution of personal resources and spiritual changes. The study included a total of 324 adults (75 women and 243 men) aged 18–74. The mean age was 34.3 (SD = 9.9). The Polish adaptation of Hobfoll’s Conservation of Resources-Evaluation (COR-E), the posttraumatic stress disorder (PTSD) Checklist—Civilian Version and the Posttraumatic Growth Inventory were employed in the research. This study analyzed the spiritual change, which is one of the five domains of posttraumatic growth. The outcomes indicated the significant role of PTSD as a moderator of the relationships between 1) personal resources gain and spiritual change and 2) personal resources loss and spiritual change. PTSD is not a moderator in the relationship between assigning value to personal resources and spiritual change.
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The data presented in this study are available on request from the corresponding author.
References
Avey, J. B., Luthans, F., Smith, R. M., & Palmer, N. F. (2010). Impact of positive psychological capital on employee well-being over time. Journal of Occupational Health Psychology, 36, 430–452. https://doi.org/10.1037/a0016998
Belrose, C., Duffaud, A. M., Dutheil, F., Trichereau, J., & Trousselard, M. (2019). Challenges associated with the civilian reintegration of soldiers with chronic PTSD: A new approach integrating psychological resources and values in action reappropriation. Frontiers in Psychiatry, 9, 737. https://doi.org/10.3389/fpsyt.2018.00737
Bogic, M., Njoku, A., & Priebe, S. (2015). Long-term mental health of war-refugees: A systematic literature review. BMC International Health and Human Rights, 15, 29. https://doi.org/10.1186/s12914-015-0064-9
Bostock, L., Sheikh, A. I., & Barton, S. (2009). Posttraumatic growth and optimism in health-related trauma: A systematic review. Journal of Clinical Psychology in Medical Settings, 16, 281–296. https://doi.org/10.1007/s10880-009-9175-6
Bray, P. (2013). Bereavement and transformation: A psycho-spiritual and post-traumatic growth perspective. Journal of Religion and Health, 52, 890–903. https://doi.org/10.1007/s10943-011-9539-8
Calhoun, L., Tedeschi, R., Cann, A., & Hanks, A. (2010). Positive outcomes following bereavement: Paths to posttraumatic growth. Psychologica Belgica, 50(12), 125–143. https://doi.org/10.5334/pb-50-1-2-125
Chwaszcz, J., Bartczuk, R. P., & Niewiadomska I. (2019). Structural analysis of resources in those at risk of social marginalization – Hobfoll’s Conservation of Resources Evaluation. Przegląd Psychologiczny, 1(62), 185–202. https://doi.org/10.18290/rpsych20231-2
Chwaszcz, J., Bartczuk, R. P., Niewiadomska, I., Hobfoll, S. E., & Palacz-Chrisidis, A. (2020). The polish adaptation of the strategic approach to coping scale. Roczniki Psychologiczne, 23(1), 23–43. https://doi.org/10.18290/rpsych20231-2
Dekel, S., Ein-Dor, T., & Solomon, Z. (2012). Posttraumatic growth and posttraumatic distress: A longitudinal study. Psychological Trauma: Theory, Research, Practice, and Policy, 1(4), 94–101. https://doi.org/10.1037/a0021865
Emmons, R. A. (2005). Striving for the sacred: personal goals, life meaning, and religion. Journal of Social Issues, 61, 731–745. https://doi.org/10.1111/j.1540-4560.2005.00429.x
Eriksson, C. B., Holland, J. M., Currier, J. M., Snider, L. M., Ager, A. K., Kaiser, R. E. R., & Simon, W. S. (2015). Trajectories of spiritual change among expatriate humanitarian aid workers: A prospective longitudinal study. Psychology of Religion and Spirituality, 7(1), 13–23. https://doi.org/10.1037/a0037703
Frazier, P., Conlon, A., & Glaser, T. (2001). Positive and negative life changes following sexual assault. Journal of Consulting and Clinical Psychology, 69, 1048–1055. https://doi.org/10.1037/0022-006X.69.6.1048
Gable, S. L., & Haidt, J. (2005). What (and why) is positive psychology? Review of General Psychology, 9, 103–110. https://doi.org/10.1037/1089-2680.9.2.103
Gentes, E. L., Dennis, P. A., Kimbrel, N. A., Rissling, M. B., Beckham, J. C., Workgroup, V.M.-A.M., & Calhoun, P. S. (2014). DSM-5 posttraumatic stress disorder: Factor structure and rates of diagnosis. Journal of Psychiatric Research, 59, 60–67. https://doi.org/10.1016/j.jpsychires.2014.08.014
Grof, S. (2000). Psychology of the future: Lessons from modern consciousness research. State University of New York Press.
Grof, S., & Grof, C. (1989). Spiritual emergency: When personal transformation becomes a crisis. Tarcher/Putnam.
Grof, C., & Grof, S. (1990). The stormy search for the self: A guide to personal growth through transformational crisis. Tarcher/Perigee
Hafstad, G. S., Thoresen, S., Wentzel-Larsen, T., Maercker, A., & Dyb, G. (2017). PTSD or not PTSD? Comparing the proposed ICD-11 and the DSM-5 PTSD criteria among young survivors of the 2011 Norway attacks and their parents. Psychological Medicine, 47, 1283–1291. https://doi.org/10.1017/S0033291716002968
Hall, B. J., Hobfoll, S. E., Palmieri, P. A., Canetti-Nisim, D., Shapira, O., Johnson, R. J., & Galea, S. (2008). The psychological impact of impending forced settler disengagement in Gaza: Trauma and posttraumatic growth. Journal of Traumatic Stress, 21, 22–29. https://doi.org/10.1002/jts.20301
Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2nd ed.). Guilford Press.
Haynes, W. C., Van Tongeren, D. R., Aten, J., Davis, E. B., Davis, D. E., Hook, J. N., Boan, D., & Johnson, T. (2017). The meaning as a buffer hypothesis: Spiritual meaning attenuates the effect of disaster-related resource loss on posttraumatic stress. Psychology of Religion and Spirituality, 9(4), 446–453. https://doi.org/10.1037/rel0000098
Helgeson, V. S., Reynolds, K. A., & Tomich, P. L. (2006). A meta-analytic review of benefit finding and growth. Journal of Consulting and Clinical Psychology, 74, 797–816. https://doi.org/10.1037/0022-006X.74.5.797
Hill, P. C., & Pargament, K. I. (2003). Advances in the conceptualization and measurement of religion and spirituality. Implications for physical and mental health research. American Psychologist, 58, 64–74. https://doi.org/10.1037/0003-066X.58.1.64
Hobfoll, S. E. (2002). Social and psychological resources and adaptation. Review of General Psychology, 6(4), 307–324. https://doi.org/10.1037/1089-2680.6.4.307
Hobfoll, S. E. (2011). Conservation of resource caravans and engaged settings: Conservation of resource caravans. Journal of Occupational and Organizational Psychology, 84(1), 116–122. https://doi.org/10.1111/j.2044-8325.2010.02016.x
Hobfoll, S. E. (2012). Conservation of resources and disaster in cultural context the caravans and passageways for resources. Psychiatry: Interpersonal and Biological Processes, 75(3): 227–232. https://doi.org/10.1521/psyc.2012.75.3.227
Hobfoll, S. E. (2014). Resource caravans and resource caravan passageways: A new paradigm for trauma responding. Intervention, 12(S1), 21–32. https://doi.org/10.1097/WTF.0000000000000067
Hobfoll, S. E., Gaffey, A. E., & Wagner, L. M. (2020). PTSD and the influence of context: The self as a social mirror. Journal of Personality, 88(1), 76–87. https://doi.org/10.1111/jopy.12439
Hobfoll, S. E., Halbesleben, J., Neveu, J. P., & Westman, M. (2018). Conservation of resources in the organizational context: The reality of resources and their consequences. Annual Review of Organizational Psychology and Organizational Behavior, 5, 103–128. https://doi.org/10.1146/annurev-orgpsych-032117-104640
Hobfoll, S. E., Lilly, R. S., & Jackson, A. P. (1992). Conservation of social resources and the self. In H. O. F. Veiel & U. Baumann (Eds.), The meaning and measurement of social support (pp. 125–141). Hemisphere Publishing Corp.
Hobfoll, S. E., Mancini, A. D., Hall, B. J., Canetti, D., & Bonanno, G. A. (2011). The limits of resilience: Distress following chronic political violence among Palestinians. Social Science and Medicine, 72, 1400–1408. https://doi.org/10.1016/j.socscimed.2011.02.022
Hobfoll, S. E., Palmieri, P. A., Johnson, R. J., Canetti-Nisim, D., Hall, B. J., & Galea, S. (2009). Trajectories of resilience, resistance, and distress during ongoing terrorism: The case of Jews and Arabs in Israel. Journal of Consulting and Clinical Psychology, 77, 138–148. https://doi.org/10.1037/a0014360
Hobfoll, S. E., Tracy, M., & Galea, S. (2006). The impact of resource loss and traumatic growth on probable PTSD and depression following terrorist attacks. Journal of Traumatic Stress, 19(6), 867–878. https://doi.org/10.1002/jts.20166
Hollifield, M., Gory, A., Siedjak, J., Nguyen, L., Holmgreen, L., & Hobfoll, S. (2016). The Benefit of conserving and gaining resources after trauma: A systematic review. Journal of Clinical Medicine, 5, 104. https://doi.org/10.3390/jcm5110104
Hyland, P., Karatzias, T., Shevlin, M., & Cloitre, M. (2019). Examining the discriminant validity of complex posttraumatic stress disorder and borderline personality disorder symptoms: Results from a United Kingdom population sample. Journal of Traumatic Stress, 6, 855–863. https://doi.org/10.1002/jts.22444
Joseph, S., & Linley, P. A. (2006). Growth following adversity: Theoretical perspectives and implications for clinical practice. Clinical Psychology Review, 26, 1041–1053. https://doi.org/10.1016/j.cpr.2005.12.006
Kaniasty, K. (2012). Predicting social psychological well-being following trauma: The role of postdisaster social support. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 22–33. https://doi.org/10.1037/a0021412
Kaspersen, M., Matthiesen, S. B., & Gunnar Götestam, K. (2003). Social network as a moderator in the relation between trauma exposure and trauma reaction: A survey among UN soldiers and relief workers. Scandinavian Journal of Psychology, 44, 415–423. https://doi.org/10.1046/j.1467-9450.2003.00362.x
Kerksieck, P., Bauer, G. F., & Brauchli, R. (2019). Personal and social resources at work: Reciprocal relations between crafting for social job resources, social support at work and psychological capital. Frontiers in Psychology, 10, 2632. https://doi.org/10.3389/fpsyg.2019.02632
Kleim, B., & Ehlers, A. (2009). Evidence for a curvilinear relationship between posttraumatic growth and posttrauma depression and PTSD in assault survivors. Journal of Traumatic Stress, 22, 45–52. https://doi.org/10.1002/jts.20378
Koenig, H. G., Youssef, N. A., Oliver, R. J. P., Ames, D., Haynes, K., Volk, F., & Teng, E. J. (2018). Religious involvement, anxiety/depression, and PTSD symptoms in US veterans and active duty military. Journal of Religion and Health, 57, 2325–2342. https://doi.org/10.1007/s10943-018-0692-1
Kok, B. C., Herrell, R. K., Thomas, J. L., & Hoge, C. W. (2012). Posttraumatic stress disorder associated with combat service in Iraq or Afghanistan: Reconciling prevalence differences between studies. Journal of Nervous and Mental Disease, 200, 444–450. https://doi.org/10.1097/nmd.0b013e3182532312
Krok, D. (2015). Religiousness, spirituality, and coping with stress among late adolescents: A meaning-making perspective. Journal of Adolescence, 45, 196–203. https://doi.org/10.1016/j.adolescence.2015.10.004
Krok, D. (2009). Religijność a jakość życia w perspektywie mediatorów psychospołecznych. Opole: Redakcja Wydawnictw WT UO.
Kuester, A., Köhler, K., Ehring, T., Knaevelsrud, C., Kober, L., Krüger-Gottschalk, A., Schäfer, I., Schellong, J., Wesemann, U., & Rau, H. (2017). Comparison of DSM-5 and proposed ICD-11 criteria for PTSD with DSM-IV and ICD-10: Changes in PTSD prevalence in military personnel. European Journal of Psychotraumatology, 8(1), 1386988. https://doi.org/10.1080/20008198.2017.1386988
Linley, P. A., & Joseph, S. (2004). Positive change following trauma and adversity: A review. Journal of Traumatic Stress, 17, 11–21. https://doi.org/10.1023/b:jots.0000014671.27856.7e
Luthans, F., Avolio, B. J., Avey, J. B., & Norman, S. M. (2007). Positive psychological capital: Measurement and relationship with performance and satisfaction. Personnel Psychology, 60(3), 541–572. https://doi.org/10.1111/j.1744-6570.2007.00083.x
Morina, N., Akhtar, A., Barth, J., & Schnyder, U. (2018). Psychiatric disorders in refugees and internally displaced persons after forced displacement: A systematic review. Frontiers in Psychiatry, 9, 433. https://doi.org/10.3389/fpsyt.2018.00433
Morina, N., van Emmerik, A. A. P., Andrews, B., & Brewin, C. R. (2014). Comparison of DSM-IV and proposed ICD-11 formulations of PTSD among civilian survivors of war and war veterans. Journal of Traumatic Stress, 27, 647–654. https://doi.org/10.1002/jts.21969
Niewiadomska, I., Jurek, K., Chwaszcz, J., Wośko, P., & Korżyńska-Piętas, M. (2020). Personal resources and spiritual change among participants’ hostilities in Ukraine: The mediating role of posttraumatic stress disorder and turn to religion. Religions, 12, 182. https://doi.org/10.3390/rel12030182
O’Donnell, M. L., Alkemade, N., Nickerson, A., Creamer, M., McFarlane, A. C., Silove, D., Bryant, R. A., & Forbes, D. (2014). Impact of the diagnostic changes to post-traumatic stress disorder for DSM-5 and the proposed changes to ICD-11. British Journal of Psychiatry, 205, 230–235. https://doi.org/10.1192/bjp.bp.113.135285
Ogińska-Bulik, N. (2016). Negative and positive effects of experienced traumatic events among soldiers participating in military missions - The role of personal resources. Psychiatria (psychiatry), 13(3), 123–132.
Ogińska-Bulik, N., & Juczński, Z. (2012). Consequences of experienced negative life events - Posttraumatic stress disorder symptoms and posttraumatic growth. Psychiatria (psychiatry), 9(1), 1–10.
Palmieri, P. A., Canetti-Nisim, D., Galea, S., Johnson, R. J., & Hobfoll, S. E. (2008). The psychological impact of the Israel-Hezbollah War on Jews and Arabs in Israel: The impact of risk and resilience factors. Social Science and Medicine, 67, 1208–1216. https://doi.org/10.1016/j.socscimed.2008.06.030
Pargament, K. I. (2006). The Meaning of Spiritual Transformation. In J. D. Koss-Chioino & P. Hefner (Eds.), Spiritual transformation and healing: Anthropological, theological, neuroscientific, and clinical perspectives (pp. 10–39). AltaMira Press.
Park, C. L., & Ai, A. L. (2006). Meaning making and growth: New directions for research on survivors of trauma. Journal of Loss and Trauma, 11, 389–407. https://doi.org/10.1080/15325020600685295
Park, C. L., Aldwin, C. M., Fenster, J. R., & Snyder, L. B. (2008). Pathways to posttraumatic growth versus posttraumatic stress: Coping and emotional reactions following the September 11, 2001, terrorist attacks. American Journal of Orthopsychiatry, 78, 300–312. https://doi.org/10.1037/a0014054
Patel, S. P., & Cunningham, C. J. (2012). Religion, resources, and work-family balance, mental health. Religion and Culture, 15(4), 389–401. https://doi.org/10.1080/13674676.2011.577765
Polusny, M. A., Kumpula, M. J., Meis, L. A., Erbes, C. R., Arbisi, P. A., Murdoch, M., Thuras, P., Kehle-Forbes, S. M., & Johnson, A. K. (2014). Gender differences in the effects of deployment-related stressors and pre-deployment risk factors on the development of PTSD symptoms in National Guard Soldiers deployed to Iraq and Afghanistan. Journal of Psychiatric Research, 49, 1–9. https://doi.org/10.1016/j.jpsychires.2013.09.016
Prati, G., & Pietrantoni, L. (2009). Optimism, social support, and coping strategies as factors contributing to posttraumatic growth: A meta-analysis. Journal of Loss and Trauma, 14, 364–388. https://doi.org/10.1080/15325020902724271
Russo-Netzer, P. (2017). “Sometimes I don’t even know where I am going”: What supports individualized personal spiritual change? Psychology of Religion and Spirituality, 9(1), 82–94. https://doi.org/10.1037/rel0000092
Schubert, C. F., Schmidt, U., & Rosner, R. (2016). Posttraumatic Growth in populations with posttraumatic stress disorder—A systematic review on growth-related psychological constructs and biological variables. Clinical Psychology and Psychotherapy, 23, 469–486. https://doi.org/10.1002/cpp.1985
Shevlin, M., Hyland, P., Frédérique, V., Bisson, J., Makhashvili, N., Javakhishvili, J., Shpiker, M., & Roberts, B. (2018). A Comparison of DSM-5 and ICD-11 PTSD prevalence, comorbidity, and disability. Acta Psychiatrica Scandinavica, 137(2), 138–147. https://doi.org/10.1111/acps.12840
Smith, A. J., Benight, C. C., & Cieslak, R. (2013). Social support and postdeployment coping self-efficacy as predictors of distress among combat veterans. Military Psychology, 25, 452–461. https://doi.org/10.1037/mil0000013
Solomon, Z., & Dekel, R. (2007). Posttraumatic stress disorder and posttraumatic growth among Israeli ex-POWs. Journal of Traumatic Stress, 20, 303–312. https://doi.org/10.1002/jts.20216
Steffen, E., & Coyle, A. (2010). Can ‘“sense of presence”’ experiences in bereavement be conceptualised as spiritual phenomena? Mental Health, Religion and Culture, 13(3), 273–291. https://doi.org/10.1080/13674670903357844
Stein, D. J., McLaughlin, K. A., Koenen, K. C., Atwoli, L., Friedman, M. J., Hill, E. D., Maercker, A., Petukhova, M., Shahly, V., van Ommeren, M., Alonso, J., Borges, G., de Girolamo, G., de Jonge, P., Demyttenaere, K., Florescu, S., Karam, E. G., Kawakami, N., Matschinger, H., … Kessler, R. C. (2014). DSM-5 and ICD-11 definitions of posttraumatic stress disorder: Investigating “narrow” and “broad” approaches. Depression and Anxiety, 31, 494–505. https://doi.org/10.1002/da.22279
Street, A. E., Gradus, J. L., Giasson, H. L., Vogt, D., & Resick, P. A. (2013). Gender differences among veterans deployed in support of the wars in Afghanistan and Iraq. Journal of General Internal Medicine, 28, 556–562. https://doi.org/10.1007/s11606-013-2333-4
Sutker, P. B., Davis, J. M., Uddo, M., & Ditta, S. R. (1995). War zone stress, personal resources, and in Persian Gulf War returnees. Journal of Abnormal Psychology, 104, 444–452. https://doi.org/10.1037//0021-843x.104.3.444
Taylor, S. E., Kemeny, M. E., Reed, G. M., Bower, J. E., & Gruenewald, T. L. (2000). Psychological resources, positive illusions, and health. American Psychologist, 55, 99–109. https://doi.org/10.1037//0003-066x.55.1.99
Tedeschi, R. G., & Calhoun, L. G. (1996). The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455–471. https://doi.org/10.1002/jts.2490090305
Tedeschi, R. G., & Calhoun, L. G. (2004a). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15, 1–18. https://doi.org/10.1207/s15327965pli1501_01
Tedeschi, R., & Calhoun, L. G. (2004b). Posttraumatic growth: A new perspective on psychotraumatology. Psychiatric times, 21(4), 58–60.
Tedeschi, R. G., & Calhoun, L. G. (2006). Expert companion: Posttraumatic growth in clinical practice. In L. G. Calhoun & R.G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research and practice (pp. 291–310). Mahwah, NJ: Erlbaum
Weathers F. W., Litz B. T., Herman D. S., Huska J. A. & Terence M. K. (1993). The PTSD checklist (PCL): reliability, validity, and diagnostic utility. Paper Presented at the Annual meeting of international society for traumatic stress studies, San Antonio, TX, USA, 24–27 October 1993.
Wisco, B. E., Miller, M. W., Wolf, E. J., Kilpatrick, D., Resnick, H. S., Badour, C. L., Marx, B. P., Keane, T. M., Rosen, R. C., & Friedman, M. J. (2016). The impact of proposed changes to ICD-11 on estimates of PTSD prevalence and comorbidity. Psychiatry Research, 240, 226–233. https://doi.org/10.1016/j.psychres.2016.04.043
Wolf, E. J., Miller, M. W., Harrington, K. M., & Reardon, A. (2012). Personality-based latent classes of posttraumatic psychopathology: Personality disorders and the internalizing/externalizing model. Journal of Abnormal Psychology, 121, 256–262. https://doi.org/10.1037/a0023237
Wortmann, J. H., & Park, C. L. (2009). Religion/spirituality and change in meaning after bereavement: Qualitative evidence for the meaning making model. Journal of Loss and Trauma, 14(1), 17–34. https://doi.org/10.1080/15325020802173876
Zang, Y., Gallagher, T., McLean, C. P., Tannahill, H. S., Yarvis, J. S., & Foa, E. B. (2017). The impact of social support, unit cohesion, and trait resilience on PTSD in treatment-treatmentseeking military personnel with PTSD: The role of posttraumatic cognitions. Journal of Psychiatric Research, 86, 18–25 . https://doi.org/10.1016/j.jpsychires.2016.11.005
Zoellner, T., & Maercker, A. (2006). Posttraumatic growth in clinical psychology - A critical review and introduction of a two component model. Clinical Psychology Review, 26(5), 626–653. https://doi.org/10.1016/j.cpr.2006.01.008
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Niewiadomska, I., Jurek, K., Chwaszcz, J. et al. PTSD as a Moderator of the Relationship Between the Distribution of Personal Resources and Spiritual Change Among Participants of Hostilities in Ukraine. J Relig Health 62, 479–499 (2023). https://doi.org/10.1007/s10943-022-01547-z
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DOI: https://doi.org/10.1007/s10943-022-01547-z