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Cited by 70Posttraumatic Stress Disorder ResearchGrief, Bereavement, and Mental HealthResilience and Mental Health

Posttraumatic stress or posttraumatic growth? Using network analysis to explore the relationships between coping styles and trauma outcomes

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Peters, Jacqueline, Bellet, Benjamin W., Jones, Payton J., Wu, Gwyneth W.Y., Wang, Li, McNally, Richard J.·2021·Journal of Anxiety Disorders
DOI 10.1016/j.janxdis.2021.102359
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Abstract

Trauma can produce posttraumatic stress disorder (PTSD), but may also foster positive outcomes, such as posttraumatic growth. Individual differences in coping styles may contribute to both positive and negative sequelae of trauma. Using network analytic methods, we investigated the structure of PTSD symptoms, elements of growth, and coping styles in bereaved survivors of a major earthquake in China. Hypervigilance and difficulty concentrating were identified as the most central symptoms in the PTSD network, whereas establishing a new path in life, feeling closer to others, and doing better things with life ranked highest on centrality in the posttraumatic growth network. Direct connections between PTSD symptoms and elements of growth were low in magnitude in our sample. Our final network, which included PTSD symptoms, growth elements, and coping styles, suggests that adaptive and active coping styles, such as positive reframing, are positively related to elements of growth, but not appreciably negatively related to PTSD symptoms. Conversely, maladaptive coping styles are positively related to PTSD symptoms, but are not negatively associated with growth. Future longitudinal studies could shed light on the direction of causality in these relationships and their clinical utility.

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Crossref · 10.1016/j.janxdis.2021.102359

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  • The experience of post-traumatic growth may be linked to individual coping strategies for stress, including religious or spiritual coping and positive reframing.

    “Again, the experience of posttraumatic growth may be linked to individual coping strategies for stress (Peters et al., 2021), including religious or spiritual coping and positive reframing (Prati & Pietrantoni, 2009; Schroevers & Teo, 2008).”

    From Traumatic Events, Post-Traumatic Stress Disorder, and Post-Traumatic Growth among University Students in Kabul City (2025) · cites this paper as Peters et al., 2021

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Authors
Peters, J., Bellet, B. W., Jones, P. J., Wu, G. W. Y., Wang, L., & McNally, R. J.
Affiliations
  • Harvard University (US)
  • University of California, San Francisco (US)
  • Chinese Academy of Sciences (CN)
Corresponding author
Peters, Jacqueline
ORCID
Venue
Journal of Anxiety Disorders
Publisher
Elsevier BV
Published
2021-03
Volume
78
Pages
102359
ISSN
0887-6185 (ISSN-L)
DOI
10.1016/j.janxdis.2021.102359
OpenAlex
W3123393188
Cited by
70
References
16
Citations by year
2026: 14 · 2025: 15 · 2024: 14 · 2023: 11 · 2022: 13 · 2021: 3
FWCI
7.01
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Anxiety Disorders (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Research Publications (Maastricht University) (publishedVersion, cc-by)
  • Institutional Repository of Institute of Psychology, Chinese Academy of Sciences (Institute of Psychology, Chinese Academy of Sciences) (submittedVersion)
  • UvA-DARE (University of Amsterdam) (submittedVersion, cc-by)
  • Institutional Repository of Institute of Psychology, Chinese Academy of Sciences (Institute of Psychology, Chinese Academy of Sciences) (submittedVersion, cc-by-nc-sa)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • Greater South Information System
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
Keywords
post-traumatic stress disorder, posttraumatic growth, coping styles, earthquake survivors, bereavement, PTSD symptom networks, positive reframing, adaptive coping, maladaptive coping, hyperarousal, network centrality
MeSH terms
Posttraumatic Growth, Psychological, Adaptation, Psychological, China, Humans, Surveys and Questionnaires, Stress Disorders, Post-Traumatic

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