Longitudinal cross-lagged relationships between mindfulness, posttraumatic stress symptoms, and posttraumatic growth in adolescents following the Yancheng tornado in China
Abstract
Treatment of posttraumatic stress symptoms and facilitation of posttraumatic growth are two encouraging areas of research, yet little is understood about the relationships between trait mindfulness, posttraumatic stress symptoms, and posttraumatic growth. Previous work suggests the linkages among these variables, but most studies have been conducted in adult samples. The aim of this study was to examine longitudinal cross-lagged relationships between mindfulness, posttraumatic stress symptoms, and posttraumatic growth among adolescent survivors of the 2016 Jiangsu tornado in China. Data was collected at two secondary schools located in Yancheng city, where the severe catastrophic damage occurred during the tornado. The sample included 247 adolescent survivors (59.5% girls) aged 12-14 years who were directly affected by the tornado. Participants self-reported their trait mindfulness, posttraumatic stress symptoms, and posttraumatic growth at two time points: 6-month (T1) and 9-month post-tornado (T2; attrition rate 17.4%). Cross-lagged structural equation modelling analyses were conducted. Results showed that posttraumatic stress symptoms at T1 significantly predicted reduced trait mindfulness at T2 but not posttraumatic growth; trait mindfulness at T1 did not significantly predict posttraumatic stress symptoms nor posttraumatic growth at T2; and posttraumatic growth at T1 did not predict trait mindfulness nor posttraumatic stress symptoms at T2. These findings suggested that posttraumatic stress symptoms may negatively influence the development of trait mindfulness in disaster-affected adolescents in China, and that posttraumatic growth may have unique implications for this young population which was not associated with posttraumatic stress symptoms or trait mindfulness.
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Many included studies tested complex conceptual models that did not directly explore the association of interest.
“Although all included studies had a climate-related disaster exposure and mental disorder outcome, many tested complex conceptual models that did not directly explore our association of interest (e.g., [47,50,56]).”
From A Scoping Review of Climate Change, Climate-Related Disasters, and Mental Disorders among Children in Low- and Middle-Income Countries (2022) · cites this paper as [47]
An et al. [39] and An et al. [47] conducted prospective cohort studies that measured PTSD among middle school students at 6, 9, and 12 months after a tornado.
“Included in our review, An et al. [39] and An et al. [47] conducted prospective cohort studies that measured PTSD among a group of middle school students at 6, 9, and 12 months after a tornado.”
From A Scoping Review of Climate Change, Climate-Related Disasters, and Mental Disorders among Children in Low- and Middle-Income Countries (2022) · cites this paper as [47]
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- Authors
- An, Y., Yuan, G., Zhang, N., Xu, W., Liu, Z., & Zhou, F.
- Affiliations
- Nanjing Normal University (CN)
- University of Minnesota (US)
- Shanghai Jiao Tong University (CN)
- Corresponding author
- Xu, Wei
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2018-08
- Volume
- 266
- Pages
- 334-340
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2792255876
- Cited by
- 40
- References
- 88
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 10 · 2022: 8 · 2021: 5 · 2020: 4 · 2019: 5
- FWCI
- 4.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Natural Science Foundation of Jiangsu Province (BK20171036)
- Colleges and Universities in Jiangsu Province (2017SJB0218)
- Educational Science in Jiangsu Province (C-c/2016/01/13)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- trait mindfulness, posttraumatic stress symptoms, posttraumatic growth, adolescents, natural disasters, cross-lagged relationships
- MeSH terms
- Posttraumatic Growth, Psychological, Adolescent, Adult, Child, China, Disasters, Female, Humans, Longitudinal Studies, Male, Stress Disorders, Post-Traumatic, Survivors, Young Adult, Tornadoes, Self Report, Mindfulness
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