title: Posttraumatic growth within the first three months after accidental injury in China: the role of self-disclosure, cognitive processing, and psychosocial resources.
abstract: The primary goals of this study, were to identify the posttraumatic growth (PTG) level of accidentally injured Chinese patients shortly after an accident occurred and to determine whether cognitive processing, self-disclosure, and psychosocial resources predicted PTG. A total of 232 patients were recruited from two public hospitals in Shanghai within the first three months of an accidental injury. Patients completed self-report questionnaires to assess severity of injury, cognitive processing, self-disclosure, psychosocial resources, and PTG. Patients reported a mid-low level of PTG (M = 50.38, SD = 18.12) in the short length of time post-injury. Hierarchical regression analysis indicated that subjective accident severity, deliberate rumination, perceived social support, and attitude towards disclosure were strong predictors of PTG. A moderating role of self-disclosure between intrusive rumination and PTG was identified. These findings support an interaction effect of rumination and self-disclosure on PTG and have implications for early intervention of accidentally injured patients.
authors.affiliation: a School of Nursing , Secondary Military Medical University , Shanghai , China.
authors.forename: Chaoqun
authors.initials: C
authors.lastname: Dong
authors.forename: Shumei
authors.initials: S
authors.lastname: Gong
authors.forename: Liping
authors.initials: L
authors.lastname: Jiang
authors.forename: Guanghui
authors.initials: G
authors.lastname: Deng
authors.forename: Xiaohong
authors.initials: X
authors.lastname: Liu
mesh_terms: D000059:Accidents / Q000523:psychology*; D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012650:Self Disclosure; D012720:Severity of Illness Index; D012944:Social Support; D013850:Thinking / Q000502:physiology*; D014947:Wounds and Injuries / Q000523:psychology*; D055815:Young Adult
keywords: accidentally injured patient; cognitive processing; posttraumatic growth; self-disclosure; social support