title: Posttraumatic growth in pediatric intensive care personnel: Dependence on resilience and coping strategies.
abstract: OBJECTIVE
  Staff in pediatric intensive care units (PICU) are inherently exposed to potentially traumatic events. Posttraumatic growth (PTG) is the occurrence of positive changes after experiencing a traumatic event. This study aims (a) to evaluate the prevalence of PTG in PICU staff, and whether their scores are different from those reported by professionals working in other pediatric units, (b) to explore the role of resilience and coping strategies in predicting PTG, and (c) to explore the relation of demographic and work-related variables with PTG.
  
  
  METHODS
  Participants of this multicentric, cross sectional study were 298 PICU workers and 189 professionals working in noncritical pediatric units. They completed the Brief Resilience Scale, a Coping Strategies Questionnaire, the Posttraumatic Growth Inventory (PTGI), and provided demographic and work-related information.
  
  
  RESULTS
  Of PICU staff, 68.8% experienced growth to a "great" or "very great" degree in at least one of the PTGI's dimensions. Higher PTG was reported following the death of a child or after a recent conflict with a work colleague. PICU workers and noncritical pediatric staff showed equivalent PTG levels. Multigroup path analysis with latent variables showed that emotion-focused coping was related to PTG only in PICU staff, whereas problem-focused coping was related to PTG in both groups. The relation between resilience and PTG was not significant.
  
  
  CONCLUSIONS
  Work-related trauma can act as a catalyst for positive posttrauma changes. Modifying coping strategies may be a way to foster PTG in health care providers. (PsycINFO Database Record
authors.affiliation: Department of Biological and Health Psychology, Universidad Autónoma de Madrid.
authors.forename: Rocío
authors.identifier: 0000-0001-8006-5012
authors.initials: R
authors.lastname: Rodríguez-Rey
authors.affiliation: Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre.
authors.forename: Alba
authors.initials: A
authors.lastname: Palacios
authors.affiliation: Department of Biological and Health Psychology, Universidad Autónoma de Madrid.
authors.forename: Jesús
authors.initials: J
authors.lastname: Alonso-Tapia
authors.affiliation: Pediatric Intensive Care Unit, Hospital Universitario Cruces, Barakaldo.
authors.forename: Elena
authors.initials: E
authors.lastname: Pérez
authors.affiliation: Pediatric Intensive Care Unit, Hospital Universitario La Paz.
authors.forename: Elena
authors.initials: E
authors.lastname: Álvarez
authors.affiliation: Pediatric Intensive Care Unit, Hospital Universitario Ramón y Cajal.
authors.forename: Ana
authors.initials: A
authors.lastname: Coca
authors.affiliation: Pediatric Intensive Care Unit, Hospital General Universitario Gregorio Marañón.
authors.forename: Santiago
authors.initials: S
authors.lastname: Mencía
authors.affiliation: Pediatric Intensive Care Unit, Hospital Universitario Virgen de la Arrixaca.
authors.forename: Ana Maria
authors.initials: AM
authors.lastname: Marcos
authors.affiliation: Pediatric Intensive Care Unit, Hospital Universitario Central de Asturias.
authors.forename: Juan
authors.identifier: 0000-0003-0997-4410
authors.initials: J
authors.lastname: Mayordomo-Colunga
authors.affiliation: Pediatric Intensive Care Unit, Hospital Universitario de Salamanca.
authors.forename: Francisco
authors.initials: F
authors.lastname: Fernández
authors.affiliation: Pediatric Intensive Care Unit, Hospital General Yagüe.
authors.forename: Fernando
authors.initials: F
authors.lastname: Gómez
authors.affiliation: Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre.
authors.forename: Jaime
authors.initials: J
authors.lastname: Cruz
authors.affiliation: Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre.
authors.forename: Luisa
authors.initials: L
authors.lastname: Barón
authors.affiliation: Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre.
authors.forename: Rosa María
authors.initials: RM
authors.lastname: Calderón
authors.affiliation: Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre.
authors.forename: Sylvia
authors.initials: S
authors.lastname: Belda
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D003430:Cross-Sectional Studies; D034462:Dissent and Disputes; D005260:Female; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D015278:Intensive Care Units, Pediatric; D008297:Male; D015233:Models, Statistical; D055500:Resilience, Psychological; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology*; D011795:Surveys and Questionnaires