There has been increased interest in self-perceived posttraumatic growth, but few longitudinal studies have focused on its relationship with posttraumatic stress. Self-perceived growth is generally thought to facilitate adjustment, but some researchers have proposed that it reflects a dysfunctional coping strategy that impedes adjustment and leads to posttraumatic stress. In this prospective longitudinal study, we examined the relationship between self-perceived posttraumatic growth and stress. Participants were soldiers deployed to Iraq. They were tested before their deployment (N = 479) and again 5 months (n = 382; 80%) and 15 months (n = 331; 69%) after returning home. Cross-lagged panel analysis indicated that more perceived growth 5 months postdeployment was associated with more posttraumatic stress 15 months postdeployment, even after we controlled for stressor severity, posttraumatic stress at 5 months, and potential predeployment confounders (extraversion, neuroticism, and cognitive ability). Findings suggest that it may be counterproductive to promote perceived growth to enhance adjustment after traumatic events.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
2.
BerntsenD.JohannessenK. B.ThomsenY. D.BertelsenM.HoyleR. H.RubinD. C. (2012). Peace and war: Trajectories of posttraumatic stress disorder symptoms before, during, and after military deployment in Afghanistan. Psychological Science, 23, 1557–1565.
3.
BerntsenD.RubinD. C. (2007). When a trauma becomes a key to identity: Enhanced integration of trauma memories predicts posttraumatic stress disorder symptoms. Applied Cognitive Psychology, 21, 417–431.
4.
BonannoG. A.ManciniA. D.HortonJ. L.PowellT. M.LeardMannC. A.BoykoE. J., . . . Millennium Cohort Study Team. (2012). Trajectories of trauma symptoms and resilience in deployed US military service members: Prospective cohort study. British Journal of Psychiatry, 200, 317–323.
5.
BrewinC. R.AndrewsB.ValentineJ. D. (2000). Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. Journal of Consulting and Clinical Psychology, 68, 748–766.
6.
ColvinC. R.BlockJ. (1994). Do positive illusions foster mental health? An examination of the Taylor and Brown formulation. Psychological Bulletin, 116, 3–20.
7.
DalgleishT. (2004). Cognitive approaches to posttraumatic stress disorder: The evolution of multirepresentational theorizing. Psychological Bulletin, 130, 228–260.
8.
DekelS.Ein-DorT.SolomonZ. (2012). Posttraumatic growth and posttraumatic distress: A longitudinal study. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 94–101.
9.
EhlersA.ClarkD. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319–345.
10.
EhringT.EhlersA.GlucksmanE. (2008). Do cognitive models help in predicting the severity of posttraumatic stress disorder, phobia, and depression after motor vehicle accidents? A prospective longitudinal study. Journal of Consulting and Clinical Psychology, 76, 219–230.
11.
EngelhardI. M.ArntzA.van den HoutM. A. (2007). Low specificity of symptoms on the Post-Traumatic Stress Disorder (PTSD) Symptom Scale: A comparison of individuals with PTSD, individuals with other anxiety disorders, and individuals without psychopathology. British Journal of Clinical Psychology, 46, 449–456.
12.
EngelhardI. M.HuijdingJ.van den HoutM. A.de JongP. J. (2007). Vulnerability associations and symptoms of post-traumatic stress disorder in soldiers deployed to Iraq. Behaviour Research and Therapy, 45, 2317–2325.
13.
EngelhardI. M.van den HoutM. A. (2007). Preexisting neuroticism, subjective stressor severity, and posttraumatic stress in soldiers deployed to Iraq. Canadian Journal of Psychiatry, 52, 505–509.
14.
EngelhardI. M.van den HoutM. A.LommenM. J. J. (2009). Individuals high in neuroticism are not more reactive to adverse events. Personality and Individual Differences, 47, 697–700.
15.
EngelhardI. M.van den HoutM. A.McNallyR. J. (2008). Memory consistency for traumatic events in Dutch soldiers deployed to Iraq. Memory, 16, 3–9.
16.
EngelhardI. M.van den HoutM. A.WeertsJ.ArntzA.HoxJ. J. C. M.McNallyR. J. (2007). Deployment-related stress and trauma in Dutch soldiers returning from Iraq: Prospective study. British Journal of Psychiatry, 191, 140–145.
17.
FirstM. B.SpitzerR. L.GibbonM.WilliamsJ. B. (1996). Structured Clinical Interview for DSM–IV Axis-I Disorders, Clinical Version (SCID-CV). Washington, DC: American Psychiatric Press.
18.
FoaE. B.RiggsD. S.DancuC. V.RothbaumB. O. (1993). Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. Journal of Traumatic Stress, 4, 459–473.
19.
FolkmanS. (2001). Revised coping theory and the process of bereavement. In StroebeM.HanssonR.StroebeW.SchutH. (Eds.), Handbook of bereavement research: Consequences, coping, and care (pp. 563–584). Washington, DC: American Psychological Association.
GruberJ.MaussI. B.TamirM. (2011). A dark side of happiness? How, when, and why happiness is not always good. Perspectives on Psychological Science, 6, 222–233.
22.
GuntyA. L.FrazierP. A.TennenH.TomichP.TashiroT.ParkC. (2011). Moderators of the relation between perceived and actual posttraumatic growth. Psychological Trauma: Theory, Research, Practice, and Policy, 3, 61–66.
23.
HallB. J.HobfollS. E.CanettiD.JohnsonR. J.GaleaS. (2009). The defensive nature of benefit finding during ongoing terrorism: An examination of a national sample of Israeli Jews. Journal of Social and Clinical Psychology, 28, 993–1021.
24.
HelgesonV. S.ReynoldsK. A.TomichP. L. (2006). A meta-analytic review of benefit finding and growth. Journal of Consulting and Clinical Psychology, 74, 797–816.
25.
HobfollS. E.HallB. J.Canetti-NisimD.GaleaS.JohnsonR. J.PalmieriP. A. (2007). Refining our understanding of traumatic growth in the face of terrorism: Moving from meaning cognitions to doing what is meaningful. Applied Psychology, 56, 345–366.
26.
HotopfM.HullL.FearN. T.BrowneT.HornO.IversenA.. . . WesselyS. (2006). The health of UK military personnel who deployed to the 2003 Iraq war: A cohort study. Lancet, 367, 1731–1741.
27.
HuL.BentlerP. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.
28.
KastenmüllerA.GreitemeyerT.EppD.FreyD.FischerP. (2012). Posttraumatic growth: Why do people grow from their trauma?Anxiety, Stress, & Coping, 25, 477–489.
29.
KleimB.EhlersA. (2009). Evidence for a curvilinear relationship between posttraumatic growth and posttraumatic depression and PTSD in assault victims. Journal of Traumatic Stress, 22, 45–52.
30.
LinleyP. A.JosephS. (2004). Positive change following trauma and adversity: A review. Journal of Traumatic Stress, 17, 11–21.
31.
MaguenS.LitzB. T.WangJ. L.CookM. (2004). The stressors and demands of peacekeeping in Kosovo: Predictors of mental health response. Military Medicine, 169, 198–206.
32.
McNallyR. J. (2012). Are we winning the war against posttraumatic stress disorder?Science, 336, 872–874.
33.
PhelpsL. F.WilliamsR. M.RaichleK. A.TurnerA. P.EhdeD. M. (2008). The importance of cognitive processing to adjustment in the 1st year following amputation. Rehabilitation Psychology, 53, 28–38.
34.
RademakerA. R.van ZuidenM.VermettenE.GeuzeE. (2011). Type D personality and the development of PTSD symptoms: A prospective study. Journal of Abnormal Psychology, 120, 299–307.
35.
RavenJ. C. (1976). Standard Progressive Matrices. Oxford, England: Oxford Psychologists Press.
36.
SandermanR.ArrindellW. A.RanchorA. V.EysenckH. J.EysenckS. B. G. (1991). Eysenck Personality Questionnaire (EPQ). Goningen, The Netherlands: Noordelijk Centrum voor Gezondheidsvraagstukken.
37.
Shakespeare-FinchJ.Lurie-BeckJ. (2014). A meta-analytic clarification of the relationship between posttraumatic growth and symptoms of posttraumatic distress disorder. Journal of Anxiety Disorders, 28, 223–229.
38.
TedeschiR. G.CalhounL. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455–471.
39.
TedeschiR. G.CalhounL. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15, 1–18.
40.
TedeschiR. G.McNallyR. J. (2011). Can we facilitate posttraumatic growth in combat veterans?American Psychologist, 66, 19–24.
41.
ValE. B.LinleyA. (2006). Posttraumatic growth, positive changes, and negative changes in Madrid residents following the March 11, 2004, Madrid train bombings. Journal of Loss and Trauma, 11, 409–424.
42.
van den HoutM. A.EngelhardI. M. (2004). Pre-trauma neuroticism, negative appraisals of intrusions, and severity of PTSD symptoms. Journal of Psychopathology and Behavioral Assessment, 26, 181–183.
43.
ZoellnerT.MaerckerA. (2006). Posttraumatic growth in clinical psychology—A critical review and introduction of a two component model. Clinical Psychology Review, 26, 626–653.
