Randomized controlled trial of SecondStory, an intervention targeting posttraumatic growth, with bereaved adults

Objective: People often report positive psychological changes after adversity, a phenomenon known as posttraumatic growth (PTG). Few PTG-focused interventions have been rigorously tested, and measurement strategies have had significant limitations. This study evaluated the effects of a new group-for...

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Main Authors: Roepke, Ann Marie, Forgeard, Marie, J.C., Tsukayama, Eli, Blackie, Laura E.R., Jayawickreme, Eranda
Format: Article
Language:English
Published: American Psychological Association 2018
Subjects:
Online Access:https://eprints.nottingham.ac.uk/50632/
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author Roepke, Ann Marie
Forgeard, Marie, J.C.
Tsukayama, Eli
Blackie, Laura E.R.
Jayawickreme, Eranda
author_facet Roepke, Ann Marie
Forgeard, Marie, J.C.
Tsukayama, Eli
Blackie, Laura E.R.
Jayawickreme, Eranda
author_sort Roepke, Ann Marie
building Nottingham Research Data Repository
collection Online Access
description Objective: People often report positive psychological changes after adversity, a phenomenon known as posttraumatic growth (PTG). Few PTG-focused interventions have been rigorously tested, and measurement strategies have had significant limitations. This study evaluated the effects of a new group-format psychosocial intervention, SecondStory, aimed at facilitating PTG by helping participants make meaning of the past and plan a purposeful future. Method: In a randomized controlled trial, adults (N = 112, 64% women) bereaved within five years were randomly assigned to SecondStory or an active control, expressive writing. The primary outcome, PTG, was measured using two contrasting methods: the Posttraumatic Growth Inventory, which asks participants retrospectively how much they believe they have changed due to struggling with adversity, and the Current-Standing Posttraumatic Growth Inventory, which tracks quantifiable change in participants’ standing in PTG domains over time. Secondary outcomes included depression symptoms, posttraumatic stress symptoms, and life satisfaction. Outcomes were measured at two-week intervals: pre-test, post-test, and three follow-up occasions. Hierarchical linear modeling was used to assess whether SecondStory participants experienced greater gains in primary and/or secondary outcomes over the eight-week trial. Results: Results indicated that SecondStory participants did not show significantly greater improvements than control participants on measures of PTG, posttraumatic stress, or life satisfaction, but did show greater decreases in depression symptoms by the first follow-up. Conclusions: These findings suggest that SecondStory may not facilitate PTG more effectively than existing interventions, but may be promising for addressing depression. Positive interventions may productively be refined to support people experiencing trauma and loss.
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spelling nottingham-506322018-03-24T04:30:25Z https://eprints.nottingham.ac.uk/50632/ Randomized controlled trial of SecondStory, an intervention targeting posttraumatic growth, with bereaved adults Roepke, Ann Marie Forgeard, Marie, J.C. Tsukayama, Eli Blackie, Laura E.R. Jayawickreme, Eranda Objective: People often report positive psychological changes after adversity, a phenomenon known as posttraumatic growth (PTG). Few PTG-focused interventions have been rigorously tested, and measurement strategies have had significant limitations. This study evaluated the effects of a new group-format psychosocial intervention, SecondStory, aimed at facilitating PTG by helping participants make meaning of the past and plan a purposeful future. Method: In a randomized controlled trial, adults (N = 112, 64% women) bereaved within five years were randomly assigned to SecondStory or an active control, expressive writing. The primary outcome, PTG, was measured using two contrasting methods: the Posttraumatic Growth Inventory, which asks participants retrospectively how much they believe they have changed due to struggling with adversity, and the Current-Standing Posttraumatic Growth Inventory, which tracks quantifiable change in participants’ standing in PTG domains over time. Secondary outcomes included depression symptoms, posttraumatic stress symptoms, and life satisfaction. Outcomes were measured at two-week intervals: pre-test, post-test, and three follow-up occasions. Hierarchical linear modeling was used to assess whether SecondStory participants experienced greater gains in primary and/or secondary outcomes over the eight-week trial. Results: Results indicated that SecondStory participants did not show significantly greater improvements than control participants on measures of PTG, posttraumatic stress, or life satisfaction, but did show greater decreases in depression symptoms by the first follow-up. Conclusions: These findings suggest that SecondStory may not facilitate PTG more effectively than existing interventions, but may be promising for addressing depression. Positive interventions may productively be refined to support people experiencing trauma and loss. American Psychological Association 2018-03-20 Article PeerReviewed application/pdf en https://eprints.nottingham.ac.uk/50632/1/SecondStory%20RCT%20accepted%20manuscript_%20%28002%29.pdf Roepke, Ann Marie, Forgeard, Marie, J.C., Tsukayama, Eli, Blackie, Laura E.R. and Jayawickreme, Eranda (2018) Randomized controlled trial of SecondStory, an intervention targeting posttraumatic growth, with bereaved adults. Journal of Consulting and Clinical Psychology . ISSN 1939-2117 (In Press) posttraumatic growth; meaning-making; depression; bereavement
spellingShingle posttraumatic growth; meaning-making; depression; bereavement
Roepke, Ann Marie
Forgeard, Marie, J.C.
Tsukayama, Eli
Blackie, Laura E.R.
Jayawickreme, Eranda
Randomized controlled trial of SecondStory, an intervention targeting posttraumatic growth, with bereaved adults
title Randomized controlled trial of SecondStory, an intervention targeting posttraumatic growth, with bereaved adults
title_full Randomized controlled trial of SecondStory, an intervention targeting posttraumatic growth, with bereaved adults
title_fullStr Randomized controlled trial of SecondStory, an intervention targeting posttraumatic growth, with bereaved adults
title_full_unstemmed Randomized controlled trial of SecondStory, an intervention targeting posttraumatic growth, with bereaved adults
title_short Randomized controlled trial of SecondStory, an intervention targeting posttraumatic growth, with bereaved adults
title_sort randomized controlled trial of secondstory, an intervention targeting posttraumatic growth, with bereaved adults
topic posttraumatic growth; meaning-making; depression; bereavement
url https://eprints.nottingham.ac.uk/50632/