A Structural Equation Model of Factors Influencing Posttraumatic Growth of Earthquake Victims
Article information
Res Community Public Health Nurs. 2019;30(3):345-356
Publication date (electronic) : 2019 September 30
doi :
https://doi.org/10.12799/jkachn.2019.30.3.345
Received 2019 May 01; Revised 2019 August 19; Accepted 2019 August 20.
Abstract
Purpose
The purpose of this study is to construct and test a structural equation model of posttraumatic growth (PTG) of earthquake victims based on Tedeschi and Calhoun's model (2004).
Methods
Data were collected from 195 earthquake victims living in K. City. The exogenous variables include distress perception, resilience, and social support, and the endogenous variables include intrusive rumination, deliberate rumination, and posttraumatic growth. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed.
Results
The modified model showed a good fitness to the data. Moreover, 6 of the 9 paths of the final model were statistically significant, which include PTG affected by deliberate rumination (β=.58, p<.001), resilience (γ=.18, p=.001), and distress perception (γ=.20, p=.002). These predictors explain 51.8% of variance in posttraumatic growth.
Conclusion
Based on the results of this study, it is necessary to develop and disseminate preventive intervention programs to increase the resilience of earthquake-prone communities. In addition, after exposure to a community-scale traumatic event such as earthquake, we should provide social supports to alleviate distress perception and transition from intrusive rumination to deliberate rumination so that we can seek new meaning from the earthquake and facilitate posttraumatic growth.
Keywords: Earthquakes; Posttraumatic growth, Psychological; Resilience, Psychological; Social support; Rumination, Cognitive
Notes
This article is a revision of the first author's doctoral dissertation from Inje University.
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