Evidence map›Paper›PMID 38920418›Full record

ArticleEpidemiology and psychiatric sciences2024

Longitudinal associations between post-traumatic stress and post-traumatic growth among older adults 11 years after a disaster.

Hiroyuki Hikichi, Kanako Taku, Jun Aida, Katsunori Kondo, Ichiro Kawchi

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Article in Epidemiology and psychiatric sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hiroyuki HikichiKitasato University School of Medicine, Sagamihara, Kanagawa, Japan.ORCID https://orcid.org/0000-0002-7791-464X
Kanako TakuDepartment of Psychology, Oakland University, Rochester, MI, USA.
Jun AidaDepartment of Oral Health Promotion, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo, Tokyo, Japan.
Katsunori KondoCenter for Preventive Medical Sciences, Chiba University, Chuo, Chiba, Japan.
Ichiro KawchiDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Funding

Impact of social cohesion on functional recovery after earthquake and tsunamiR01AG042463 · NIA · HARVARD SCHOOL OF PUBLIC HEALTH · PI KAWACHI, ICHIRO · 2013 to 2022
$4.9M
NIA NIH HHS R01 AG042463
6 · The paper itself

Abstract

aimsPrevious studies have reported inconsistent findings regarding the association between post-traumatic stress (PTS) and post-traumatic growth (PTG). Three major issues could account for this inconsistency: (1) the lack of information about mental health problems before the disaster, (2) the concept of PTG is still under scrutiny for potentially being an illusionary perception of personal growth and (3) the overlooking of PTS comorbidities as time-dependent confounding factors. To address these issues, we explored the associations of PTS and PTG with trauma-related diseases and examined the association between PTS and PTG using marginal structural models to address time-dependent confounding, considering pre-disaster covariates, among older survivors of the 2011 Japan Earthquake and Tsunami.

methodsSeven months before the disaster, the baseline survey was implemented to ask older adults about their health in a city located 80 km west of the epicentre. After the disaster, we implemented follow-up surveys approximately every 3 years to collect information about PTS and comorbidities (depressive symptoms, smoking and drinking). We asked respondents about their PTG in the 2022 survey (

resultsPTG was protectively associated with functional disability (coefficient -0.47, 95% confidence interval (CI) -0.82, -0.12,

conclusionPTG and PTS were differentially associated with functional and cognitive disabilities. Thus, PTG might not simply be a cognitive bias among survivors with severe PTS. The results also indicated that the number of symptoms in PTS had an inverse U-shaped association with PTG. Our findings provided robust support for the theory of PTG, suggesting that moderate levels of psychological struggles (i.e., PTS) are essential for achieving PTG, whereas intense PTS may hinder the attainment of PTG. From a clinical perspective, interventions that encourage social support could be beneficial in achieving PTG by facilitating deliberate rumination.

Indexed as

DisastersEarthquakesPosttraumatic Growth, PsychologicalStress Disorders, Post-TraumaticSurvivorsTsunamisAgedAged, 80 and overComorbidityDepressionFemaleHumansJapanLongitudinal StudiesMaleMiddle Agedmarginal structuralmodelsnatural disastersolder individualspost-traumatic growthpost-traumatic stress

Identifiers

PMID38920418
PMCPMC11362680

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.