Evidence map›Paper›PMID 41345734›Full record

ArticleBMC psychology2025

The impact of core belief disruption on posttraumatic growth and PTSD in healthcare workers: examining the mediating effect of rumination.

Aghil Habibi Soola, Naser Mozaffari, Azam Hashemian Moghadam, Maryam Hashemian, Masoud Saeedyan, Alireza Mirzaei

Abstract read
In one paragraph

Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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

6 authors.

Aghil Habibi SoolaDepartment of nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.ORCID http://orcid.org/0000-0003-0957-3430
Naser MozaffariDepartment of nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.ORCID http://orcid.org/0000-0002-1895-5257
Azam Hashemian MoghadamDepartment of Psychology and Counselling, Farhangian University, P.O. Box 14665-889, Tehran, Iran.ORCID http://orcid.org/0000-0001-8505-4283
Maryam HashemianDepartment of nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.ORCID http://orcid.org/0000-0002-2852-2615
Masoud SaeedyanDepartment of Medical-Surgical Nursing, MSc of Medical-Surgical Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.ORCID http://orcid.org/0000-0002-2712-6039
Alireza MirzaeiDepartment of nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran. alirezamirzaei9015@gmail.com.ORCID http://orcid.org/0000-0003-4242-2108

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare workers are often exposed to traumatic events and as a result, they may experience post-traumatic stress disorder (PTSD) and other mental illnesses. The prevalence of these issues is high among healthcare professionals. Positive transformation (i.e., PTG) can emerge after struggles related to a stressful life event.

methodsIn this cross-sectional study utilizing structural equation modeling (SEM), a sample of Iranian healthcare workers (nurses and pre-hospital emergency personnel from Ardabil) completed a battery of self-report questionnaires. These measures included a demographic information form, the Life Events Checklist (LEC-5), the Core Beliefs Inventory (CBI), the PTSD Checklist for DSM-5 (PCL-5), the Posttraumatic Growth Inventory (PTGI), scales assessing intrusive and deliberate rumination, and a social support questionnaire.

resultsIn examining the direct coefficient paths, all paths were statistically significant with the exception of the path of core belief disruption to deliberate rumination, social support to intrusive rumination, and PTSD to PTG. Similarly, in the examination of the coefficient of indirect paths, all paths were not statistically significant except for the paths of intrusive rumination to PTG through deliberate rumination and social support to PTG through deliberate rumination.

conclusionThe study’s findings suggest that disruptions in core beliefs can result in both post-traumatic growth (PTG) and post-traumatic stress disorder (PTSD) and that social support plays a crucial role in promoting PTG. Clinical interventions that address disruptions in core beliefs and promote social support, such as mindfulness practices and purposeful thinking, may be effective in promoting mental health and well-being among healthcare professionals. Based on the results of the study, clinical interventions that address disruptions in core beliefs and promote social support may be effective in promoting mental health and well-being among healthcare professionals who have experienced traumatic events. As such, these findings can inform the development of evidence-based clinical interventions that can improve the mental health outcomes of healthcare professionals and, ultimately, enhance patient care.

Indexed as

Health PersonnelPosttraumatic Growth, PsychologicalRumination, CognitiveStress Disorders, Post-TraumaticAdaptation, PsychologicalAdultCross-Sectional StudiesFemaleHumansIranMaleMiddle AgedPsychological GrowthSocial SupportCore belief disruptionHealthcare workersIntrusive and deliberate ruminationIranPost-Traumatic growth (PTG)Post-Traumatic stress disorder (PTSD)Social support

Identifiers

PMID41345734
PMCPMC12709812

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LicenceCC BY-NC-ND
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Registered trials

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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.