Posttraumatic growth, metacognitive beliefs, self-absorption and dysfunctional trauma-related attitudes in a sample of the spanish general population
- José Manuel Sánzhez Marqueses 1
- Rocío Fausor 1
- Ana Sanz-García 1
- María Paz García-Vera 1
- Jesús Sanz 1
-
1
Universidad Complutense de Madrid
info
ISSN: 1134-7937
Año de publicación: 2022
Volumen: 28
Número: 3
Páginas: 194-206
Tipo: Artículo
Otras publicaciones en: Ansiedad y estrés
Resumen
Antecedentes: Los modelos teóricos actuales sobre el crecimiento postraumático (CPT) son fundamentalmente cognitivos. Sin embargo, existen pocos estudios sobre la relación del CPT con las creencias metacognitivas, la atención autofocalizada y las actitudes sobre el mundo y uno mismo relacionadas con el suceso traumático, factores cognitivos que podrían influir en el desarrollo del CPT. El objetivo del estudio fue examinar la relación del CPT con las creencias metacognitivas disfuncionales, la atención autofocalizada disfuncional (autoabsorción) y las actitudes disfuncionales traumáticas. Método: Una muestra de 250 adultos (58.8% mujeres; edad media = 41.9 años) que habían sufrido un acontecimiento traumático hacía una media de 14.5 años completaron medidas de esos tres constructos cognitivos, de sintomatología de estrés postraumático y depresión, optimismo y CPT. Resultados: Análisis de regresión múltiple revelaron que algunas dimensiones del CPT se asociaron linealmente o en U invertida con las creencias metacognitivas negativas sobre la preocupación, la autoconciencia cognitiva, la autoabsorción privada y las actitudes disfuncionales traumáticas de cronificación del malestar. Sin embargo, los factores con una asociación mayor y más consistente con el CPT eran el número de sucesos traumáticos vividos y la sintomatología de estrés postraumático, y, en menor medida, el optimismo y la sintomatología depresiva. Conclusión: Los resultados subrayan la importancia de los factores cognitivos en el CPT, en especial, de las actitudes básicas sobre uno mismo y el mundo y de la atención autofocalizada, pero también de las creencias metacognitivas. Los resultados también apoyan la hipótesis de que algún malestar emocional puede ser una condición necesaria para el CPT.
Información de financiación
This research was made possible by a predoctoral grant for Uni- versity Professor Training from the Ministry of Education, Culture, and Sport awarded to the study’s first author (FPU16/02976), and by a research grant from the Ministry of Science, Innovation, and Uni- versities awarded to the last two authors (PGC2018-098387-B-I00).Financiadores
-
Ministerio de Educación, Cultura y Deporte
Spain
- PU16/02976
-
Ministerio de Ciencia, Innovación y Universidades
Spain
- GC2018-098387-B-I00
Referencias bibliográficas
- American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5™ (5th ed.). American Psychiatric Publishing. https://doi.org/10.1176/appi.books.9780890425596
- Asselmann, E., Wittchen, H., Lieb, R., Perkonigg, A., & Beesdo-Baum, K. (2018). Incident mental disorders in the aftermath of traumatic events: A prospective-longitudinal community study. Journal of Affective Disorders, 227, 82-89. https://doi.org/10.1016/j.jad.2017.10.004
- Beck, A. T., Steer, R. A., & Brown, G. K. (1996). BDI-II. Beck Depression Inventory-Second Edition manual. The Psychological CorporationBeck, A. T., Steer, R. A., & Brown, G. K. (2011). Manual. BDI-II. Inventario de Depresión de Beck-II (J. Sanz y C. Vázquez, adaptadores) [Manual. BDI-II. Beck Depression Inventory-II (J. Sanz & C. Vázquez, adapters)]. Pearson Educación.
- Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489-498. https://doi.org/10.1002/jts.22059
- Carboon, I., Anderson, V. A., Pollard, A., Szer, J., & Seymour, J. F. (2005). Posttraumatic growth following a cancer diagnosis: Do world assumptions contribute? Traumatology, 11(4), 269-283. https://doi.org/10.1177/153476560501100406
- Clauss, K., Benfer, N., Thomas, K. N., & Bardeen, J. R. (2021). The interactive effect of event centrality and maladaptive metacognitive beliefs on posttraumatic stress symptoms and posttraumatic growth. Psychological Trauma: Theory, Research, Practice, and Policy, 13(5), 596-602. https://doi.org/10.1037/tra0001010
- DaSilveira, A. D. C., de Castro, T. G., & Gomes, W. B. (2011). Adaptação da Escala de Autoabsorção para adultos brasileiros [Adaptation of the Self-Absorption Scale for Brazilian adults]. Interação em Psicologia, 15(1), 1-10. http://dx.doi.org/10.5380/psi.v15i1.17472
- Fausor, R., Sanz, J., Navarro-McCarthy, A., Gesteira, C., Morán, N., Cobos-Redondo, B., Altungy, P., Marqueses, J. M. S., Sanz-García, A., & GarcíaVera, M. P. (2022). Long-term posttraumatic growth in victims of terrorism in Spain. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.847099
- Fenigstein, A., Scheier, M. F., & Buss, A. H. (1975). Public and private self-consciousness: Assessment and theory. Journal of Consulting and Clinical Psychology, 43(4), 522-527. https://doi.org/10.1037/h0076760
- Ferrando, P. J., Chico, E., & Tous, J. M. (2002). Propiedades psicométricas del test de optimismo Life Orientation Test [Psychometric properties of the Life Orientation Test]. Psicothema, 14(3), 673-680.
- Gökler Danışman, I., Tarhan Uçar, C., & Okay, D. (2018). Eş şiddeti nedeniyle kadın konukevlerinde kalmakta olan kadınlarda travma sonrası stres ve travma sonrası gelişimin incelenmesi [Posttraumatic stress and posttraumatic growth in women residing in shelters due to spousal violence]. Anadolu Psikiyatri Dergisi, 19(6), 537-544.
- Ingram, R. E. (1990). Self-focused attention in clinical disorders: Review and a conceptual model. Psychological Bulletin, 107(2), 156-176. https://doi.org/10.1037/0033-2909.107.2.156
- Janoff-Bulman, R. (2004). Posttraumatic growth: Three explanatory models. Psychological Inquiry, 15(1), 30-34. https://doi.org/10.1207/s15327965pli1501_02
- Joseph, S., & Linley, P. A. (Eds.). (2008). Trauma, recovery, and growth: Positive psychological perspectives on posttraumatic stress. John Wiley & Sons.
- Jelinek, L., Wittekind, C. E., Kellner, M., Moritz, S., & Muhtz, C. (2013). (Meta) cognitive beliefs in posttraumatic stress disorder following forced displacement at the end of the Second World War in older adults and their offspring. Cognitive Neuropsychiatry, 18(5), 452-462. https://doi.org/10.1080/13546805.2012.754749
- Kira, I. A., Aboumediene, S., Ashby, J. S., Odenat, L., Mohanesh, J., & Alamia, H. (2013). The dynamics of posttraumatic growth across different trauma types in a Palestinian sample. Journal of Loss and Trauma, 18(2), 120-139. http://dx.doi.org/10.1080/15325024.2012.679129
- Lahav, Y., Bellin, E. S., & Solomon, Z. (2016). Posttraumatic growth and shattered world assumptions among Ex-POWs: The role of dissociation. Psychiatry: Interpersonal and Biological Processes, 79(4), 418-432. https://doi.org/10.1080/00332747.2016.1142776
- Liébana, S., Sanz-García, A., Fausor, R., García-Vera, M. P., & Sanz, J. (2022). Dysfunctional attitudes and long-term posttraumatic growth in victims of terrorist attacks. Ansiedad y Estrés, 28(3), 160-171. https://doi.org/10.5093/anyes2022a19
- Linley, P. A., & Joseph, S. (2004). Positive change following trauma and adversity: A review. Journal of Traumatic Stress, 17(1), 11-21. https://doi.org/10.1023/B:JOTS.0000014671.27856.7e
- Liu, A., Wang, L., Li, H., Gong, J., & Liu, X. (2017). Correlation between posttraumatic growth and posttraumatic stress disorder symptoms based on Pearson correlation coefficient: A meta-analysis. Journal of Nervous and Mental Disease, 205(5), 380-389. http://dx.doi.org/10.1097/NMD.0000000000000605
- Long, L. J., Phillips, C. A., Glover, N., Richardson, A. L., D’Souza, J. M., Cunningham-Erdogdu, P., & Gallagher, M. W. (2021). A meta-analytic review of the relationship between posttraumatic growth, anxiety, and depression. Journal of Happiness Studies, 22, 3703-3728. http://dx.doi.org/10.1007/s10902-021-00370-9
- Marković, V., Purić, D., Vukosavljević-Gvozden, T., & Begović, A. (2019). Validation of the Serbian version of the Metacognitions Questionnaire-30 in nonclinical and clinical samples. Clinical Psychology & Psychotherapy, 26(4), 458-470. https://doi.org/10.1002/cpp.2366
- Martín, J., Padierna, A., Unzurrunzaga, A., González, N., Berjano, B., & Quintana, J. M. (2014). Adaptation and validation of the Metacognition Questionnaire (MCQ-30) in Spanish clinical and nonclinical samples. Journal of Affective Disorders, 167, 228-234. https://doi.org/10.1016/j.jad.2014.06.009
- Martínez Arias, R., Castellanos López, M. A., & Chacón Gómez, J. C. (2015). Análisis de datos en psicología & ciencias de la salud, vol. II. Inferencia estadística [Data analysis in Psychology and Health Sciences, vol. II. Statistical inference]. EOS.
- McKenzie, K. S., & Hoyle, R. H. (2008). The Self-Absorption Scale: Reliability and validity in non-clinical samples. Personality and Individual Differences, 45(8), 726-731. https://doi.org/10.1016/j.paid.2008.07.020
- Mor, N., & Winquist, J. (2002). Self-focused attention and negative affect: A meta-analysis. Psychological Bulletin, 128(4), 638-662. https://doi.org/10.1037/0033-2909.128.4.638
- Nalipay, M. J. N., & Mordeno, I. G. (2018). Positive metacognitions and meta-emotions as predictors of posttraumatic stress disorder and posttraumatic growth in survivors of a natural disaster. Journal of Loss and Trauma, 23(5), 381-394. https://doi.org/10.1080/15325024.2017.1415734
- Navarro Montes, R. (2021). Desarrollo de un instrumento para la evaluación de las creencias disfuncionales específicas en víctimas del terrorismo que sufren trastorno de estrés postraumático [Development of an instrument for the assessment of specific dysfunctional beliefs in victims of terrorism who suffer from posttraumatic stress disorder] [Doctoral dissertation, Universidad Complutense de Madrid]. E-Prints Complutense Repository. https://eprints.ucm.es/id/eprint/65711/
- Navarro, R., Cobos Redondo, B., Gesteira, C., Altungy, P., Morán, N., Fausor, R., Reguera, B., García-Vera, M. P., & Sanz, J. (2022). Desarrollo de la Escala de Actitudes Disfuncionales Traumáticas (EADT) para víctimas de terrorismo [Development of the Traumatic Dysfunctional Attitude Scale (EADT) for victims of terrorism]. Ansiedad & Estrés, 28(1), 1-15. http://dx.doi.org/10.5093/anyes2022a1
- Olaya, B., Alonso, J., Atwoli, L., Kessler, R. C., Vilagut, G., & Haro, J. M. (2015). Association between traumatic events and post-traumatic stress disorder: Results from the ESEMeD-Spain study. Epidemiology and Psychiatric Sciences, 24(2), 172-183. https://doi.org/10.1017/S2045796014000092
- Otero, J. M., Luengo, A., Romero, E. Gómez, J. A., & Castro, C. (1998). Psicología de la personalidad. Manual de prácticas [Personality psychology. Practice manual]. Ariel.
- Perona-Garcelán, S., García-Montes, J. M., López-Jiménez, A. M., RodríguezTestal, J. F., Ruiz-Veguilla, M., Ductor-Recuerda, M., del Mar BenítezHernández, M., Arias-Velarde, M., Gómez-Gómez, M. T., & PérezÁlvarez, M. (2014). Relationship between self-focused attention and mindfulness in people with and without hallucination proneness. The Spanish Journal of Psychology, 17, 8. https://doi.org/10.1017/sjp.2014.23
- Prati, G., & Pietrantoni, L. (2009). Optimism, social support, and coping strategies as factors contributing to posttraumatic growth: A meta-analysis. Journal of Loss and Trauma, 14(5), 364-388. http://dx.doi.org/10.1080/15325020902724271
- Ramos-Cejudo, J., Salguero, J. M., & Cano-Vindel, A. (2013). Spanish version of the Meta-Cognitions Questionnaire 30 (MCQ-30). The Spanish Journal of Psychology, 16, 8. https://doi.org/10.1017/sjp.2013.95
- Sanz, J. (2013). 50 años de los Inventarios de Depresión de Beck: Consejos para la utilización de la adaptación española del BDI-II en la práctica clínica [50 years of the Beck Depression Inventories: Recommendations for the use of the Spanish adaptation of the BDIII in clinical practice]. Papeles del Psicólogo, 34(3), 161-168. https:// www.papelesdelpsicologo.es/pdf/2275.pdf
- Sanz, J., Altungy, P., Reguera, B., Navarro, R., Gesteira, C., Sanz-García, A., Morán, N., Cobos Redondo, B., Fausor, R., & Garcia-Vera, M. P. (2021). Psychometric validation of the Spanish version of the PTSD Checklist for DSM-5 (PCL-5). [Manuscript submitted for publication]. Department of Personality, Assessment, and Clinical Psychology, Complutense University of Madrid.
- Sanz, J., García-Vera, M. P., Espinosa, R., Fortún, M., & Vázquez, C. (2005). Adaptación española del Inventario para la Depresión de Beck-II (BDI-II): 3. Propiedades psicométricas en pacientes con trastornos psicológicos [Spanish adaptation of the Beck Depression Inventory-II (BDI-II): 3. Psychometric properties in patients with psychological disorders]. Clínica & Salud, 16(2), 121-142. https://journals.copmadrid.org/clysa/archivos/95781.pdf
- Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the Life Orientation Test. Journal of Personality and Social Psychology, 67(6), 1063-1078. https://doi.org/10.1037/0022-3514.67.6.1063
- Shakespeare-Finch, J., & Lurie-Beck, J. (2014). A meta-analytic clarification of the relationship between posttraumatic growth and symptoms of posttraumatic distress disorder. Journal of Anxiety Disorders, 28(2), 223-229. http://dx.doi.org/10.1016/j.janxdis.2013.10.005
- Su, Y., & Chen, S. (2015). Emerging posttraumatic growth: A prospective study with pre- and posttrauma psychological predictors. Psychological Trauma: Theory, Research, Practice, and Policy, 7(2), 103-111. https://doi.org/10.1037/tra0000008
- Taku, K., Cann, A., Calhoun, L. G., & Tedeschi, R. G. (2008). The factor structure of the Posttraumatic Growth Inventory: A comparison of five models using confirmatory factor analysis. Journal of Traumatic Stress, 21(2), 158–164. https://doi.org/10.1002/jts.20305
- Taku, K., Kilmer, R. P., Cann, A., Tedeschi, R. G., & Calhoun, L. G. (2012). Exploring posttraumatic growth in Japanese youth. Psychological Trauma: Theory, Research, Practice, and Policy, 4(4), 411-419. https://doi.org/10.1037/a0024363
- Tedeschi, R. G., & Blevins, C. L. (2015). From mindfulness to meaning: Implications for the theory of posttraumatic growth. Psychological Inquiry, 26(4), 373-376. https://doi.org/10.1080/1047840X.2015.1075354
- Tedeschi, R. G., y Calhoun, L. G. (1995). Trauma and transformation: Growing in the aftermath of suffering. Sage.
- Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(3), 455-472. https://doi.org/10.1002/jts.2490090305
- Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15(1), 1-18. https://doi.org/10.1207/s15327965pli1501_01
- Tedeschi, R. G., Shakespeare-Finch, J., Taku, K., & Calhoun, L. G. (2018). Posttraumatic growth: Theory, research, and applications. Routledge.
- Valdez, C. E., & Lilly, M. M. (2015). Posttraumatic growth in survivors of intimate partner violence: An assumptive world process. Journal of Interpersonal Violence, 30(2), 215-231. https://doi.org/10.1177/0886260514533154
- Vázquez, C., Hervás, G., & Pérez-Sales, P. (2006, July). The role of positive emotions on the psychological reactions following the Madrid March 11, 2004 terrorist attacks [Paper presentation]. Third European Conference on Positive Psychology, Braga, Portugal.
- Vishnevsky, T., Cann, A., Calhoun, L. G., Tedeschi, R. G., & Demakis, G. J. (2010). Gender differences in self-reported posttraumatic growth: A meta-analysis. Psychology of Women Quarterly, 34(1), 110-120. http://dx.doi.org/10.1111/j.1471-6402.2009.01546.x
- Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013a). The Life Events Checklist for DSM–5 (LEC-5). http://www.ptsd.va.gov
- Weathers, F.W., Litz, B.T., Keane, T.M., Palmieri, P.A., Marx, B.P., & Schnurr, P.P. (2013b). The PTSD Checklist for DSM-5 (PCL-5). National Center for PTSD. http://www.ptsd.va.gov
- Wells, A. (2000). Emotional disorders and metacognition: Innovative cognitive therapy. Wiley.
- Wells, A., & Cartwright-Hatton, S. (2004). A short form of the metacognitions questionnaire: Properties of the MCQ-30. Behaviour Research and Therapy, 42(4), 385-396. https://doi.org/10.1016/S0005-7967(03)00147-5
- Wells, A., & Matthews, G. (1994). Attention and emotion: A clinical perspective. LEA
- Wu, X., Kaminga, A. C., Dai, W., Deng, J., Wang, Z., Pan, X., y Liu, A. (2019). The prevalence of moderate-to-high posttraumatic growth: a systematic review and meta-analysis. Journal of Affective Disorders, 243, 408-415. https://doi.org/10.1016/j.jad.2018.09.02