Exploring pathways and obstacles to well-being in victims of terrorismA qualitative approach

  1. Andrés Pemau 1
  2. Carolina Marín-Martín 1
  3. Gonzalo Hervás 1
  4. María del Mar Gómez-Gutiérrez 1
  5. María Crespo 1
  1. 1 Universidad Complutense de Madrid
    info

    Universidad Complutense de Madrid

    Madrid, España

    ROR 02p0gd045

Revista:
The Spanish Journal of Psychology

ISSN: 1138-7416

Año de publicación: 2023

Número: 26

Tipo: Artículo

DOI: 10.1017/SJP.2023.20 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: The Spanish Journal of Psychology

Objetivos de desarrollo sostenible

Resumen

On March 11, 2004, Madrid suffered one of the worst terrorist attacks in the history of Spain, leaving more than 190 dead and 2,000 injured. For years, the psychological consequences of the attacks have been studied; however, its long-term effects on symptomatology and especially on well-being remains unknown. This study aims to explore, through a qualitative approach, pathways and obstacles to the well-being of those affected directly or indirectly by the attacks of March 11 in Madrid. Two focus groups were held, one for indirect victims and one for direct victims. Subsequently, a thematic analysis of the materials obtained was carried out. More than 10 years after the attacks, most of the participants reported great difficulty in achieving well-being. Acceptance and victims’ associations seemed to act as key facilitators, while symptoms, political institutions and the media were the main obstacles. Direct and indirect victims presented similar data although aspects such as guilt and family relationships played a different role in their well-being.

Referencias bibliográficas

  • Anderson, K. M., Renner, L. M., & Danis, F. S. (2012). Recovery: Resilience and growth in the aftermath of domestic violence. Violence Against Women, 18(11), 1279–1299. https://doi.org/10.1177/1077801212470543
  • Berle, D., Hilbrink, D., Russell-Williams, C., Kiely, R., Hardaker, L., Garwood, N., Gilchrist, A., & Steel, Z. (2018). Personal well-being in posttraumatic stress disorder (PTSD): Association with PTSD symptoms during and following treatment. BMC Psychology, 6(1), Article 7. https://doi.org/10.1186/s40359-018-0219-2
  • Berntsen, D., & Rubin, D. C. (2007). When a trauma becomes a key to identity: Enhanced integration of trauma memories predicts posttraumatic stress disorder symptoms. Applied Cognitive Psychology, 21(4), 417–431. https://doi.org/10.1002/acp.1290
  • Blanco, A., Blanco, R., & Díaz, D. (2016). Social (dis) order and psychosocial trauma: Look earlier, look outside, and look beyond the persons. American Psychologist, 71(3), 187–198. https://doi.org/10.1037/a0040100
  • Bonfils, K. A., Lysaker, P. H., Yanos, P. T., Siegel, A., Leonhardt, B. L., James, A. V., Brustuen, B., Luedtke, B., & Davis, L. W. (2018). Self-stigma in PTSD: Prevalence and correlates. Psychiatry Research, 265, 7–12. https://doi.org/10.1016/j.psychres.2018.04.004
  • Bromet, E. J., Hobbs, M. J., Clouston, S. A. P., Gonzalez, A., Kotov, R., & Luft, B. J. (2016). DSM–IV post-traumatic stress disorder among World Trade Center responders 11–13 years after the disaster of 11 September 2001 (9/11). Psychological Medicine, 46(4), 771–783. https://doi.org/10.1017/S0033291715002184
  • Brooks, S. K., Dunn, R., Amlôt, R., Rubin, G. J., & Greenberg, N. (2019). Protecting the psychological wellbeing of staff exposed to disaster or emergency at work: A qualitative study. BMC Psychology, 7, Article 78. https://doi.org/10.1186/s40359-019-0360-6
  • Conejo-Galindo, J., Medina, Ó., Fraguas, D., Terán, S., Sainz-Cortón, E., & Arango, C. (2007). Psychopathological sequelae of the 11 March terrorist attacks in Madrid: An epidemiological study of victims treated in a hospital. European Archives of Psychiatry and Clinical Neuroscience, 258(1), 28–34. https://doi.org/10.1007/s00406-007-0758-7
  • Davis, C. G., Wohl, M. J., & Verberg, N. (2007). Profiles of posttraumatic growth following an unjust loss. Death Studies, 31(8), 693–712. https://doi.org/10.1080/07481180701490578
  • Díaz, D., Stavraki, M., Blanco, A., & Bajo, M. (2018). 11–M victims 3 years after Madrid terrorist attacks: Looking for health beyond trauma. Journal of Happiness Studies, 19(3), 663–675. https://doi.org/10.1007/s10902-016-9842-x
  • Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95(3), 542–547. https://doi.org/10.1037/0033-2909.95.3.542
  • Fredrickson, B. L., Tugade, M. M., Waugh, C. E., & Larkin, G. R. (2003). What good are positive emotions in crisis? A prospective study of resilience and emotions following the terrorist attacks on the United States on September 11th, 2001. Journal of Personality and Social Psychology, 84(2), 365–376. http://doi.org/10.1037/0022-3514.84.2.365
  • García-Vera, M. P., & Sanz, J. (2017). Psychopathological consequences of terrorism: The prevalence of post-traumatic stress disorder in victims of terrorist attacks. In del Real Alcalá, J. A. (Ed.), Current and future developments in law, Vol 1: Human rights and vulnerable groups (pp. 164–180). Bentham Science Publishers. https://doi.org/10.2174/97816810857601170101
  • García-Vera, M. P., Sanz, J., & Gutiérrez, S. (2016). A systematic review of the literature on posttraumatic stress disorder in victims of terrorist attacks. Psychological Reports, 119(1), 328–359. https://doi.org/10.1177/0033294116658243
  • Haun, J. N., Duffy, A., Lind, J. D., Kisala, P., & Luther, S. L. (2016). Qualitative inquiry explores health-related quality of life of female veterans with post-traumatic stress disorder. Military Medicine, 181(11), e1470–e1475. https://doi.org/10.7205/milmed-d-16-00064
  • Johnson, A. E., North, C. S., & Pollio, D. E. (2017). Making meaning of the September 11 attacks: Spanish-and-Mandarin-speaking focus groups. Journal of Loss and Trauma, 22(3), 213–227. https://doi.org/10.1080/15325024.2017.1284489
  • Marín, C., Hervás, G., Gómez, M., Crespo, M. & Vázquez, C. (2019). Psychological well-being in terrorism survivors [Unpublished manuscript]. Universidad Complutense.
  • McKinlay, A. R., Fancourt, D., & Burton, A. (2021). A qualitative study about the mental health and wellbeing of older adults in the UK during the COVID–19 pandemic. BMC Geriatrics, 21, Article 439. https://doi.org/10.1186/s12877-021-02367-8
  • Morgan, D. L., & Krueger, R. A. (1993). When to use focus groups and why. In Morgan, D. L. & Krueger, R. A. (Eds.), Successful focus groups: Advancing the state of the art (pp. 3–19). Sage Publications, Inc. https://doi.org/10.4135/9781483349008.n1
  • North, C. S., Barney, C. J., & Pollio, D. E. (2015). A focus group study of the impact of trauma exposure in the 9/11 terrorist attacks. Social Psychiatry and Psychiatric Epidemiology, 50(4), 569–578. https://doi.org/10.1007/s00127-014-0970-5
  • North, C. S., Pfefferbaum, B., Hong, B. A., Gordon, M. R., Kim, Y.-S., Lind, L., & Pollio, D. E. (2010). The business of healing: Focus group discussions of readjustment to the post–9/11 work environment among employees of affected agencies. Journal of Occupational and Environmental Medicine, 52(7), 713–718. https://doi.org/10.1097/JOM.0b013e3181e48b01
  • North, C. S., Pollio, D. E., Pfefferbaum, B., Megivern, D., Vythilingam, M., Westerhaus, E. T., Martin, G. J., & Hong, B. A. (2005). Capitol Hill staff workers’ experiences of bioterrorism: Qualitative findings from focus groups. Journal of Traumatic Stress, 18(1), 79–88. https://doi.org/10.1002/jts.20006
  • Palmer, E., Murphy, D., & Spencer-Harper, L. (2017). Experience of post-traumatic growth in UK veterans with PTSD: A qualitative study. BMJ Military Health, 163(3), 171–176. http://doi.org/10.1136/jramc-2015-000607Google
  • Park, C. L. (2016). Meaning making in the context of disasters. Journal of Clinical Psychology, 72(12), 1234–1246. https://doi.org/10.1002/jclp.22270
  • Propper, R. E., Stickgold, R., Keeley, R., & Christman, S. D. (2007). Is television traumatic?: Dreams, stress, and media exposure in the aftermath of September 11, 2001. Psychological Science, 18(4), 334–340. https://doi.org/10.1111/j.1467-9280.2007.01900.x
  • Rimé, B., Páez, D., Basabe, N., & Martínez, F. (2010). Social sharing of emotion, post-traumatic growth, and emotional climate: Follow-up of Spanish citizen’s response to the collective trauma of March 11th terrorist attacks in Madrid. European Journal of Social Psychology, 40(6), 1029–1045. https://doi.org/10.1002/ejsp.700
  • Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69(4), 719–727. https://doi.org/10.1037/0022-3514.69.4.719
  • Scandroglio, B., & López, J. (2007). De la investigación a la intervención psicosocial: La metodología cualitativa y su integración con la metodología cuantitativa [From research to psychosocial intervention: qualitative methodology and its integration with quantitative methodology]. In A. Blanco Abarca & J. Rodríguez Marín (Coords.), Intervención psicosocial [Psychosocial intervention] (pp. 555–603). Pearson Educación.
  • Seligman, M. (2011). Flourish: A new understanding of happiness, well-being-and how to achieve them. Nicholas Brealey Pub.
  • Slade, M., Rennick-Egglestone, S., Blackie, L., Llewellyn-Beardsley, J., Franklin, D., Hui, A., Thornicroft, G., McGranahan, R., Pollock, K., Priebe, S., Ramsay, A., Roe, D., & Deakin, E. (2019). Post-traumatic growth in mental health recovery: Qualitative study of narratives. BMJ Open, 9(6) Article e029342. http://doi.org/10.1136/bmjopen-2019-029342
  • Stevens, G. J., Dunsmore, J. C., Agho, K. E., Taylor, M. R., Jones, A. L., van Ritten, J. J., & Raphael, B. (2013). Long-term health and well-being of people affected by the 2002 Bali bombing. The Medical Journal of Australia, 198(5), 273–277. https://doi.org/10.5694/mja12.11480
  • Thompson, R. W., Arnkoff, D. B., & Glass, C. R. (2011). Conceptualizing mindfulness and acceptance as components of psychological resilience to trauma. Trauma, Violence, & Abuse, 12(4), 220–235. https://doi.org/10.1177/1524838011416375
  • Vázquez, C., & Hervás, G. (2010). Perceived benefits after terrorist attacks: The role of positive and negative emotions. The Journal of Positive Psychology, 5(2), 154–163. https://doi.org/10.1080/17439761003630060
  • Vazquez, C., & Hervas, G. (2012). Addressing current challenges in cross-cultural measurement of well-being: The Pemberton happiness index. In Knoop, H. H. & Fave, A. Delle (Eds.), Well-being and cultures: Perspectives from positive psychology (pp. 31–49). Springer Netherlands. http://doi.org/10.1007/978-94-007-4611-4_3
  • Westerhof, G. J., & Keyes, C. L. M. (2010). Mental illness and mental health: The two continua model across the lifespan. Journal of Adult Development, 17(2), 110–119. https://doi.org/10.1007/s10804-009-9082-y
  • Wilkinson, S. (1998). Focus group methodology: A review. International Journal of Social Research Methodology, 1(3), 181–203. https://doi.org/10.1080/13645579.1998.10846874
  • Wilkinson, S. (2004). Focus group research. In Silverman, D. (Ed.), Qualitative research: Theory, method and practice (pp. 177–199). Sage Publications. Wilson, J. P., Droždek, B., & Turkovic, S. (2006). Posttraumatic shame and guilt. Trauma, Violence, & Abuse, 7(2), 122–141. https://doi.org/10.1177/1524838005285914
  • Woodward, C., & Joseph, S. (2003). Positive change processes and post-traumatic growth in people who have experienced childhood abuse: understanding vehicles of change. Psychology and Psychotherapy: Theory, Research and Practice, 76(3), 267–283. https://doi.org/10.1348/147608303322362497
  • World Health Organization. (2004). Promoting mental health: Concepts, emerging evidence, practice: Summary report/A report from the World Health Organization, Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation and the University of Melbourne. World Health Organization. https://apps.who.int/iris/handle/10665/42940
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