European Psychiatry (Jan 2021)

Did we learn something positive out of the COVID-19 pandemic? Post-traumatic growth and mental health in the general population

  • Giulia Menculini,
  • Umberto Albert,
  • Valeria Bianchini,
  • Claudia Carmassi,
  • Giuseppe Carrà,
  • Francesca Cirulli,
  • Bernardo Dell’Osso,
  • Michele Fabrazzo,
  • Francesco Perris,
  • Gaia Sampogna,
  • Maria Giulia Nanni,
  • Maurizio Pompili,
  • Gabriele Sani,
  • Umberto Volpe,
  • Alfonso Tortorella

DOI
https://doi.org/10.1192/j.eurpsy.2021.2263
Journal volume & issue
Vol. 64

Abstract

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Abstract Background When facing a traumatic event, some people may experience positive changes, defined as posttraumatic growth (PTG). Methods Understanding the possible positive consequences of the pandemic on the individual level is crucial for the development of supportive psychosocial interventions. The present paper aims to: 1) evaluate the levels of PTG in the general population; 2) to identify predictors of each dimension of post-traumatic growth. Results The majority of the sample (67%, N = 13,889) did not report any significant improvement in any domain of PTG. Participants reported the highest levels of growth in the dimension of “appreciation of life” (2.3 ± 1.4), while the lowest level was found in the “spiritual change” (1.2 ± 1.2). Female participants reported a slightly higher level of PTG in areas of personal strength (p < .002) and appreciation for life (p < .007) compared to male participants, while no significant association was found with age. At the multivariate regression models, weighted for the propensity score, only the initial week of lockdown (between 9-15 April) had a negative impact on the dimension of “relating to others” (B = −.107, 95% CI = −.181 to −.032, p < .005), while over time no other effects were found. The duration of exposure to lockdown measures did not influence the other dimensions of PTG. Conclusions The assessment of the levels of PTG is of great importance for the development of ad hoc supportive psychosocial interventions. From a public health perspective, the identification of protective factors is crucial for developing ad-hoc tailored interventions and for preventing the development of full-blown mental disorders in large scale.

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