Posttraumatic growth in the climate change context: Protective factors among university students during hurricane Maria
Résumé
Climate change threats have prompted research documenting their negative psychological impacts, such as posttraumatic stress, on the population. However, some individuals do not develop clinical symptoms after a disaster. Posttraumatic growth (PTG) helps explain this phenomenon by highlighting positive transformations that facilitate coping during potentially traumatic situations. Other protective factors, such as self-efficacy and spirituality, can also promote well-being, strengthening individuals facing adversity. Our study identified factors related to PTG and explored whether spirituality moderated the relationship between self-efficacy and PTG. We employed a quantitative, cross-sectional correlational design to assess the relationship between self-efficacy, spiritual well-being, sociocultural factors, and PTG. Our sample consisted of 158 university students in Puerto Rico, surveyed one year after Hurricane Maria. We found that self-efficacy and spiritual well-being were positively and significantly correlated with PTG but spiritual well-being did not statistically moderate the relationship between self-efficacy and PTG. Hierarchical multiple linear regression analyses indicated that self-efficacy, elevated adverse perceptions of Hurricane Maria’s impact, and spiritual well-being significantly contributed to PTG in our sample. Our findings highlighted the importance of promoting factors that support PTG in student populations and emphasized protective factors to consider when developing practices for student psychological well-being.
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https://doi.org/10.1080/15426432.2011.587388
Amiri, H., Nakhaee, N., Nagyova, I., Timkova, V., Okhovati, M., Nekoei-Moghadam, M., & Zahedi, R. (2021). Posttraumatic growth after earthquake: A systematic review and meta-analysis. International Journal of Social Psychiatry, 67(7), 867–877. https://doi.org/10.1177/0020764021995856
Arias, P. R. (2017). Propiedades psicométricas del Inventario de Crecimiento Postraumático en población ecuatoriana [Psychometric properties of the Posttraumatic Growth Inventory in Ecuadorian populations]. Revista Evaluar, 17(2), 67–80.
https://doi.org/10.35670/1667-4545.v17.n2.18722
Arias, P. R., & García, F. E. (2019). Crecimiento postraumático en sobrevivientes de los terremotos en Ecuador y Chile. [Posttraumatic growth in survivors of earthquakes in Ecuador and Chile]. Ajayu Órgano de Difusión Científica Del Departamento de Psicología UCBSP, 17(2), 317–331. http://www.scielo.org.bo/scielo.php?script=sci_arttext&pid=S2077-21612019000200005&lng=es&tlng=es
Arkin, M., Lowe, S. R., Poon, C. Y. S., & Rhodes, J. E. (2022). Associations between religious coping and long-term mental gealth in survivors of Hurricane Katrina. Psychology of Religion and Spirituality, 16(1), 63–71. https://doi.org/10.1037/rel0000483
Aten, J. D., Smith, W. R., Davis, E. B., Van Tongeren, D. R., Hook, J. N., Davis, D. E., Shannonhouse, L., DeBlaere, C., Ranter, J., O'Grady, K., & Hill, P. C. (2019). The psychological study of religion and spirituality in a disaster context: A systematic review. Psychological Trauma: Theory, Research, Practice and Policy, 11(6), 597–613. https://doi.org/10.1037/tra0000431
Baessler, J., & Schwarzer, R. (1996). Evaluación de la autoeficacia: Adaptación española de la Escala de Autoeficacia General [Assessment of self-efficacy: Spanish adaptation of the General Self-Efficacy Scale]. Ansiedad y Estrés, 2(1), 1–8.
https://dialnet.unirioja.es/servlet/articulo?codigo=186652
Benach, J., Díaz, M. R., Muñoz, N. J., Martínez-Herrera, E., & Pericàs, J. M. (2019). What the Puerto Rican hurricanes make visible: Chronicle of a public health disaster foretold. Social Science and Medicine, 238, 112367. https://doi.org/10.1016/j.socscimed.2019.112367
Bradwell, M. W., & Lee, J. (2019). Environmental disaster and mental health: Coping and depression among survivors of multiple disasters. Best Practices in Mental Health: An International Journal, 15(2), 61–73.
Brenlla, M. E., Aranguren, M., Rossaro, M. F., & Vázquez, N. (2010). Adaptación para Buenos Aires de la Escala de Autoeficacia General [General Self-Efficacy Scale adaptation for Buenos Aires]. Interdisciplinaria Revista de Psicología y Ciencias Afines, 27(1), 77–94.
Bueno-Pacheco, A., Lima-Castro, S., Peña-Contreras, E., Cedillo-Quizhpe, C., & Aguilar-Sizer, M. (2018). Adaptación al español de la Escala de Autoeficacia Feneral para su uso en el contexto ecuatoriano [Spanish adaptation of the General Self-Efficacy Scale for use in the Ecuadorian context]. Revista Iberoameri-cana de Diagnóstico y Evaluación – e Avaliação Psicológica, 48(3), 5–17.
https://doi.org/10.21865/ridep48.3.01
Caruso, G. D. (2017). The legacy of natural disasters: The intergenerational impact of 100 years of disasters in Latin America. Journal of Development Economics, 127, 209–233. https://doi.org/10.1016/j.jdeveco.2017.03.007
Charlson, F., Ali, S., Benmarhnia, T., Pearl, M., Massazza, A., Augustinavicius, J., & Scott, J. G. (2021). Climate change and mental health: A scoping review. International Journal of Environmental Research and Public Health, 18(9), 4486. https://doi.org/10.3390/ijerph18094486
Cianconi, P., Betrò, S., & Janiri, L. (2020). The impact of climate change on mental health: A systematic descriptive review. Frontiers in Psychiatry, 11, 74. https://doi.org/10.3389/fpsyt.2020.00074
Corvalan, C., Gray, B., Villalobos Prats, E., Sena, A., Hanna, F., & Campbell-Lendrum, D. (2022). Mental health and the global climate crisis. Epidemiology and Psychiatric Sciences, 31, e86. https://doi.org/10.1017/S2045796022000361
Crane, K., Li, L., Subramanian, P., Rovit, E., & Liu, J. (2022). Climate change and mental health: A review of empirical evidence, mechanisms and implications. Atmosphere, 13(12), 1–23. https://doi.org/10.3390/atmos13122096
Davis, E. B., Kimball, C. N., Aten, J. D., Andrews, B., Van Tongeren, D. R., Hook, J. N., Davis, D. E., Granqvist, P., & Park, C. L. (2019). Religious meaning making and attachment in a disaster context: A longitudinal qualitative study of flood survivors. Journal of Positive Psychology, 14(5), 659–671. https://doi.org/10.1080/17439760.2018.1519592
de Brito Sena, M. A., Damiano, R. F., Lucchetti, G., & Peres, M. F. P. (2021). Defining spirituality in healthcare: A systematic review and conceptual framework. Frontiers in Psychology, 12, 756080. https://doi.org/10.3389/fpsyg.2021.756080
Di Corrado, D., Muzii, B., Magnano, P., Coco, M., La Paglia, R., & Maldonato, N. M. (2022). The moderated mediating effect of hope, self-efficacy and resilience in the relationship between post-traumatic growth and mental health during the COVID-19 pandemic. Healthcare (Switzerland), 10(6), 1091. https://doi.org/10.3390/healthcare10061091
Eroglu, D. I., Pamukcu, D., Szczyrba, L., & Zhang, Y. (2020). Analyzing and contextualizing social vulnerability to natural disasters in Puerto Rico. Proceedings of the International ISCRAM Conference – 17th International Conference on Information Systems for Crisis Response and Management, 389–395. https://par.nsf.gov/biblio/10171048
Fisher, G. G., Matthews, R. A., & Gibbons, A. M. (2016). Developing and investigating the use of single-item measures in organizational research. Journal of Occupational Health Psychology, 21(1), 3–23. https://doi.org/10.1037/a0039139
Fortuna, L. R., Jiménez, A., & Porche, M. V. (2024). Climate events, displacement, and mental health—Uprooted. JAMA Psychiatry, 81(1), 5–6.
https://doi.org/10.1001/jamapsychiatry.2023.3561
García, F. E., Páez-Rovira, D., Zurtia, G. C., Martel, H. N., & Reyes, A. R. (2014). Religious coping, social support and subjective severity as predictors of posttraumatic growth in people affected by the earthquake in Chile on 27/2/2010. Religions, 5(4), 1132–1145. https://doi.org/10.3390/rel5041132
García, F. E., Páez, D., Reyes-Reyes, A., & Álvarez, R. (2017). Religious coping as moderator of psychological responses to stressful events: A longitudinal study. Religions, 8(4). https://doi.org/10.3390/rel8040062
González Nieves, P. L. (2023). Colonialismo ambiental y formas alternativas de soberanía en Puerto Rico: El caso de Casa Pueblo y Boricuá post huracanes Irma y María [Environmental colonialism and alternatives for sovereignty in Puerto Rico: The case of Casa Pueblo and Boricuá post hurricanes Irma and María] [Master’s thesis, Universidad Pontificia Bolivariana]. UPB Repository. http://hdl.handle.net/20.500.11912/10839
Hagen, I., Huggel, C., Ramajo, L., Chacón, N., Ometto, J. P., Postigo, J. C., & Castellanos, E. J. (2022). Climate change-related risks and adaptation potential in Central and South America during the 21st century. Environmental Research Letters, 17(3), 033002. https://doi.org/10.1088/1748-9326/ac5271
Haynes, W. C., Van Tongeren, D. R., Aten, J., Davis, E. B., Davis, D. E., Hook, J. N., Boan, D., & Johnson, T. (2017). The meaning as a buffer hypothesis: Spiritual meaning attenuates the effect of disaster-related resource loss on posttraumatic stress. Psychology of Religion and Spirituality, 9(4), 446–453. https://doi.org/10.1037/rel0000098
Henson, C., Truchot, D., & Canevello, A. (2020). What promotes post traumatic growth? A systematic review. European Journal of Trauma & Dissociation, 5(4), 100195. https://doi.org/10.1016/j.ejtd.2020.100195
Hernández-Ballester, C., Ferrer-Pérez, C., Montagud-Romero, S., & Blanco-Gandía, M. del C. (2023). Estrés en tiempos de confinamiento: Estrategias de afrontamiento y crecimiento postraumático en población universitaria [Stress in times of confinement: Coping strategies and post-traumatic growth in a university population]. Revista de Psicología y Educación - Journal of Psychology and Education, 18(1), 1-10. https://doi.org/10.23923/rpye2023.01.229
Hoeppner, B. B., Kelly, J. F., Urbanoski, K. A., & Slaymaker, V. (2011). Comparative utility of a single-item versus multiple-item measure of self-efficacy in predicting relapse among young adults. Journal of Substance Abuse Treatment, 41(3), 305–312.
https://doi.org/10.1016/j.jsat.2011.04.005
Hudson, P. (2018). Cumulative risk of psychological distress in college students affected by Hurricane Harvey [Master’s thesis, Georgia State University]. Scholarworks@GSU. https://doi.org/10.57709/13365953
Intergovernmental Panel on Climate Change (IPCC). (2023). Climate change 2023 synthesis report. Contribution of working groups I, II and III to the Sixth Assessment Report of the Intergovernmental Panel on Climate Change. IPCC.
https://doi.org/10.59327/IPCC/AR6-9789291691647.001
Israel-Cohen, Y., Kaplan, O., Noy, S., & Kashy-Rosenbaum, G. (2016). Religiosity as a moderator of self-efficacy and social support in predicting traumatic stress among combat soldiers. Journal of Religion and Health, 55(4), 1160–1171. https://doi.org/10.1007/s10943-016-0187-x
Jiménez, A. L., Marrero-Centeno, J., Frontera, N. L, & Galarza, L. (2024). Crecimiento postraumático tras desastres naturales y pandemia [Posttraumatic growth after natural disasters and a pandemic]. In G. Cordero-Arrroyo, M. A. Moreno-Torres, I. Serrano-García, K. Calderón Jorge, & R. O. Díaz Juarbe (Eds), Aportaciones interdiciplinarias a la psicología en el Caribe y Latinoamérica: Colaboración y compromiso social (pp. 43-58). Asociación de Psicología de Puerto Rico.
Jung, H. O., & Han, S. W. (2023). Post-traumatic growth of people who have experienced earthquakes: Qualitative research systematic literature review. Frontiers in Psychiatry, 13, 1070681. https://doi.org/10.3389/fpsyt.2022.1070681
Lalani, N., Drolet, J. L., McDonald-Harker, C., Brown, M. R. G., Brett-MacLean, P., Agyapong,V. I. O., Greenshaw, A. J., & Silverstone, P. H. (2021). Nurturing spiritual resilience to promote post-disaster community recovery: The 2016 Alberta Wildfire in Canada. Frontiers in Public Health, 9, 682558. https://doi.org/10.3389/fpubh.2021.682558
Lizarralde, G., Bornstein, L., Robertson, M., Gould, K., Herazo, B., Petter, A. M., Páez, H., Díaz, J. H., Olivera, A., González, G., López, O., López, A., Ascui, H., Burdiles, R., & Bouchereau, K. (2021). Does climate change cause disasters? How citizens, academics, and leaders explain climate-related risk and disasters in Latin America and the Caribbean. International Journal of Disaster Risk Reduction, 58, 102173. https://doi.org/10.1016/j.ijdrr.2021.102173
Luszczynska, A., Benight, C. C., & Cieslak, R. (2009). Self-efficacy and health-related outcomes of collective trauma: A systematic review. European Psychologist, 14(1), 51–62. https://doi.org/10.1027/1016-9040.14.1.51
Nie, P., Zhao, K., Ma, D., Liu, H., Amin, S., & Yasin, I. (2024). Global climate change, mental health, and socio-economic stressors: Toward sustainable interven-tions across regions. Sustainability (Switzerland), 16(19), 8693. https://doi.org/10.3390/su16198693
Orengo-Aguayo, R., Stewart, R. W., de Arellano, M. A., Suárez-Kindy, J. L., & Young, J. (2019). Disaster exposure and mental health among Puerto Rican youths after hurricane Maria. JAMA Network Open, 2(4), e192619. https://doi.org/10.1001/jamanetworkopen.2019.2619
Osofsky, H., Osofsky, J., Saltzman, L. Y., Lightfoot, E., De King, J., & Hansel, T. C. (2022). Mechanisms of recovery: Community perceptions of change and growth following multiple disasters. Frontiers in Psychology, 13, 991770. https://doi.org/10.3389/fpsyg.2022.991770
Quezada-Berumen, L., & González-Ramírez, M. T. (2020). Propiedades psicométricas del Inventario de Crecimiento Postraumático en población mexicana [Psychometric properties of the Post-traumatic Growth Inventory in Mexican populations]. Acción Psicológica, 17(1), 13-28. https://dx.doi.org/10.5944/ap.17.1.25736
Rhodes, A. M., & Tran, T. V. (2012). Predictors of posttraumatic stress and growth among Black and White survivors of Hurricane Katrina: Does perceived quality of the governmental response matter? Race and Social Problems, 4(3-4), 144–157.
https://doi.org/10.1007/s12552-012-9074-6
Robles-Bello, M. A., Sánchez-Teruel, D., & Valencia Naranjo, N. (2022). Variables protecting mental health in the Spanish population affected by the COVID-19 pandemic. Current Psychology, 41(8), 5640–5651. https://doi.org/10.1007/s12144-020-01132-1
Rocque, R. J., Beaudoin, C., Ndjaboue, R., Cameron, L., Poirier-Bergeron, L., Poulin-Rheault, R. A., Fallon, C., Tricco, A. C., & Witteman, H. O. (2021). Health effects of climate change: An overview of systematic reviews. BMJ Open, 11(6), e046333. https://doi.org/10.1136/bmjopen-2020-046333
Rojas Pérez, O. F. (2019). Development and initial validation of the Latinx Well-Being Scale [Doctoral dissertation, University of Missouri-Columbia]. UMC Campus Repository. https://doi.org/10.32469/10355/70007
Romanello, M., Walawender, M., Hsu, S. C., Moskeland, A., Palmeiro-Silva, Y., Scamman, D., Ali, Z., Ameli, N., Angelova, D., Ayeb-Karlsson, S., Basart, S., Beagley, J., Beggs, P. J., Blanco-Villafuerte, L., Cai, W., Callaghan, M., Campbell-Lendrum, D., Chambers, J. D., Chicmana-Zapata, V., … Costello, A. (2024). The 2024 report of the Lancet countdown on health and climate change: Facing record-breaking threats from delayed action. The Lancet, 404(10465), 1847–1896. https://doi.org/10.1016/S0140-6736(24)01822-1
Royston, P., Altman, D. G., & Sauerbrei, W. (2006). Dichotomizing continuous predictors in multiple regression: A bad idea. Statistics in Medicine, 25(1), 127–141. https://doi.org/10.1002/sim.2331
Sampson, L., Kim, A. H., O’Neill, H. J., Tamez, M., Falcon, L. M., Tuckert, K. L., Acosta-Pérez, E., Rodríguez Orengo, J. F., Kubzansky, L. D., Koenen, K. C., & Mattei, J. (2024). Psychological resilience, resilient coping, and health behaviors among adults in Puerto Rico after multiple adverse events. Preventive Medicine Reports, 46, 102874. https://doi.org/10.1016/j.pmedr.2024.102874
Sawyer, J. E., & Gampa, A. (2022). Social movements as parsimonious explanations for implicit and explicit attitude change. Personality and Social Psychology Review: An Official Journal of the Society for Personality and Social Psychology, Inc, 27(1), 28–51.
https://doi.org/10.1177/10888683221095697
Schwarzer, R., & Jerusalem, M. (1995). General Self-Efficacy Scale (GSE) [Database record]. APA PsycTests. https://doi.org/10.1037/t00393-000
Sehra, V., & Mishra, A. K. (2022). Stress and self-efficacy as predictors of positive growth in aftermath of urban flooding in Hyderabad, India. International Journal of Disaster Risk Reduction, 83, 103349. https://doi.org/10.1016/j.ijdrr.2022.103349
Shultz, J. M., Kossin, J. P., Shepherd, J. M., Ransdell, J. M., Walshe, R., Kelman, I., & Galea, S. (2019). Risks, health consequences, and response challenges for small-island-based populations: Observations from the 2017 Atlantic hurricane season. Disaster Medicine and Public Health Preparedness, 13(1), 5–17. https://doi.org/10.1017/dmp.2018.28
Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(3), 455–471. https://doi.org/10.1002/jts.2490090305
Vafeiadou, A., Banissy, M. J., Banissy, J. F. M., Higgins, J. P. T., & Howard, G. (2023). The influence of climate change on mental health in populations of the western Pacific region: An umbrella scoping review. Heliyon, 9(11), e21457. https://doi.org/10.1016/j.heliyon.2023.e21457
Valdivieso-Mora, E., Peet, C. L., Garnier-Villarreal, M., Salazar-Villanea, M., & Johnson, D. K. (2016). A systematic review of the relationship between familism and mental health outcomes in Latino population. Frontiers in Psychology, 7, 1632.
https://doi.org/10.3389/fpsyg.2016.01632
Vázquez Torres, J. E. (2021). The psycho-logical impact of Hurricane Maria on Puerto Ricans [Doctoral dissertation, The Chicago School of Professional Psychology]. ProQuest One Academic. https://www.proquest.com/dissertations-theses/psychological-impact-hurricane-maria-on-puerto/docview/2561075254/se-2
Weiss, T., & Berger, R. (2006). Reliability and validity of a Spanish version of the Growth Inventory. Research on Social Work Practice, 16(2), 191–199. https://doi.org/10.1177/1049731505281374
World Health Organization (WHO). (2023). Climate change [Fact sheet].
https://www.who.int/news-room/fact-sheets/detail/climate-change-and-health
Xu, Y., Yang, G., Liu, L., & Wu, X. (2023). The influence of deliberate rumination on the post-traumatic growth of college students during the COVID-19 pandemic and the moderating role of self-efficacy. Frontiers in Public Health, 11, 1043402.
https://doi.org/10.3389/fpubh.2023.1043402
https://orcid.org/0009-0006-2831-7060