The reciprocal relations among self-compassion, posttraumatic stress disorder, and posttraumatic growth among adolescents after the Jiuzhaigou earthquake: a three-wave cross-lagged study

J Ment Health. 2023 Jun;32(3):634-642. doi: 10.1080/09638237.2023.2182411. Epub 2023 Apr 10.

Abstract

Background: Previous cross-sectional studies have examined the relationship between self-compassion, post-traumatic stress disorder (PTSD), and post-traumatic growth (PTG). But no study has tested whether self-compassion is a cause or a consequence of PTSD, PTG, or both.

Aims: The cross-lag analysis was used to examine the reciprocal effects among self-compassion, PTSD, and PTG.

Method: We used data from 244 adolescents who had experienced earthquakes. We assessed self-compassion, PTSD, and PTG via self-report measures after the earthquake in Jiuzhaigou, as well as 6 and 12 months later.

Results: Cross-lagged analyses indicated that positive self-compassion could significantly predict subsequent PTSD and PTG. Meanwhile, PTSD and PTG also predicted later positive self-compassion. Negative self-compassion at T1 increased PTSD at T2, and neither PTSD nor PTG significantly predicted subsequent negative self-compassion. In addition, negative self-compassion at T1 significantly predicted positive self-compassion at T2, while positive self-compassion at T2 significantly predicted negative self-compassion at T3.

Conclusions: Positive self-compassion is a protective factor of post-traumatic psychological response, and it is maintained for a long time, while negative self-compassion may aggravate the negative psychological outcomes of adolescents in the early stage of experiencing traumatic events. In addition, positive and negative self-compassion can influence each other over time.

Keywords: Self-compassion; adolescents; cross-lag analysis; post-traumatic growth; post-traumatic stress disorder.

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Earthquakes*
  • Humans
  • Posttraumatic Growth, Psychological*
  • Self-Compassion
  • Stress Disorders, Post-Traumatic* / psychology
  • Survivors / psychology