Does perceived post-traumatic growth during the COVID-19 pandemic reflect actual positive changes?

Anxiety Stress Coping. 2023 Nov;36(6):661-673. doi: 10.1080/10615806.2022.2157821. Epub 2023 Jan 2.

Abstract

Background and objectives: People commonly report positive changes following stressful experiences (perceived posttraumatic growth; PPTG), yet whether PPTG validly reflects positive changes remains unestablished.

Design and methods: We tested the extent to which COVID-19 pandemic-related PPTG relates to positive changes in corresponding psychosocial resources in a national US sample participating in a five wave study (T1-T5), focusing here on T2-T5: ns = 712-860. We examined correlations between resource change (both latent and observed difference scores) and PPTG at each occasion and conducted structural equation models to separate occasion-specific and stable (traitlike) PPTG variance. We related changes in resources to occasion-specific and stable PPTG components.

Results: Associations between change scores and occasion-specific PPTG were sparse, providing limited evidence of PPTG validity. Associations between change scores and stable PPTG tended to be positive and stronger than associations for occasion-specific PPTG.

Discussion: Perceptions of growth were largely unrelated to experienced positive changes and thus appear to be largely illusory. However, a personality-like tendency to believe one grows from stressful experiences relates more strongly to actual resource growth. These results suggest that people are not accurate reporters of positive changes they experience and that interventions aimed at promoting post-traumatic growth may be premature.

Keywords: COVID-19; Perceived post-traumatic growth; coping; psychosocial resources; validity.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • COVID-19*
  • Humans
  • Pandemics
  • Pedunculopontine Tegmental Nucleus*
  • Posttraumatic Growth, Psychological*