Daily emotional dynamics and changes in posttraumatic growth and posttraumatic depreciation among people living with HIV

J Psychosom Res. 2024 Jan:176:111552. doi: 10.1016/j.jpsychores.2023.111552. Epub 2023 Nov 20.

Abstract

Objective: Posttraumatic growth (PTG), and its negative reflection, posttraumatic depreciation (PTD), are two aspects of response to trauma. This study explores whether daily emotional dynamics (inertia and innovation) can translate into positive versus negative changes among people living with HIV (PLWH) in the form of long-term changes in PTG or PTD.

Methods: The study combined a classical longitudinal approach with two assessments of PTG and PTD within one year and a measurement burst diary design with three weekly electronic diaries. In total, 249 PLWH participated in this study, filling out an expanded version of the Posttraumatic Growth and Depreciation Inventory (PTGDI-X) and a survey of sociodemographic and clinical data. In addition, they assessed their positive affect (PA) and negative affect (NA) at the end of each day in online diaries using a shortened version of the PANAS-X.

Results: Although we observed stable significant inertia and innovation of PA and NA across all bursts, these parameters of daily emotional dynamics were unrelated to the longitudinal changes in PTG and PTD. The same null results were also noted for the average levels of NA and PA.

Conclusions: The results indicated the relative stability of emotion regulation in PLWH over the course of one year and contributed to understanding its dynamic mechanisms in terms of trait-like characteristics. The null result of the relationship between the PTG and PTD change might suggest a weak role of emotion regulation in shaping these trajectories as well as a lack of validity of the PTG/PTD measures.

Keywords: Emotional inertia; Emotional innovation; HIV/AIDS; Posttraumatic depreciation; Posttraumatic growth.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Depreciation
  • HIV Infections* / complications
  • HIV Infections* / psychology
  • Humans
  • Posttraumatic Growth, Psychological*
  • Stress Disorders, Post-Traumatic* / psychology
  • Surveys and Questionnaires