Posttraumatic growth in family members of individuals with methamphetamine use disorder

Abstract

Objectives: This study aimed to determine post-traumatic growth and its predictors in female relatives of patients with methamphetamine use disorder.

Methods: The volunteers in our study consisted of 80 adult women who were first-degree relatives of male patients diagnosed with MUD. The Post-Traumatic Growth Inventory, the Hospital Anxiety-Depression Scale, the Impact of Events Scale , and the short form of the Coping with Stressful Situations Inventory were given to the relatives of the patients.

Results: In our study, being employed and being married were found to affect task-oriented coping and changes in self-perception positively. Task-oriented coping or seeking emotional support from others predicted higher PTG. Task-oriented coping was positively associated with emotional coping and a change in the philosophy of life. The regression analysis determined that task-oriented and avoidant coping mechanisms were the best predictors of post-traumatic growth.

Conclusions: The findings suggest that environmental and personal factors, such as being married, being employed, and the quality of social relationships that emerge with emotional and instrumental support, influence the experience of life crises. In addition, the duration of methamphetamine uses, the problem's, and the search for solutions were all associated with higher post-traumatic growth. Thus, the results of this study demonstrate that task-oriented coping, seeking emotional support, and the duration of methamphetamine use may contribute to post-traumatic growth.

Keywords

• Posttraumatic growth
• coping
• methamphetamine abusers
• family members

References

1. 1. Tedeschi RG, Calhoun LG. Posttraumatic growth: conceptual foundations and empirical evidence. Psychol Inquiry 2004;15:1-18.
2. 2. Park CL, Fenster JR. Stress-related growth: predictors of occurrence and correlates with psychological adjustment. J Soc Clin Psychol 2004;23:195-215.
3. 3. Larner B, Blow A. A model of meaning-making coping and growth in combat veterans. Rev Gen Psychol 2011;15:187-97.
4. 4. Jayawickreme E, Infurna FJ. Toward a more credible understanding of post‐traumatic growth. J Pers 2021;89:5-8.
5. 5. Tedeschi RG., Park, CL, Calhoun LG. Posttraumatic growth: Positive changes in the aftermath of crisis. In: Tedeschi RG, Park CL, Calhoun LG, editors. Posttraumatic growth: Conceptual issues. Lawrence Erlbaum Associates Publishers. 1998: pp. 1-22.
6. 6. Wu X, Kaminga AC, Dai W, Deng J, Wang Z, Pan X, et al. The prevalence of moderate-to-high posttraumatic growth: A systematic review and meta-analysis. J Affect Disord 2019;243:408-15.
7. 7. Mangelsdorf J, Eid M, Luhmann M. Does growth require suffering? A systematic review and meta-analysis on genuine posttraumatic and postecstatic growth. Psychol Bull 2019;145: 302–38.
8. 8. Affleck G, Tennen H, Croog S, Levine S. Causal attribution, perceived benefits, and morbidity after a heart attack: an 8-year study. J Consult Clin Psychol 1987;55:29-35.

9. 9. Lazarus RS, Folkman S. Stress, Appraisal, and Coping. Springer Publishing Company; 1984.
10. 10. Aldwin CM. Transformational coping. In: Aldwin CM, editor. Stress, coping, and development. New York: Guilford; 1994: pp. 240–69.
11. 11. Orford J, Copello A, Velleman R, Templeton L. Family members affected by a close relative’s addiction: the stress-strain-coping-support model. Drugs (Abingdon Engl) 2010;17:36-43.
12. 12. Barakat LP, Alderfer MA, Kazak AE. Posttraumatic growth in adolescent survivors of cancer and their mothers and fathers. J Pediatr Psychol 2006;31:413-9.
13. 13. Hungerbuehler I, Vollrath ME, Landolt MA. Posttraumatic growth in mothers and fathers of children with severe illnesses. J Health Psychol 2011;16:1259-67.
14. 14. Bellizzi KM, Blank TO. Predicting posttraumatic growth in breast cancer survivors. Health Psychol 2006;25:47-56.
15. 15. McCann TV, Stephenson J, Lubman DI. Affected family member coping with a relative with alcohol and/or other drug misuse: a cross-sectional survey questionnaire. Int J Ment Health Nurs 2019;28:687-96.
16. 16. McCann TV, Stephenson J, Lubman DI. Family stress, well-being and hope for the future when supporting a relative with AOD misuse: a cross-sectional survey. Issues Ment Health Nurs 2021;42:430-6.
17. 17. Arpawong TE, Sussman S, Milam JE, Unger JB, Land H, Sun P, et al. Post-traumatic growth, stressful life events, and relationships with substance use behaviors among alternative high school students: a prospective study. Psychol Health 2015;30:475-94.
18. 18. Haroosh E, Freedman S. Posttraumatic growth and recovery from addiction. Eur J Psychotraumatol 2017;8:1369832.
19. 19. Tedeschi RG, Calhoun LG. The Posttraumatic Growth Inventory: measuring the positive legacy of trauma. J Trauma Stress 1996;9:455-71.
20. 20. Kagan M, Gulec M, Boysan M, Cavus H. Hierarchical factor structure of the Turkish version of the Posttraumatic Growth Inventory in a normal population. TAF Prev Med Bull 2012;11:617-24.
21. 21. Horowitz M, Wilner N, Alvarez W. Impact of Event Scale: a measure of subjective stress. Psychosom Med 1979;41:209-18.
22. 22. Weiss DS, Marmar CR. The impact of Event Scale - Revised. In: Wilson JP, Keane TM, editors. Assessing psychological trauma and PTSD. 1st ed., New York City: Guilford Press. 1997: pp. 399-411.
23. 23. Çorapçıoğlu A, Hakim İ, Geyran P, Kocabaşoğlu N. [Validity and reliability of Turkish version of "Impact of Event Scale-Revised" (IES-R)]. New Symposium 2006;44:14-22. [Article in Turkish]
24. 24. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983;67:361-70.
25. 25. Aydemir Ö, Guvenir T, Kuey L, Kultur S. [Validity and reliability of Turkish version of hospital anxiety and depression scale]. Turk Psikiyatri Derg 1997;8:280-7. [Article in Turkish]
26. 26. Endler NS, Parker JDA. Assessment of multidimensional coping: task, emotion, and avoidance strategies. Psychol Assessment 1994;6:50-60.
27. 27. Boysan M. Validity of the coping inventory for stressful situations-short form (CISS-21) in a non-clinical Turkish sample. J Psychiatry Neurol Sci 2012;25:101-7.
28. 28. Schaefer JA, Moos RH. Life crisis and personal growth. In: Carpenter BN, editor. Personal coping: Theory, research, and application. New York: Praeger; 1992: pp. 149-70.
29. 29. Linley PA, Joseph S. Positive change following trauma and adversity: a review. J Trauma Stress 2004;17:11-21.
30. 30. Manne S, Ostroff J, Winkel G, Goldstein L, Fox K, Grana G. Posttraumatic growth after breast cancer: patient, partner, and couple perspectives. Psychosom Med 2004;66:442-54.
31. 31. López J, Camilli C, Noriega C. Posttraumatic growth in widowed and non-widowed older adults: religiosity and sense of coherence. J Relig Health 2015;54:1612-28.
32. 32. Hoogland AI, Jim HSL, Schoenberg NE, Watkins JF, Rowles GD. Positive psychological change following a cancer diagnosis in old age: a mixed-methods study. Cancer Nurs 2021;44:190-6.
33. 33. Ormel J, Kalmijn S, Boos PBD, Olff M. The course of posttraumatic stress disorder symptoms in relation to education: a longitudinal population-based study. BMC Public Health 2006;6:220.
34. 34. Lindow S, Austin EJ, Buller DB, Agree EM. Education and outcomes of posttraumatic stress disorder: a meta-analysis. J Trauma Stress 2015;28:433-41.
35. 35. Taylor SE, Sherman DK, Kim HJ, Jarcho JM, Takaku S, Dunagan M. Health outcomes of perceived discrimination: results from a nationally representative study. Am J Public Health 2008;98:740-9.
36. 36. Barskova T, Oesterreich R. Post-traumatic growth in people living with a serious medical condition and its relations to physical and mental health: a systematic review. Disabil Rehabil 2009;31:1709-33.
37. 37. Henson C, Truchot D, Canevello A. Factors that hinder post-traumatic growth: a systematic review. Encephale 2022;48:560-2.
38. 38. Fotopoulou M, Parkes T. Family solidarity in the face of stress: responses to drug use problems in Greece. Addict Res Theory 2017;25:326-33.
39. 39. Jones AC, Hilton R, Ely B, Gororo L, Danesh V, Sevin CM, et al. Facilitating posttraumatic growth after critical illness. Am J Crit Care 2020;29:e108-15.