Posttraumatic growth following pregnancy termination for fetal abnormality: the predictive role of coping strategies and perinatal grief

Background: Research about termination for fetal abnormality (TFA) suggests that it is a traumatic event with potential negative psychological consequences. However, evidence also indicates that following traumatic events individuals may experience growth. Although TFA’s negative psychological outcomes are well documented, little is known of the potential for growth following this event. Therefore, the study’s objectives were to measure posttraumatic growth (PTG) post-TFA, examine the relationship between PTG, perinatal grief and coping, and determine the predictors of PTG.

Design: An online, retrospective survey was conducted with 161 women.

Methods: Eligible participants were women over 18 who had undergone TFA. Participants were recruited from a support organisation. They completed the Brief COPE, Short Perinatal Grief Scale and Posttraumatic Growth Inventory. Data were analysed using regression analyses.

Results: Moderate levels of PTG were observed for “relating to others,” “personal strengths” and “appreciation of life.” “Positive reframing” was a significant predictor of PTG. Despite using mainly “adaptive” coping strategies, women’s grief levels were high.

Conclusions: “Adaptive” coping strategies such as, “positive reframing” are relevant to TFA. They may act as protective factors against distress and as foundations for growth, implicating that interventions such as Cognitive Behavioural Therapy, which aim to reframe women’s experience, may be beneficial.     

Teacher-Coaches’ Perceptions of Life Skills Transfer from High School Sport to the Classroom

Positive youth development is one of the primary goals of high school sport participation, yet the process of how youth transfer life skills from sport to other life domains is in need of greater examination. To offer a unique perspective, the purpose of the study explored teacher-coaches’ perceptions of the process of life skills transfer for student-athletes from high school sport to the classroom. Using a constructivist approach, 12 teacher-coaches (9 male, 3 female) with an average of 13?years (SD?=?5.7) experience as a teacher-coach completed in-person, semistructured interviews. Using model for life skills transfer as a guiding framework, the theoretical thematic analysis revealed specific student-athlete characteristics (e.g., internal assets, external assets), high school sport factors (e.g., inherent demands, coaching characteristics), and high school classroom factors (e.g., classroom contextual factors, student-athlete psychological processes) that helped or hindered the process of life skills transfer. The critical influences of individual awareness and agency and of congruence between contexts highlighted the value of understanding life skills transfer through a developmental systems lens. Results are discussed with specific recommendations for researchers and practitioners related to understanding life skills transfer.

Lay Summary: Positive youth development is a primary goal of high school sport participation, yet researchers can do more to understand the developmental outcomes from high school sport. In this study, teacher-coaches identified specific factors that can help and hinder student-athletes’ ability and likelihood of transferring life skills from high school sport to the classroom.     

Youth sport participation and parental mental health

ObjectivesThe purpose of this exploratory study was to investigate the relations of having a child involved in youth sport and primary (i.e., parent that knows the child best) and secondary parents' mental health.DesignParents from Wave 7 of the Longitudinal Study of Australian Children reported their child's involvement in organised youth sport and self-reported measures of mental health. A total of 3192 primary (M = 43.04 years, SD = 8.75), and 2794 secondary (M = 46.13 years, SD = 6.16) parents of adolescent children were enrolled in the study. To investigate differences by type of sport participation, sport participation was grouped into one of four categories: non-participation; individual sport only; team sport only; both team and individual sport. Measures of days per week and hours per day of participation were also used to examine the relationship between sport participation and parental mental health.ResultsParents with adolescents involved in organised sport reported more life stress, more time pressure, and less psychological distress than parents of non-athletes. Stronger effects appeared in primary parents in comparison to secondary parents.ConclusionThe findings suggest an important relationship with respect to having a child involved in organised sport and parents' mental health. We encourage future scholars to explore potential protective mechanisms' (e.g., opportunities to socialise) of having a child in youth sport for the benefit of parents' mental health.     

Physical activity and posttraumatic growth: A systematic review of quantitative and qualitative studies

ObjectivesThis systematic review aimed to examine the relationships between physical activity and posttraumatic growth (PTG) following a highly stressful life event.DesignA systematic review was conducted to identify eligible articles. A meta-analysis was conducted for quantitative studies and a meta-ethnographic synthesis was conducted for qualitative studies.MethodAfter systematic searches of five databases and literature screening, 20 quantitative studies and 12 qualitative studies were included in the final review. A meta-analysis of 14 quantitative studies was conducted to examine association between leisure-time physical activity and PTG. A meta-ethnographic synthesis of 10 qualitative studies was conducted to examine the relationship between physical activity and the experience of PTG.ResultsThe meta-analysis revealed a positive, yet small, association between leisure-time physical activity and PTG (average correlation = 0.120; 95% confidence interval: 0.071 to 0.168; p < 0.001). The effect sizes did not differ by measurements of PTG and participants’ age and gender but were smaller in studies with a binary variable of physical activity, a sample of participants with moderate or advanced diseases, and a longer period since the stressful event. The meta-ethnographic synthesis identified potential processes linking physical activity and PTG, including perceptions of self, social experiences, philosophical re-evaluation, and health effects.ConclusionsThis review suggest physical activity is a behavioral factor that may facilitate PTG. It highlights methodological considerations for further research.     

Narratives of trauma,recovery, and growth: The complex role of sport following permanent acquired disability

ObjectivesThe purpose of this study was to explore how participation in sport may assist an individual in working through experiences of physical trauma.DesignAn instrumental, collective case study was used to illustrate the experiences of two men with acquired disabilities.MethodBoth men participated in sport at a high level and suggested that participation was a central feature of their recovery from trauma. Interviews invited participants to describe their lives pre-trauma, the trauma experience, and the recovery process. A narrative analysis was used to focus on the progression of the plot outlined in each participant's story.ResultsOur results exemplify two narrative types: assimilation and positive accommodation. The narrative of positive accommodation demonstrates how sport provided mastery experiences, enhanced relationships, corporeal understanding and enhanced life philosophies. The alternative narrative of assimilation was associated with resilience to trauma. Our case illustrates that such a narrative may be focused on re-capturing previous life meanings and creating an athletic identity using past definitions of sport.ConclusionWhile the narrative of positive accommodation is most frequently associated with posttraumatic growth, our case outlines the occurrence of synchronous positive and negative experiences, even within the same dimensions of growth. The narrative of assimilation demonstrates the challenges presented by the rehabilitation and sporting environments for an individual who aimed to restore their pre-trauma self and pre-trauma beliefs.     

Coaches' perceptions of athletes' stress-related growth following sport injury

ObjectiveThe objective of this study was to examine coaches' perceptions of athletes' stress-related growth following sport injury.DesignQualitative inquiry, grounded in a post-positivism paradigm was used to gain an in-depth understanding of the study's objective.MethodA purposeful sample of eight coaches (M age = 45.7; SD = 11.2) were interviewed across different sports and competitive standards. The semi-structured life world interviews were analysed using content analysis, and two trustworthiness procedures were employed to bolster the rigour of the findings (i.e., peer-debriefing and member checking).ResultsFindings revealed four general dimensions of stress-related growth: personal growth (e.g., beliefs), psychological growth (e.g., sporting qualities), social growth (e.g., social support), and physical growth (e.g., strength). The coaches also reported a number of behavioural indicators that reflected the four general dimensions (e.g., health and performance).ConclusionsFindings ‘validate’ or provide coherence with athletes' self-reports of stress-related growth in previous research and also extend the literature by identifying a number of novel types of growth and perceived behavioural correlates. Future avenues of research include the need to conduct prospective studies and explore related concepts (e.g., vicarious stress-related growth).     

Psychological Adjustment,Coping, and Emotion Regulation as Predictors of Posttraumatic Growth

Abstract

The present study examined factors contributing to reported benefits of traumatic experiences or posttraumatic growth (PTG) in a college sample. Specifically, we examined dimensions typically associated with trauma recovery (i.e., psychological functioning, coping, emotion regulation) and features of the trauma (i.e., number and recency of traumatic events, average, and maximal distress). Participants (N= 193) completed standardized questionnaires measuring these constructs. Results indicated that active coping and subjective well-being independently contributed to PTG, but social desirability and symptom distress were independent of growth. These results were consistent with study expectations. Although not specifically predicted, maximal trauma distress also uniquely predicted PTG. Contrary to expectations, effective emotion regulation did not contribute to PTG.     

I act,therefore I am: Athletic identity and the health action process approach predict sport participation among individuals with acquired physical disabilities

ObjectiveThe study had two objectives 1) to test the fit of the Health Action Process Approach (HAPA) model for sport participation among individuals with acquired physical disabilities and 2) to estimate the extent to which athletic identity predicts intentions to engage in sport within the context of HAPA.DesignProspective cohort of 82 women and 19 men with acquired permanent disabilities (M_age = 44.0; M_{years post-injury} = 16.2; %_{in sport} = 61.7%).MethodAll HAPA indicators and athletic identity were assessed at baseline and sport participation was assessed using the Leisure Time Physical Activity Questionnaire for People with Spinal Cord Injury two weeks later. Structural equation modelling was used to test the HAPA model.ResultsThe HAPA constructs explained 15% of the variance in sport participation and 18% of the variance when athletic identity was added to the model. Instrumental (β = .21), affective (β = .15), and negative outcome expectancies (β = ?.20) were significant predictors of intentions to participate in sport, as was athletic identity (β = .25). Intentions to participate in sport significantly predicted planning (β = .54) yet there was no direct relationship between planning and sport participation (β = ?.008; p > .05). When the relationship between planning and maintenance self-efficacy was reversed, planning had a significant indirect effect on sport participation through maintenance self-efficacy (β = .33).ConclusionThe HAPA model is a good predictive model for sport participation among those with acquired physical disabilities; furthermore, athletic identity accounts for additional variance in sport participation. These constructs can be valuable components of sport promotion programs for this population.     

Stories that move? Peer athlete mentors' responses to mentee disability and sport narratives

BackgroundHow people respond to the stories people tell matters. Past research demonstrates that there are varied responses to the narratives individuals with spinal cord injury (SCI) use. Yet, no research has explored how peer athlete mentors with SCI respond to their mentees' stories about sport participation that are framed in different disability narratives.PurposeTo explore how peer athlete mentors respond to four mentees' vignettes representing various attitudes towards adapted sport.MethodsThirteen peer athlete mentors discussed these vignettes in hour-long interviews; their responses were analysed using a dual narrative analysis.ResultsPeer athlete mentors tailored their responses to each individual vignette. Specifically, responses to the most open vignettes were tailored to the mentees' disability narratives and provided a variety of resources and sport information. This type of response to mentees' stories can support and validate these mentees' experiences and increase the likelihood that mentees will try sport. In contrast, peer athlete mentors' responses to the heavily resistant vignettes contained limited information about sport. These responses also challenged the mentees' disability narratives. These types of responses may be counter-productive as they invalidate the mentees' experiences with sport and SCI and may further deter sport participation.ConclusionWhile peer athlete mentors tailored the information they would provide to mentees who use different disability narratives, they expressed difficulties responding to the heavily resistant narrative. Future peer athlete mentor training should address this difficulty by providing practice around how to communicate with individuals expressing resistant narratives.     

Posttraumatic Stress,Posttraumatic Growth,and Satisfaction With Life in Military Veterans

Objective: Military veterans are more likely than civilians to experience trauma and posttraumatic stress disorder (PTSD). Research suggests, however, that some people who experience trauma, including veterans, report posttraumatic growth (PTG), or positive personal changes following adversity. In this study, we tested a comprehensive model of PTG, PTSD, and satisfaction with life in a veteran population, exploring the roles of challenges to core beliefs, types of rumination, sex, and time since event. Method: Data were collected via Amazon’s Mechanical Turk, an online crowdsourcing website, from veterans (N = 197) who had experienced a stressful event within the last 3 years (M = 16.66 months, SD = 12.27 months). Structural equation modeling was used to test an integrated conceptual model of PTG, PTSD, and satisfaction with life. Results: Results showed that challenge to core beliefs was directly associated with both deliberate and intrusive rumination. Deliberate rumination was positively related to PTG; intrusive rumination was positively related to symptoms of PTSD. PTG and PTSD, in turn, mediated the relationship between rumination styles and satisfaction with life; PTG was related to higher satisfaction with life; and PTSD was negatively related to satisfaction with life. Results failed to show differences on any model variables as a function of time since event or sex. Conclusion: Results indicate that the intentional facilitation of PTG may be a complementary and alternative option to the reduction of PTSD symptoms for improving satisfaction with life. Findings suggest that efforts to facilitate PTG should be focused on strategies for promoting deliberate rumination.     

The relation between emotion regulation choice and posttraumatic growth

ABSTRACT

Previous research has examined emotion regulation (ER) and trauma in the context of psychopathology, yet little research has examined ER in posttraumatic growth (PTG), the experience of positive psychological change following a traumatic event. ER typically involves decreasing negative affect by engaging (e.g. reappraisal) or disengaging (e.g. distraction) with emotional content. To investigate how ER may support PTG, participants who experienced a traumatic event in the past 6 months completed a PTG questionnaire and an ER choice task in which they down regulated their negative emotion in response to negative pictures of varying intensity by choosing to distract or reappraise. Latent growth curve analyses revealed that an increase in reappraisal choice from low to high subjective stimulus intensity predicted higher PTG, suggesting that individuals who chose reappraisal more as intensity increased reported higher PTG. Findings suggest that reappraisal of negative stimuli following a traumatic event may be a key component of PTG.     

High school student-athletes’ perceptions and experiences of leadership as a life skill

ObjectivesThe purpose of this study was to gain student-athlete perceptions of: (1) the definition of leadership for high school student-athletes; (2) the process of leadership development in high school sport; and (3) the factors that have helped or hindered leadership transfer between high school sport and other life domains.DesignThis study was grounded in an interpretivist ontological perspective and used focus group interviews to gather insights of student-athletes’ leadership experiences.MethodPurposeful sampling identified 33 high-school student-athlete leaders who were members of student advisory councils for high school state athletic associations in the United States. The 15 females and 18 males participated in focus-group interviews. Reflexive thematic analysis of the interview data was then conducted.ResultsResults revealed that student-athlete leadership was viewed as a skill-set and a mindset, driven by individual agency. As an on-going developmental process, student-athletes gained awareness of leadership skills, increased self-expectations and self-confidence in their use and application of leadership skills, and developed a transformational leadership mindset, as they encountered and engaged with critical learning opportunities in high school sport and gained support from coaches and peers. Leadership application outside of sport was a multidimensional psychological process, including both conscious and implicit elements, and facilitated or constrained by environmental opportunities and social influences.ConclusionsHigh school sport offers a unique context where self-agentic youth leadership development in sport and life can occur through experiential learning opportunities. To this point, future research directions and recommendations for practitioners will be provided.     

High School Sport Participation and Subsequent Psychological Well-Being and Physical Activity: The Mediating Influences of Body Image, Physical Competence, and Instrumentality

This study examined the relationship of high school sport participation to psychological well-being and physical activity involvement in college. First semester female undergraduates (n?=?260) at a large public university in the southern United States reported their high school sport participation and completed a series of questionnaires assessing their current body image, physical competence, instrumentality, psychological well-being, and physical activity levels. Body image, physical competence, and instrumentality mediated the relationships between high school sport involvement and college well-being and level of activity. This model accounted for 46% of the variance in college physical activity and 60% in psychological well-being, suggesting that these benefits accrue as a result of changes in how women view themselves and their bodies.     

Coach autonomy support predicts autonomous motivation and daily moderate-to-vigorous physical activity and sedentary time in youth sport participants

ObjectiveGuided by self-determination theory (Deci & Ryan, 1987), this study tested a trans-contextual model linking perceptions of the social environment created by the youth sport coach to levels of autonomous and controlled motivation, and objectively measured daily moderate-to-vigorous physical activity (MVPA) and sedentary time (ST) in young football players.DesignThe study employed a cross-sectional design, assessing physical activity using accelerometers.Method105 male youth sport footballers (M age = 12.79 ± 1.85 years) wore a GT3X accelerometer for 7 days. Measures of height and weight were recorded. Participants completed a multi-section questionnaire assessing perceptions of autonomy support and controlling coaching behaviours, and motivation toward their participation in sport and physically active games.ResultsPath analysis supported a model in which players’ perceptions of coach-provided autonomy support positively predicted autonomous motivation for sport engagement. In turn, autonomous motivation was positively associated with MVPA, and negatively related to ST (min/day). Controlling coach behaviours were positively linked to controlled motivation. However, controlled motivation for sport and physically active games was unrelated to daily MVPA and ST. Perceptions of coach-provided autonomy support had a significant positive indirect effect on daily MVPA, and a significant negative indirect effect on daily ST.ConclusionsResults suggest that autonomy supportive coach behaviours are related to daily physical activity patterns in young male footballers. Theory-based interventions that aim to encourage autonomy supportive coaching, and subsequently foster autonomous reasons for sport engagement, may enhance the potential of youth sport for increasing daily MVPA and reducing ST among children and adolescents active in this setting     

Evolutionary sport and exercise psychology: Integrating proximate and ultimate explanations

ObjectivesThis review aims to demonstrate the utility of integrating the insights of evolutionary psychology with sport and exercise psychology. Specifically, we offer a primer on evolutionary psychology that we then discuss in the context of several research avenues in sport and exercise. Next, we discuss how evolutionary psychology can inform our understanding of sporting culture.DesignReview paper.MethodsTheory and research are selectively reviewed in efforts to demonstrate the utility and limits of evolutionary psychology as an approach to sport and exercise psychology.Results and conclusionsEvolutionary psychology offers researchers in sport and exercise psychology an improved capacity to produce proximate explanations (i.e., how psychological mechanisms interact with the environment to produce behavior) by generating productive and novel hypotheses from ultimate explanations (i.e., why a psychological mechanism evolved a particular design; Tooby & Cosmides, 1992, 2005). The worth of integrating proximate and ultimate explanations is demonstrated by the ensuing novel insights of popular avenues of sport and exercise psychology including (a) the interrelation between motivation and reasoning and their relative influence on exercise behavior, (b) sex differences in sport participation, (c) performance in sport, and (d) group dynamics in sport. Unlike specific fields of psychology, evolutionary psychology is a metatheoretical approach that can foster mutually productive linkages between currently disparate areas within sport and exercise psychology, and with neighboring disciplines.     

Long Term Posttraumatic Growth After Breast Cancer: Prevalence,Predictors and Relationships with Psychological Health

This study evaluated the prevalence and predictors of long term posttraumatic growth (PTG) after breast cancer, and relationships of PTG with psychological health in a random sample of 307 currently disease-free women 5–15 years after diagnosis. This cross-sectional study reveals long term posttraumatic growth scores comparable to those found in shorter term studies. Prevalence of a better appreciation of life is especially noteworthy. With the exception of perceived current sequelae of disease associated in a somewhat curvilinear fashion with PTG, demographic and medical variables are poor predictors of the issue. On the contrary, dispositional positive affectivity and adaptative coping of positive, active, relational, religious and to some extent denial coping have a strong effect on growth. Finally, PTG is slightly associated with mental quality of life and happiness. Findings are discussed in the light of posttraumatic growth theory.     

Self-determination of contextual motivation,inter-context dynamics and adolescents’ patterns of sport participation over time

ObjectivesPrevious studies have shown the heuristic qualities of self-determination theory constructs to predict sport persistence. The purpose of this study was to extend these researches by focusing on the conflicting or instrumental relationship between sport and other life contexts (i.e., school and friendship) to enhance the understanding of this phenomenon.DesignA correlational longitudinal field design was used, including two data collections over 1 year.MethodParticipants were 446 French high school students (mean age=13.85). Self-determined motivation toward sport, school and friendship, perceived conflicts versus instrumental relationships between sport and the other contexts, and sport participation during leisure time were assessed at wave 1. One year later, participants completed the same self-report measure of sport practise.ResultsStructural equation modelling revealed that (a) self-determined motivation toward sport, education and friendship was significantly related to the levels of conflict and instrumentality between those contexts and (b) a competing relationship between sport and education was negatively linked to sport participation at Time 2, whereas the other inter context relationships were not.ConclusionFindings suggest that other contexts like education can undermine sport investment among adolescents.     

The gap between athletes’ and parents’ perceptions of parental practices: The role of gender

ObjectivesThe present study explored the differences between athletes’ and parents’ perceptions of parental practices (i.e., active involvement, directive, pressure, praise, and understanding behaviours implemented by parents in the context of their child’s sport) by considering athletes’ and parents’ gender.Designcross-sectional study.MethodParents (N = 352) and athletes (N = 256, M = 14.72 years) completed a questionnaire to measure their perceptions of parental practices in sport. Zero-order correlations were computed for the entire sample and each sub-group (i.e., father-daughter, father-son, mother-daughter, and mother-son). One-level multilevel model (level 1: respondent) was computed to measure the influence of the respondent on the perceptions of parental practices. Two-level multilevel model (level 1: respondent, level 2: dyad) estimated the impact of the athletes’ gender, parents’ gender, and their interaction on the differences in perceptions.ResultsCorrelations highlighted relatively modest concordance between perceptions of parents and adolescents. Multilevel models showed that compared to athletes, parents reported significantly less frequent use for directive behaviours (β = −0.29) and more frequent use for active involvement (β = −0.18) and praise and understanding (β = 0.27). Correlations and multilevel models showed that the differences between athletes’ and parents’ perceptions of parental practices differed according to gender. The differences in perceptions of the directive behaviours (β = −0.22) and active involvement (β = 0.22) were higher when the father was involved in the dyad compared to the mother.     

How do supporters perceive positive and negative psychological momentum changes during a simulated cycling competition?

ObjectiveThe present study examined changes in sport supporters' psychological momentum (PM) during a simulated cycling competition through the lens of the dynamical systems approach.DesignParticipants were asked to support one of two competing cyclists involved in a race that was displayed on a screen in a lecture hall.MethodThe race scenario was manipulated so that the image of the supported cyclist underwent either positive or negative momentum. At regular intervals, participants indicated their PM perceptions during the race.ResultsPM perceptions rapidly changed at the onset of both the positive and negative momentum sequences and then remained stable, reflecting negative hysteresis. Supporters tended to anticipate the future performance of a given athlete on the basis of their current performance. Moreover, this anticipatory tendency was stronger during the positive momentum sequence than during the negative momentum sequence.ConclusionThese results provide initial insights into how PM perceptions of sport supporters change during a competition.     

Posttraumatic Growth: Spouses’ Relationship Quality and Psychological Distress

While research links interpersonal processes to posttraumatic growth (PTG; Calhoun &; Tedeschi, 2006a Calhoun, L. G., &; Tedeschi, R. G. (2006a). Expert companions: Posttraumatic growth in clinical practice. In L. G. Calhoun, &; R. G. Tedeschi (Eds.), Handbook of posttraumatic growth: Research &; practice (pp. 291–310). Mahwah, NJ: Lawrence Erlbaum. [Google Scholar]), little is known about whether partners’ PTG has consequences for people’s (i.e., actors’) relationship functioning and psychological distress. Sixty-one married couples who had experienced severe flooding completed measures of PTG, perceptions of spouses’ PTG, relationship quality, and psychological distress 6 and 12 months following the event. Partners’ increased PTG predicted actors’ increased perceptions of partners’ PTG, which predicted actors’ increased relationship quality, which, in turn, predicted actors’ decreased psychological distress. Thus, partners’ PTG can benefit spouses’ evaluations of their relationship and, ultimately, actors’ psychological well-being.