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Post-Traumatic Growth in Penetrating Trauma Patients Admitted to a Level I Trauma Center
Caroline Gosser1, Martin Huecker1, Maher Alia1
1Emergency Medicine, University of Louisville, Louisville, Kentucky.
The Journal of Emergency Medicine
|September 6, 2025
Summary
Victims of penetrating trauma can experience post-traumatic growth (PTG), not just post-traumatic stress disorder (PTSD). PTG correlates with improved well-being, though PTSD symptoms may lower PTG scores.
Area of Science:
- Trauma Studies
- Psychology
- Mental Health Research
Background:
- Post-traumatic stress disorder (PTSD) is a common outcome of violent trauma.
- However, some individuals exhibit post-traumatic growth (PTG), characterized by positive psychological changes.
- PTG has been linked to enhanced mental and physical health and reduced substance abuse.
Purpose of the Study:
- To investigate the prevalence and characteristics of post-traumatic growth (PTG) in survivors of penetrating trauma.
- To explore the relationship between PTG, PTSD symptoms, and overall well-being in this population.
Main Methods:
- A cohort of penetrating trauma survivors was recruited.
- Participants completed validated questionnaires including the Post-Traumatic Growth Inventory (PTG-I), WHO Well-Being Index (WHO-5), and a PTSD screening tool.
- Multivariate regression analyses were used to examine relationships between PTG and other variables, controlling for demographics.
Main Results:
- The highest mean PTG scores were observed for appreciation of life, feeling stronger than expected, appreciating each day, and being more likely to change.
- Lower scores were reported for harmony with the world, emotional expression, closeness to others, and new opportunities.
- Individuals screening positive for PTSD reported significantly lower PTG scores compared to those without PTSD symptoms (p < 0.001).
Conclusions:
- This study demonstrates that post-traumatic growth (PTG) is present in victims of penetrating trauma.
- A complex interplay exists between PTG, PTSD, and well-being, influenced by demographic factors.
- Future research should focus on cultivating PTG during trauma recovery and treatment.
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