Authors: Giulia Menculini; Umberto Albert; Valeria Bianchini; Claudia Carmassi; Giuseppe Carrà; Francesca Cirulli; Bernardo Dell'Osso; Michele Fabrazzo; Francesco Perris; Gaia Sampogna; Maria Giulia Nanni; Maurizio Pompili; Gabriele Sani; Umberto Volpe; Alfonso Tortorella · Research
Can People Experience Positive Growth After Living Through a Pandemic?
A study examining post-traumatic growth in the Italian population during the COVID-19 pandemic
Source: Menculini, G., Albert, U., Bianchini, V., Carmassi, C., Carrà, G., Cirulli, F., Dell'Osso, B., Fabrazzo, M., Perris, F., Sampogna, G., Nanni, M. G., Pompili, M., Sani, G., Volpe, U., & Tortorella, A. (2021). Did we learn something positive out of the COVID-19 pandemic? Post-traumatic growth and mental health in the general population. European Psychiatry, 64(1), e79, 1–10. https://doi.org/10.1192/j.eurpsy.2021.2263
What you need to know
- Most people did not experience significant post-traumatic growth during the early stages of the COVID-19 pandemic in Italy
- People who used adaptive coping strategies like seeking emotional support were more likely to experience post-traumatic growth
- Factors like resilience, social support, and education level were associated with higher levels of post-traumatic growth
Post-traumatic growth during a pandemic
When faced with traumatic or highly stressful situations, some people are able to not just cope, but actually experience positive personal growth as a result. This phenomenon is known as post-traumatic growth. While much research has examined the negative mental health impacts of the COVID-19 pandemic, less is known about whether people may have experienced any positive psychological changes.
This study aimed to measure levels of post-traumatic growth in the Italian general population during the early stages of the pandemic and identify factors associated with growth. The researchers surveyed over 20,000 Italian adults during the initial lockdown period in spring 2020.
Limited growth, but some positive changes
Overall, the majority of participants (67%) did not report significant improvement in any domain of post-traumatic growth. Only 4% experienced substantial growth across all areas measured.
However, some people did report moderate levels of growth in specific areas:
- 18% experienced growth in their appreciation for life
- 18% felt an increased sense of personal strength
- Only 5% reported growth in their spiritual or religious life
On average, participants reported the highest levels of growth in appreciating life more (scoring 2.3 out of 5), while spiritual change showed the lowest levels (1.2 out of 5).
Factors associated with post-traumatic growth
Several factors were linked to higher levels of post-traumatic growth:
Resilience: People with higher resilience scores were more likely to experience growth across all dimensions. This suggests that those who are able to adapt well to stress and adversity may be more prone to find meaning and personal development even in difficult circumstances.
Social support: Perceived support from family and friends was associated with greater post-traumatic growth. Having a strong social network to rely on may help people process traumatic experiences in more positive ways.
Education level: Those with higher levels of education tended to report more post-traumatic growth. Education may provide cognitive resources that allow for more adaptive processing of difficult events.
Adaptive coping strategies: People who used coping strategies like seeking emotional support, positive reframing, and gaining practical support experienced more growth. These strategies may help people find new perspectives and meaning.
Age: Adults aged 55-64 were most likely to report growth in relating to others and personal strength compared to other age groups.
Gender: Women reported slightly higher levels of growth in personal strength and appreciation for life compared to men.
Coping strategies matter
The use of adaptive coping strategies emerged as an important factor in experiencing post-traumatic growth. Specifically:
- Seeking emotional support was linked to growth in relating to others, finding new possibilities, and appreciating life more
- Positive reframing was associated with growth across several domains
- Getting practical support predicted growth in relating to others and finding new possibilities
On the other hand, maladaptive coping strategies like self-blame and venting emotions were associated with lower levels of post-traumatic growth.
This highlights the importance of how people cope with stressful situations. Those who are able to use more constructive coping methods may be better positioned to find positive meaning and personal development even in the face of trauma or adversity.
Implications for supporting mental health
While the COVID-19 pandemic has undoubtedly taken a toll on mental health, these findings suggest there may be opportunities to promote resilience and growth as well. Some key implications include:
- Providing education and resources on adaptive coping strategies could help more people experience positive psychological changes
- Building social support networks and community connections may foster post-traumatic growth
- Interventions to boost resilience could have protective effects against trauma and stress
- Tailored mental health support may be needed for different age groups and genders
- Even small increases in appreciating life or personal strength could be meaningful outcomes
The researchers emphasize that identifying protective factors is crucial for developing targeted interventions to prevent mental health disorders on a large scale in the wake of collective traumas like a pandemic.
Limitations and future directions
This study provides an important snapshot of post-traumatic growth early in the pandemic. However, some limitations should be noted:
- The online survey methodology may have led to selection bias
- As a cross-sectional study, it cannot show causal relationships or how growth may change over time
- Other factors like personality traits were not measured but may influence post-traumatic growth
Future research tracking post-traumatic growth over the longer course of the pandemic would be valuable. Studies examining how post-traumatic growth relates to other mental health outcomes could also provide insights to inform interventions.
Conclusions
- Most people did not experience significant post-traumatic growth in the early stages of the pandemic
- However, some reported moderate growth in appreciating life and feeling stronger
- Resilience, social support, education, and adaptive coping were key factors associated with growth
- Promoting positive coping strategies and resilience may help more people find meaning and personal development even in difficult circumstances
While the pandemic has created immense challenges, understanding factors that promote resilience and growth can help inform mental health supports as society continues to navigate the impacts of COVID-19. Even small positive changes in how people relate to others or appreciate life could be meaningful in the face of collective trauma.