Journal of Health Psychology
16(8) 1259–1267
© The Author(s) 2011
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DOI: 10.1177/1359105311405872
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Introduction
Exposure to stressful and traumatic events can
have severe psychological consequences.
However, there is a growing body of evidence of
positive psychological changes as a result of
people’s struggle with such events (Joseph and
Linley, 2008). This phenomenon has been
described in individuals traumatized after disas-
ter, war or other forms of adversity, as well as in
bereaved parents (Engelkemeyer and Marwit,
2008), parents of critically ill children (Colville
and Cream, 2009) or parents of children with a
serious chronic disease, such as cancer (Barakat
et al., 2006). The positive changes can evolve in
the absence of posttraumatic stress or they can
coexist beside or in spite of it (Folkman, 2008;
Zoellner et al., 2008). They do not only imply
recovery after a trauma but also individual
development in the sense of personal growth
(Zoellner and Maercker, 2006). The research in
this area has usually conceptualized the growth
processes based on the work of Tedeschi and
Calhoun (1996) who introduced the term post-
traumatic growth (PTG). According to their
Posttraumatic growth in mothers
and fathers of children with severe
illnesses
Ines Hungerbuehler
1
, Margarete E Vollrath
2
,
Markus A Landolt
1,3
Abstract
Posttraumatic growth (PTG) can occur after various types of trauma but has not been studied prospectively
in parents of children with chronic diseases. In this study, PTG was assessed in 126 parents of 67 children
with type 1 diabetes or cancer three years after diagnosis. Most parents (62.7%) reported at least a moderate
degree of PTG. Quality of family relationships, parental psychological distress and child medical characteristics
assessed one month after diagnosis, and parents’ gender, explained 34 percent of PTG variance. The findings
confirm that a severe disease of a child can lead to personal growth in the child’s parents.
Keywords
chronic illness, chronic disease, parents, posttraumatic growth
1
University Children’s Hospital Zurich, Zurich, Switzerland
2
Division of Mental Health, Norwegian Institute of Public
Health, Oslo, Norway
3
Children’s Research Center, University Children’s
Hospital Zurich, Zurich, Switzerland
Corresponding author:
Dr. Markus A Landolt, Department of Psychosomatics
and Psychiatry, University Children’s Hospital Zurich,
Steinwiesstrasse 75, CH-8032 Zurich, Switzerland.
Email: markus.landolt@kispi.uzh.ch.
405872HPQ XX X 10.1177/1359105311405872Hungerbuehler et al.Journal of Health Psychology
Article