Actualidades en Psicología ISSN Impreso: 0258-6444 ISSN electrónico: 2215-3535

Predictors of Acute Posttraumatic Symptoms and Post-Stress Growth After a Recent Work Accident
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Occupational health
posttraumatic growth
acute stress disorder
posttraumatic stress disorder
psycho-social risk
accidente del trabajo
salud ocupacional
crecimiento postraumático
trastorno por estrés agudo
trastorno por estrés postraumático
riesgo psicosocial
Occupational health
posttraumatic growth
acute stress disorder
posttraumatic stress disorder
psycho-social risk
Occupational health
posttraumatic growth
acute stress disorder
posttraumatic stress disorder
psycho-social risk

How to Cite

García, F. E., & Miranda Hermosilla, F. (2019). Predictors of Acute Posttraumatic Symptoms and Post-Stress Growth After a Recent Work Accident. Actualidades En Psicología, 33(126), 117–135.


The aim of this study is to evaluate a predictive model of acute posttraumatic symptomatology (PTS) and post-stress growth (PSG) in workers who suffered a recent work accident. To this end, 246 workers (23.2% women) were surveyed, aged between 18 and 73 years. The main predictors of PTS were subjective severity of event, negative religious coping, positive reinterpretation, and intrusive, brooding and deliberate rumination. At the same time, the main predictors of PSG were deliberate rumination and positive religious coping. A path analysis was performed to evaluate a model in which intrusive and deliberate rumination fulfill a mediating function, obtaining adequate goodness-of-fix indices. The need to have a method of early evaluation of psychological responses after an accident is proposed.
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Alzugaray, C., García, F., Reyes, A., & Álvarez, R. (2015). Propiedades psicométricas de una versión breve de la escala de rumiación relacionada a un evento en población chilena afectada por eventos altamente estresantes. Ajayu, 13(2), 183-198.

American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders. (4th ed.) Washington, DC: American Psychiatric Press.

Arditte, K. A., & Joormann, J. (2011). Emotion regulation in depression: Reflection predicts recovery from a major depressive episode. Cognitive Therapy and Research, 35(6), 536–543. doi: 10.1007/s10608-011-9389-4

Asociación Chilena de Seguridad. (2004). Anuario Estadístico 2003. Santiago, Chile: Gerencia de Prevención, ACHS.

Avilés, P., Cova, F., Bustos, C. & García, F. E. (2014). Afrontamiento y rumiación frente a eventos adversos y crecimiento postraumático en estudiantes universitarios. Liberabit, 20(2), 281-292.

Bonanno, G. A. (2004). Loss, trauma and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist, 59(1), 20-28. doi: 10.1037/0003-066x.59.1.20

Bosson, J., Kelley, M. L., & Jones, G. (2012). Deliberate cognitive processing mediates the relation between positive religious coping and posttraumatic growth. Journal of Loss and Trauma, 17(5), 439-451. doi: 10.1080/15325024.2011.650131

Bradley, R., Schwartz, A. C., & Kaslow, N. J. (2005). Posttraumatic stress disorder symptoms among low-income, African American women with a history of intimate partner violence and suicidal behaviors: Self-esteem, social support, and religious coping. Journal of Traumatic Stress, 18(6), 685-696. doi: 10.1002/jts.20077

Brewin, C. R., Andrews, B., & Valentine, J. D. (2000). Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. Journal of Consulting and Clinical Psychology, 68(5), 748-766. doi: 10.1037/0022-006X.68.5.748

Calhoun, L. G., Cann, A., & Tedeschi, R. G. (2010). The posttraumatic growth model: Socio-cultural considerations. In T. Weiss & R. Berger (Eds.), Posttraumatic growth and culturally competent practice: Lessons learned from around the globe (pp. 1-14). Hoboken, NJ: Wiley.

Cann, A., Calhoun, L., Tedeschi, R., Triplett, K., Vishnevsky, T., & Lindstrom, C. (2011). Assessing posttraumatic cognitive processes: The event related rumination inventory. Anxiety, Stress, & Coping, 24(2), 137-156. doi: 10.1080/10615806.2010.529901

Carver, C. S. (1997). You want to measure coping but your protocol’s too long: Consider the Brief COPE. International Journal of Behavioral Medicine, 4(1), 92-100. doi: 10.1207/s15327558ijbm0401_6

Connor, K., & Davidson, J. (2001). SPRINT: A brief global assessment of post-traumatic stress disorder. International Clinical Psychopharmacology, 16(5), 279-284. doi: 10.1097/00004850-200109000-00005

Cova, F., Rincón, P., & Melipillán, R. (2007). Rumiación y presencia de sintomatología ansiosa y depresiva en adolescentes. Revista Mexicana de Psicología, 24(2), 175-183.

Cova, F., Rincón, P., & Melipillán, R. (2009). Reflexión, rumiación negativa y desarrollo de sintomatología depresiva en adolescentes de sexo femenino. Terapia Psicológica, 27(2), 155-160. doi: 10.4067/S0718-48082009000200001

Danhauer, S. C., Russell, G. B., Tedeschi, R. G., Jesse, M. T., Vishnevsky, T., Daley, K., ... & Powell, B. L. (2013). A longitudinal investigation of posttraumatic growth in adult patients undergoing treatment for acute leukemia. Journal of Clinical Psychology in Medical Settings, 20(1), 13-24. doi:10.1007/s10880-012-9304-5

García, F. E., Cova, F., Rincón, P., & Vázquez, C. (2015). Trauma or growth after a natural disaster? The mediating role of rumination processes. European Journal of Psychotraumathology, 6(1), 1-10. doi: 10.3402/ejpt.v6.26557

García, F. E., Cova, F., Rincón, P., Vázquez, C., & Páez, D. (2016). Coping, rumination and posttraumatic growth in people affected by an earthquake. Psicothema, 28(1), 59-65. doi: 10.7334/psicothema2015.100

García, F., Duque, A, & Cova, F. (2017). The four faces of rumination to stressful events: A psychometric analysis. Psychological Trauma: Theory, Research, Practice, and Police, 9(6), 758-765. doi: 10.1037/tra0000289

García, F. E., Jaramillo, C., Martínez, A. M., Valenzuela, I., & Cova, F. (2014). Respuestas psicológicas ante un desastre natural: Estrés y crecimiento postraumático. Liberabit, 20(1), 121-130.

García, F., Páez, D., Cartes, G., Neira, H., & Reyes, A. (2014). Religious coping, social support and subjective severity as predictors of posttraumatic growth in people affected by the earthquake in Chile on 27/F 2010. Religions, 5(4), 1132-1145. doi: 10.3390/rel5041132

García, F. E., Reyes, A., & Cova, F. (2014). Severidad del trauma, optimismo, crecimiento postraumático y bienestar en sobrevivientes de un desastre natural. Universitas Psychologica, 13(2), 15-24. doi: 10.11144/javeriana.upsy13-2.stop

García, F., & Wlodarczyk, A. (2015). Psychometric properties of the Posttraumatic Growth Inventory - Short Form among Chilean adults. Journal of Loss and Trauma, 21(4), 303-314. doi: 10.1080/15325024.2015.1108788

Ghisi, M., Novara, C., Buodo, G., Kimble, M. O., Scozzari, S., Natale, A. D., ... & Palomba, D. (2013). Psychological distress and post-traumatic symptoms following occupational accidents. Behavioral Sciences, 3(4), 587-600. doi: 10.3390/bs3040587

Gholamzadeh, S., Hamid, T. A., Basri, H., Sharif, F., & Ibrahim, R. (2014). Religious coping and psychological well-being among Iranian stroke caregivers. Iranian Journal of Nursing and Midwifery Research, 19(5), 478-484.

Gonçalves, S., Lima, M., & Marques, A. (2006). Posttraumatic stress disorder, depression and anxiety in work accident victims and witnesses: preliminary results. In C. Guedes Soares & E. Zio (Eds.) Safety and Reliability for Managing Risk (vol. 1, pp. 767- 771). London, England: Taylor & Francis.

Hafstad, G., Gil Rivas, V., Kilmer, R., & Raeder, S. (2010). Parental adjustment, family functioning, and posttraumatic growth among Norwegian children and adolescents following a natural disaster. American Journal of Orthopsychiatry, 80(2), 248-257. doi: 10.1111/j.1939-0025.2010.01028.x

Helgeson, V., Reynolds, K., & Tomich, P. (2006). A meta-analytic review of benefit finding and growth. Journal of Consulting and Clinical Psychology, 74(5), 797-816. doi: 10.1037/0022-006X.74.5.797

Hu, L., & Bentler, P. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1-55. doi: 10.1080/10705519909540118

Jiménez, N., & Alvear, M. (2005). Accidentes de trabajo: Un perfil general. Revista de la Facultad de Medicina UNAM, 48(4), 139-144.

Joormann, J., & Gotlib, I. H. (2010). Emotion regulation in depression: Relation to cognitive inhibition. Cognition & Emotion, 24(2), 281-298. doi: 10.1080/02699930903407948

Kilmer, R. P., & Gil-Rivas, V. (2010). Exploring posttraumatic growth in children impacted by Hurricane Katrina: Correlates of the phenomenon and developmental considerations. Child Development, 81(4), 1211–1227. doi: 10.1111/j.1467-8624.2010.01463.x

Kirschenbaum, A., Oigenblick, L., & Goldberg, A. I. (2000). Well being, work environment and work accidents. Social Science & Medicine, 50(5), 631-639. doi: 10.1016/S0277-9536(99)00309-3

Koenig, H. G., Pargament, K. I., & Nielsen, J. (1998). Religious coping and health status in medically ill hospitalized older adults. The Journal of Nervous and Mental Disease, 186(9), 513-521. doi: 10.1097/00005053-199809000-00001

Kuoppala, J., Lamminpää, A., Väänänen-Tomppo, I., & Hinkka, K. (2011). Employee well-being and sick leave, occupational accident, and disability pension: A cohort study of civil servants. Journal of Occupational and Environmental Medicine, 53(6), 633-640. doi: 10.1097/jom.0b013e31821aa48c

Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.

Leal, F., Carmona, M., & Ferrer, R. (2016). Rumination in posttraumatic stress and growth after a natural disaster: a model from northern Chile 2014 earthquakes. European Journal of Psychotraumatology, 7(1), 31638. doi 10.3402/ejpt.v7.31638

Leiva-Bianchi, M., & Gallardo, I. (2013). Validation of the Short Posttraumatic Stress Disorder Rating Interview (SPRINT-E) in a sample of people affected by F-27 Chilean earthquake and tsunami. Anales de Psicología, 29(2), 328-334. doi: 10.6018/analesps.29.2.130681

Linley, P. A., & Joseph, S. (2004). Positive change following trauma and adversity: A review. Journal of Traumatic Stress, 17(1), 11-21. doi: 10.1023/b:jots.0000014671.27856.7e

McConnell, K. M., Pargament, K. I., Ellison, C. G., & Flannelly, K. J. (2006). Examining the links between spiritual struggles and symptoms of psychopathology in a national sample. Journal of Clinical Psychology, 62(12), 1469-1484. doi: 10.1002/jclp.20325

Morán, C., Landeros, R., & González, M. (2010). Cope-28: un análisis psicométrico de la versión en español de Brief Cope [COPE-28: A psychometric analysis of the Spanish version of the Brief COPE]. Universitas Psychologicas, 9(2), 543-552.

Morris, B., & Shakespeare-Finch, J. (2011). Rumination, posttraumatic growth, and distress: Structural equation modelling with cancer survivors. Psycho-Oncology, 20(11), 1176-1183. doi: 10.1002/pon.1827

Morris, B. A., Shakespeare-Finch, J., Rieck, M., & Newbery, J. (2005). Multidimensional nature of posttraumatic growth in an Australian population. Journal of Traumatic Stress, 18(5), 575-585. doi: 10.1002/jts.20067

Nyberg, E., Stieglitz, R. D., Frommberger, U., & Berger, M. (2003). Psychological disorders after severe occupational accidents. Versicherungsmedizin, 55(2), 76-81.

O’Connor, D. (2017). The role of repetitive thinking and spirituality in the development of posttraumatic growth and symptoms of posttraumatic stress disorder. (Doctoral dissertation). University of Liverpool, England.

Pargament, K. I. (1997). The psychology of religion and coping: Theory, research, practice. New York: Guilford Press.

Pargament, K. I., Koenig, H. G., Tarakeshwar, N., & Hahn, J. (2004). Religious coping methods as predictors of psychological, physical, and spiritual outcomes among medically ill elderly patients: A two-year longitudinal study. Journal of Health Psychology, 9(6), 713-730. doi: 10.1177/1359105304045366

Pargament, K., Smith, B., Koenig, H., & Perez, L. (1998). Patterns of positive and negative religious coping with major life stressors. Journal for the Scientific Study of Religion, 37(4), 710-724. doi: 10.2307/1388152

Prati, G., & Pietrantoni, L. (2009). Optimism, social support, and coping strategies as factors contributing to posttraumatic growth: A meta-analysis. Journal of Loss and Trauma, 14(5), 364-388. doi: 10.1080/15325020902724271

Rajandram, R., Jenewein, J., McGrath, C., & Zwahlen, R. A. (2011). Coping processes relevant to posttraumatic growth: An evidence-based review. Support Care Cancer, 19(5), 583-589. doi: 10.1007/s00520-011-1105-0

Rivera-Ledesma, A., & Montero, L. (2005). Espiritualidad y religiosidad en adultos mayores mexicanos. Salud Mental, 28(6), 51-58.

Schönenberg, M., Reichwald, U., Domes, G., Badke, A., & Hautzinger, M. (2008). Ketamine aggravates symptoms of acute stress disorder in a naturalistic sample of accident victims. Journal of Psychopharmacology, 22(5), 493-497. doi: 10.1177/0269881107082481

Shaw, A., Joseph, S., & Linley, P. A. (2005). Religion, spirituality, and posttraumatic growth: A systematic review. Mental Health, Religion & Culture, 8(1), 1-11. doi: 10.1080/1367467032000157981

Soo, H., & Sherman, K. A. (2015). Rumination, psychological distress and post-traumatic growth in women diagnosed with breast cancer. Psycho-Oncology, 24(1), 70-79. doi: 10.1002/pon.3596

Souto, L., De Oliveira, B., & Haag, C. (2012). Reacciones postraumáticas en los adultos: ¿Cómo, por qué y qué aspectos a evaluar? Temas en Psicología, 20(2), 459-478.

Stockton, H., Hunt, N., & Joseph, S. (2011). Cognitive processing, rumination, and posttraumatic growth. Journal of Traumatic Stress, 24(1), 85-92. doi: 10.1002/jts.20606

Superintendencia de Seguridad Social. (2017). Informe Anual: Estadísticas sobre seguridad social 2016. Santiago, Chile: SUSESO. Recuperado de

Taku, K., Cann, A., Tedeschi, R. G., & Calhoun, L. G. (2009). Intrusive versus deliberate rumination in posttraumatic growth across US and Japanese samples. Anxiety, Stress & Coping, 2(22), 29-36. doi: 10.1080/10615800802317841

Tedeschi, R. G., & Calhoun, L. G. (1996). The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9(3), 455-471. doi: 10.1007/bf02103658

Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15(1), 1-18. doi: 10.1207/s15327965pli1501_01

Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27(3), 247-259. doi: 10.1023/A:102391031556

Triplett, K. N., Tedeschi, R. G., Cann, A., Calhoun, L. G., & Reeve, C. L. (2012). Posttraumatic growth, meaning in life, and life satisfaction in response to trauma. Psychological Trauma: Theory, Research, Practice, and Policy, 4(4), 400-410. doi: 10.1037/a0024204

Vázquez, C., Castilla, C., & Hervás, G. (2009). Reacciones ante el trauma: Resistencia y crecimiento. En E. Fernández-Abascal (Ed.), Las Emociones Positivas (pp. 375-392). Madrid, España: Pirámide.

Vicente-Herrero, M. T., Torres, J. I., Ramírez, M. V., Terradillos, M. J., Capdevila, L., & López-González, A. (2014). Trastorno de estrés postraumático de causa laboral: Determinación de la contingencia en España. Revista Mexicana de Salud en el Trabajo, 6(16), 56-61.

Yu, C. (2002). Evaluating cutoff criteria of model fit indices for latent variable models with binary and continuous outcomes. (Doctoral Dissertation). University of California, Los Angeles, USA. Retrieved from

Zoellner, T., & Maercker, A. (2006). Posttraumatic growth in clinical psychology: A critical review and introduction of a two component model. Clinical psychology review, 26(5), 626-653. doi: 10.1016/j.cpr.2006.01.008



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