Keywords
Post-traumatic stress
post-traumatic symptomatology
COVID-19 pandemic
college student
Crecimiento postraumático
Estrés postraumático
estudiantes universitarios
sintomatologia postraumatica
pandemia por COVID-19
Post-traumatic stress, post-traumatic symptomatology, posttraumatic growth, COVID-19 pandemic, college student
How to Cite
Abstract
Objective. To evaluate a predictive model of posttraumatic symptomatology (PTS) and posttraumatic growth (PTC), which included psychological, pandemic-related, and online classroom-related variables, in higher education students during the pandemic. Method. A total of 552 students participated, 68.5% of whom were women. Instruments were applied to measure different psychological variables. Results. It was established that a model that included intrusive and deliberate rumination, subjective severity, emotional suppression, cognitive reappraisal, social support, adequate space to connect to online classes, and educational attainment significantly predicted PTS. Deliberate rumination, social support, cognitive reappraisal, and age predicted CPT. The relevance of these findings to the academic support that could be provided to students is discussed.
References
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. http://www.scielo.org.bo/pdf/rap/v13n2/v13n2a04.pdf
Arechabala, M., & Miranda, C. (2002). Validación de una escala de apoyo social percibido en un grupo de adultos mayores adscritos a un programa de hipertensión de la región metropolitana. Ciencia y Enfermería, 8(1), 49-55. https://doi.org/10.4067/s0717-95532002000100007
Banna, M. H. A., Sayeed, A., Kundu, S., Christopher, E., Hasan, M. T., Begum, M. R., Dola, S. T., Hassan, M. M., Chowdhury, S., & Khan, M. S. I. (2020). The impact of the COVID-19 pandemic on the mental health of the adult population in Bangladesh: A nationwide cross-sectional study. International Journal of Environmental Health Research, 29(6), 1-12 https://doi.org/10.1080/09603123.2020.1802409
Betancourt, T. S., Brennan, R., Vinck, P., VanderWeele, T., Spencer-Walters, D., & Jeong, J. (2016). Associations Between Mental Health and Ebola-Related Health Behaviors: A Regionally Representative Cross-Sectional Survey in Post-Conflict Sierra Leone. PLoS Medicine. 13(8), 1-15. https://doi:10.1371/journal.pmed.1002073
Bellizzi, K. M., & Blank, T. O. (2006). Predicting posttraumatic growth in breast cancer survivors. Health Psychology, 25(1), 47-56. https://doi.org/10.1037/0278-6133.25.1.47
Boals, A., & Schuettler, D. (2009). PTSD symptoms in response to traumatic and non- traumatic events: The role of respondent perception and A2 criterion. Journal of Anxiety Disorders, 23(4), 458-462. https://doi.org/10.1016/j.janxdis.2008.09.003
Bramanti, S. M., Trumello, C., Lombardi, L., & Babore, A. (2021). COVID-19 and chronic disease patients: Perceived stress, worry, and emotional regulation strategies. Rehabilitation Psychology, 66(4), 380-385. https://doi.org/10.1037/rep0000409
Bustos, C. (2011). Cuando se acaba el amor: Estrategias de afrontamiento, duelo por pérdidas amorosas y crecimiento postraumático en estudiantes universitarios [Tesis de pregrado, Universidad San Francisco de Quito]. Repositorio Digital USFQ. http://repositorio.usfq.edu.ec/handle/23000/604
Cabello, R., Fernández, P., Ruiz, A., & Extremera, N. (2006). Aproximación a la integración de diferentes medidas de regulación emocional. Ansiedad y Estrés. 12(2), 155-166. https://emotional.intelligence.uma.es/documentos/1-Cabello2006.pdf
Cann, A., Calhoun, L., Tedeschi, R., Taku, K., Vishnevsky, T., Triplett, N., & Danhauer, C. (2010). A short form of the Posttraumatic Growth Inventory. Anxiety, Stress, & Coping, 23(2), 127-137. https://doi.org/10.1037/t04817-000
Cann, A., Calhoun, L., Tedeschi, G., Triplett, N., Vishnevsky, T., & Lindstrom, M. (2011). Assessing posttraumatic cognitive processes: The event related rumination inventory. Anxiety, Stress, & Coping, 24(2), 137-156. https://doi.org/10.1080/10615806.2010.529901
Calhoun, L. G., Cann, A., & Tedeschi, R. G. (2011). The posttraumatic growth model: Sociocultural considerations. In T. Weiss, & R. Berger (Eds.), Posttraumatic growth and culturally competent practice (pp. 1-14). John Wiley & Sons.
Calhoun, L. G., & Tedeschi, R. G. (2004). The foundations of posttraumatic growth: new considerations. Psychological Inquiry, 15(1), 93-102. https://doi.org/10.1207/s15327965pli1501_03
Cao, W., Fang, Z., Hou, G., Han, M., Xu, X., Dong, J., & Zheng, J. (2020). The Psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 287, 1-5. https://doi.org/10.1016/j.psychres.2020.112934
Cárdenas, M., Arnoso, M., & Faúndez, X. (2019). Deliberate rumination and positive reappraisal as serial mediators between life impact and posttraumatic growth in victims of state terrorism in Chile (1973-1990). Journal of Interpersonal Violence, 34(3), 545-561. https://doi.org/10.1177/0886260516642294
Cerna, C., García, F., & Téllez, A. (2019). Brief mindfulness, mental health, and cognitive processes: A randomized controlled trial. PsyCh Journal, 9(3), 359-369. https://doi.org/10.1002/pchj.325
Cho, D., & Park, C. (2013). Growth following trauma: Overview and current status. Terapia Psicológica, 31(1), 69-79. https://doi.org/10.4067/s0718-48082013000100007
Comisión Económica para América Latina y el Caribe. (2021). Panorama Social de América Latina 2020. https://repositorio.cepal.org/bitstream/handle/11362/46687/8/S2100150_es.pdf
Connor, K., & Davidson, T. (2001). SPRINT: A brief global assessment of post-traumatic stress disorder. International Clinical Psychopharmacology, 16(5), 279-284. https://doi.org/10.1097/00004850-200109000-00005
Cohen, R. (2008). Lecciones aprendidas durante desastres naturales: 1970-2007. Revista Peruana de Medicina Experimental y Salud Publica, 25(1), 109- 117. http://www.scielo.org.pe/pdf/rins/v25n1/a13v25n1.pdf
Costa, G., & Gil, F. (2007). Crecimiento postraumático en pacientes oncológicos. Análisis y Modificación de Conducta, 33(148), 229-250. https://doi.org/10.33776/amc.v33i148.1215
Cova, F., & Rincón, P. (2010). El terremoto y tsunami del 27-F y sus efectos en la salud mental. Terapia Psicológica, 28(2), 179-185. http://dx.doi.org/10.4067/S0718-48082010000200006
División de Medio Ambiente y Asentamientos Humanos de la ONU. (2002). Políticas públicas para la reducción de la vulnerabilidad frente a los desastres naturales y socio-naturales. CEPAL. https://repositorio.cepal.org/bitstream/handle/11362/5749/S2002612_es.pdf?sequence=1&isAllowed=y
Dussel, I., Ferrante, P., & Pulfer, D. (2020). Pensar la educación en tiempos de pandemia. Universitaria.
Fernández, P., Ramos, N., & Extremera, N. (2001). Inteligencia emocional, supresión crónica de pensamiento y ajuste psicológico. Boletín de Psicología, 70(1), 79-95.
Huarcaya, J. (2020). Consideraciones sobre la salud mental en la pandemia de COVID-19. Revista Peruana de Medicina Experimental y Salud Pública, 37(2), 327-334. https://www.scielosp.org/article/rpmesp/2020.v37n2/327-334/es/
García, F., Cova, F., & Melipillán, R. (2013). Propiedades psicométricas del Inventario de Crecimiento Postraumático en población chilena afectada por un desastre natural. Revista Mexicana de Psicología, 30(2), 145-153.
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. https://doi.org/10.1037/tra0000289
García, F., 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., Reyes, A., & Cova, F. (2014). Severidad del trauma, optimismo, crecimiento postraumático y bienestar en sobrevivientes de un desastre natural. Universitas Psychologica, 13(2), 575-584. https://doi.org/10.11144/javeriana.upsy13-2.stop
García, F., Vega, N., Araya, F., & Gallegos. Y. (2018). Rumiación, crecimiento y sintomatología postraumática en personas que han vivido experiencias altamente estresantes. Avances en Psicología Latinoamericana, 36(3), 443-457. https://doi.org/10.12804/revistas.urosario.edu.co/apl/a.4983
García, F., & Wlodarczyk, A. (2016). Psychometric properties of the Post-traumatic Growth Inventory-Short Form among Chilean adults. Journal of Loss and Trauma, 21(4), 303-314. https//doi.org/10.1080/15325024.2015.1108788
Gross, J., & John, O. (2003). Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348-356. https://doi.org/10.1037/0022-3514.85.2.348
González., Castro, R., & Busto, F. (2019). Desastres y salud pública: Un abordaje desde el marco teórico de la epidemiología. Revista Española de Salud Pública, 76(2), 121-132. https://doi.org/10.1590/s1135-57272002000200006
Halliburton, A. E., Hill, M. B., Dawson, B. L., Hightower, J. M., & Rueden, H. (2021). Increased stress, declining mental health: Emerging adults’ experiences in college during COVID-19. Emerging Adulthood, 9(5), 433-448. https://doi.org/10.1177/21676968211025348
Herrera, C. A., Popol, A. F., Inay, V. C., Morales, J. M. R., Quijada, K. O., Monterroso, K. M., & González, M. E. (2020). Síntomas del trastorno de estrés postraumático en víctimas de un desastre natural en Guatemala. Revista médica, Colegio de Médicos y Cirujanos de Guatemala, 159(2), 91-94. https://doi.org/10.36109/rmg.v159i2.211
Jalloh, M. F., Li, W., Bunnell, R. E., Ethier, K. A., O’Leary, A., Hageman, K. M., Sengeh, P., Jalloh, M. B., Morgan, O., Hersey, S., Marston, B. J., Dafae, F., & Redd, J. T. (2018). Impact of Ebola experiences and risk perceptions on mental health in Sierra Leone, July 2015. BMJ global health, 3(2), e000471. https://doi.org/10.1136/bmjgh-2017-000471
John Hopkins University. (2022). COVID-19 Dashboard by the Center for Systems Science and Engineering (CSSE). https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html#/bda7594740fd40299423467b48e9ecf6
Kumar, A., & Nayar, K. R. (2021). COVID 19 and its mental health consequences. Journal of Mental Health, 30(1), 1-2. https://doi.org/10.1080/09638237.2020.1757052
Lazarus, R., & Folkman, S. (1986). Estrés y procesos cognitivos. Martínez Roca.
Leiva, 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. https://doi.org/10.6018/analesps.29.2.130681
Li, Z., Ge, J., Yang, M., Feng, J., Qiao, M., Jiang, R., Bi, J., Zhan, G., Xu, X., Wang, L., Zhou, Q., Zhou, C., Pan, Y., Liu, S., Zhang, H., Yang, J., Zhu, B., Hu, Y., Hashimoto, K., Jia, Y., Wang, H., Wang, R., Liu, C., & Yang, C. (2020). Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain, Behavior, and Immunity, 88, 916-919. https://doi.org/10.1016/j.bbi.2020.03.007
Lloyd, M. (2020, 14 de Mayo). Desigualdades educativas en tiempos de la pandemia. Campus Milenio. https://www.iisue.unam.mx/medios/campus-milenio-marion-lloyd-890.pdf
Lommen, M., Sanders, A., Buck, N., & Arntz, A. (2009). Psychosocial predictors of chronic Post-Traumatic Stress Disorder in Sri Lankan tsunami survivors. Behaviour Research and Therapy, 47(2), 60-65. https://doi.org/10.1016/j.brat.2008.10.009
Lovón, A., & Cisneros, A. (2020). Repercusiones de las clases virtuales en los estudiantes universitarios en el contexto de la cuarentena por COVID-19. Revista Educativa de Psicología, 8(1), 12-17. https://dx.doi.org/10.20511/pyr2020.v8nSPE3.588
Ministerio de Salud. (2022). Cifras oficiales: COVID-19. Gobierno de Chile. https://www.gob.cl/coronavirus/cifrasoficiales/
Moore, S., Zoellner, L., & Mollenholt, N. (2008). Are expressive suppression and cognitive reappraisal associated with stress related symptoms? Behaviour Research and Therapy, 46(9), 993-1000. https://doi.org/10.1016/j.brat.2008.05.001
Nunnally, J. (1978). Psychometric theory. McGraw-Hill.
Odriozola-González, P., Planchuelo-Gómez, A., Irurtia, M. J., & Luis-García, R. (2020). Psychological effects of the COVID-19 outbreak and lockdown among students and workers of a Spanish university. Psychiatry Research, 290, 1-8. https://doi.org/10.1016/j.psychres.2020.113108
Ordorika, I. (2020). Pandemia y educación superior. Revista de la Educación Superior, 49(194), 1-8. http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0185-27602020000200001
Ramírez, J., Castro, D., Lerma, C., Yela, F., & Escobar, F. (2020). Consequences of the COVID-19 pandemic in mental health associated with isolation. Revista Colombiana de Anestesiología, 4(48), 221-229. https://doi.org/10.5554/22562087.e930
Prati, G., & Pietrantoni, L. (2009). Optimism, social support, and coping strategies as factors contributing to posttraumatic growth. Journal of Loss and Trauma, 14(5), 364-388. https://doi.org/10.1080/15325020902724271
Sandín, B., Valiente, R., García-Escalera, J., & Chorot, R. (2020). Impacto psicológico de la pandemia de COVID-19: Efectos negativos y positivos en población española asociados al periodo de confinamiento nacional. Revista de Psicopatología y Psicología Clínica, 25(1), 1-22. https://doi.org/10.5944/rppc.27569
Savage, M., James, R., Magistro, D., Donaldson, J., Healy, L., Nevill, M. & Hennis, P. (2020). Mental health and movement behaviour during the COVID-19 pandemic in UK university students: Prospective cohort study. Mental Health and Physical Activity, 19, 1-6. https://doi.org/10.1016/j.mhpa.2020.100357
Schroevers, M., Helgeson, V., Sanderman, R., & Ranchor, A. (2010). Type of social support matters for prediction of posttraumatic growth among cancer survivors. Psycho-Oncology, 19(1), 46-53. https://doi.org/10.1002/pon.1501
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. https://doi.org 10.1002/pon.3596
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. https://doi.org/10.1002/jts.2490090305
Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15(1), 1-18. https://www.jstor.org/stable/20447194
UNESCO. (2020). La interrupción educativa y respuesta al COVID-19. https://es.unesco.org/covid19/educationresponse
Vázquez, C., Valiente, C., García, F. E., Contreras, A., Peinado, V., Trucharte, A. & Bentall, R. (2021). Post-traumatic growth and stress-related responses during the COVID-19 pandemic in a national representative sample: The role of positive core beliefs about the world and others. Journal of Happiness Studies, 22, 2915-2935. https://doi.org/10.1007/s10902-020-00352-3
Xiang, Y., Yang, Y., Li, W., Zhang, L., Zhang, Q., Cheung, T., & Ng, C. (2020). Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry, 7, 228-229. https://doi.org/10.1016/S2215-0366(20)30046-8
Xu, J. & Song, X. (2011). Posttraumatic stress disorder among survivors of the Wenchuan earthquake 1 year after: prevalence and risk factors. Comprehensive Psychiatry, 52(4), 431-437. https://doi.org/10.1016/j.comppsych.2010.08.002
Xu, J., Zheng, Y., Wang, M., Zhao, J., Zhan, Q., Fu, M., Wang, Q., Xiao, J., & Cheng, Y. (2011). Predictors of symptoms of posttraumatic stress in Chinese university students during the 2009 H1N1 influenza pandemic. Medical science monitor: international medical journal of experimental and clinical research, 17(7), PH60–PH64. https://doi.org/10.12659/msm.881836
Yuan, K., Gong, Y. M., Liu, L., Sun, Y. K., Tian, S. S., Wang, Y. J., Zhong, Y., Zhang, A. Y., Su, S. Z., Liu, X. X., Zhang, Y. X., Lin, X., Shi, L., Yan, W., Fazel, S., Vitiello, M., Bryant, R., Zhou, X., Ran, M., Bao, Y., Shi, J., & Lu, L. (2021). Prevalence of posttraumatic stress disorder after infectious disease pandemics in the twenty-first century, including COVID-19: A meta-analysis and systematic review. Molecular Psychiatry, 26, 4982–4998. https://doi.org/10.1038/s41380-021-01036-x
Zhou, X., Wu, X., & Zhen, R. (2017). Understanding the relationship between social support and posttraumatic stress disorder/posttraumatic growth among adolescents after Ya’an earthquake: The role of emotion regulation. Psychological Trauma: Theory, Research, Practice, and Policy, 9(2), 214. https://doi.org/10.1037/tra0000213
Zimet, G., Dahlem, N., Zimet, G., & Farley, K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30-41. https://doi.org/10.1207/s15327752jpa5201_2
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. https://doi:10.1016/j.cpr.2006.01.00
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