open access
메뉴E-ISSN : 2733-4538
The purpose of this study was to examine the effects of positive psychology intervention (PPI) on psychological health and post-traumatic growth in trauma-exposed university students. The PPI examined here was a structured 8-session group program aimed at cultivating positive feelings, positive behaviors, and positive cognitions. The PPI program consisted of 8 weekly sessions. Thirty participants in the PPI group completed the measures of resilience, posttraumatic growth, mental well-being, meaning in life, post-traumatic stress symptoms, depressive symptoms, and posttraumatic negative cognitions at pre-intervention, after the fourth session, at post-intervention, and 1 month after the intervention; conversely, 33 participants in the non-treatment control group completed the same assessment instruments three times (at pre-intervention, after the fourth session, and at post-intervention). Compared to the participants in the non-treatment control group, those in the PPI group showed significant improvements in resilience, posttraumatic growth, mental well-being and meaning in life, as well as reductions in depressive symptoms and post-traumatic negative cognitions. These effects of PPI were maintained at 1-month follow-up. However, a decrease in post-traumatic stress symptoms was not significantly different between the two groups. In conclusion, these findings suggest that PPI may be efficacious in enhancing resilience, post-traumatic growth, and positive mental health, as well as ameliorating depressive symptoms in trauma-exposed university students. Finally, implications of this study and directions for future research based on its limitations were discussed.
Aldwin, C. M. (2007). Stress, coping, and development: An intergrative perspective. New York: Guilford.
Allen, J. G. (2005). Coping with trauma: Hope through understanding (2nd ed.). Washington DC: American Psychiatric Association.
Baek, H. S., Lee, K. U., Joo, E. J., Lee, M. Y., & Choi, K. S. (2010). Reliability and validity of the Korean version of the Conner-Davidson resilence scale. Psychiatry Investigation, 7, 109-115.
Baek, J., & Lee. M. (2010). The effect of self-disclosure through stress inoculating writing on traumatic experience. Korean Journal of Clinical Psychology, 29, 125-145.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory (2nd Manual). San Antonio, TX: The Psychological Corporation.
Bonanno, G. A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist, 59, 20-28.
Brewin, C. R., & Holmes, E. A. (2003). Psychological theories of posttraumatic stress disorder. Clinical Psychology Review, 23, 339-376.
Calhoun, L., G., Cann, A., Tedeschi, R. G., & McMillan, J. C. (2000). A correlational test of relationship between posttraumatic growth, religion, and cognitive processing. Journal of Traumatic Stress, 13, 521-527.
Cho, Y. (2012). Factor structure, convergent and discriminative validity of a Korean version of the Posttraumatic Cognitions Inventory (PTCI) in a sample of traumatized undergraduates. Cognitive Behavior Therapy in Korea, 12, 369-391.
Cho, Y. (2014). The influence of resilience on mental well-being and post-traumatic stress symptoms of trauma-exposed individuals:Mediating effects of post-traumatic growth and post-traumatic negative cognitions. Cognitive Behavior Therapy in Korea. 14, 359-386
Cho, Y., Smits, J. A., Powers, M. B., & Telch, M. J. (2007). Do changes in panic appraisal predict improvement in clinical status following cognitive-behavioral treatment of panic disorder? Cognitive Therapy and Research, 31, 695-707.
Choi, Y., & Son, C. (2012). The effects of positive psychotherapy on social anxiety, optimism, and subjective well-being of social phobia-prone college students. Korean Journal of Health Psychology, 17, 573-588.
Cohen, J. (1988). Statistical power analysis for the behavioral science (2nd ed.). Hillsdale, NJ: Lawrence Earlbaum Associates.
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson Resilience Scale(CDRISC). Depression and Anxiety, 18, 76-82.
Davis, C. G., & Nolen-Hoeksema, S. (2009). Making sense of loss, perceiving benefits, and posttraumatic growth. In S. J. Lopez (Eds.). Oxford handbook of positive psychology (2nd ed.). (pp. 641-649). New York: Oxford University Press.
Fazio, R. J., & Fazio, L. M. (2005). Growth through loss: Promoting healing and growth in the face of trauma, crisis, and loss. Journal of Loss and Trauma, 10, 221-252.
Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder:The posttraumatic diagnostic scale. Psychological Assessment, 9, 445-451.
Foa, E. B., Ehlers, A., Clark, D. M., Tolin, D. F., & Orsillo, S. M. (1999). The posttraumatic cognitions inventory (PTCI): Development and validation. Psychological Assessment, 11, 303-314.
Foa, E. B., Keane, T. M., & Friedman, M. J. (2009). Effective treatments for PTSD: Practice guidelines of the International Society for Traumatic Stress Studies. New York: Guilford.
Foa, E. B., & Rothbaum, B. O. (1998). Treating the trauma of rape:Cognitive-behavioral therapy for PTSD. New York: Guilford.
Frazier, P., Conlon, A., & Glaser, T. (2001). Positive and negative life changes following sexual assault. Journal of Consulting and Clinical Psychology, 69, 1048-1055.
Giannopoulos, V. L., & Vella-Brodrick, D. A. (2011). Effects of positive interventions and orientations to happiness on subjective well-being. The Journal of Positive Psychology, 6, 95-105.
Gillies, J., & Neimeyer, R. A. (2006). Loss, grief, and the search for significance: Toward a model of meaning reconstruction in bereavement. Journal of Constructivist Psychology, 19, 31-65.
Grunnert, B. K., Smucker, M. R, Weis, J. M., & Rusch, M. D. (2003). When prolonged exposure fails: Adding an imagery-based cognitive restructuring component in the treatment of industrial accident victims suffering from PTSD. Cognitive and Behavioral Practice, 10, 333-346.
Han, S., & Cho, Y. (2015). Short-term effects of and Mechanism of changes in group positive psychology intervention for improving psychological health: Mediating role of strengths use. Korean Journal of Clinical Psychology, 34, 909-943.
Han, S., & Lee, B. (2012). Effectiveness of a character strengthsbased positive psychotherapy on depression, life satisfaction, and quality of life among the depressed elderly. Korean Journal of Clinical Psychology, 31, 971-992.
Helgeson, V. S., Reynolds, K. A., & Tomich, P. L. (2006). A metaanalytic review of benefit finding and growth. Journal of Consulting and Clinical Psychology, 74, 797-816.
Im, S. (2013). The meaning reconstruction process leading to posttraumatic growth after relation loss. (Unpublished doctoral dissertation). University of Seoul, Seoul, Korea.
Im, S., & Kwon, S. (2012). The influence of posttraumatic growth following relational loss on character maturation and mental health. Korean Journal of Clinical Psychology, 31, 427-447.
Joo, S., & Son, C. (2015). Effects of Acceptance and Commitment Therapy (ACT) on posttraumatic stress symptoms and complex posttraumatic stress symptoms of college students with interpersonal trauma. Korean Journal of Clinical Psychology, 34, 353-374.
Kashdan, T. B., Julian, T., Merritt, K., & Uswatte, G. (2005). Social anxiety and posttraumatic stress in combat veterans: Relations to well-being and character strengths. Behaviour Research and Therapy, 44, 561-583.
Keyes, C. L. M. (2008). Evaluation of the Mental Health Continuum-Short Form(MHC-SF) in Setswana-speaking South Africans. Clinical Psychology & Psychotherapy, 15, 181-192.
Lee, J., & Kim, E. (2015). Effects of the acceptance-positive psychotherapy on happiness and depressive symptoms of depressive college students: Mediation effect of experiential avoidances and emotion rates. Korean Journal of Clinical Psychology, 34, 477-503.
Lee, Y., & Chung, N. (2008). A review of posttraumatic growth researches:Focused on relation with adjustment and clinical application. Korean Journal of Health Psychology, 13, 1-23.
Lim, Y. (2012). Efficacy of positive psychotherapy on college students with major depressive disorder. Korean Journal of Clinical Psychology, 31, 679-692.
Lim, Y., Ko, Y., Shin, H., & Cho, Y. (2012). Psychometric evaluation of the mental health continuum-short form (MHC-SF) in South Koreans. Korean Journal of Psychology, 31, 369-386.
Linley, P. A., & Joseph, S. (2005). The human capacity for growth through adversity. American Psychologist, 60, 262-264.
Lyubomirsky, S., King, L., & Diener, E. (2005). The benefits of frequent positive affect: Does happiness lead to success? Psychological Bulletin, 131, 803-855.
Lyubomirsky, S., Sheldon, K. M., & Schkade, D. (2005). Pursuing happiness: The architecture of sustainable change. Review of General Psychology, 9, 111-131.
McCullouch, M. E., Emmons, R. A., & Tsang, J. A. (2002). The grateful disposition: A conceptual and empirical topography. Journal of Personality and Social Psychology, 82, 112-127.
McMillen, J. C., Smith, E. M., & Fisher, R. H. (1997). Perceived benefit and mental health after three types of disaster. Journal of Consulting and Clinical Psychology, 65, 733-739.
Nam, B., Kwon, H., & Kwon, J. (2010). Psychometric qualities of the korean version of the posttraumatic diagnosis scale(PDS-K). Korean Journal of Clinical Psychology, 29, 147-167.
O'Leary, V. E., & Ickovics, J. R.(1995). Resilience and thriving in response to challenge: an opportunity for a paradigm shift in women’s health. Womens Health, 1, 121-142.
Park, C. L. (2008). Testing the meaning making model of coping with loss. Journal of Social and Clinical Psychology, 27, 970-994.
Park, C. L., & Ai, A. L. (2006). Meaning making and growth: New directions for research on survivors of trauma. Journal of Loss and Trauma, 11, 389-407.
Park, C. L., Aldwin, C. M., J. R., Fenster, & Snyder, L. B. (2008). Pathways to posttraumatic growth versus posttraumatic stress:Coping and emotional reactions following the September 11, 2001, terrorist attacks. American Journal of Orthopsychiatry, 78, 300-312.
Park, C. L., Cohen, L. H., & Murch, R. (1996). Assessment and prediction of stress-related growth. Journal of Personality, 64, 71-105.
Park, H., & Hong, C. (2010). Effects of forgiveness therapy through writing on the psychological adjustment of sufferers of interpersonal trauma. Korean Journal of Clinical Psychology, 29, 83-107.
Peterson, C., Park, N., Pole, N., D’Andrea, W., & Seligman, M. (2008). Strengths of character and posttraumatic growth. Journal of Traumatic Stress, 21, 214-217.
Rashid, T., Anjum, B. L., & Hankin. (2008). Handbook of depression in children and adolescents (pp. 250-287). New York: Guilford Press.
Richards, D. A., & Rose, J. S. (1991). Exposure therapy for posttraumatic stress disorder. Four case studies. The British Journal of Psychiatry, 158, 836-840.
Rosen, C. S., Chow, H. C., Finney, J. F., Greenbaum, M. A., Moos, R. H., Sheikh-Javaid, I., & Yesavage, J. A. (2004). VA Practice patterns and practice guidelines for treating posttraumatic stress disorder. Journal of Traumatic Stress, 17, 213-222.
Seligman, M. E. P. (2002). Authentic happiness: Using the new positive psychology to realize your potential for lasting fulfillment. New York: Free Press.
Seligman, M. E. P., Rashid, T., & Parks, A. C. (2006). Positive psychotherapy. American Psychologist, 61, 774-788.
Seligman, M. E. P., Steen, T. A., Park, N., & Peterson, C. (2005). Positive psychology progress: Empirical validation of interventions. American Psychologist, 60, 410-421.
Sheeran, T., & Zimmerman, M. (2002). Screening for posttraumatic stress disorder in a general psychiatric outpatient setting. Journal of Consulting and Clinical Psychology, 70, 961-966.
Sin, N. L., & Lyubomirsky, S. (2009). Enhancing well-being and alleviating depressive symptoms with positive psychology intervention:A practice-friendly meta-analysis. Journal of Clinical Psychology, 65, 467-487.
Song, H., Lee, H., Park, J., & Kim, K. (2009). Validity and reliability of the korean version of the posttraumatic growth inventory. Korean Journal of Health Psychology, 14, 193-214.
Steger, M. F., Frazier, P., Oishi, S., & Kaler, M. (2004). The development and validation of the meaning in life questionnaire. Unpublished manuscript, Department of Psychology, University of Minnesota, Minnesota, United States.
Steger, M. F., Frazier, P., Oishi, S., & Kaler, M. (2006). The Meaning in Life Questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53, 80-93.
Sung, H., Kim, J., Park, Y., Bai, D., Lee, S., & Ahn, H. (2008). A study on the reliability and the validity of korean version of the beck depression inventory-II(BDI-II). Korean Society of Biological Therapies in Psychiatry, 14, 201-212.
Tedeschi, R. G., & Calhoun, L. G. (1996). The posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455-471.
Tedeschi, R. G., & Calhoun, L. G. (2004). Posttraumatic growth:Conceptual foundation and empirical evidence. Psychological Inquiry, 15, 1-18.
Tedeschi, R. G., & Kilmer, R. P. (2005). Asessing strengths, resilience, and growth to guide clinical interventions. Professional Psychology: Research and Practice, 36, 230-237.
Won, D., Kim, K., & Kwon, S. (2005). Validation of the Korean version of Meaning in Life Questionnaire. Korean Journal of Health Psychology, 10, 211-225.
Zoellner, T., & Maercker, A. (2006). Posttraumatic growth in clinical psychology: A critical review and introduction of a two component model. Clinical Psychology Review, 26, 626-653.