Abstract

Background

There is emerging evidence that post-traumatic growth is a relevant concept in addiction recovery. However, existing measures, such as the post-traumatic growth inventory, were designed to measure post-traumatic growth in general trauma populations. It is unclear if the post-traumatic growth inventory is suitable for individuals in recovery from substance-related addiction. The current study aimed to qualitatively assess the content validity of the post-traumatic growth inventory for individuals in addiction recovery.

Method

The think-aloud method was applied, and semi-structured interviews utilized, to collect data from 20 individuals in recovery from unhealthy alcohol and/or drug use. Reflexive thematic analysis was used to analyze data in relation to item interpretation and experience of post-traumatic growth.

Findings

Qualitative assessment supported three out of five subscales on the post-traumatic growth inventory (new possibilities, personal strength and appreciation of life). Modifications were suggested on some items from the relating to others domain and responses to the spiritual change domain possibly reflected a cultural influence. There was an identified need to include items that account for positive changes in health behavior.

Conclusions

The current study highlights domains of post-traumatic growth for those in addiction recovery and how the post-traumatic growth inventory may understate some forms of positive life change. Future research should focus on validating a revised version of the post-traumatic growth inventory for this population.

中文翻译：

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创伤后成长量表的内容效度：一项关于从成瘾中恢复的有声思考研究

摘要

背景

越来越多的证据表明，创伤后成长是成瘾康复的一个相关概念。然而，现有的措施，例如创伤后生长量表，旨在衡量一般创伤人群的创伤后生长。目前尚不清楚创伤后成长清单是否适合从物质相关成瘾中恢复的个体。目前的研究旨在定性评估成瘾康复个体创伤后成长量表的内容有效性。

方法

采用出声思考方法并采用半结构化访谈，收集了 20 名从不健康的酒精和/或吸毒中恢复过来的人的数据。反思性主题分析用于分析与项目解释和创伤后成长经历相关的数据。

发现

定性评估支持创伤后成长清单的五分之三（新的可能性、个人力量和对生活的欣赏）。有人建议对与其他领域相关的某些项目进行修改，并对精神变化领域的反应可能反映了文化影响。已确定需要纳入能够促进健康行为发生积极变化的项目。

结论

目前的研究强调了成瘾康复者的创伤后成长领域，以及创伤后成长清单如何低估了某些形式的积极生活变化。未来的研究应集中于验证该人群的创伤后成长清单的修订版本。