@article{ref1,
title="Self-esteem and hope mediate the relations between social support and post-traumatic stress disorder and growth in adolescents following the Ya'an earthquake",
journal="Anxiety, stress, and coping",
year="2018",
author="Zhou, Xiao and Wu, Xinchun and Zhen, Rui",
volume="31",
number="1",
pages="32-45",
abstract="BACKGROUND AND OBJECTIVE: Although posttraumatic stress disorders (PTSD) and posttraumatic growth (PTG) can co-exist, and several theories suggest that social support, self-esteem, and hope can predict both PTSD and PTG, no study to date has examined the combined role of social support, self-esteem, and hope in PTSD and PTG. The present study aimed to simultaneously examine the mediating roles of self-esteem and hope in the relations between social support and PTSD, and between social support and PTG. <br><br>DESIGN: This study included 397 adolescents living in Lushan County, China, who were affected by the Ya'an earthquake. <br><br>METHOD: The participants completed the self-report questionnaires at two and a half years after the earthquake. Structural equation models were built to examine the roles of social support, self-esteem, and hope in PTSD and PTG. <br><br>RESULTS: Social support directly and negatively predicted PTSD and positively predicted PTG. Moreover, social support negatively predicted PTSD via self-esteem, and positively predicted PTG via hope. In addition, social support positively predicted PTG through multiple mediating paths from self-esteem to hope. <br><br>CONCLUSIONS: PTSD and PTG had different predictive paths. Specifically, social support reduced PTSD through enhanced self-esteem and promoted PTG through hope, or through the path from self-esteem to hope.<p /> <p>Language: en</p>",
language="en",
issn="1061-5806",
doi="10.1080/10615806.2017.1374376",
url="http://dx.doi.org/10.1080/10615806.2017.1374376"
}