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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  >  > Accepted Manuscript
Wang Ya,Xiang Xiaorun,Zhao Yaping,et al.Current status of post-traumatic growth among university students and its mediation pathway with post-traumatic stress symptom[J].Chin J Burns Wounds,2026,42(5):1-10.DOI: 10.3760/cma.j.cn501225-20260309-00099.
Citation: Wang Ya,Xiang Xiaorun,Zhao Yaping,et al.Current status of post-traumatic growth among university students and its mediation pathway with post-traumatic stress symptom[J].Chin J Burns Wounds,2026,42(5):1-10.DOI: 10.3760/cma.j.cn501225-20260309-00099.
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Current status of post-traumatic growth among university students and its mediation pathway with post-traumatic stress symptom

doi: 10.3760/cma.j.cn501225-20260309-00099
  • 1.

    The 958th Army Hospital Outpatient Department, Chongqing 401331, China

  • 2.

    Department of Cardiovascular Surgery, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing 400038, China

  • 3.

    Department of Emergency Medicine, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing 400038, China

Funds:

General Program of Chongqing Natural Science Foundation CSTB2022NSCQ-MSX1400

More Information
  • Corresponding author: Sun Wei, Email: sunfamily@tmmu.edu.cn
  • Received Date: 2026-03-09
    Available Online: 2026-05-11
    Abstract
  •   Objective  To investigate the current status of post-traumatic growth (PTG) among university students, and to explore its translational pathway with post-traumatic stress symptom (PTSS).  Methods  This study was a multicenter cross-sectional survey. From December 2024 to January 2025, using convenience sampling, 718 university students aged ≥18 years who met the inclusion criteria and had experienced life stress events in the past year were selected from two comprehensive universities and one medical university in Chongqing as the study participants. A self-designed demographic questionnaire was used to collect demographic information of the university students, including gender, age, grade level, and family structure, etc. The adolescent self-rating life events checklist was used to assess university students' experiences of life stress events and whether they were affected by these events. The post-traumatic stress disorder checklist-civilian version, the Chinese-Posttraumatic Growth Inventory, the 10-item Connor-Davidson resilience scale, and the Chinese PERMA-Profiler were used to assess university students' levels of PTSS, PTG, psychological resilience, and well-being, respectively. University students were classified according to demographic information and whether they were affected by life stress events, and their total PTG scores were compared. Correlations between PTG and PTSS, psychological resilience, and well-being in university students were analyzed. Independent influencing factors for PTG among university students were identified. A structural equation model was constructed to analyze the mediating effects of well-being and psychological resilience on the translation between PTSS and PTG.  Results  Totally 718 questionnaires were distributed, and 647 valid questionnaires were returned, with a valid response rate of 90.1%. Among the university students, there were 584 males and 63 females, aged 18 to 27 years. There were 84 first-year students, 178 second-year students, 196 third-year students, and 189 fourth-year students by grade level. There were 582 students from two-parent families and 65 from single-parent families in the family structure. Totally 102 students were affected by life stress events, while 545 students were not affected by life stress events. The life stress events experienced by university students included 27 items, such as physical trauma, acute or serious illness, interpersonal tension, and academic pressure. The total scores of PTSS, PTG, psychological resilience, and well-being among university students were 18.00 (17.00, 27.00), 64.00 (41.00, 80.00), 30.00 (21.00, 39.00), and 118.00 (90.00, 135.00), respectively. Comparisons of total PTG scores among university students showed statistically significant differences by different age, family structure, and exposure to life stress events (with Z values of -3.426, -2.285, and -3.693, respectively, P<0.05). The total PTG score and its subdimension scores among university students were significantly positively correlated with the total psychological resilience score, the total well-being score and its subdimension scores (with r values of 0.377 to 0.653, P<0.05). Age, family structure, whether being affected by life stress events, well-being, and psychological resilience were independent influencing factors for PTG among university students (with β values of -0.144, 0.109, -0.151, 0.181, and 0.603, respectively, P<0.05). The constructed model was a multiple mediation model. Between PTSS and PTG, both the independent mediating effect of well-being and the serial mediating effects of well-being and psychological resilience were statistically significant (with β values of -0.140 and -0.287, respectively, 95% CI of -0.224 to -0.075 and -0.381 to -0.214, respectively, P<0.05), and the serial mediating effect of well-being and psychological resilience was significantly higher than the independent mediating effect of well-being (β=0.146, with a 95% CI of 0.027 to 0.275, P<0.05).  Conclusions  PTG among university students is at a moderate level. Well-being and psychological resilience play a serial mediating role in the translation between PTSS and PTG among university students.

     

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    • References(40)
  • [1]
    卢学兰,刘应平,刘一伟,等.学龄前儿童烧伤后心理应激障碍发生情况的横断面调查及影响因素分析[J].中华烧伤与创面修复杂志,2024,40(4):373-379.DOI: 10.3760/cma.j.cn501225-20230731-00028.
    [2]
    周惠至,杨舒然,韩冬,等.家庭动力学特征和负性生活事件与青少年抑郁症状的相关性分析[J].解放军医学杂志,2024,49(12):1360-1365.DOI: 10.11855/j.issn.0577-7402.1160.2024.0514.
    [3]
    MochelK,BronteJ,KasabaM,et al.The impact of psychological stress on wound healing: implications for neocollagenesis and scar treatment efficacy[J].Clin Cosmet Investig Dermatol,2025,18:1625-1637.DOI: 10.2147/CCID.S528730.
    [4]
    MakyeyevaL,BelenichevI,AliyevaO,et al.Impact of chronic social stress on molecular markers of skin regeneration during experimental excisional wounding[J].Front Immunol,2025,16:1656214.DOI: 10.3389/fimmu.2025.1656214.
    [5]
    TedeschiRG,CalhounLG.The Posttraumatic Growth Inventory: measuring the positive legacy of trauma[J].J Trauma Stress,1996,9(3):455-471.DOI: 10.1007/BF02103658.
    [6]
    ZhouX,ZhenR.A three-phase process model of posttraumatic stress disorder and growth: understanding the mechanisms underlying posttraumatic reactions[J].Psychol Trauma,2024,16(6):1033-1043.DOI: 10.1037/tra0001666.
    [7]
    HobfollSE.Social and psychological resources and adaptation[J].Rev Gen Psychol,2002,6(4):307-324.DOI: 10.1037/1089-2680.6.4.307.
    [8]
    祖勉,张音.美军创伤后应激障碍研究进展分析[J].军事医学,2023,47(11):810-816.DOI: 10.7644/j.issn.1674-9960.2023.11.003.
    [9]
    王海梅,蔡艳丽,李燕,等.PERMA模式下心理干预在烧伤瘢痕修复术中的应用[J].中国美容医学,2021,30(10):167-170.DOI: 10.15909/j.cnki.cn61-1347/r.004708.
    [10]
    FortunaJ.The road to resilience traveling the path less followed to realize what is possible[J].Open J Occup Ther,2019,7(1). DOI: 10.15453/2168-6408.1593.
    [11]
    车兴隆.团体心理辅导对调节和干预大学生心理健康的积极作用及影响机制[J].北华大学学报(社会科学版),2023,24(6):115-125.DOI: 10.19669/j.issn.1009-5101.2023.06.015.
    [12]
    吴九君.积极心理干预对大学生睡眠质量、正性情感、抗逆力、心理和谐、总体幸福感的提升效果[J].中国健康心理学杂志,2024,32(8):1268-1274.DOI: 10.13342/j.cnki.cjhp.2024.08.028.
    [13]
    张伊,黄琪,安媛媛.青少年正念对创伤后应激障碍和创伤后成长的影响[J].中国临床心理学杂志,2019,27(1):172-176.DOI: 10.16128/j.cnki.1005-3611.2019.01.035.
    [14]
    刘贤臣,刘连启,杨杰,等.青少年生活事件量表的编制与信度效度测试[J].山东精神医学,1997(1):15-19.
    [15]
    杨晓云,杨宏爱,刘启贵,等.创伤后应激检查量表平民版的效度、信度及影响因素的研究[J].中国健康心理学杂志,2007,15(1):6-9.DOI: 10.3969/j.issn.1005-1252.2007.01.036.
    [16]
    汪际.创伤后成长评定量表及其意外创伤者常模的研制[D/OL].上海:第二军医大学,2011[2026-03-09].https://d.wanfangdata.com.cn/thesis/Ch1UaGVzaXNOZXdTb2xyOVMyMDI2MDQxNTE0Mjg1MRIHRDE1MTQyORoIdzF5N2k2dnA%3D.DOI: 10.7666/d.d151429.
    [17]
    Campbell-SillsL,SteinMB.Psychometric analysis and refinement of the Connor-davidson Resilience Scale (CD-RISC): validation of a 10-item measure of resilience[J].J Trauma Stress,2007,20(6):1019-1028.DOI: 10.1002/jts.20271.
    [18]
    ConnorKM,DavidsonJR.Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC)[J].Depress Anxiety,2003,18(2):76-82.DOI: 10.1002/da.10113.
    [19]
    张鹏,许辰,刘洋,等.大学生知觉压力对生命意义感的影响:感恩和心理弹性的链式中介作用[J].联勤军事医学,2024,38(4):334-338.DOI: 10.13730/j.issn.2097-2148.2024.04.011.
    [20]
    张丹梅,熊梅,李彦章.心理弹性量表简版在社区老年人中的信效度检验[J].中华行为医学与脑科学杂志,2018,27(10):942-946.DOI: 10.3760/cma.j.issn.1674-6554.2018.10.016.
    [21]
    张淳淦,程淑华,谢善玉.基于Seligman幸福理论的大学生PERMA幸福感问卷编制及其信效度检验[J].内江师范学院学报,2023,38(2):22-27+54.DOI: 10.13603/j.cnki.51-1621/z.2023.02.004.
    [22]
    ButlerJ, KernML.The PERMA-Profiler:a brief multidimensional measure of flourishing[J]. Int J Wellbeing,2016,6(3):1-48.DOI: 10.5502/ijw.v6i3.526.
    [23]
    NieYZ,ZhangX,HongNW,et al.Psychometric validation of the PERMA-profiler for well-being in Chinese adults[J].Acta Psychol (Amst),2024,246:104248.DOI: 10.1016/j.actpsy.2024.104248.
    [24]
    王晓艳,周霞.心理社会发展理论视角下大学生“自我”发展困境解析[J].北京化工大学学报(社会科学版),2020(2):103-108.DOI: 10.3969/j.issn.1671-6639.2020.02.015.
    [25]
    杨晓云,王娥蕊,李娜.大学生创伤后应激障碍的发生特点及教育的启示[J].教育科学,2007,23(2):78-82.DOI: 10.3969/j.issn.1002-8064.2007.02.018.
    [26]
    周慧,周舟.心理复原力及反刍性沉思在卵巢癌术后化疗病人压力知觉与创伤后成长间的链式中介作用[J].全科护理,2024,22(18):3491-3494.DOI: 10.12104/j.issn.1674-4748.2024.18.031.
    [27]
    SouthwickSM,BonannoGA,MastenAS,et al.Resilience definitions, theory, and challenges: interdisciplinary perspectives[J].Eur J Psychotraumatol,2014,5:1-14.DOI: 10.3402/ejpt.v5.25338.
    [28]
    ReimersM.Human resilience depends on distinctively human brain circuitry and development[J].Front Behav Neurosci,2024,18:1370551.DOI: 10.3389/fnbeh.2024.1370551.
    [29]
    刘艾祎,王文超,伍新春.青少年的自我同情对创伤后应激障碍与创伤后成长的影响:感恩的中介作用[J].心理发展与教育,2022,38(6):859-868.DOI: 10.16187/j.cnki.issn1001-4918.2022.06.12.
    [30]
    苗欣雨,张凡迪.创伤后成长目标下的大学生积极心理健康教育策略[J].沈阳大学学报(社会科学版),2024,26(5):93-100.DOI: 10.3969/j.issn.2095-5464.2024.05.012.
    [31]
    余青云,王文超,伍新春.感恩与大学生创伤后成长的关系:社会支持和希望的中介作用[J].心理发展与教育,2022,38(5):703-710.DOI: 10.16187/j.cnki.issn1001-4918.2022.05.11.
    [32]
    刘新义,周燕春,张昳丽,等.先天性小耳畸形患者焦虑抑郁现状及影响因素分析[J].组织工程与重建外科杂志,2025,21(1):68-72.DOI: 10.3969/j.issn.1673-0364.2025.01.012.
    [33]
    温晓丽,邵艳霞,张芳利,等.ICU日记在ICU患者急性应激障碍中的干预效果研究[J].重庆医科大学学报,2023,48(10):1271-1276.DOI: 10.13406/j.cnki.cyxb.003359.
    [34]
    杜林,张贞,朱琦,等.非手术治疗联合健康教育对面部瘢痕疙瘩患者心理健康的影响[J].组织工程与重建外科杂志,2025,21(6):538-542.DOI: 10.3969/j.issn.1673-0364.2025.06.004.
    [35]
    刘志艳,刘丽爽,沈茜茜.颅脑创伤后促肾上腺皮质激素轴相关激素水平变化对预后的影响及预测效能[J].中华内分泌外科杂志(中英文),2024,18(2):257-261.DOI: 10.3760/cma.j.cn.115807-20231109-00141.
    [36]
    BasuS,GoswamiAG,DavidLE,et al.Psychological stress on wound healing: a silent player in a complex background[J].Int J Low Extrem Wounds,2024,23(3):365-371.DOI: 10.1177/15347346221077571.
    [37]
    WooK,GonzálezCVS,AmdieFZ,et al.Exploring the effect of wound related pain on psychological stress, inflammatory response, and wound healing[J].Int Wound J,2024,21(7):e14942.DOI: 10.1111/iwj.14942.
    [38]
    PombeiroI,MouraJ,PereiraMG,et al.Stress-reducing psychological interventions as adjuvant therapies for diabetic chronic wounds[J].Curr Diabetes Rev,2022,18(3):e060821195361.DOI: 10.2174/1573399817666210806112813.
    [39]
    DuvenageE.Post-traumatic stress damages skin cells involved in healing[J/OL].Nature Africa,2024(2024-07-30)[2026-03-09].https://www.nature.com/articles/d44148-024-00230-7.DOI: 10.1038/D44148-024-00230-7.
    [40]
    李恒嫦,李杰辉,卢维,等.虚拟现实技术在创面修复中的应用现状与展望[J].中华烧伤与创面修复杂志,2022,38(5):486-490.DOI: 10.3760/cma.j.cn501120-20210805-00270.
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