The Relationship between Willingness to Help Others and Resilience with Post-Traumatic Growth in People with A History of Severe Covid-19 in Close Relatives: The Moderating Role of Guilt

Authors
Fateme Dehghani-Arani 1
Zahra Asadi 1
Hojjatollah Farahani 2
1 University of Tehran
2 Tarbiat Modarres University
Abstract
The purpose of this research was to investigate the relationship between the desire to help others and resilience with growth after trauma with assessing the moderating role of guilt related to trauma in people with a history of covid-19 disease in close relative. For this purpose, 189 people who had one of their relatives admitted to the special care department of the hospital due to the covid-19 disease in the last six months were selected in an accessible method and completed the post-traumatic growth, resilience, trauma related guilt and altruism questionnaires. Based on the results of multiple regression analysis, trauma related guilt did not play a moderating role in the relationship between resilience and prosocial behaviors. In contrast, trauma-related guilt had a moderating role in the relationship between post-traumatic growth and willingness to help others. The conclusion from the findings of the present study can be indicative of the role of interpersonal and intrapersonal factors in promoting adaptation and even growth of people following traumatic experiences.
Keywords
Post-Traumatic Growth
COVID-19
Prosocial Behaviors
Willingness to help others
Ego-Resiliency
Trauma-Related Guilt
3. Affleck, G., Tennen, H., Croog, S., & Levine, S. (1987). Causal attribution, perceived benefits, and morbidity after a heart attack: an 8-year study. Journal of consulting and clinical psychology, 55(1), 29.
4. Ai, A. L., & Park, C. L. (2005). Possibilities of the positive following violence and trauma: Informing the coming decade of research. Journal of interpersonal violence, 20(2), 242-250.
5. Avlund, K., Damsgaard, M. T., & Holstein, B. E. (1998). Social relations and mortality. An eleven year follow-up study of 70-year-old men and women in Denmark. Social Science & Medicine, 47(5), 635-643.
6. Barrett, K. C. (1995). A functionalist approach to shame and guilt.
7. Baumeister, R. F., Stillwell, A. M., & Heatherton, T. F. (1994). Guilt: an interpersonal approach. Psychological bulletin, 115(2), 243.
8. Brown, S. L., Brown, R. M., House, J. S., & Smith, D. M. (2008). Coping with spousal loss: Potential buffering effects of self-reported helping behavior. Personality and Social Psychology Bulletin, 34(6), 849-861
9. Brown, S. L., Nesse, R. M., Vinokur, A. D., & Smith, D. M. (2003). Providing social support may be more beneficial than receiving it: Results from a prospective study of mortality. Psychological science, 14(4), 320-327.
10. Brown, W. M., Consedine, N. S., & Magai, C. (2005). Altruism relates to health in an ethnically diverse sample of older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 60(3), P143-P152.
11. Brunstein, J. C., Dangelmayer, G., & Schultheiss, O. C. (1996). Personal goals and social support in close relationships: Effects on relationship mood and marital satisfaction. Journal of Personality and Social Psychology, 71(5), 1006.
12. Cialdini, R. B., Brown, S. L., Lewis, B. P., Luce, C., & Neuberg, S. L. (1997). Reinterpreting the empathy–altruism relationship: When one into one equals oneness. Journal of personality and social psychology, 73(3), 481.
13. Clarke, K. M., & Cardman, F. (2002). Spiritual resilience in people who live well with lifelong disability. Journal of Religion, Disability & Health, 6(1), 23-36.
14. Cook, S. W., Aten, J. D., Moore, M., Hook, J. N., & Davis, D. E. (2013). Resource loss, religiousness, health, and posttraumatic growth following Hurricane Katrina. Mental Health, Religion & Culture, 16(4), 352-366.
15. Dovidio, J. F., Piliavin, J. A., Schroeder, D. A., & Penner, L. (2006). The social psychology of prosocial behavior.
16. Frazier, P., Conlon, A., & Glaser, T. (2001). Positive and negative life changes following sexual assault. Journal of consulting and clinical psychology, 69(6), 1048.
17. Gerrish, N., Dyck, M. J., & Marsh, A. (2009). Post-traumatic growth and bereavement. Mortality, 14(3), 226-244.
18. Hays, J. C., Saunders, W. B., Flint, E. P., Kaplan, B. H., & Blazer, D. G. (1997). Social support and depression as risk factors for loss of physical function in late life. Aging & Mental Health, 1(3), 209-220.
19. Higgins, G. O. C. (1994). Resilient adults: Overcoming a cruel past. Jossey-Bass.
20. Hijazi, A. M., Keith, J. A., & O'Brien, C. (2015). Predictors of posttraumatic growth in a multiwar sample of US Combat veterans. Peace and Conflict: Journal of Peace Psychology, 21(3), 395.
21. Kahana, B., Kahana, E., Harel, Z., & Segal, M. (1986). The Victim as Helper-Prosocial Behavior During the Holocaust. Humboldt Journal of Social Relations, 357-373.
22. Koutrouli, N., Anagnostopoulos, F., & Potamianos, G. (2012). Posttraumatic stress disorder and posttraumatic growth in breast cancer patients: a systematic review. Women & health, 52(5), 503-516.
23. Leith, K. P., & Baumeister, R. F. (1998). Empathy, shame, guilt, and narratives of interpersonal conflicts: Guilt‐prone people are better at perspective taking. Journal of personality, 66(1), 1-37.
24. Lewis, H. B. (1971). Shame and guilt in neurosis. Psychoanalytic review, 58(3), 419-438.
25. Lifton, R. J. (1999). The protean self: Human resilience in an age of fragmentation. University of Chicago Press.
26. Macksoud, M. S., & Aber, J. L. (1996). The war experiences and psychosocial development of children in Lebanon. Child development, 67(1), 70-88.
27. 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(5), 733.
28. Montauk, T. R., & Kuhl, E. A. (2020). COVID-related family separation and trauma in the intensive care unit. Psychological Trauma: Theory, Research, Practice, and Policy.
29. Omoto, A. M., & Snyder, M. (1995). Sustained helping without obligation: motivation, longevity of service, and perceived attitude change among AIDS volunteers. Journal of personality and social psychology, 68(4), 671.
30. Ortony, A., Clore, G. L., & Collins, A. (2022). The cognitive structure of emotions. Cambridge university press.
31. Park, C. L. (1999). The roles of meaning and growth in the recovery from posttraumatic stress disorder. Posttraumatic stress disorder: A lifespan developmental perspective, 249-264.
32. Penner, L., Brannick, M. T., Webb, S., & Connell, P. (2005). Effects on volunteering of the September 11, 2001, attacks: An archival analysis 1. Journal of Applied Social Psychology, 35(7), 1333-1360.
33. Piliavin, J. A., Dovidio, J. F., Gaertner, S. L., & Clark, R. D. Ill (1981). Emergency intervention.
34. Pochard, F., Darmon, M., Fassier, T., Bollaert, P. E., Cheval, C., Coloigner, M., ... & French FAMIREA Study Group. (2005). Symptoms of anxiety and depression in family members of intensive care unit patients before discharge or death. A prospective multicenter study. Journal of critical care, 20(1), 90-96.
35. Reyes, G., Elhai, J. D., & Ford, J. D. (Eds.). (2008). The encyclopedia of psychological trauma (pp. 103-107). Hoboken, NJ: Wiley.
36. Rutter, M. (2007). Resilience, competence, and coping.
37. Rutter, M. (2013). Annual research review: Resilience–clinical implications. Journal of child psychology and psychiatry, 54(4), 474-487.
38. Schwartz, C., Meisenhelder, J. B., Ma, Y., & Reed, G. (2003). Altruistic social interest behaviors are associated with better mental health. Psychosomatic medicine, 65(5), 778-785.
39. Staub, E. (2003). The psychology of good and evil: Why children, adults, and groups help and harm others. Cambridge University Press.
40. Tangney, J. P. (1999). The self-conscious emotions: Shame, guilt, embarrassment and pride.
41. Tangney, J. P., & Dearing, R. L. (2003). Shame and guilt. Guilford Press.
42. Tangney, J. P., Stuewig, J., & Mashek, D. J. (2007). What’s moral about the self-conscious emotions. The self-conscious emotions: Theory and research, 21-37.
43. 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.
44. Tedeschi, R. G., & Calhoun, L. G. (2004). " Posttraumatic growth: conceptual foundations and empirical evidence". Psychological inquiry, 15(1), 1-18.
45. Tedeschi, R. G., & Calhoun, L. G. (2006). Time of change? The spiritual challenges of bereavement and loss. OMEGA-Journal of Death and Dying, 53(1), 105-116.
46. Tedeschi, R. G., & McNally, R. J. (2011). Can we facilitate posttraumatic growth in combat veterans?. American Psychologist, 66(1), 19.
47. Vollhardt, J. R., & Staub, E. (2011). Inclusive altruism born of suffering: the relationship between adversity and prosocial attitudes and behavior toward disadvantaged outgroups. American Journal of Orthopsychiatry, 81(3), 307.
48. Wolin, S., & Wolin, S. (1993). The resilient self: How survivors of troubled households increase over adversity. NY: Villard Publications.
49. Yinon, Y., & Landau, M. O. (1987). On the reinforcing value of helping behavior in a positive mood. Motivation and Emotion, 11(1), 83-93.
50. 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.