Development of a process model of posttraumatic growth in psychosis: a qualitative study
-
By
-
March 30, 2026
Objective:
To investigate the process of posttraumatic growth (PTG) in individuals with psychosis, using a dimensional understanding of psychosis, and validate the PROSPER framework.
Key Findings:
- Participants viewed psychosis as a disruption moderated by personal and trauma factors.
- All participants reported experiences of PTG, though some struggled to identify current PTG experiences, indicating its dynamic and evolving nature.
- The transition from psychosis to PTG was influenced by cognitive and social/societal mechanisms.
- All seven domains of the PROSPER framework were validated.
Interpretation:
PTG is achievable in individuals with psychosis, highlighting the need for interventions that support both individual and broader community-level growth and resilience.
Limitations:
- The study's sample may not represent all individuals with psychosis.
- Findings are based on self-reported experiences, which may introduce bias.
- The qualitative nature limits generalizability of results and depth of understanding of PTG mechanisms.
Conclusion:
Further research is needed to quantify the mechanisms of PTG in psychosis using longitudinal designs, and to develop targeted interventions that address both individual and community needs.
