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To build on existing knowledge, the present study examined co\u2010occurring patterns of posttraumatic stress disorder (PTSD) symptoms, depressive symptoms, and posttraumatic growth (PTG) among adolescents during the COVID\u201019 pandemic. Participants (<jats:italic>N<\/jats:italic> = 683) were adolescents selected from an area in China severely affected by COVID\u201019 who completed the PTSD Checklist, a measure of depression, a PTG inventory, and a cognitive emotional regulation questionnaire. Latent profile analysis and multinomial logistic regression were used for the data analyses. The results showed three heterogeneous patterns characterized by growth (<jats:italic>n<\/jats:italic> = 248, 36.3%), distress (<jats:italic>n<\/jats:italic> = 101, 14.8%), and struggle (<jats:italic>n<\/jats:italic> = 334, 48.9%). Positive refocusing and reappraisal were associated with membership in the growth group compared with distress group, <jats:italic>OR<\/jats:italic> = 0.83, 95% CI [0.75, 0.93] and <jats:italic>OR<\/jats:italic> = 0.78, 95% CI [0.68, 0.90], whereas rumination, catastrophizing, and \u201cputting into perspective\u201d were associated with membership in the distress group compared with growth group, <jats:italic>OR<\/jats:italic>s = 1.15\u20131.44. These findings suggest that posttraumatic reactions show heterogeneous characteristics: struggle, rather than growth or distress, is common among adolescents during COVID\u201019; and distinct cognitive emotional regulation strategies have distinguishing roles in the three patterns of posttraumatic reactions.<\/jats:p>","DOI":"10.1002\/jts.22720","type":"journal-article","created":{"date-parts":[[2021,8,2]],"date-time":"2021-08-02T17:11:16Z","timestamp":1627924276000},"page":"197-209","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Latent Patterns of Posttraumatic Stress Symptoms, Depression, and Posttraumatic Growth Among Adolescents During the COVID\u201019 Pandemic"],"prefix":"10.1002","volume":"35","author":[{"given":"Rui","family":"Zhen","sequence":"first","affiliation":[{"name":"School of Education Hangzhou Normal University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3371-2293","authenticated-orcid":false,"given":"Xiao","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Psychology and Behavioral Sciences Zhejiang University  Hangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/bec.2014.26"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2015.03.011"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.2174\/1745017901511010140"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/10615806.2014.956097"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.111.096552"},{"key":"e_1_2_6_7_1","first-page":"1","volume-title":"Handbook of posttraumatic growth","author":"Calhoun L. 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