{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T22:44:10Z","timestamp":1792881850544,"version":"4.5.0"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T00:00:00Z","timestamp":1738108800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T00:00:00Z","timestamp":1738108800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Posttraumatic growth (PTG) is characterized as the experience of positive psychological change following exposure to traumatic stress. However, studies examining the association between posttraumatic stress disorder (PTSD) symptoms and PTG have demonstrated mixed results. Further, although higher levels of social support have been shown to predict higher ratings of PTG, there are limited longitudinal findings regarding how interpersonal functioning may affect the association between PTSD symptoms and PTG. In this study, we examined interpersonal functioning in romantic relationships and friendships as mediators of the relation between PTSD symptom severity and PTG and examined potential sex differences among these associations. Participants were 1,427 veterans who completed self\u2010report questionnaires across three time points. A parallel mediation analysis indicated that romantic relationship, \u03b2\u00a0=\u00a0\u2212.01, 95% CI [\u2212.03, \u2212.001], and friendship, \u03b2\u00a0=\u00a0\u2212.02, 95% CI [\u2212.04, \u2212.001], functioning were both indirectly associated with PTG in the full sample. Moreover, sex\u2010stratified models indicated that romantic relationship functioning was a significant mediator for male veterans, \u03b2\u00a0=\u00a0\u2212.02, 95% CI [\u2212.05, \u2212.01], whereas friendship functioning was a significant mediator for female veterans, \u03b2\u00a0=\u00a0\u2212.04, 95% CI [\u2212.08, \u2212.01]. Together, these findings suggest that interpersonal functioning is an important factor in PTG, and targeting romantic relationship and friendship functioning in the context of trauma\u2010focused treatment may be valuable and can help build a pathway from PTSD symptoms to PTG among female and male veterans.<\/jats:p>","DOI":"10.1002\/jts.23134","type":"journal-article","created":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T23:38:58Z","timestamp":1738193938000},"page":"399-409","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Posttraumatic stress and posttraumatic growth among female and male veterans: The contribution of romantic relationship and friendship functioning"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2592-0634","authenticated-orcid":false,"given":"Eileen P.","family":"Barden","sequence":"first","affiliation":[{"name":"Behavioral Science Division National Center for PTSD at VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Department of Psychiatry Boston University Chobanian &amp; Avedisian School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1928-646X","authenticated-orcid":false,"given":"Shaina A.","family":"Kumar","sequence":"additional","affiliation":[{"name":"Behavioral Science Division National Center for PTSD at VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Department of Psychiatry Boston University Chobanian &amp; Avedisian School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1533-6207","authenticated-orcid":false,"given":"Julia C.","family":"Sager","sequence":"additional","affiliation":[{"name":"Behavioral Science Division National Center for PTSD at VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Department of Psychiatry Boston University Chobanian &amp; Avedisian School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3011-8520","authenticated-orcid":false,"given":"Johanna","family":"Thompson\u2010Hollands","sequence":"additional","affiliation":[{"name":"Behavioral Science Division National Center for PTSD at VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Department of Psychiatry Boston University Chobanian &amp; 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