{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T03:06:40Z","timestamp":1773198400707,"version":"3.50.1"},"reference-count":38,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the current status of post-traumatic growth in patients with liver cirrhosis, analyze the influencing factors of post-traumatic growth, and provide a theoretical basis for the development of targeted intervention measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 250 patients hospitalized with liver cirrhosis were selected using a convenience sampling method from the Departments of Gastroenterology and Infectious Diseases of three tertiary hospitals in Shandong Province, between May and November 2023. Data were collected using a general information questionnaire, Psychological Resilience Scale, Chinese-Posttraumatic Growth Inventory, and Fear of Progression Questionnaire Short Form. The influencing factors of post-traumatic growth were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 250 patients with liver cirrhosis were included in the analysis. The mean post-traumatic growth score was (60.92\u202f\u00b1\u202f10.74), the mean psychological resilience score was (26.89\u202f\u00b1\u202f5.59), and the mean fear of progression score was (25.84\u202f\u00b1\u202f6.50). Pearson correlation analysis showed a significant positive correlation between post-traumatic growth and psychological resilience (r\u202f=\u202f0.667,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05) and a significant negative correlation between post-traumatic growth and fear of disease progression (r\u202f=\u202f\u22120.178,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.006). Multiple linear regression analysis showed that a higher educational level (t\u202f=\u202f2.037,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.043, 95%CI: 4.164\u202f~\u202f9.442), psychological resilience (t\u202f=\u202f11.308,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.000, 95%CI: 0.342\u202f~\u202f0.744), and fear of progression in the social and family dimension (t\u202f=\u202f\u22122.398,\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.017, 95%CI: \u22120.388\u202f~\u202f\u22120.026) were the main influencing factors of post-traumatic growth.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Post-traumatic growth in patients with liver cirrhosis is at a moderate level. Fear of disease progression, psychological resilience, and educational level are the main influencing factors of post-traumatic growth. Healthcare professionals should focus on patients with high levels of fear of progression, low psychological resilience, and lower educational levels, and implement targeted intervention measures early to improve post-traumatic growth and promote the physical and psychological well-being of liver cirrhosis patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1636895","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T06:41:30Z","timestamp":1773124890000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Post-traumatic growth in liver cirrhosis patients: a cross-sectional study on the roles of psychological resilience and fear of progression based on the stress-coping theory"],"prefix":"10.3389","volume":"17","author":[{"given":"Yanyan","family":"Wang","sequence":"first","affiliation":[{"name":"Bone and Joint Tumor Surgery Department, Shandong Provincial Hospital Affiliated to Shandong First Medical University","place":["Jinan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fei","family":"Kong","sequence":"additional","affiliation":[{"name":"Gastroenterology Ward 1, Shandong Provincial Hospital Affiliated to Shandong First Medical University","place":["Jinan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Trauma Orthopedics Ward 1, Shandong Provincial Hospital Affiliated to Shandong First Medical University","place":["Jinan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qianqian","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ward 1, Shandong Provincial Hospital Affiliated to Shandong First Medical University","place":["Jinan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lijuan","family":"Yang","sequence":"additional","affiliation":[{"name":"Nursing Department, Shandong Provincial Hospital Affiliated to Shandong First Medical University","place":["Jinan, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1055","DOI":"10.1111\/inm.13132","article-title":"Resilience and mental health nursing: An integrative review of updated evidence","volume":"32","author":"Bui","year":"2023","journal-title":"Int. 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