Document Type : Original Article


1 Department of Nursing, Faculty of nursing, Golestan University of Medical Sciences, Gorgan, Iran

2 Clinical Research Development Unit, Ayatollah Kashani Hospital, Shahrekord University of Medical Sciences, Shahrekord, Iran

3 Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran


Objectives: Pandemics would certainly have a negative impact on mental health. Positive
modifications as well as negative alterations have been documented in earlier viral
pandemic according to previous investigations. Teenagers face a variety of challenges
during adolescence. Adolescents may become more concerned if this time coincides with
other worries. This study aims to investigate the positive changes that occur in a young
adolescent’s life after COVID-19 pandemic, and to see how they relate to perceived social
Methods: This cross-sectional study was performed on adolescents who were randomly
selected from high schools in Kerman, Iran 2020 during the COVID-19. the sample size
was 108 and for sampling wes used multi-stage random sampling at the end the data was
analyzed by Pearson correlation test. Demographic information, the Multidimensional
Scale of Perceived Social Support (MSPSS) and Posttraumatic Growth Inventory short form
(PTGI-SF) were used to collect data. The data were subjected to descriptive and analytical
statistical tests (Pearson correlation) using SPSS software version 24.
Results: Statistically a positive correlation was found between the PTG total score and
young homeschooled adolescents, parents working remotely, income loss and COVID-19
experience. Moreover, during the COVID-19 pandemic, a positive association was found
between perceived social support and PTG total scores in young adolescents. There were
also substantial positive connections between the MSPSS subscales and the PTGI overall
Conclusion: Based on the findings, an overall growth in all areas of PTG was observed
during the COVID-19 among young adolescents. Perceived social support scores have a
positive and significant relationship with COVID-19 effects. In the crises we face throughout
life, intimate family members and friends play a significant supporting role in adapting to
these situations


Main Subjects

1. Rezapour M, Amiri H, Nakhaee N, Nekoei-Moghadam M, Jahani Y, Riyahifar S. Typologies of posttraumatic stress disorder in the Bam adult population: 17 years after Bam earthquake. Illn Crises Loss. 2021. doi:10.1177/10541373211054405.
2. Nichol ST, Arikawa J, Kawaoka Y. Emerging viral diseases. Proc Natl Acad Sci U S A. 2000;97(23):12411-2. doi: 10.1073/pnas.210382297.
3. Mukhtar F, Mukhtar N. Coronavirus (COVID-19): let’s prevent not panic. J Ayub Med Coll Abbottabad. 2020;32(1):141-4.
4. Garfin DR, Silver RC, Holman EA. The novel coronavirus (COVID-2019) outbreak: amplification of public health
consequences by media exposure. Health Psychol. 2020;39(5):355-7. doi: 10.1037/hea0000875.
5. Asadi-Pooya AA, Farazdaghi M, Bazrafshan M. Impacts of the COVID-19 pandemic on Iranian patients with epilepsy. Acta Neurol Scand. 2020;142(4):392-5. doi: 10.1111/ane.13310.
6. Vickers NJ. Animal communication: when i’m calling you, will you answer too? Curr Biol. 2017;27(14):R713-R5. doi:
7. Hussong AM, Midgette AJ, Thomas TE, Coffman JL, Cho S. Coping and mental health in early adolescence
during COVID-19. Res Child Adolesc Psychopathol. 2021;49(9):1113-23. doi: 10.1007/s10802-021-00821-0.
8. Matua GA, Wal DM. Living under the constant threat of Ebola: a phenomenological study of survivors and family caregivers during an Ebola outbreak. J Nurs Res. 2015;23(3):217-24. doi:10.1097/jnr.0000000000000116.
9. Chiang HH, Chen MB, Sue IL. Self-state of nurses in caring for SARS survivors. Nurs Ethics. 2007;14(1):18-26. doi:
10. Romeo A, Di Tella M, Ghiggia A, Tesio V, Gasparetto E, Stanizzo MR, et al. The traumatic experience of breast cancer:
which factors can relate to the post-traumatic outcomes? Front Psychol. 2019;10:891. doi: 10.3389/fpsyg.2019.00891.
11. Romeo A, Di Tella M, Ghiggia A, Tesio V, Torta R, Castelli L. Posttraumatic growth in breast cancer survivors: are
depressive symptoms really negative predictors? Psychol Trauma. 2020;12(3):244-50. doi: 10.1037/tra0000508.
12. Tedeschi RG, Calhoun LG. “Posttraumatic growth: conceptual foundations and empirical evidence”. Psychol Inq.
2004;15(1):1-18. doi: 10.1207/s15327965pli1501_01.
13. Tedeschi RG, Calhoun LG. Expert companions: posttraumatic growth in clinical practice. In: Handbook of Posttraumatic Growth: Research and Practice. Routledge; 2006. p. 291-310.
14. Hefferon K, Grealy M, Mutrie N. Post-traumatic growth and life threatening physical illness: a systematic review of the qualitative literature. Br J Health Psychol. 2009;14(Pt 2):343-78. doi: 10.1348/135910708x332936.
15. Morris BA, Shakespeare-Finch J, Scott JL. Posttraumatic growth after cancer: the importance of health-related benefits and newfound compassion for others. Support Care Cancer. 2012;20(4):749-56. doi: 10.1007/s00520-011-1143-7.
16. Scrignaro M, Barni S, Magrin ME. The combined contribution of social support and coping strategies in predicting posttraumatic growth: a longitudinal study on cancer patients. Psychooncology. 2011;20(8):823-31. doi: 10.1002/pon.1782.
17. Zhou X, Wu X. Understanding the roles of gratitude and social support in posttraumatic growth among adolescents
after Ya’an earthquake: a longitudinal study. Pers Individ Dif. 2016;101:4-8. doi: 10.1016/j.paid.2016.05.033.
18. Tedeschi R, Calhoun LG. Trauma and transformation: Growing in the aftermath of suffering. SAGE Publications, Inc; 1995.
19. Chen J, Li J, Zhou Y, Liu X, Xu W. Enhancement from being present: dispositional mindfulness moderates the longitudinal relationship between perceived social support and posttraumatic growth in Chinese firefighters. J Affect Disord. 2021;279:111-6. doi: 10.1016/j.jad.2020.09.137.
20. Teixeira RJ, Pereira MG. Factors contributing to posttraumatic growth and its buffering effect in adult children of cancer patients undergoing treatment. J Psychosoc Oncol. 2013;31(3):235-65. doi: 10.1080/07347332.2013.778932.
21. Takei Y, Ogata A, Ozawa M, Moritake H, Hirai K, Manabe A, et al. Psychosocial difficulties in adolescent and young adult survivors of childhood cancer. Pediatr Int. 2015;57(2):239-46.doi: 10.1111/ped.12495.
22. Bellizzi KM, Smith A, Schmidt S, Keegan TH, Zebrack B, Lynch CF, et al. Positive and negative psychosocial impact of
being diagnosed with cancer as an adolescent or young adult. Cancer. 2012;118(20):5155-62. doi: 10.1002/cncr.27512.
23. Sommer JL, Mota N, Reynolds K, El-Gabalawy R. COVID-19 as a traumatic stressor is an indicator of mental health
symptomatology. Psychiatry Res. 2021;300:113936. doi: 10.1016/j.psychres.2021.113936.
24. Murphy L, Markey K, C OD, Moloney M, Doody O. The impact of the COVID-19 pandemic and its related restrictions
on people with pre-existent mental health conditions: a scoping review. Arch Psychiatr Nurs. 2021;35(4):375-94. doi:
25. Arpawong TE, Oland A, Milam JE, Ruccione K, Meeske KA. Post-traumatic growth among an ethnically diverse sample of adolescent and young adult cancer survivors. Psychooncology. 2013;22(10):2235-44. doi: 10.1002/pon.3286.
26. Zimet GD, Powell SS, Farley GK, Werkman S, Berkoff KA. Psychometric characteristics of the Multidimensional Scale of Perceived Social Support. J Pers Assess. 1990;55(3-4):610-7. doi: 10.1080/00223891.1990.9674095.
27. Bagherian-Sararoudi R, Hajian A, Bahrami Ehsan H, Sarafraz MR, Zimet GD. Psychometric properties of the Persian version of the Multidimensional Scale of Perceived Social Support in Iran. Int J Prev Med. 2013;4(11):1277-81.
28. Amiri H, Rezapour M, Nekoei-Moghadam M, Nakhaee N. Translation and adaptation of the posttraumatic
growth inventory-short form into Persian. Open Psychol J. 2020;13(1):326-32. doi: 10.2174/1874350102013010326.
29. Tamiolaki A, Kalaitzaki AE. “That which does not kill us, makes us stronger”: COVID-19 and posttraumatic
growth. Psychiatry Res. 2020;289:113044. doi: 10.1016/j.psychres.2020.113044.