Skip to main content
Review Article

A Salutogenic Perspective on Adverse Experiences

The Curvilinear Relationship of Adversity and Well-Being

Published Online:https://doi.org/10.1027/2512-8442/a000011

Abstract. Research has predominantly focused on the negative effects of adversity on health and well-being. However, the salutogenic perspective suggests that adversity may not always be detrimental (Antonovsky, 1996). In fact, under certain circumstances, adversity may have the potential for positive outcomes, such as increased resilience and thriving (Carver, 1998; Rutter, 1987). The “steeling effect” suggests that past experiences of adversity may increase resistance to later adversities. It proposes that moderate adversity may facilitate more adaptive functioning than no adversity or high levels of adversity (Rutter, 2006, 2012). The relationship between adversity and health may be optimally assessed using curvilinear models, yet the majority of previous studies have examined linear associations (Masten & Cicchetti, 2016). It is therefore the aim of this review to determine whether moderate adversity is associated with more adaptive functioning when compared to no and high levels of adversity. Practical implications and future research are also discussed.

References References marked with an asterisk (*) indicate studies included in the systematic review.

  • *Aldwin, C. M., Levenson, M. R. & Spiro, A. (1994). Vulnerability and resilience to combat exposure: Can stress have lifelong effects? Psychology and Aging, 9, 34–44. https://doi.org/10.1037/0882-7974.9.1.34 First citation in articleGoogle Scholar

  • Antonovsky, A. (1979). Health, stress, and coping. San Francisco, CA: Jossey-Bass. First citation in articleGoogle Scholar

  • Antonovsky, A. (1987). Unraveling the mystery of health: How people manage stress and stay well. San Francisco, CA: Jossey-Bass. First citation in articleGoogle Scholar

  • Antonovsky, A. (1996). The salutogenic model as a theory to guide health promotion. Health Promotion International, 11, 11–18. https://doi.org/10.1093/heapro/11.1.11 First citation in articleGoogle Scholar

  • *Arpawong, T. E., Rohrbach, L. A., Milam, J. E., Unger, J. B., Land, H., Sun, P., … Sussman, S. (2016). Stressful life events and predictors of post-traumatic growth among high-risk early emerging adults. The Journal of Positive Psychology, 11, 1–14. https://doi.org/10.1080/17439760.2014.994223 First citation in articleGoogle Scholar

  • Bachem, R. & Maercker, A. (2016). Development and Psychometric Evaluation of a Revised Sense of Coherence Scale. European Journal of Psychological Assessment. Advance online publication. https://doi.org/10.1027/1015-5759/a000323 First citation in articleGoogle Scholar

  • Bayer, J. K., Sanson, A. V. & Hemphill, S. A. (2006). Parent influences on early childhood internalizing difficulties. Journal of Applied Developmental Psychology, 27, 542–559. https://doi.org/10.1016/j.appdev.2006.08.002 First citation in articleGoogle Scholar

  • Boals, A. & Schuettler, D. (2011). A double-edged sword: Event centrality, PTSD and posttraumatic growth. Applied Cognitive Psychology, 25, 817–822. https://doi.org/10.1002/acp.1753 First citation in articleGoogle Scholar

  • Bonanno, G. A. (2004). Loss, Trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? The American Psychologist, 59, 20–28. https://doi.org/10.1037/0003-066X.59.1.20 First citation in articleGoogle Scholar

  • Bonanno, G. A. & Diminich, E. D. (2013). Annual Research Review: Positive adjustment to adversity – trajectories of minimal – impact resilience and emergent resilience. Journal of Child Psychology and Psychiatry, 54, 378–401. https://doi.org/10.1111/jcpp.12021 First citation in articleGoogle Scholar

  • Bonanno, G. A., Westphal, M. & Mancini, A. D. (2011). Resilience to loss and potential trauma. Annual Review of Clinical Psychology, 7, 511–535. https://doi.org/10.1146/annurev-clinpsy-032210-104526 First citation in articleGoogle Scholar

  • *Bush, N. R., Obradović, J., Adler, N. & Boyce, W. T. (2011). Kindergarten stressors and cumulative adrenocortical activation: The “first straws” of allostatic load? Development and psychopathology, 23, 1089–1106. https://doi.org/10.1017/S0954579411000514 First citation in articleGoogle Scholar

  • Calhoun, L. G. & Tedeschi, R. G. (2006). The foundations of posttraumatic growth: An expanded framework. In L. G. CalhounR. G. TedeschiEds., Handbook of posttraumatic growth: Research and practice (pp. 1–23). Mahwah, NJ: Erlbaum. First citation in articleGoogle Scholar

  • Carver, C. S. (1998). Resilience and thriving: Issues, models, and linkages. Journal of Social Issues, 54, 245–266. https://doi.org/10.1111/j.1540-4560.1998.tb01217.x First citation in articleGoogle Scholar

  • Carver, C. S., Scheier, M. F. & Segerstrom, S. C. (2010). Optimism. Clinical Psychology Review, 30, 879–889. https://doi.org/10.1016/j.cpr.2010.01.006 First citation in articleGoogle Scholar

  • Cavanaugh, M. A., Boswell, W. R., Roehling, M. V. & Boudreau, J. W. (2000). An empirical examination of self-reported work stress among US managers. Journal of Applied Psychology, 85, 65–74. https://doi.org/10.1037/0021-9010.85.1.65 First citation in articleGoogle Scholar

  • Cohen, J., Cohen, P., West, S. G. & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences. Mahwah, NJ: Erlbaum. First citation in articleGoogle Scholar

  • *Coroiu, A., Körner, A., Burke, S., Meterissian, S. & Sabiston, C. M. (2016). Stress and posttraumatic growth among survivors of breast cancer: A test of curvilinear effects. International Journal of Stress Management, 23, 84–97. https://doi.org/10.1037/a0039247 First citation in articleGoogle Scholar

  • Crane, M. F. & Searle, B. J. (2016). Building resilience through exposure to stressors: The effects of challenges versus hindrances. Journal of Occupational Health Psychology, 21, 468–479. https://doi.org/10.1037/a0040064 First citation in articleGoogle Scholar

  • Dienstbier, R. A. (1989). Arousal and physiological toughness: Implications for mental and physical health. Psychological Review, 96, 84–100. https://doi.org/10.1037/0033-295X.96.1.84 First citation in articleGoogle Scholar

  • *Dooley, L. N., Slavich, G. M., Moreno, P. I. & Bower, J. E. (2017). Strength through adversity: Moderate lifetime stress exposure is associated with psychological resilience in breast cancer survivors. Stress and Health, Advance online publication. https://doi.org/10.1002/smi.2739 First citation in articleGoogle Scholar

  • *Edge, M. D., Ramel, W., Drabant, E. M., Kuo, J. R., Parker, K. J. & Gross, J. J. (2009). For better or worse? Stress inoculation effects for implicit but not explicit anxiety. Depression and Anxiety, 26, 831–837. https://doi.org/10.1002/da.20592 First citation in articleGoogle Scholar

  • Ellis, B. J. & Del Giudice, M. (2014). Beyond allostatic load: Rethinking the role of stress in regulating human development. Development and Psychopathology, 26, 1–20. https://doi.org/10.1017/S0954579413000849 First citation in articleGoogle Scholar

  • Essex, M. J., Klein, M. H., Cho, E. & Kalin, N. H. (2002). Maternal stress beginning in infancy may sensitize children to later stress exposure: Effects on cortisol and behavior. Biological Psychiatry, 52, 776–784. https://doi.org/10.1016/S0006-3223(02)01553-6 First citation in articleGoogle Scholar

  • Fergus, S. & Zimmerman, M. A. (2005). Adolescent resilience: A framework for understanding healthy development in the face of risk. Annual Review of Public Health, 26, 399–419. https://doi.org/10.1146/annurev.publhealth.26.021304.144357 First citation in articleGoogle Scholar

  • *Finch, J. E. & Obradović, J. (2017). Unique effects of socioeconomic and emotional parental challenges on children’s executive functions. Journal of Applied Developmental Psychology, 52, 126–137. https://doi.org/10.1016/j.appdev.2017.07.004 First citation in articleGoogle Scholar

  • *Fontana, A. & Rosenheck, R. (1998). Psychological benefits and liabilities of traumatic exposure in the war zone. Journal of Traumatic stress, 11, 485–503. https://doi.org/10.1023/A:1024452612412 First citation in articleGoogle Scholar

  • Folkman, S. & Lazarus, R. S. (1985). If it changes it must be a process: Study of emotion and coping during three stages of a college examination. Journal of Personality and Social Psychology, 48, 150–170. https://doi.org/10.1037/0022-3514.48.1.150 First citation in articleGoogle Scholar

  • Frazier, P. A. & Kaler, M. E. (2006). Assessing the validity of self-reported stress-related growth. Journal of Consulting and Clinical Psychology, 74, 859–869. https://doi.org/10.1037/0022-006X.74.5.859 First citation in articleGoogle Scholar

  • Garmezy, N. (1986). Developmental aspects of children’s responses to the stress of separation and loss. In M. RutterC. E. IzardP. B. ReadEds., Depression in young people: Developmental and clinical perspectives (pp. 297–323). New York, NY: Guilford Press. First citation in articleGoogle Scholar

  • *Gunnar, M. R., Frenn, K., Wewerka, S. S. & Van Ryzin, M. J. (2009). Moderate versus severe early life stress: Associations with stress reactivity and regulation in 10–12-year-old children. Psychoneuroendocrinology, 34, 62–75. https://doi.org/10.1016/j.psyneuen.2008.08.013 First citation in articleGoogle Scholar

  • *Hagan, M. J., Roubinov, D. S., Purdom Marreiro, C. L. & Luecken, L. J. (2014). Childhood interparental conflict and HPA axis activity in young adulthood: Examining nonlinear relations. Developmental Psychobiology, 56, 871–880. https://doi.org/10.1002/dev.21157 First citation in articleGoogle Scholar

  • Hammen, C., Henry, R. & Daley, S. E. (2000). Depression and sensitization to stressors among young women as a function of childhood adversity. Journal of Consulting and Clinical Psychology, 68, 782–787. https://doi.org/10.1037/0022-006X.68.5.782 First citation in articleGoogle Scholar

  • Harkness, K. L., Bruce, A. E. & Lumley, M. N. (2006). The role of childhood abuse and neglect in the sensitization to stressful life events in adolescent depression. Journal of Abnormal Psychology, 115, 730–741. https://doi.org/10.1037/0021-843X.115.4.730 First citation in articleGoogle Scholar

  • Hobfoll, S. E. (2001). The influence of culture, community, and the nested‐self in the stress process: Advancing conservation of resources theory. Applied Psychology, 50, 337–421. https://doi.org/10.1111/1464-0597.00062 First citation in articleGoogle Scholar

  • *Höltge, J., Mc Gee, S. L. & Thoma, M. V. (2018). The curvilinear relationship of early-life adversity and successful aging: The mediating role of mental health. Aging & Mental Health, 1–10. https://doi.org/10.1080/13607863.2018.1433635 First citation in articleGoogle Scholar

  • *Jennings, P. A., Aldwin, C. M., Levenson, M. R., Spiro, A. III & Mroczek, D. K. (2006). Combat exposure, perceived benefits of military service, and wisdom in later life: Findings from the Normative Aging Study. Research on Aging, 28, 115–134. https://doi.org/10.1177/0164027505281549 First citation in articleGoogle Scholar

  • Kaye-Tzadok, A. & Davidson-Arad, B. (2016). Posttraumatic growth among women survivors of childhood sexual abuse: Its relation to cognitive strategies, posttraumatic symptoms, and resilience. Psychological Trauma: Theory, Research, Practice, and Policy, 8, 550. https://doi.org/10.1037/tra0000103 First citation in articleGoogle Scholar

  • Kessler, R. C., McLaughlin, K. A., Green, J. G., Gruber, M. J., Sampson, N. A., Zaslavsky, A. M. & Angermeyer, M. (2010). Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys. The British Journal of Psychiatry, 197, 378–385. https://doi.org/10.1192/bjp.bp.110.080499 First citation in articleGoogle Scholar

  • *Kleim, B. & Ehlers, A. (2009). Evidence for a curvilinear relationship between posttraumatic growth and posttrauma depression and PTSD in assault survivors. Journal of Traumatic Stress, 22, 45–52. https://doi.org/10.1002/jts.20378 First citation in articleGoogle Scholar

  • *Kunst, M. J. J. (2010). Peritraumatic distress, posttraumatic stress disorder symptoms, and posttraumatic growth in victims of violence. Journal of Traumatic Stress, 23, 514–518. https://doi.org/10.1002/jts.20556 First citation in articleGoogle Scholar

  • Lazarus, R. S. & Folkman, S. (1984). Stress, appraisal and coping. New York, NY: Springer. First citation in articleGoogle Scholar

  • *Lechner, S. C., Zakowski, S. G., Antoni, M. H., Greenhawt, M., Block, K. & Block, P. (2003). Do sociodemographic and disease‐related variables influence benefit‐finding in cancer patients? Psychooncology, 12, 491–499. https://doi.org/10.1002/pon.671 First citation in articleGoogle Scholar

  • LePine, J. A., LePine, M. A. & Jackson, C. L. (2004). Challenge and hindrance stress: Relationships with exhaustion, motivation to learn, and learning performance. Journal of Applied Psychology, 89, 883–891. https://doi.org/10.1037/0021-9010.89.5.883 First citation in articleGoogle Scholar

  • LePine, J. A., Podsakoff, N. P. & LePine, M. A. (2005). A meta-analytic test of the challenge stressor–hindrance stressor framework: An explanation for inconsistent relationships among stressors and performance. Academy of Management Journal, 48, 764–775. https://doi.org/10.5465/AMJ.2005.18803921 First citation in articleGoogle Scholar

  • Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P., … Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. Annals of Internal Medicine, 151, 65–94. https://doi.org/10.1136/bmj.b2700 First citation in articleGoogle Scholar

  • Linley, P. A. & Joseph, S. (2004). Positive change following trauma and adversity: A review. Journal of Traumatic Stress, 17, 11–21. https://doi.org/10.1023/B:JOTS.0000014671.27856.7e First citation in articleGoogle Scholar

  • Liu, R. T. (2015). A developmentally informed perspective on the relation between stress and psychopathology: When the problem with stress is that there is not enough. Journal of Abnormal Psychology, 124, 80–92. https://doi.org/10.1037/abn0000043 First citation in articleGoogle Scholar

  • Lyons, D. M. & Parker, K. J. (2007). Stress inoculation‐induced indications of resilience in monkeys. Journal of Traumatic Stress, 20, 423–433. https://doi.org/10.1002/jts.20265 First citation in articleGoogle Scholar

  • Maercker, A., Hilpert, P. & Burri, A. (2016). Childhood trauma and resilience in old age: Applying a context model of resilience to a sample of former indentured child laborers. Aging & Mental Health, 20, 616–626. https://doi.org/10.1080/13607863.2015.1033677 First citation in articleGoogle Scholar

  • Masten, A. S. & Cicchetti, D. (2016). Resilience in development: Progress and transformation. In D. CicchettiEd., Developmental Psychopathology, Volume 4: Risk, Resilience, and Intervention (3rd ed., pp. 271–333). Hoboken, NJ: Wiley. First citation in articleGoogle Scholar

  • *McCaslin, S. E., de Zoysa, P., Butler, L. D., Hart, S., Marmar, C. R., Metzler, T. J. & Koopman, C. (2009). The relationship of posttraumatic growth to peritraumatic reactions and posttraumatic stress symptoms among Sri Lankan university students. Journal of Traumatic Stress, 22, 334–339. https://doi.org/10.1002/jts.20426 First citation in articleGoogle Scholar

  • McFarland, C. & Alvaro, C. (2000). The impact of motivation on temporal comparisons: Coping with traumatic events by perceiving personal growth. Journal of Personality and Social Psychology, 79, 327–343. https://doi.org/10.1037/0022-3514.79.3.327 First citation in articleGoogle Scholar

  • *McLafferty, M., O’Neill, S., Murphy, S., Armour, C., Ferry, F. & Bunting, B. (2018). The moderating impact of childhood adversity profiles and conflict on psychological health and suicidal behaviour in the Northern Ireland population. Psychiatry Research, 262, 213–220. https://doi.org/10.1016/j.psychres.2018.02.024 First citation in articleGoogle Scholar

  • McLaughlin, K. A., Conron, K. J., Koenen, K. C. & Gilman, S. E. (2010). Childhood adversity, adult stressful life events, and risk of past-year psychiatric disorder: A test of the stress sensitization hypothesis in a population-based sample of adults. Psychological Medicine, 40, 1647–1658. https://doi.org/10.1017/S0033291709992121 First citation in articleGoogle Scholar

  • *McLean, C. P., Handa, S., Dickstein, B. D., Benson, T. A., Baker, M. T., Isler, W. C., … Litz, B. T. (2013). Posttraumatic growth and posttraumatic stress among military medical personnel. Psychological Trauma: Theory, Research, Practice, and Policy, 5, 62–68. https://doi.org/10.1037/a0022949 First citation in articleGoogle Scholar

  • Meichenbaum, D. (1993). Stress inoculation training: A preventative and treatment approach. In P. M. LehrerR. L. WoolfolkW. E. SimeEds., Principles and practice of stress management (pp. 497–518). New York, NY: Guilford Press. First citation in articleGoogle Scholar

  • Meyerson, D. A., Grant, K. E., Carter, J. S. & Kilmer, R. P. (2011). Posttraumatic growth among children and adolescents: A systematic review. Clinical Psychology Review, 31, 949–964. https://doi.org/10.1016/j.cpr.2011.06.003 First citation in articleGoogle Scholar

  • Monroe, S. M. & Harkness, K. L. (2005). Life stress, the “kindling” hypothesis, and the recurrence of depression: Considerations from a life stress perspective. Psychological Review, 112, 417–445. https://doi.org/10.1037/0033-295X.112.2.417 First citation in articleGoogle Scholar

  • *Moore, L. J., Young, T., Freeman, P. & Sarkar, M. (2017). Adverse life events, cardiovascular responses, and sports performance under pressure. Scandinavian Journal of Medicine & Science in Sports, 28, 340–347. https://doi.org/10.1111/sms.12928 First citation in articleGoogle Scholar

  • Norman, R. E., Byambaa, M., De, R., Butchart, A., Scott, J. & Vos, T. (2012). The long-term health consequences of child physical abuse, emotional abuse, and neglect: A systematic review and meta-analysis. PLoS Medicine, 9, e1001349. https://doi.org/10.1371/journal.pmed.1001349 First citation in articleGoogle Scholar

  • O’Leary, V. E. & Ickovics, J. R. (1995). Resilience and thriving in response to challenge: An opportunity for a paradigm shift in women’s health. Women’s Health, 1, 121–142. First citation in articleGoogle Scholar

  • Park, C. L., Cohen, L. H. & Murch, R. L. (1996). Assessment and prediction of stress‐related growth. Journal of Personality, 64, 71–105. https://doi.org/10.1111/j.1467-6494.1996.tb00815.x First citation in articleGoogle Scholar

  • Parker, K. J. & Maestripieri, D. (2011). Identifying key features of early stressful experiences that produce stress vulnerability and resilience in primates. Neuroscience and Biobehavioral Reviews, 35, 1466–1483. https://doi.org/10.1016/j.neubiorev.2010.09.003 First citation in articleGoogle Scholar

  • Post, R. M. (1992). Transduction of psychosocial stress into the neurobiology of recurrent affective disorder. The American Journal of Psychiatry, 149, 999–1010. https://doi.org/10.1176/ajp.149.8.999 First citation in articleGoogle Scholar

  • *Powell, S., Rosner, R., Butollo, W., Tedeschi, R. G. & Calhoun, L. G. (2003). Posttraumatic growth after war: A study with former refugees and displaced people in Sarajevo. Journal of Clinical Psychology, 59, 71–83. https://doi.org/10.1002/jclp.10117 First citation in articleGoogle Scholar

  • Richardson, G. E. (2002). The metatheory of resilience and resiliency. Journal of Clinical Psychology, 58, 307–321. https://doi.org/10.1002/jclp.10020 First citation in articleGoogle Scholar

  • *Ruch, L. O., Chandler, S. M. & Harter, R. A. (1980). Life change and rape impact. Journal of Health and Social Behavior, 21, 248–260. https://doi.org/10.2307/2136619 First citation in articleGoogle Scholar

  • Rutter, M. (1987). Psychosocial resilience and protective mechanisms. The American Journal of Orthopsychiatry, 57, 316–331. https://doi.org/10.1111/j.1939-0025.1987.tb03541.x First citation in articleGoogle Scholar

  • Rutter, M. (2006). Implications of resilience concepts for scientific understanding. Annals of the New York Academy of Sciences, 1094, 1–12. https://doi.org/10.1196/annals.1376.002 First citation in articleGoogle Scholar

  • Rutter, M. (2012). Resilience as a dynamic concept. Development and Psychopathology, 24, 335–344. https://doi.org/10.1017/S0954579412000028 First citation in articleGoogle Scholar

  • *Schnurr, P. P., Rosenberg, S. D. & Friedman, M. J. (1993). Change in MMPI scores from college to adulthood as a function of military service. Journal of Abnormal Psychology, 102, 288–296. https://doi.org/10.1037/0021-843X.102.2.288 First citation in articleGoogle Scholar

  • Scott, K. M., Von Korff, M., Angermeyer, M. C., Benjet, C., Bruffaerts, R., de Girolamo, G., … Kessler, R. C. (2011). Association of childhood adversities and early-onset mental disorders with adult-onset chronic physical conditions. Archives of General Psychiatry, 68, 838–844. https://doi.org/10.1001/archgenpsychiatry.2011.77 First citation in articleGoogle Scholar

  • Seery, M. D. (2011). Resilience a silver lining to experiencing adverse life events? Current Directions in Psychological Science, 20, 390–394. https://doi.org/10.1177/0963721411424740 First citation in articleGoogle Scholar

  • *Seery, M. D., Holman, E. A. & Silver, R. C. (2010). Whatever does not kill us: cumulative lifetime adversity, vulnerability, and resilience. Journal of Personality and Social Psychology, 99, 1025–1041. https://doi.org/10.1037/a0021344 First citation in articleGoogle Scholar

  • *Seery, M. D., Leo, R. J., Holman, E. A. & Silver, R. C. (2010). Lifetime exposure to adversity predicts functional impairment and healthcare utilization among individuals with chronic back pain. Pain, 150, 507–515. https://doi.org/10.1016/j.pain.2010.06.007 First citation in articleGoogle Scholar

  • *Seery, M. D., Leo, R. J., Lupien, S. P., Kondrak, C. L. & Almonte, J. L. (2013). An upside to adversity? Moderate cumulative lifetime adversity is associated with resilient responses in the face of controlled stressors. Psychological Science, 24, 1181–1189. https://doi.org/10.1177/0956797612469210 First citation in articleGoogle Scholar

  • Shapero, B. G., Black, S. K., Liu, R. T., Klugman, J., Bender, R. E., Abramson, L. Y. & Alloy, L. B. (2014). Stressful life events and depression symptoms: The effect of childhood emotional abuse on stress reactivity. Journal of Clinical Psychology, 70, 209–223. https://doi.org/10.1002/jclp.22011 First citation in articleGoogle Scholar

  • Smid, G. E., Van der Velden, P. G., Lensvelt-Mulders, G. J. L. M., Knipscheer, J. W., Gersons, B. P. R. & Kleber, R. J. (2012). Stress sensitization following a disaster: A prospective study. Psychological Medicine, 42, 1675–1686. https://doi.org/10.1017/S0033291711002765 First citation in articleGoogle Scholar

  • *Suvak, M. K., Vogt, D. S., Savarese, V. W., King, L. A. & King, D. W. (2002). Relationship of war-zone coping strategies to long-term general life adjustment among Vietnam veterans: Combat exposure as a moderator variable. Personality and Social Psychology Bulletin, 28, 974–985. https://doi.org/10.1177/014616720202800710 First citation in articleGoogle Scholar

  • Tedeschi, R. G. & Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15, 1–18. https://doi.org/10.1207/s15327965pli1501_01 First citation in articleGoogle Scholar

  • Ungar, M. (2011). The social ecology of resilience: Addressing contextual and cultural ambiguity of a nascent construct. The American Journal of Orthopsychiatry, 81, 1–17. https://doi.org/10.1111/j.1939-0025.2010.01067.x First citation in articleGoogle Scholar

  • Van den Broeck, A., De Cuyper, N., De Witte, H. & Vansteenkiste, M. (2010). Not all job demands are equal: Differentiating job hindrances and job challenges in the job demands–resources model. European Journal of Work and Organizational Psychology, 19, 735–759. https://doi.org/10.1080/13594320903223839 First citation in articleGoogle Scholar

  • *Wildman, R. C. & Johnson, D. R. (1977). Life change and Langner’s 22-item mental health index: A study and partial replication. Journal of Health and Social Behavior, 18, 179–188. https://doi.org/10.2307/2955381 First citation in articleGoogle Scholar

  • Zoellner, T. & Maercker, A. (2006). Posttraumatic growth in clinical psychology – a critical review and introduction of a two component model. Clinical Psychology Review, 26, 626–653. https://doi.org/10.1016/j.cpr.2006.01.008 First citation in articleGoogle Scholar