“…Further, PTGI scores were positively associated with coping efforts and increases in distress. A number of similar studies that have examined changes in actual PTG over time have consistently found that PTGI scores are unrelated changes in actual PTG (Boerner, Joseph, and Murphy, 2017; Kunz, Joseph, Geyh, and Peter, 2018; Ransom, Sheldon, and Jacobsen, 2008; Trevino, Naik, and Moye, 2016; Yanez, Stanton, Hoyt, Tennen, and Lechner, 2011, [20,21,22,23,24]; although, for an important exception, see Iimura and Taku, 2018, [25]). Hence, it appears the PTGI does not assess actual PTG, but rather perceived PTG.…”