Exploring narratives of resilience among seven males living with spinal cord injury: a qualitative study

BMC Psychology, 2018 · DOI: 10.1186/s40359-017-0211-2 · Published: January 8, 2018

Spinal Cord Injury Rehabilitation Research Methodology & Design

Simple Explanation

This study explores how men living with spinal cord injuries (SCI) maintain resilience and wellbeing over time. It examines their strategies, efforts, and agency in adapting to long-term challenges. The research involved in-depth interviews with seven men who had lived with SCI for several years. Thematic analysis was used to identify common themes in their narratives related to resilience. The findings highlight the importance of personal resources, such as positive thinking and flexibility, as well as relational resources, like support from family and friends, in sustaining long-term resilience and wellbeing among individuals with SCI.

Study Duration

2–32 years since injury

Participants

Seven men living with spinal cord injury

Evidence Level

Qualitative study

Key Findings

1
Participants highlighted the importance of positive thinking, determination, and self-responsibility in maintaining emotional stability and overall wellbeing after a spinal cord injury.
2
The study revealed that participants employed self-protective strategies to avoid exhaustion and manage daily demands, which included prioritizing their own needs and withdrawing when necessary.
3
Maintaining connections with family, friends, and rehabilitation staff and balancing dependence and autonomy were crucial for the participants to stay part of ordinary life and sustain their psychosocial wellbeing.

Research Summary

This qualitative study explored narratives of resilience among seven males living with spinal cord injury (SCI), revealing how they sustain long-term wellbeing. Key findings highlighted the importance of personal resources (positive thinking, flexibility), relational resources (family/friends support), and strategies for balancing dependence and autonomy. The study emphasizes that cultivating resilience involves continuously exerting agency, willpower, and strength through rational cognitive strategies to adapt to chronic challenges.

Practical Implications

Rehabilitation Strategies

Integrate strategies fostering positive thinking, flexibility, and self-responsibility into rehabilitation programs to enhance emotional stability and wellbeing among individuals with SCI.

Family Involvement

Recognize and facilitate the crucial role of family and friends in providing emotional and practical support throughout the adaptation process post-SCI.

Promote Autonomy

Encourage independence and self-sufficiency by helping individuals with SCI identify practical solutions to manage daily life and participate in social activities.

Study Limitations

1
Limited sample size (seven males) may not be representative of all individuals with SCI.
2
Narratives are colored by participants' current perspectives, which is a limitation of the cross-sectional design.
3
Lack of female participants limits the generalizability of findings to women with SCI.

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