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  4. Post-traumatic growth following spinal cord injury

Post-traumatic growth following spinal cord injury

The Journal of Spinal Cord Medicine, 2014 · DOI: 10.1179/2045772313Y.0000000169 · Published: January 1, 2014

Spinal Cord InjuryMental HealthRehabilitation

Simple Explanation

Post-traumatic growth (PTG) is defined as positive change as a result of a challenging life crisis, like trauma. Academic interest in PTG emerged in the 1980s. PTG does not occur as a direct result of trauma but from the struggle with a new reality as its aftermath. This struggle ultimately leads to growth and wisdom, even in the face of enduring distress. Several factors have been identified that potentially mediate or predict PTG. For example, PTG has been closely aligned with resilience.

Study Duration
Not specified
Participants
824 adults with SCI
Evidence Level
Cross-sectional survey

Key Findings

  • 1
    Being female, younger, having less formal education, and less time since injury had significant relationships with PTG, whereas depression, violent etiology, and injury level/severity did not.
  • 2
    In each PTG domain, between 54 and 79% of the sample reported at least some positive change after injury.
  • 3
    Positive change after injury was comparable for each PTG item except for new opportunities being available, which was significantly lower for those with SCI.

Research Summary

The results of this study provided preliminary support for our conceptual model; however, the final model explained only a small proportion of the variance associated with PTG. In this sample, greater PTG was associated with being female and younger; in fact, of all the variables in the model, sex was the variable most strongly related to PTG. Our item-level analysis also suggested that persons with SCI do experience growth after injury, similar to other trauma populations.

Practical Implications

Further Research

Development of theoretical models of PTG after SCI is needed.

Clinical Practice

Clinicians should consider personal characteristics like sex, age, and time since injury when assessing PTG.

Intervention Development

Future interventions should consider factors that promote growth in specific PTG domains, particularly new opportunities.

Study Limitations

  • 1
    The final model explained only a small amount of the variance in PTG.
  • 2
    Other salient psychological factors related to PTG were not measured.
  • 3
    Only 5 items from the 21-item PTGI scale were selected.

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