School of Psychology, Trinity College Dublin, Dublin, Ireland.
National Rehabilitation Hospital, Dún Laoghaire, Dublin, Ireland.
Disabil Rehabil. 2022 Jul;44(14):3479-3492. doi: 10.1080/09638288.2020.1867654. Epub 2021 Jan 18.
To explore the experience of living with an Acquired Brain Injury (ABI) in individuals who report higher or lower posttraumatic growth (PTG).
A multi-method design was employed. Participant scores on the Posttraumatic Growth Inventory (PTGI) were used to identify groups for qualitative comparative analysis. Individual semi-structured interviews were conducted with fourteen individuals with ABI. Data were analysed thematically.
Four themes emerged. The first two themes: and capture the transition process from an initial rehabilitation state characterised by neuropsychological and avoidance coping, towards active rebuilding for PTG. and elaborate on the internal (e.g., acceptance, integration of the pre and post-injury self) and external (e.g., social relationships) factors seen to facilitate or obstruct PTG.
Under certain conditions, individuals living with ABI may construe positive growth from their experiences. Practitioners can support PTG development by providing individual and family-based supports aimed at increasing acceptance, the integration of self, and social connection throughout all stages of ABI rehabilitation.IMPLICATIONS FOR REHABILITATIONInternal factors such as having a flexible and positive mindset and external factors such as one's social environment can affect how individuals living with an ABI construe positive growth.Individuals with ABI and their families require access to individualised longitudinal support for neuropsychological and social challenges that can result in increased distress and obstruct the development of PTG.Efforts to facilitate acceptance and support the integration of the pre and post-injury self through recognition of continuity of self and processing of new schematic beliefs can benefit PTG development.Rehabilitation providers should support individuals with ABI to develop or maintain a positive social identity within new or existing social groups.
探索报告更高或更低创伤后成长（PTG）的个体中，与获得性脑损伤（ABI）共存的体验。
采用多方法设计。使用创伤后成长量表（PTGI）的参与者得分来确定定性比较分析的小组。对 14 名 ABI 个体进行了个体半结构化访谈。对数据进行了主题分析。
出现了四个主题。前两个主题： 和 捕捉了从以神经心理学和回避应对为特征的初始康复状态向积极重建以获得 PTG 的过渡过程。 和 详细阐述了促进或阻碍 PTG 的内部（例如，接受、自我的伤前和伤后整合）和外部（例如，社会关系）因素。
在某些条件下，与 ABI 共存的个体可能会从他们的经历中构建出积极的成长。从业者可以通过提供旨在增加接受度、自我整合和社会联系的个体和家庭支持，为所有 ABI 康复阶段提供支持，从而促进 PTG 的发展。
内部因素，如拥有灵活和积极的心态，以及外部因素，如个体的社会环境，会影响与 ABI 共存的个体如何构建积极的成长。ABI 个体及其家属需要获得针对神经心理和社会挑战的个体化纵向支持，这些挑战可能会导致更多的痛苦并阻碍 PTG 的发展。通过承认自我连续性和处理新的图式信念，促进接受和支持伤前和伤后自我的整合，可以促进 PTG 的发展。康复提供者应支持 ABI 个体在新的或现有的社交群体中发展或保持积极的社会认同。
