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根据社会参与、自我意识和自我认同来描述创伤性脑损伤个体的创伤后成长。

Characterizing post-traumatic growth in individuals with traumatic brain injury according to social participation, self-awareness, and self-identity.

作者信息

Mamman Rinni, Fleming Jennifer, Mortenson W Ben, Schmidt Julia

机构信息

Graduate Program in Rehabilitation Sciences, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

Rehabilitation Research Program, Centre for Aging SMART, Vancouver Coastal Health, Vancouver, British Columbia, Canada.

出版信息

Disabil Rehabil. 2025 Jun;47(11):2914-2921. doi: 10.1080/09638288.2024.2405571. Epub 2024 Sep 28.

Abstract

PURPOSE

After traumatic brain injury (TBI), individuals may face challenges in their social participation, self-awareness, and self-identity. However, positive life changes can also be experienced (i.e., post-traumatic growth). This study aimed to characterize the social participation, self-awareness, and self-identity of individuals with TBI displaying post-traumatic growth.

MATERIALS AND METHODS

Fifteen participants (male = 10, mean age = 49.7 years) with moderate to severe TBI (average years post-injury = 15.2) were included in this mixed-methods study. Self-report questionnaires were used to assess social participation, self-awareness, and self-identity. Qualitative data, collected using semi-structured interviews, were used to categorize participants into two groups: higher ( = 8) and lower ( = 7) post-traumatic growth. Descriptive statistics were used to characterize participants in each group in terms of their social participation, self-awareness, and self-identity.

RESULTS

Participants with higher post-traumatic growth had increased social participation, higher self-awareness, and fewer negative discrepancies between their pre- and post-injury self-identities, compared to participants with lower post-traumatic growth.

CONCLUSION

This study contributes to a more comprehensive understanding of post-traumatic growth through the use of both qualitative and quantitative data. These findings can inform future research and development of programs to promote post-traumatic growth post-TBI.

摘要

目的

创伤性脑损伤(TBI)后,个体在社会参与、自我意识和自我认同方面可能会面临挑战。然而,也可能经历积极的生活变化(即创伤后成长)。本研究旨在描述表现出创伤后成长的TBI个体的社会参与、自我意识和自我认同。

材料与方法

本混合方法研究纳入了15名中度至重度TBI患者(男性10名,平均年龄49.7岁)(受伤后平均年数 = 15.2)。使用自我报告问卷来评估社会参与、自我意识和自我认同。通过半结构化访谈收集的定性数据用于将参与者分为两组:创伤后成长较高组(n = 8)和创伤后成长较低组(n = 7)。描述性统计用于根据社会参与、自我意识和自我认同对每组参与者进行特征描述。

结果

与创伤后成长较低的参与者相比,创伤后成长较高的参与者社会参与增加、自我意识增强,并且受伤前后自我认同的负面差异较少。

结论

本研究通过使用定性和定量数据,有助于更全面地理解创伤后成长。这些发现可为未来促进TBI后创伤后成长项目的研究和开发提供参考。

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