Thriving in the wake of a storm: A systematic qualitative review & meta-synthesis on facilitating post-traumatic growth in patients living with Acquired Brain Injury.

IF 1.7 3区 心理学 Q4 NEUROSCIENCES
Pamela Arroyo, Lowri Wilkie, Elen Davies, Zoe Fisher, Andrew Haddon Kemp
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引用次数: 0

Abstract

Acquired Brain Injury (ABI) often results in significant challenges, yet it may also facilitate Post-Traumatic Growth (PTG). This review explores a critical question: "What are the main factors contributing to PTG following ABI, and what potential barriers to its development are perceived by ABI survivors?" Here we aim to systematically uncover these contributors and barriers to PTG through a meta-synthesis, involving a comprehensive review of previously published qualitative research on this topic. A literature search was conducted across PsycINFO, CINAHL, and MEDLINE up to December 2022 to identify studies for inclusion. From an initial pool of 1,946 records, eleven articles were selected for inclusion. Reflexive thematic analysis yielded three analytical themes including "Journey to Self-Rediscovery", "Strength in Connection" and "Overcoming Obstacles". Our findings also revealed facilitators and barriers across multiple levels of scale including personal (e.g., acceptance versus resignation), interpersonal (e.g., positive social ties versus difficulties making social connections), and systemic (e.g., new meaning and purpose versus financial constraints) scales. Our research extends existing knowledge in ABI rehabilitation, providing a more nuanced understanding of the dynamics influencing PTG with implications for clinicians seeking to promote wellbeing following brain injury.

在暴风雨后茁壮成长:关于促进后天性脑损伤患者创伤后成长的系统性定性综述和荟萃。
获得性脑损伤(ABI)通常会带来重大挑战,但也可能促进创伤后成长(PTG)。本综述探讨了一个关键问题:"创伤后成长的主要因素是什么,创伤后成长的潜在障碍是什么?在此,我们旨在通过元综合的方式,系统地揭示PTG的这些促成因素和障碍,包括对之前发表的有关该主题的定性研究进行全面回顾。我们对截至 2022 年 12 月的 PsycINFO、CINAHL 和 MEDLINE 进行了文献检索,以确定纳入的研究。从最初的 1,946 条记录中筛选出 11 篇文章纳入研究。反思性主题分析产生了三个分析主题,包括 "自我重新发现之旅"、"联系的力量 "和 "克服障碍"。我们的研究结果还揭示了多个层面的促进因素和障碍,包括个人层面(如接受与放弃)、人际层面(如积极的社会联系与建立社会联系的困难)和系统层面(如新的意义和目标与经济限制)。我们的研究扩展了现有的脑损伤康复知识,使人们对影响 PTG 的动态因素有了更细致的了解,这对临床医生寻求促进脑损伤后的幸福感具有重要意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Neuropsychological Rehabilitation
Neuropsychological Rehabilitation 医学-神经科学
CiteScore
6.30
自引率
7.40%
发文量
78
审稿时长
>12 weeks
期刊介绍: Neuropsychological Rehabilitation publishes human experimental and clinical research related to rehabilitation, recovery of function, and brain plasticity. The journal is aimed at clinicians who wish to inform their practice in the light of the latest scientific research; at researchers in neurorehabilitation; and finally at researchers in cognitive neuroscience and related fields interested in the mechanisms of recovery and rehabilitation. Papers on neuropsychological assessment will be considered, and special topic reviews (2500-5000 words) addressing specific key questions in rehabilitation, recovery and brain plasticity will also be welcomed. The latter will enter a fast-track refereeing process.
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