Safety, acceptance and enablement in a shaken world: The role of relationships in post traumatic growth development following spinal cord injury.

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Health Psychology Pub Date : 2025-03-16 DOI:10.1177/13591053251315891

Gemma Smith, Andrew R Thompson, Anna McCulloch, Jennifer Moses

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引用次数: 0

Abstract

Research indicates relationships can support post traumatic growth (PTG) following spinal cord injury (SCI). However, knowledge of this area is limited. Thus, the study aimed to explore the role of relationships and perceived support in PTG development. Eleven semi-structured interviews were conducted with participants who had acquired SCI in adulthood. Constructivist Grounded Theory was utilised for analysis. Tracy's qualitative markers were used to ensure quality and rigour. Findings showed SCI can disrupt core beliefs, triggering cognitive and behavioural re-evaluation processes to rebuild beliefs, and experience PTG. Three inter-related themes of how relationships support these processes were revealed: 'a safe place to get back on your feet'; accepting and valuing me and enabling learning and independence. Relationships can support PTG processes through providing emotional safety, enabling exploration of self and supporting self-acceptance. A tentative theoretical model is provided, with implications for PTG theories and recommendations for clinical practice.

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安全，接受和使能在一个动摇的世界：关系在脊髓损伤后创伤后生长发育中的作用。

研究表明，关系可以支持脊髓损伤（SCI）后的创伤后生长（PTG）。然而，这方面的知识是有限的。因此，本研究旨在探讨人际关系和感知支持在PTG发展中的作用。研究人员对成年期脊髓损伤患者进行了11次半结构化访谈。运用建构主义扎根理论进行分析。采用特雷西定性标记，以确保质量和严谨性。研究结果表明，脊髓损伤可以破坏核心信念，触发认知和行为重新评估过程以重建信念，并经历创伤后应激障碍。研究揭示了关系如何支持这些过程的三个相互关联的主题：“一个让你重新站起来的安全地方”；接受和重视我，使我能够学习和独立。人际关系可以通过提供情感安全、探索自我和支持自我接纳来支持PTG过程。本文提供了一个初步的理论模型，对PTG理论和临床实践提出了建议。

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

Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

3.10%

发文量

期刊介绍： ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.