Resilience and adaptations-insights from Norwegian adolescents with pediatric-onset spinal cord injury.

IF 1.3 Q3 REHABILITATION
Frontiers in rehabilitation sciences Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI:10.3389/fresc.2025.1526431
Wiebke Höfers, Kirsti Riiser, Vivien Jørgensen, Solveig L Hauger, Kirsti Skavberg Roaldsen
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Abstract

Introduction: Pediatric-onset spinal cord injuries (SCIs) significantly impact adolescents' psychosocial and physical developments, posing unique challenges during a critical period of identity formation and progression toward independence. Despite the rarity of pediatric SCIs, the need for understanding how adolescents adapt to their SCIs is crucial. Thus, the aims of this study were to examine and describe the adaption and returning to daily life of adolescents with pediatric-onset SCIs.

Methods: Eight adolescents (4 boys and 4 girls) with SCIs who were aged 11-16 years at the time of the injury were interviewed individually 1-6 years post injury using a semi-structured, strength-based thematic interview guide. The interviews were conducted face-to-face (n = 6) or digitally (n = 2). A thematic analysis was used to identify key themes in the transcribed data.

Results: Three key themes were identified. Theme 1, "integrating into social life," highlighted the importance of supportive social networks, with peers and family playing crucial roles. Theme 2, "finding an identity as an adolescent," underscored the impact of the disability on the adolescent's identity and pursuit of independence. Theme 3, "gaining a sense of control in life," illustrated strategies for self-care, socializing, and managing physical and psychological challenges.

Discussion: The adolescents in this study who had pediatric-onset SCI demonstrated resilience, adaptability, and agency in navigating social integration, identity formation, and regaining control over their lives. This study emphasizes the importance of social networks and the desire for autonomy in daily life. The participants' experiences suggest an improvement in their involvement in making decisions concerning themselves and a need to inform health-care professionals and improve support for adolescents during and after rehabilitation.

恢复力和适应性——来自挪威儿童脊髓损伤青少年的见解。
儿科脊髓损伤(SCIs)显著影响青少年的社会心理和身体发育,在身份形成和独立发展的关键时期提出了独特的挑战。尽管儿童SCIs罕见,但了解青少年如何适应他们的SCIs是至关重要的。因此,本研究的目的是检查和描述儿童起病的SCIs青少年的适应和恢复日常生活。方法:采用半结构化、以力量为基础的专题访谈指南,对受伤时年龄在11-16岁的8名SCIs青少年(4男4女)进行了1-6年的单独访谈。访谈采用面对面访谈(n = 6)或数字访谈(n = 2)。专题分析用于确定转录数据中的关键主题。结果:确定了三个关键主题。主题1“融入社会生活”强调了支持性社会网络的重要性,同伴和家庭在其中发挥着至关重要的作用。主题2“寻找青少年的身份认同”强调了残疾对青少年身份认同和追求独立的影响。主题3是“获得对生活的掌控感”,展示了自我照顾、社交和应对生理和心理挑战的策略。讨论:本研究中患有儿科性脊髓损伤的青少年在社会整合、身份形成和重新控制自己的生活方面表现出弹性、适应性和能动性。本研究强调了社交网络的重要性以及日常生活中对自主性的渴望。参与者的经验表明,他们在参与有关自己的决策方面有所改善,有必要向保健专业人员通报情况,并在青少年康复期间和康复后加强对他们的支持。
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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