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Predictors of post-traumatic growth in stroke survivors

Kelly, Grace, Morris, Reginald and Shetty, Hamsaraj 2018. Predictors of post-traumatic growth in stroke survivors. Disability and Rehabilitation 40 (24) , pp. 2916-2924. 10.1080/09638288.2017.1363300

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Purpose: The development of post-traumatic growth was studied longitudinally within 14 months poststroke. The predictions of two models of post-traumatic growth were examined. Method: Forty-three stroke survivors were investigated at two time points (i.e., time 1 and time 2), six months apart. Each completed the Post-traumatic Growth Inventory, Rumination Scale, Impact of Events Scale, Multidimensional Scale of Social Support, the Barthel Index and the COPE scale. Results: Post-traumatic growth was evident four to five months after stroke, increasing significantly over the next six months at which point levels resembled those reported in cross-sectional stroke studies. Active and denial coping and rumination at time 1 were positively associated, and age was negatively associated, with post-traumatic growth at time 2, but acceptance coping was not associated. Neither active coping nor rumination mediated the effect of social support on post-traumatic growth as predicted. As predicted, rumination mediated the relationship between post-traumatic stress and post-traumatic growth. Exploratory stepwise regression demonstrated rumination and active coping at time 1 accounted for 45% of variance in post-traumatic growth at time 2. Conclusions: Post-traumatic growth can develop soon after stroke. Deliberate rumination is a key factor in post-traumatic growth. Both active coping and denial coping were associated with post-traumatic growth demonstrating the psychological complexity of poststroke adjustment.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Dentistry
Publisher: Informa Healthcare
ISSN: 0963-8288
Date of Acceptance: 31 July 2017
Last Modified: 09 Jun 2020 01:51

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