4.2 Article

Post-traumatic growth and value-directed living after acquired brain injury

Journal

NEUROPSYCHOLOGICAL REHABILITATION
Volume 32, Issue 1, Pages 84-103

Publisher

ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/09602011.2020.1798254

Keywords

Post-traumatic growth; Value-directed living; Acquired brain injury; Valued living; Brain injury rehabilitation

Funding

  1. NHS Education for Scotland

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This study explored the relationship between post-traumatic growth and value-directed living after acquired brain injury. The findings showed a significant positive correlation between post-traumatic growth and value-directed living, indicating possible common underlying processes. Value-directed living was associated with clinically relevant outcomes, suggesting its usefulness in brain injury rehabilitation.
Traumatic events can be associated with positive change, termed post-traumatic growth. Existing resesarch suggests some overlap between post-traumatic growth and value-directed living. This study sought to explore the relationship between post-traumatic growth and value-directed living after acquired brain injury. Self-report questionnaires including the Posttraumatic Growth Inventory, Valued Living Questionnaire, Engaged Living Scale, Valuing Questionnaire, Hospital Anxiety and Depression Scale, World Health Organization Well-Being Index, Brief Resilience Scale, Trauma Screening Questionnaire and Glasgow Outcome Scale were posted to 317 individuals who had experienced a head injury, stroke or subarachnoid haemorrhage in the previous 3-13 years, with a hospital admission of minimum 7 days. Questionnaires were completed by 81 participants. Post-traumatic growth was significantly positively associated with two measures of value-directed living (VLQ,r = .269; VQ,r = .215). Higher levels of value-directed living were significantly associated with increased positive outcomes (wellbeing) and reduced negative outcomes (distress, post-traumatic stress symptoms). There was no significant association between post-traumatic growth and any of these outcomes. The association between post-traumatic growth and value-directed living indicates possible common underlying processes. Value-directed living appears to be a more useful concept, as it was associated with clinically relevant outcomes. It is recommended that value-directed living interventions are considered in brain injury rehabilitation.

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