Post‐traumatic growth in stroke carers: A comparison of theories

Hallam, William; Morris, Reg

doi:10.1111/bjhp.12064

Cited by 40 publications

(41 citation statements)

References 85 publications

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“…Similarly, Hallam and Morris (2014) found that deliberate rumination predicted PTG and mediated the relationship between social support and PTG which provides support for the model proposed by Tedeschi and Calhoun (2004). Studies of bereaved parents have also found that PTG is associated with cognitive and emotional processing within the context of supportive relationships (Hogan & Schmidt, 2002;Znoj & Keller, 2002).…”

Section: Empirical Support For Models From the Literaturementioning

confidence: 58%

“…Dekel et al 2011) and social support (e.g. Hallam & Morris, 2014) provide evidence in support of this model.…”

Section: Empirical Support For Models From the Literaturementioning

confidence: 61%

“…Social support is associated with more successful rehabilitation outcomes in myocardial infarction survivors and better psychological adjustment in breast cancer survivors (Moos, 1985). Although there are no known studies examining whether social support is associated with PTG in stroke survivors, one study has found a positive relationship between social support and PTG in stroke carers (Hallam & Morris, 2014).…”

Section: Relationshipsmentioning

confidence: 99%

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Predictors of post-traumatic growth in stroke survivors

Kelly

Morris

Shetty

2017

Disability and Rehabilitation

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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. Implications for rehabilitation Therapists can expect stroke survivors to show post-traumatic growth in the first months after stroke. Therapists should look to promote post-traumatic growth and positive adjustment through working with survivors to increase active coping (attempts to deal effectively with the impact of stroke) and rumination (cognitive processing of the impact of the stroke). Since denial coping was also associated with posttraumatic growth, stroke survivors who maintain overly optimistic views about the severity and impact of their stroke are likely to benefit from therapists continually facilitating capacity for growth and well-being.

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Section: Empirical Support For Models From the Literaturementioning

confidence: 58%

“…Dekel et al 2011) and social support (e.g. Hallam & Morris, 2014) provide evidence in support of this model.…”

Section: Empirical Support For Models From the Literaturementioning

confidence: 61%

Section: Relationshipsmentioning

confidence: 99%

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Predictors of post-traumatic growth in stroke survivors

Kelly

Morris

Shetty

2017

Disability and Rehabilitation

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“…There was no significant effect on psychological distress, suggesting the need to increase assessment specificity at initial induction to programmes of this type perhaps utilizing measures of common-sense models of illness (Fortune et al, 2005;Parveen & Morrison, 2012). Similarly, the inclusion of more positive assessments of functioning at induction might capture positive cognitive processing in carers as it relates to use of support in such programmes (Cassidy & Giles, 2013;Hallam & Morris, 2014). Such additional specificity may help to more accurately provide needsbased information on which aspects of intervention may be most appropriate for which carers at what stage in the caregiving process in order establish optimum interventions for carers of people with ABI.…”

Section: Discussionmentioning

confidence: 99%

A structured multicomponent group programme for carers of people with acquired brain injury: Effects on perceived criticism, strain, and psychological distress

Fortune

Rogan

Richards

2015

British J Health Psychol

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What is already known on this subject? A number of studies have suggested that carers of people with acquired brain injury (ABI) experience greater levels of carer burden and mental health difficulties than carers of other patient groups. Previous interventional studies on ABI are few, and such studies have diverged in the extent to which they have been oriented towards education, psychological support, or management of behavioural difficulties, making results somewhat difficult to apply in community health settings with this potential client group. What does this study add? We develop, describe, and evaluate a brief structured multicomponent carers' training and support programme for carers of people with ABI. Not all outcomes were affected positively by the intervention. While the intervention successfully reduced carer strain and critical comments, distress did not significantly reduce compared to people in a waiting list control group. Carers who were spouses/partners and carers who were parents exhibited comparable levels of strain, distress, and perceived criticism. Younger carers reported significantly higher levels of distress and carer strain at induction to the programme. The positive effects of the programme were maintained for at least 3 months, suggesting that it may have initial validity for improving some of the negative aspects of the carer experience.

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“…183,185 It has been identified as a key factor contributing to posttraumatic growth (PTG) in many health conditions, not only in patients, but also in caregivers' growth following the illness of a family member. [186][187][188][189][190] There is minimal literature about mediators for PTG in stroke and no research as to whether the same mediators apply to persons with aphasia. 191,192 It is contended that the therapeutic milieu is created by the "program" part of the ICAP acronym.…”

Section: Therapeutic Milieumentioning

confidence: 99%

Outcomes of an Intensive Comprehensive Aphasia Program

Babbitt¹

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Intensive comprehensive aphasia programs (ICAP) have increased over the last decade in the US and abroad. The increase in the number of clinical programs has outpaced the research that is necessary to establish the efficacy and effectiveness of these specialized treatment programs. The ICAP model incorporates principles from neuroplasticity, that is, intensive treatment provides a platform for the massed practice and repetition required to change the brain. It also incorporates comprehensive treatment that addresses not only impairment-based language deficits but also personal goals related to participation.Programs which offer intensive comprehensive treatment can provide up to 120 hours of treatment over several weeks (e.g., six hours a day, five days a week for four weeks). ICAPs are different from other types of aphasia services which generally provide two to three hours of therapy a week. This thesis examined one ICAP in depth to describe the structure, process, and outcomes using Donabedian's model of health care evaluation. This thesis also described the experiences of the ICAP from the perspectives of the primary stakeholders.Study One (Chapter Two) was a retrospective quantitative study using behavioral measures from an existing database that documented the outcomes of participants with aphasia. It found that first-time participants improved significantly in impairment-and participationbased measures, demonstrating moderate to large effect sizes. Participant characteristics were examined to determine if improvements were related to age, time post-onset, or type and severity of aphasia. None of these factors had an impact on the amount of change measured. Given that some participants did not make significant gains on a primary outcome measure, the Western Aphasia Battery -Revised Aphasia Quotient (WAB-R AQ), Study Two (Chapter Three) examined whether participant characteristics at baseline could predict who would make significant gains on the WAB-R AQ. Age and months post-onset were significantly different between the responder and the non-responder groups. Those who showed most gains on average were younger and a longer time post-onset. A logistic regression was performed and results indicated that only age (younger participants) predicted who would respond to treatment. Time post-onset, type and severity of aphasia, naming, non-verbal cognition, and communication confidence did not show significance in a predictive model. Studies Three and Four were qualitative studies involving interviews with therapists (Chapter Four) and people with aphasia and their families (Chapter Five). Both studies were 3 conducted using a phenomenological approach which allowed for the interviewees to describe their experiences in a semi-structured interview. The clinicians described the intensity of the therapy, the rewards, and challenges of the program. Therapists also considered that the ICAP model of service delivery had several positive benefits for them, but acknowledged that the intensity of therapy was challe...

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Post‐traumatic growth in stroke carers: A comparison of theories

Cited by 40 publications

References 85 publications

Predictors of post-traumatic growth in stroke survivors

Predictors of post-traumatic growth in stroke survivors

A structured multicomponent group programme for carers of people with acquired brain injury: Effects on perceived criticism, strain, and psychological distress

Outcomes of an Intensive Comprehensive Aphasia Program

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