Setbacks to strengths: A scoping review of positive psychology constructs among veterans and service members with traumatic brain injury.
Bani Malhotra, Christina DiBlasio, Dilianna Padrón Bartlett and 5 others
PMID 42224018WHAT IT FOUND
Most research on positive psychology after military TBI is cross-sectional and focuses on social support, resilience, and quality of life.
Only 14 studies were intervention studies, so this review cannot show that any intervention works.
Key findings
01The review included 55 studies; most were quantitative, and most used cross-sectional or observational designs.
02The most frequently studied constructs were social support, resilience, and quality of life.
03Only 14 studies were intervention studies, and only 3 built a positive psychology construct into the intervention design.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The review did not assess the quality or risk of bias of the included studies, so some included studies may have biased results. Only English peer-reviewed articles from 2000 to May 2024 were searched, so non-English studies and older work may be missed. Most included studies were cross-sectional or observational, so they describe associations at a point in time rather than showing treatment effects. The studies used different designs and measurement tools, so the review could not combine results to determine the direction or size of relationships. The review excluded studies that applied positive psychology constructs to specific skills, such as sleep hygiene, so it may not cover all intervention-relevant uses. The review found 14 intervention studies and 3 studies that built a positive psychology construct into the intervention design, so it cannot support a specific positive psychology treatment. The included samples were predominantly male and mostly from the United States, so the review may not apply to other countries or to samples with different sex composition.
Declared interests
No conflicts of interest were declared. No funding source is reported.
The easy way to misread this
Do not read this as evidence that resilience, social support, or quality of life improve recovery after military TBI. The review mapped mostly cross-sectional studies and cannot show that any intervention works.