OTQualitativeScandinavian journal of caring sciences2022

The challenging journey from trauma to post-traumatic growth: Lived experiences of facilitating and hindering factors.

Hulda S Bryngeirsdottir, Sigridur Halldorsdottir

PMID 34709685

WHAT IT FOUND

People recovering from trauma described growth as a journey, not a destination.

Support, early follow-up, and work opportunities helped; financial strain, further trauma, and confusing systems delayed recovery. Growth did not erase ongoing symptoms or reduced work capacity.

Key findings

01Participants described post-traumatic growth as a journey rather than a destination.

02Participants described support from others and rehabilitation as helpful, while lack of support was harmful.

03Further trauma delayed recovery, and despite growth participants reported ongoing heavy days, impaired work capacity, and insecurity.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The findings come from 12 people who already reported post-traumatic growth, so they cannot describe people who did not grow after trauma. Participants were recruited through rehabilitation contacts and colleagues, and most had attended vocational rehabilitation services, so the sample may overrepresent people who found services helpful or accessible. Traumas were very different, including accidents, illness, violence, job loss, divorce, financial problems, and housing loss, so the themes may not apply to one specific trauma type. The first author had personal experience of trauma and post-traumatic growth and is a nurse; the researchers tried to set aside preconceptions, but this can shape interviews and interpretation. The study reports experiences and themes, not outcomes from a treatment, so it cannot show that any intervention caused growth or reduced symptoms. All participants had been unable to work or had reduced work capacity after trauma, so the findings say little about trauma survivors who remained at work. Participants had to have no psychiatric diagnosis before the trauma, so findings may not apply to people with pre-existing mental illness.

Declared interests

The authors declared no financial or non-financial conflicts of interest.

The easy way to misread this

Do not read this as evidence that trauma causes post-traumatic growth or that support reliably produces it. The study interviewed 12 people who already reported growth, and it describes experiences rather than testing an intervention.

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