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Posttraumatic growth scores increase gradually each month after stroke dischargeStroke survivors may experience gradual personal growth in the months after hospital discharge

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Key Takeaway
Note that PTG may increase gradually post-stroke and correlates with education, cognitive processing, and social support.

This systematic review and meta-regression analyzed 10 observational studies involving 1,046 stroke survivor participants to examine posttraumatic growth (PTG) over time and its correlates. The analysis found PTG scores showed a significant gradual increase at each month following hospital discharge, though specific effect sizes and absolute numbers were not reported. Positive correlates of PTG included higher education level, cognitive processing, and social support, but these represent associations rather than causal relationships.

Safety and tolerability data were not reported in the meta-analysis. The review did not report on specific limitations of the included studies, though the overall evidence is limited by its observational nature and the absence of intervention data.

For clinical practice, these findings suggest PTG may develop gradually in some stroke survivors, with certain demographic and psychosocial factors associated with higher scores. However, clinicians should recognize that PTG is not a universal experience, and the evidence does not indicate how PTG might be actively promoted. Further research is needed to understand the clinical relevance of these observational associations.

Researchers analyzed 10 previous studies involving 1,046 stroke survivors to understand a concept called posttraumatic growth (PTG). PTG refers to positive psychological changes some people report after a difficult event, such as finding new meaning or feeling stronger. The studies measured PTG at different times after people left the hospital.

The main finding was that average PTG scores showed a significant, gradual increase at each month following discharge. This suggests that for some survivors, this sense of personal growth may develop over time. The analysis also found that higher levels of PTG were associated with having more education, engaging in active thinking about the stroke experience, and having stronger social support from others.

It is important to understand what this research does and does not show. The findings are based on observational studies, which can only show links or associations, not cause and effect. We cannot say that education or social support causes growth, only that they were related in these studies. Furthermore, posttraumatic growth is not a universal or required outcome after stroke; many factors influence a person's recovery journey.

Readers should take from this that some stroke survivors do report positive personal changes over time, and certain factors like social support are linked to this experience. However, this is an area of ongoing research, and the findings do not provide a roadmap for how to achieve growth.

What this means for you:
Some stroke survivors report personal growth over time, linked to factors like social support, but this is not everyone's experience.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedApr 2026
View Original Abstract ↓
PURPOSE: To examine posttraumatic growth (PTG) in stroke survivors, including how PTG evolves over time and factors associated with PTG in this population. METHOD: The CINAHL, EMBASE, MEDLINE, ProQuest Health and Medicine and PsycINFO databases were searched up until October 2024 (updated April 2025). The reporting quality of included studies was assessed (Systematic Review Quality Rating Tool for PTG) and a multi-level meta-regression conducted to examine PTG scores at various time points after discharge. PTG correlates were narratively synthesised. RESULTS: Ten independent studies, involving 1046 stroke survivor participants, were included in this review. Methodological reporting quality across the studies was good. The meta-regression analysis revealed a significant gradual increase in PTG scores at each month post-discharge. Positive correlates of PTG included higher education level, cognitive processing, and social support. CONCLUSIONS: There is potential for positive psychological change after stroke. However, PTG it is not a universal experience. Further research is needed to understand how PTG can be promoted as a therapeutic target to enhance stroke survivors' well-being and long-term adjustment.
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