Posttraumatic growth scores increase gradually each month after stroke 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.
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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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