title: Exploring Facilitators of Post-traumatic Growth in Patients with Spinal Cord Injury: A Qualitative Study.
abstract: BACKGROUND
  There is increasing evidence regarding people's reactions to life stressors in which people also may show positive experiences following a traumatic event. The aim of the present study was to explain the facilitators of post-traumatic growth based on the experiences of patients with a spinal cord injury.
  
  
  METHODS
  This was a qualitative study conducted on 16 Iranian patients with a spinal cord injury using semistructured, in-depth interviews, and content analysis in 2015. These participants, despite their spinal cord injury, were successful in their lives and were considered successful members of society. A purposive sampling method was used until reaching data saturation, and then the collected data were analyzed using a content analysis method.
  
  
  RESULTS
  The study revealed several factors as facilitators of post-traumatic growth in the patients. The extracted facilitators were put into seven categories of main concepts, including existence of support resources, contact with spinal cord injury associations, spiritual beliefs, positive attitude toward injury, access to proper facilities, enhancement of knowledge and awareness, and active presence in society.
  
  
  CONCLUSIONS
  Different factors may facilitate post-traumatic growth in patients with a spinal cord injury. Understanding these facilitators may help us in designing educational, support, and consulting programs for patients and their families as well as to the correct the support programs.
authors.affiliation: Ph.D. of Rehabilitation Counseling, Department of Counseling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
authors.forename: Mohammad Saeed
authors.initials: MS
authors.lastname: Khanjani
authors.affiliation: Ph.D. of Clinical Psychology, Associate Professor, Department of Counseling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
authors.forename: Seyed Jalal
authors.initials: SJ
authors.lastname: Younesi
authors.affiliation: Ph.D. of Nursing, Professor, Department of Health in Emergency and Disaster and Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
authors.forename: Hamid Reza
authors.initials: HR
authors.lastname: Khankeh
authors.affiliation: Ph.D. of Clinical Psychology, Assistant Professor, Department of Counseling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
authors.forename: Manouchehr
authors.initials: M
authors.lastname: Azkhosh
keywords: Iran; Post-traumatic Growth; Spinal Cord Injury