Exploring the meaning of life (MoL) after acquired brain injury (ABI) in Costa Rica.

Résumé

PRIMARY OBJECTIVE: This study aimed to explore the process of MoL-Resignification following ABI in a Costa Rican sample.RESEARCH DESIGN: A cross-sectional, exploratory mixed-method approach.METHODS AND PROCEDURES: Qualitative narratives about the MoL-Resignification were collected and supported with quantitative data using instruments like the Mental and Physical Health Adapted Scale (MPHAS), Brief Resilient Coping Scale (BRCS), UCLA Loneliness Scale Revised (UCLALS-R), and New Me Scale (NMS).MAIN OUTCOMES: Four dimensions of MoL-Resignification after ABI were identified: Individual, Social, Global, and Spiritual. Narratives regarding the Individual MoL ranged from coping with the limitations imposed by ABI to adopting new values and senses of identity. Social MoL emphasized the importance of family support, while Global MoL centred on adopting a present-focused perspective. The Spiritual MoL highlighted the role of faith and religious beliefs in helping individuals navigate their lives after ABI. Resignification processes were associated with greater life satisfaction post-ABI (NMS), lower psychological and physical burdens (MPHAS), reduced loneliness (UCLALS-R), and more effective coping strategies (BRCS).CONCLUSIONS: MoL-Resignification and Identity change after ABI, demonstrates the importance of family and spiritual beliefs in coping within the context of Costa Rican culture. These factors should be addressed in future research and rehabilitation efforts.