Affective Consequences of Spinal Cord Injury: A Qualitative Interpretation of Relationship Adjustment

Abstract

This study examines the perceived impact of spinal cord injury on intimate and affective relationships among thirty-five Portuguese adults with spinal cord injuries of varying levels. Using a Grounded Theory approach, responses to a single open-ended question were analyzed to identify key themes describing how the injury reshapes relational dynamics. The findings reveal a wide spectrum of experiences, including strengthened communication, increased emotional closeness, diminished self-confidence, reduced partner interest, concerns involving sexual functioning, relational instability and nostalgia for pre-injury relational life. Emotional and behavioral adjustments following the injury were also associated with insecurity and fear of abandonment. The results align with existing research highlighting the profound emotional and relational implications of spinal cord injury and underscore the importance of psychological and relational support for both individuals and their partners.