Anders Aaby1,2,3, Sophie Lykkegaard Ravn4,5,6, Helge Kasch7, Tonny Elmose Andersen4,5. 1. InCoRE, Department of Psychology, University of Southern Denmark, Odense, Denmark. aaaby@health.sdu.dk. 2. ThRIVE, Department of Psychology, University of Southern Denmark, Odense, Denmark. aaaby@health.sdu.dk. 3. The Specialized Hospital for Polio and Accident Victims, Roedovre, Denmark. aaaby@health.sdu.dk. 4. InCoRE, Department of Psychology, University of Southern Denmark, Odense, Denmark. 5. ThRIVE, Department of Psychology, University of Southern Denmark, Odense, Denmark. 6. The Specialized Hospital for Polio and Accident Victims, Roedovre, Denmark. 7. Spinal Cord Injury Center of Western Denmark, Viborg, Denmark.
Abstract
STUDY DESIGN: Systematic review. OBJECTIVES: To identify, critically appraise, and synthesize research findings on the associations between acceptance, quality of life (QOL), and mental health outcomes in individuals living with spinal cord injury (SCI). METHODS: Five databases (PubMed, PsycINFO, Embase, Web of Science, and Scopus) were systematically searched. Studies were included if they provided findings on the association between acceptance and QOL, mental health outcomes, or both in an SCI population aged 16 years or older. Only peer-reviewed original quantitative and qualitative studies were included. Screening, quality assessment, and data extraction were conducted independently by two researchers. Findings were tabulated and synthesized by outcome. RESULTS: Forty-one studies were included. Greater acceptance was consistently associated with greater global and psychological QOL, life satisfaction, sense of well-being, mental health, and with lower levels of depression and anxiety. Inconsistent evidence was found with regards to social QOL and post-traumatic stress disorder. Acceptance was generally not associated with adjustment outcomes further than 2 years into the future. Study quality of the quantitative studies was mostly fair (n = 17) followed by good (n = 13), and poor (n = 9). CONCLUSION: Health-care professionals may regard acceptance as a psychological resource they can aim to support in improving QOL and mental health following SCI. A range of methodological and conceptual limitations were present in the research. Future studies should prioritize longitudinal designs, consider dyadic effects, explore subjective meaning(s) of acceptance, and investigate the effectiveness of therapeutic approaches that stimulate the acceptance process.
STUDY DESIGN: Systematic review. OBJECTIVES: To identify, critically appraise, and synthesize research findings on the associations between acceptance, quality of life (QOL), and mental health outcomes in individuals living with spinal cord injury (SCI). METHODS: Five databases (PubMed, PsycINFO, Embase, Web of Science, and Scopus) were systematically searched. Studies were included if they provided findings on the association between acceptance and QOL, mental health outcomes, or both in an SCI population aged 16 years or older. Only peer-reviewed original quantitative and qualitative studies were included. Screening, quality assessment, and data extraction were conducted independently by two researchers. Findings were tabulated and synthesized by outcome. RESULTS: Forty-one studies were included. Greater acceptance was consistently associated with greater global and psychological QOL, life satisfaction, sense of well-being, mental health, and with lower levels of depression and anxiety. Inconsistent evidence was found with regards to social QOL and post-traumatic stress disorder. Acceptance was generally not associated with adjustment outcomes further than 2 years into the future. Study quality of the quantitative studies was mostly fair (n = 17) followed by good (n = 13), and poor (n = 9). CONCLUSION: Health-care professionals may regard acceptance as a psychological resource they can aim to support in improving QOL and mental health following SCI. A range of methodological and conceptual limitations were present in the research. Future studies should prioritize longitudinal designs, consider dyadic effects, explore subjective meaning(s) of acceptance, and investigate the effectiveness of therapeutic approaches that stimulate the acceptance process.
Authors: Olaf M Dekkers; Jan P Vandenbroucke; Myriam Cevallos; Andrew G Renehan; Douglas G Altman; Matthias Egger Journal: PLoS Med Date: 2019-02-21 Impact factor: 11.069
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Authors: Christian Sturm; Christoph M Gutenbrunner; Christoph Egen; Veronika Geng; Christina Lemhöfer; Yorck B Kalke; Christoph Korallus; Roland Thietje; Thomas Liebscher; Rainer Abel; Andrea Bökel Journal: Spinal Cord Date: 2021-07-08 Impact factor: 2.772