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A Narrative Review of Research on Adjustment to Spinal Cord Injury and Mental Health: Gaps, Future Directions, and Practice Recommendations

Résumé Abstract: Spinal cord injury (SCI) results in autonomic, motor, and sensory impairments that can compromise mental health.
Guidelines directing the management of mental health following SCI presently address clinical anxiety, depression, post-traumatic stress, substance use disorders, and suicide. However, evidence suggests that perhaps as many as 70% of individuals with SCI do not
develop a clinically diagnosable mental health disorder. Therefore, the authors contend that understanding non-clinical cognitive and psychological aspects of adjustment post-SCI is paramount and that the application of this knowledge to the formulation of adjustment-enhancing interventions is crucial. To assist with this endeavour, we examine existing mental health guidelines targeting SCI, and present a narrative review of research on the under-represented topics of adjustment, coping, grief, and resilience. We include
mild cognitive impairment, which reflects a common factor that can compromise adjustment. Loss and stress trigger processes of adjustment, coping, grief, and resilience. SCI involves loss and stress triggering these processes, arguably without exception. Our study
applied a narrative review methodology searching Google Scholar and PsychInfo databases for terms adjustment, coping, grief, resilience, and cognitive impairment. Qualitative studies and quantitative studies were selected to capture bottom-up and top-down
perspectives. Reference lists of retrieved papers were searched as appropriate. Reviewed literature suggested that existing guidelines concerning mental health following SCI neglect positive processes of adjustment and suggest this neglect contributes to a deficits based view of mental health following SCI. Research into “positive” or adjustment-enhancing processes is mostly cross-sectional, heterogenous, and poorly positioned to inform future guideline-development. Researchers should achieve consensus over the operationalisation of essential processes and overcome a fixation with “outcomes” to better inform management of mental health after SCI.
AuteursDanielle Sandalic, Mohit Arora, Ilaria Pozzato, Grahame Simpson, James Middleton et Ashley Craig.
Titre de revue/journal, volume et numéroDove press, volume 15.
Langue de la publication et/ou de traductionAnglais (langue d’origine)
Année de parution2022
Institutions affiliéesUniversité de Sydney, Hôpital Royal North Shore, Centre de recherche en réadaptation John Walsh
Lien vers la publicationhttps://www.dovepress.com/a-narrative-review-of-research-on-adjustment-to-spinal-cord-injury-and-peer-reviewed-fulltext-article-PRBM
Type d’accès à la publicationGratuit
Mots clésspinal cord injury, adjustment, coping, grief, resilience, cognitive impairment
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* Décharge de responsabilité: MÉMO-Qc n’endosse pas la responsabilité des informations contenues dans les publications du répertoire de recherche.
Prochain Depression: What You Should Know A Guide for People with Spinal Cord Injury
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