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The associations of acceptance with quality of life and mental health following spinal cord injury: a systematic review

Résumé 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.
AuteursAnders Aaby, Sophie Lykkegaard Ravn, Helge Kasch, Tonny Elmose Andersen
Titre de revue/journal, volume et numéroSpinal cord, volume 58
Langue de la publication et/ou de traductionAnglais (langue d’origine)
Année de parution2019
Institutions affiliéesThRIVE, Department of Psychology, University of Southern Denmark.
Lien vers la publicationhttps://www.nature.com/articles/s41393-019-0379-9
Type d’accès à la publicationGratuit
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Précédent Prediction of Psychological Distress Among Persons With Spinal Cord Injury or Acquired Brain Injury and Their Significant Others
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