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The associations of acceptance with quality of life and mental health following spinal cord injury: a systematic review.
Spinal Cord ( IF 2.1 ) Pub Date : 2019-11-12 , DOI: 10.1038/s41393-019-0379-9 Anders Aaby 1, 2, 3 , Sophie Lykkegaard Ravn 1, 2, 3 , Helge Kasch 4 , Tonny Elmose Andersen 1, 2
Spinal Cord ( IF 2.1 ) Pub Date : 2019-11-12 , DOI: 10.1038/s41393-019-0379-9 Anders Aaby 1, 2, 3 , Sophie Lykkegaard Ravn 1, 2, 3 , Helge Kasch 4 , Tonny Elmose Andersen 1, 2
Affiliation
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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.
中文翻译：
脊髓损伤后接受与生活质量和心理健康的关系：系统评价。
研究设计系统评价。目的确定，批判性评估和综合关于患有脊髓损伤（SCI）的个体的接受程度，生活质量（QOL）和心理健康结果之间关系的研究结果。方法系统搜索了五个数据库（PubMed，PsycINFO，Embase，Web of Science和Scopus）。如果研究提供了关于16岁或16岁以上SCI人群的接受程度和QOL，心理健康结果或两者的关联的研究，则将这些研究包括在内。仅纳入同行评审的原始定量和定性研究。筛选，质量评估和数据提取由两名研究人员独立进行。将结果制成表格并按结果进行综合。结果共纳入41项研究。更高的接受度始终与更高的整体和心理QOL，生活满意度，幸福感，心理健康以及较低的抑郁和焦虑程度相关。发现关于社会生活质量和创伤后应激障碍的证据不一致。一般而言，在未来2年以内，验收通常与调整结果无关。定量研究的研究质量大多数是公平的（n = 17），其次是好（n = 13）和差的（n = 9）。结论卫生保健专业人员可以将接受作为一种心理资源，他们可以在SCI后旨在改善QOL和心理健康方面提供支持。研究中存在一系列方法论和概念上的局限性。未来的研究应优先考虑纵向设计，考虑二元效应，
更新日期：2019-11-13
中文翻译：
脊髓损伤后接受与生活质量和心理健康的关系：系统评价。
研究设计系统评价。目的确定，批判性评估和综合关于患有脊髓损伤（SCI）的个体的接受程度，生活质量（QOL）和心理健康结果之间关系的研究结果。方法系统搜索了五个数据库（PubMed，PsycINFO，Embase，Web of Science和Scopus）。如果研究提供了关于16岁或16岁以上SCI人群的接受程度和QOL，心理健康结果或两者的关联的研究，则将这些研究包括在内。仅纳入同行评审的原始定量和定性研究。筛选，质量评估和数据提取由两名研究人员独立进行。将结果制成表格并按结果进行综合。结果共纳入41项研究。更高的接受度始终与更高的整体和心理QOL，生活满意度，幸福感，心理健康以及较低的抑郁和焦虑程度相关。发现关于社会生活质量和创伤后应激障碍的证据不一致。一般而言，在未来2年以内，验收通常与调整结果无关。定量研究的研究质量大多数是公平的（n = 17），其次是好（n = 13）和差的（n = 9）。结论卫生保健专业人员可以将接受作为一种心理资源，他们可以在SCI后旨在改善QOL和心理健康方面提供支持。研究中存在一系列方法论和概念上的局限性。未来的研究应优先考虑纵向设计，考虑二元效应，
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