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

Aaby, Anders; Ravn, Sophie Lykkegaard; Kasch, Helge; Andersen, Tonny Elmose

doi:10.1038/s41393-019-0379-9

Cited by 47 publications

(31 citation statements)

References 66 publications

(167 reference statements)

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“…With respect to the positive and negative affects before and during lockdown, the results of the present study show that participants' PA scores fell and their NA scores increased while under quarantine, wherein the differences were significant and of moderate to high magnitude. Several studies have found that the greatest impact of an epidemic on mental health is the increase in anxiety, panic, anger, disappointment, sleep problems, disturbances in circadian rhythms, as well as depressive and post-traumatic stress symptoms (Halperin, 2014;Hackett and Steptoe, 2017;Aaby et al, 2020;Zhang and Ma, 2020). Specifically, confinement increases an individual's levels of confusion, irritation, fear, pain, numbness, and anxiety-induced insomnia (Brooks et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Emotional Impact of COVID-19 Lockdown Among the Spanish Population

et al. 2020

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BackgroundThe COVID-19 pandemic has resulted in some populations being confined to their homes as part of infection control measures. This situation can be hard to cope with due to separation from loved ones, prohibition of regular activities, fear of infection, loss of freedom, and so on. These negative impacts cause considerable psychological stress, and all the more so when the situation continues for an extended period, as was the case in Spain. The present study was aimed at investigating the effects of COVID-19 quarantine on the emotional functioning of confined Spanish individuals after 8 weeks of lockdown by means of a cross-sectional study. The possible associations between changes in emotional functioning and demographic variables (age and sex), health habits (physical exercise, following a routine, and smoking), social support, and resilience were also analyzed.MethodsA total of 906 Spanish adults completed an online survey to gather information about their prevailing mood and affects (before and after 8 weeks of lockdown), using the Positive and Negative Affect Schedule (PANAS) (Watson et al., 1988), and other variables related to their habits and protective factors.FindingsAs expected, the data indicated an increase in negative affects (e.g., “upset,” “afraid,” “distressed”) and a decrease in positive affects after 8 weeks under lockdown, as well as a general decline in overall mood. The largest increases in negative affects were observed in young adults (18–35 years) and women. We did not find any differences between people who were or were not diagnosed with COVID-19. Adhering to a routine, maintaining the same weight, and moderate physical exercise were associated with fewer negative affects, which indicates they are important protective factors, as are perceived social support and resilience.ConclusionIn order to mitigate the psychological impact of confinement, it is important to develop psychoeducational measures that encourage subjects to adhere to health habits and promote social support and resilience as protective factors. A special preventive focus should be placed on the most vulnerable population groups, namely women and young adults. For a public health lockdown to succeed, its negative consequences must be minimized insofar as possible through adequate knowledge of the risk factors and protective factors, and by means of prevention-oriented organization.

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Section: Discussionmentioning

confidence: 99%

Emotional Impact of COVID-19 Lockdown Among the Spanish Population

et al. 2020

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“…Using the SCI QL-23, Elfström et al [4] found that the use of appropriate coping strategies with higher acceptance and lower social reliance contribute to a greater HRQoL. Similar results were found in a recent systematic review where acceptance coping was associated with higher levels of QoL [5]. However, conflicting results have been found how different domains of HRQoL are associated with age, gender and injury characteristics [6][7][8][9].…”

Section: Introductionmentioning

confidence: 76%

Changes in health-related quality of life among older adults aging with long-term spinal cord injury

2020

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Study design Cross-sectional and longitudinal. Objectives To (i) describe health-related quality of life (HRQoL) and changes over 6 years in older adults aging with long-term spinal cord injury (SCI) and (ii) investigate how changes in HRQoL are associated with age, gender, and injury characteristics. Setting Community in southern Sweden. Methods From the initial 123 participants (years 2011–2012) in the Swedish Aging with Spinal Cord Injury Study (SASCIS), 77 individuals (32% women, C1-L3, AIS A–D, median age 66 years, median time since injury 31 years, 30% complete injuries) were assessed 6 years later. HRQoL was rated with the Spinal Cord Injury Quality of Life Questionnaire (SCI QL-23). Associations were investigated using multivariable linear regression analyses. Results The median rating of global QoL (scale range 0–100) was relatively high at both assessments (67 and 83, respectively). There was a large variability in all HRQoL-domains and no significant changes over 6 years. As compared to an AIS D injury, a tetraplegia AIS A–C injury and tetraplegia and paraplegia AIS A–C injuries were associated with positive change in depressive symptoms and global QoL, respectively. Conclusions Older adults aging with long-term SCI show large variations in all HRQoL-domains and have the potential to maintain a high and stable level of HRQoL over time. Persons with AIS D injuries may need increased attention to mitigate negative changes in depressive symptoms and global QoL. Further studies are needed to identify modifiable factors associated with changes in HRQoL in older adults aging with long-term SCI.

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“…Within SCI research, awareness of acceptance is increasing. Aaby et al [27] emphasized that acceptance is a psychological resource that healthcare professionals can work to support to improve quality of life and mental health following SCI. Incorporating Stroebe and Schut's dual process model of coping with bereavement can aid in understanding how loss and acceptance relate to transfer of knowledge and skills [28].…”

Section: Discussionmentioning

confidence: 99%

Exploring the contextual transition from spinal cord injury rehabilitation to the home environment: a qualitative study

et al. 2021

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Study design Explorative qualitative study based on an interpretative phenomenological approach. Objectives This study explored the possibility of transferring knowledge and skills from a spinal cord injury (SCI) unit to the home environment; the individual and structural factors that potentially influenced this transfer; and its compatibility with a meaningful everyday life. Setting Hospital-based rehabilitation unit and community in Denmark. Methods Fourteen individuals with SCI were selected with maximum variation according to age, sex, marital status, and level of injury. In-depth, semi-structured interviews were conducted in the participants’ homes, 2–10 months after discharge from an SCI unit. Data analysis involved taking an interpretative phenomenological approach combined with a template analysis and applying the transfer of training theory to the discussion. Results Transitioning from the SCI unit to the home environment involved a multidimensional change of context in which most of the participants’ previous life roles had changed. This overarching theme had a decisive influence on: balancing loss and acceptance, facing external structural barriers, and the strength of social relationships when the knowledge and skills acquired at the unit were applied in a meaningful everyday life. Conclusions Transition from the SCI unit to the home environment is influenced by a multidimensional change of context that may restrict the use of acquired skills post-discharge, provide distant prospects for tertiary health promotion, and aggravate the experience of loss in people with SCI. Maintaining relationships is a strong mediator for transferring skills and re-establishing a meaningful everyday life.

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

Cited by 47 publications

References 66 publications

Emotional Impact of COVID-19 Lockdown Among the Spanish Population

Emotional Impact of COVID-19 Lockdown Among the Spanish Population

Changes in health-related quality of life among older adults aging with long-term spinal cord injury

Exploring the contextual transition from spinal cord injury rehabilitation to the home environment: a qualitative study

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