Psychological resources in spinal cord injury: a systematic literature review

Abstract

Study design: Systematic literature review. Objectives: The purpose of this study was to gain a systematic overview of the role of psychological resources in the adjustment to spinal cord injury (SCI). Methods: A systematic literature review was performed. The literature search was conducted in the databases Pubmed, PsycINFO, the Social Sciences Citation Index, the Education Resources Information Center, Embase and the Citation Index of Nursing and Allied Health Literature. The assessed variables, measurement instruments, results and the methodological quality of the studies were extracted, summarized and evaluated. Results: A total of 83 mainly cross-sectional studies were identified. Psychological resources were categorized into seven groups: self-efficacy (SE), self-esteem, sense of coherence (SOC), spirituality, optimism, intellect and other personality characteristics. SE and self-esteem were consistently associated with positive adjustment indicators such as high well-being and better mental health. Interrelations between psychological resources and key rehabilitation outcome variables such as participation were rarely studied. Only a few interventions, which were aimed at strengthening psychological resources were identified. Longitudinal studies suggested that SE, SOC, spirituality and purpose in life were potential determinants of adjustment outcomes in the long term. Conclusion: Research on psychological resources in SCI is broad, but fragmented. Associations of psychological resources with mental health and well-being were frequently shown, while associations with participation were rarely studied. Further development of resource-based interventions to strengthen persons with SCI is indicated. This review can serve as guide for clinical practice and can add to the design of future SCI research.

Self-efficacy and self-esteem as predictors of participation in spinal cord injury—an ICF-based study

“…Small-to-moderate associations have been found between self-efficacy or perceived control with certain aspects of participation, such as physical activity, mobility, work, school, recreation or social integration. 13 While the role of self-efficacy and self-esteem is supported by the findings, other psychosocial resources, like social support, sense of coherence or coping styles did not contribute to participation. Social support is an important predictor of physical and mental health as well as quality of life in SCI.…”

“…10 Although persons with high self-efficacy and self-esteem consistently report higher life satisfaction and well-being, 11,12 the relation of self-efficacy and self-esteem to participation as a key outcome of rehabilitation has seldom been examined in SCI. 13 So far, only few studies have considered the complex and interactive nature of functioning and the full range of factors that may contribute to participation.…”

Relaciones entre sexismo e ideología de género con autoconcepto y autoestima en personas con Lesión Medular

“…Thus, the literature review by Peter et al (2012) regarding psychological resources in persons with SCI demonstrates a positive association between self-esteem and mental wellbeing, health, community participation, power, hope and efficient coping and suggests that self-esteem is often compromised after suffering SCI.…”

“…Hence, as in the case of other disabilities, self-concept and self-esteem are critical variables for the study of SCI and are indicators of positive adjustment to the disability, wellbeing and improved mental health (Peter, Müller, Cieza & Geyh, 2012;van Leewen, Kraaijeveled, Lindeman & Post, 2012). Pérez & Garaigordobil (2007) indicate that the small number of studies that have been conducted regarding selfconcept and self-esteem among persons with motor disabilities have produced contradictory results.…”

Judėjimo Negalią Turinčių Asmenų Psichologinių Resursų Reikšmė Prisitaikymui Prie Negalios

“…Pastaraisiais metais mokslinėje literatūroje didėja susidomėjimas judėjimo negalią turinčių asmenų psichologiniais resursais, tačiau neretai šie tyrimai apsiriboja pavienio konstrukto analize. Kiekvienas tyrimas išskiria vis naujus neįgaliajam svarbius resursus, o tokia reiškinių gausa ne palengvina, o apsunkina vidinių resursų supratimą, suvokimą ir matavimą [6]. Tad manome, jog labai svarbu išskirti reikšmingiausius iš jų, kurie yra labiausiai susiję su asmens negalios priėmimu.…”