Cited by 169Spinal Cord Injury ResearchCancer survivorship and careOptimism, Hope, and Well-being

Associations between psychological factors and quality of life ratings in persons with spinal cord injury: a systematic review

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van Leeuwen, C M C, Kraaijeveld, S, Lindeman, E, Post, M W M·2012·Spinal Cord

Abstract

Study design Systematic review.Objectives To review the literature on relationships between psychological factors and quality of life (QOL) of persons with spinal cord injury (SCI).Setting NA.Methods A systematic literature search was conducted in several online databases (PubMed, Embase and PsychInfo). Articles were included if they provided quantitative information on associations between QOL-related dependent variables and psychological factors as independent variables in an SCI population. The search was limited to empirical studies published in English. The methodological quality of the included articles was assessed.Results A total of 48 studies were included. Total locus of control, sense of coherence, self-worth, hope, purpose in life and positive affect were consistently associated with greater QOL. Negative affect and posttraumatic cognitions were consistently associated with lower QOL. Inconsistent evidence was found for subscales of locus of control, the role of attribution of blame, spirituality, personality, appraisals, passive coping and emotion-focused coping. No evidence was found for an association between active problem-focused coping styles and QOL.Conclusion Many psychological factors were strongly and consistently related to QOL, but for some others no or inconsistent evidence was found. Further research should (1) use larger study groups, preferably in longitudinal designs, (2) improve terminological precision and avoid conceptual overlap between determinants and outcomes, (3) increase uniformity of questionnaires and (4) reexamine concepts that have been abandoned prematurely, such as personality and social comparison.

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  1. Glass C. Treatment and rehabilitation following spinal cord injury. Pers Injury Law Med Rev 1993; 38: 51-70.
  2. Ogden J. Health Psychology.. Open University Press: Berkshire, 2004.

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Authors
van Leeuwen, C. M. C., Kraaijeveld, S., Lindeman, E., & Post, M. W. M.
Affiliations
University Medical Center Utrecht (NL)
Corresponding author
Post, M W M
Venue
Spinal Cord
Published
2011-11-01
Volume
50
Issue
3
Pages
174-187
ISSN
  • 1362-4393 (ISSN-L)
  • 1476-5624
OpenAlex
W2000193794
Cited by
169
References
61
Citations by year
2026: 8 · 2025: 4 · 2024: 11 · 2023: 9 · 2022: 9 · 2021: 17 · 2020: 20 · 2019: 7 · 2018: 12 · 2017: 10 · 2016: 14 · 2015: 13 · 2014: 15 · 2013: 13 · 2012: 6
FWCI
1.38
Type
journal article
Language
en
Open access
Locations
  • Spinal Cord (publishedVersion)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (publishedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Spinal Cord Injury Research
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
Keywords
spinal cord injury, quality of life, psychological factors, locus of control, sense of coherence, self-worth, hope, meaning of life, positive affect, negative affect, posttraumatic cognitions, coping styles, spirituality, blame attribution, personality, social comparison
MeSH terms
Adaptation, Psychological, Adolescent, Adult, Aged, Female, Humans, Internal-External Control, Male, Middle Aged, Personality, Quality of Life, Surveys and Questionnaires, Spinal Cord Injuries, Spirituality, Young Adult, Sense of Coherence

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