Associations between psychological factors and quality of life ratings in persons with spinal cord injury: a systematic review
Open accessAbstract
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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Methodological quality was assessed independently by two researchers using an 8-point checklist, with high inter-rater agreement (ICC=0.90).
“methodological quality was assessed independently by two researchers (AvG, EK) according to an 8-point checklist, resulting in a score that ranged from lowest quality (1) to highest quality (8) [17].”
From Associations between psychological factors and health-related quality of life and global quality of life in patients with ALS: a systematic review (2016) · cites this paper as [17]
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Global meaning in people with spinal cord injury: Content and changes
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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
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- 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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