Department of Clinical Psychology, The National Spinal Injuries Centre, Stoke Mandeville Hospital, Aylesbury, Buckinghamshire HP21 8AL, UK.
Spinal Cord. 2009 Nov;47(11):778-82. doi: 10.1038/sc.2009.60. Epub 2009 Jun 9.
This paper reviews the literature concerning psychological adjustment to spinal cord injury, focusing on the recent methodological developments and new directions in research.
Several literature reviews using the search terms Spinal Cord Injury, Paraplegia, Coping and Adjustment were undertaken using the databases in Pubmed, Medline and Embase. The papers that were published from 2001 onwards, written in English and used a sample of adults were included.
The literature reviewed lends further support to the importance of appraisals and coping strategies in the adjustment to spinal cord injury. Methodological issues highlighted in earlier reviews are addressed in conjunction with further theoretical explorations.
Although many of the methodological criticisms have been addressed, there remains a need for longitudinal research into the process of adjustment to spinal cord injury and the contributory role of appraisals and coping strategies. Measurement tools designed specifically for use within the spinal cord injured population should be utilized in the prevention of maladaptive adjustment issues, whereas able-bodied comparison groups would allow identification of coping strategies unique to the spinal cord injured population.
本文回顾了有关脊髓损伤心理适应的文献，重点介绍了研究中的最新方法学进展和新方向。
使用 Pubmed、Medline 和 Embase 数据库，使用“Spinal Cord Injury（脊髓损伤）”、“Paraplegia（截瘫）”、“Coping（应对）”和“Adjustment（适应）”等搜索词进行了几次文献综述。纳入了 2001 年以后发表的、用英语撰写且使用成人样本的论文。
综述的文献进一步支持了在脊髓损伤适应过程中评估和应对策略的重要性。早期综述中强调的方法学问题与进一步的理论探讨相结合得到了解决。
尽管许多方法学批评已经得到解决，但仍需要对脊髓损伤适应过程进行纵向研究，以及评估和应对策略的促成作用。专门为脊髓损伤人群设计的测量工具应用于预防适应不良问题，而健全的对照组则可以确定脊髓损伤人群特有的应对策略。
