Specialized Hospital for Polio and Accident Victims, Odense; InCoRE, Department of Psychology.
Specialized Hospital for Polio and Accident Victims, Odense; InCoRE, Department of Psychology; ThRIVE, Department of Psychology, University of Southern Denmark, Odense.
J Rehabil Med. 2022 May 11;54:jrm00285. doi: 10.2340/jrm.v54.1055.
To determine how different facets of acceptance are related to quality of life (QoL) following spinal cord injury, after controlling for sociodemographic factors, injury-related variables, depression, and anxiety.
Adults with spinal cord injury.
Questionnaires were completed via research electronic data capture (REDCap). Three separate hierarchical multivariate linear regression analyses were performed, with physical QoL, psychological QoL, and global QoL as outcomes. Sex, age, time since injury, depression, anxiety, and 4 facets of acceptance (i.e. "accepting reality", "valuechange", "letting go of control" and "behavioural engagement") were independent variables.
Of the 686 eligible participants, 453 responded (66.0%). The sample included 303 men (66.9%), mean (standard deviation; SD) age 56.6 (15.0) years and mean (standard deviation) time since injury 14.6 (11.4) years. The final regression models (n = 376) explained 46% of global QoL, 47% of psychological QoL and 31% of physical QoL. The 4 facets of acceptance significantly increased the amount of variance explained by 6% for psychological QoL, 8% for physical QoL and 14% for global QoL. The facets "value-change" and "behavioural engagement" made significant contributions to all domains of QoL, while "letting go of control" only contributed to global QoL, and "accepting reality" only contributed to psychological QoL.
Acceptance may support higher QoL in more ways than simply reducing psychological distress, and could be an important process to facilitate in rehabilitation after spinal cord injury.
在控制社会人口因素、损伤相关变量、抑郁和焦虑后，确定不同接受层面与脊髓损伤后的生活质量（QoL）之间的关系。
脊髓损伤的成年人。
通过研究电子数据捕获（REDCap）完成问卷。进行了三次单独的分层多元线性回归分析，以身体 QoL、心理 QoL 和总体 QoL 为结果。性别、年龄、损伤后时间、抑郁、焦虑和接受的 4 个方面（即“接受现实”、“价值观改变”、“放弃控制”和“行为参与”）为自变量。
在 686 名符合条件的参与者中，有 453 名（66.0%）做出了回应。样本包括 303 名男性（66.9%），平均（标准差；SD）年龄为 56.6（15.0）岁，平均（标准差）损伤后时间为 14.6（11.4）年。最终的回归模型（n=376）解释了全球 QoL 的 46%、心理 QoL 的 47%和身体 QoL 的 31%。接受的 4 个方面显著增加了心理 QoL 的可解释方差 6%、身体 QoL 的 8%和全球 QoL 的 14%。“价值观改变”和“行为参与”两个方面对 QoL 的所有领域都有重要贡献，而“放弃控制”仅对全球 QoL 有贡献，“接受现实”仅对心理 QoL 有贡献。
接受可能以比仅仅减轻心理困扰更能支持更高的 QoL，并且可能是脊髓损伤后康复中促进的一个重要过程。
