Using the Multidimensional Model of Acceptance to Investigate How Different Facets of Acceptance are Related to Quality of Life Following Spinal Cord Injury.
Anders Aaby, Sophie Lykkegard Ravn, Helge Kasch and 1 others
PMID 35441695WHAT IT FOUND
Acceptance predicts quality of life in spinal cord injury even after controlling for depression and anxiety.
Focusing on value-change and behavioural engagement matters most. Letting go of control showed weak links.
Key findings
01Acceptance explained an additional 6% to 14% of variance in quality of life after controlling for depression and anxiety.
02Value-change and behavioural engagement were the strongest and most consistent contributors to quality of life across all domains.
03The letting go of control facet was only weakly correlated with psychological quality of life and not significantly correlated with global or physical quality of life.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The cross-sectional design means causality cannot be determined; it is possible that higher quality of life leads to greater acceptance rather than the reverse. There was substantial missing data for injury type and completeness, reducing the regression sample size to 376. The 'letting go of control' measure had low internal consistency (Cronbach's alpha 0.59), which may have affected its observed associations. The sample was recruited from a single centre in Denmark and may not be fully representative of the broader spinal cord injury population.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not interpret these correlations as evidence that acceptance interventions cause improved quality of life. The study is cross-sectional, so the direction of the relationship is unknown. Additionally, the 'letting go of control' facet had poor measurement reliability, so its weak findings should be treated with caution.