Article

OBJECTIVE: To describe the association between self-efficacy and secondary health
conditions (SHCs) in people living with spinal cord injury (SCI). DATA SOURCES: PubMed, EMBASE, the Cochrane Library, and CINAHL were systematically searched
from database inception to September 2016. STUDY SELECTION: Studies describing
patients living with SCI in which self-efficacy was measured by a standardized
questionnaire and an association was made with somatic or psychological SHCs.
DATA EXTRACTION: An independent extraction by multiple observers was performed
based on the Strengthening the Reporting of Observational Studies in Epidemiology
statements checklist. A meta-analysis concerning the association between
self-efficacy and SHCs in people with SCI was performed if a minimum of 4
comparable studies were available. DATA SYNTHESIS: Of 670 unique articles
screened, 22 met the inclusion criteria. Seven of these 22 studies investigated
associations between self-efficacy and somatic SHCs. Only a trend toward an
association between higher self-efficacy and less pain, fatigue, number of SHCs,
and limitations caused by SHCs was found. Twenty-one studies described the
association between self-efficacy and psychological SHCs. All correlations of
higher self-efficacy with fewer depressive (18 studies) and anxiety symptoms (7
studies) were significant, and meta-analysis showed a strong negative correlation
of -.536 (-.584 to -.484) and -.493 (-.577 to -.399), respectively. A small
number of studies (2) showed a trend toward a positive correlation between
self-efficacy and quality of life. CONCLUSIONS: Self-efficacy is negatively
associated with depressive and anxiety symptoms in SCI. Therefore, self-efficacy
seems an important target in the rehabilitation of patients living with SCI. More
research is necessary to clarify the associations between self-efficacy and
somatic SHCs. Future research should also focus on different types of
self-efficacy and their association with SHCs.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS