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https://hdl.handle.net/2440/84483
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Type: | Journal article |
Title: | Psychological variables associated with employment following spinal cord injury: a meta-analysis |
Author: | Kent, M. Dorstyn, D. |
Citation: | Spinal Cord, 2014; 52(10):722-728 |
Publisher: | Nature Publishing Group |
Issue Date: | 2014 |
ISSN: | 1476-5624 1476-5624 |
Statement of Responsibility: | ML Kent and DS Dorstyn |
Abstract: | Objectives: Spinal cord injury (SCI) research has highlighted links between psychological variables and employment outcome; however, there remains a need to consolidate the available heterogenous data. Methods: Meta-analytic techniques were used to examine and quantify differences in psychological functioning and employment status among adults with an acquired SCI. Fourteen observational studies (N=9, 868 participants) were identified from an electronic database search. Standardised mean difference scores between employed and unemployed groups were calculated using Cohen’s d effect sizes. Additionally, 95% confidence intervals, fail-safe Ns, percentage overlap scores and heterogeneity statistics were used to determine the significance of d. Results: Moderate to large and positive weighted effects were noted across three broad psychological constructs: affective experience or feelings (dw=3.16), quality of life (dw=1.06) and life satisfaction (dw=0.70). However, the most compelling non-heterogeneous finding was associated with life satisfaction, a finding that was also not subject to publication bias. Inconsistent and weak associations between employment and individual measures of vocational attitude, self-efficacy, locus of control, adjustment and personality were also noted. Conclusion: Psychological factors and attributes are linked to employment post-SCI; however, the available data are limited in quantity. Longitudinal research is also needed to determine whether these variables can help to preserve employment over time. |
Keywords: | Humans Spinal Cord Injuries Adaptation, Psychological Affect Quality of Life Adult Middle Aged Employment Patient Satisfaction Female Male |
Rights: | © 2014 International Spinal Cord Society All rights reserved |
DOI: | 10.1038/sc.2014.92 |
Published version: | http://dx.doi.org/10.1038/sc.2014.92 |
Appears in Collections: | Aurora harvest 2 Psychology publications |
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