Cognitive behaviour therapy in adults with spinal cord injury: A scoping review

Shu Hua Yang, Pei Fan Mu*, Wen Cheng Huang

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


Aim: The aim of this study is to report on the extent and range of the research evaluating cognitive behaviour therapy (CBT) in adults with spinal cord injury. Background: Spinal cord injury is a devastating event that can lead to permanent neurologic deficit. Compared with the average person, spinal cord injury (SCI) patients are at twice the risk of developing mood disorders, highlighting vulnerability of SCI patients' mental states which can be easily hurt. CBT is the most commonly used psychosocial intervention. Design: This was a scoping review. Review method: Five electronic databases (MEDLINE, CINAHL, EMBASE, PsycINFO and Airiti Library) were searched for articles published between 1990 and 2021. Google Scholar was utilized to search additional articles listed in the reference lists of included articles. Results: Overall, 16 articles met the inclusion criteria, with the majority reporting on CBT, that focused on psychological distress and neuropathic pain. The core concept of intervention included disease identification, cognitive distortion/modification and coping strategies. Conclusions: There were significant knowledge gaps on the interventions' content and effectiveness for psychological distress of persons with SCI. Development of multifaceted cognitive behaviour interventions, especially to strengthen self-identity and to inspire patients' hope, is needed. Further research is required to investigate the long-term effectiveness of CBT.

Original languageEnglish
Article numbere13078
JournalInternational Journal of Nursing Practice
Issue number4
StatePublished - Aug 2023


  • cognitive behaviour therapy
  • coping
  • nursing
  • spinal cord injury


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