Relationships Between Activities, Participation, Personal Factors, Mental Health, and Life Satisfaction in Persons With Spinal Cord Injury

被引:57
|
作者
van Leeuwen, Christel M. [1 ,2 ,3 ,9 ]
Post, Marcel W. [1 ,2 ,3 ,9 ]
Westers, Paul [4 ]
van der Woude, Lucas H. [5 ]
de Groot, Sonja [5 ,6 ]
Sluis, Tebbe [7 ]
Slootman, Hans [8 ]
Lindeman, Eline [1 ,2 ,3 ]
机构
[1] Rehabil Ctr Hoogstr, NL-3583 TM Utrecht, Netherlands
[2] Univ Med Ctr Utrecht, Rudolf Magnus Inst Neurosci, Utrecht, Netherlands
[3] Univ Med Ctr Utrecht, Ctr Excellence Rehabil Med, Utrecht, Netherlands
[4] Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands
[5] Univ Groningen, Univ Med Ctr Groningen, Ctr Human Movement Sci, Groningen, Netherlands
[6] Reade Ctr Rehabil & Rheumatol, Amsterdam, Netherlands
[7] Rijndam Rehabil Ctr, Rotterdam, Netherlands
[8] Heliomare, Wijk Aan Zee, Netherlands
[9] Swiss Parapleg Res, Nottwil, Switzerland
来源
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2012年 / 93卷 / 01期
关键词
Quality of life; Rehabilitation; Spinal cord injuries; Structural models; QUALITY-OF-LIFE; SELF-EFFICACY; SOCIAL SUPPORT; PREDICTORS; ADJUSTMENT; DISABILITY; PEOPLE; INDIVIDUALS; MULTICENTER; IMPACT;
D O I
10.1016/j.apmr.2011.07.203
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
van Leeuwen CM, Post MW, Westers P, van der Woude LH, de Groot S. Sluis T, Slootman H, Lindeman E. Relationships between activities, participation, personal factors, mental health, and life satisfaction in persons with spinal cord injury. Arch Phys Med Rehabil 2012;93:82-9. Objective: To clarify relationships between activities, participation, mental health, and life satisfaction in persons with spinal cord injury (SCI) and specify how personal factors (self-efficacy, neuroticism, appraisals) interact with these components. We hypothesized that (1) activities are related directly to participation, participation is related directly to mental health and life satisfaction, and mental health and life satisfaction are 2 interrelated outcome variables; and (2) appraisals are mediators between participation and mental health and life satisfaction, and self-efficacy and neuroticism are related directly to mental health and life satisfaction and indirectly through appraisals. Design: Follow-up measurement of a multicenter prospective cohort study 5 years after discharge from inpatient rehabilitation. Setting: Eight Dutch rehabilitation centers with specialized SCI units. Participants: Persons (N=143) aged 18 to 65 years at the onset of SCI. Interventions: Not applicable. Main Outcome Measures: Mental health was measured by using the Mental Health subscale of the 36-Item Short Form Health Survey and life satisfaction with the sum score of "current life satisfaction" and "current life satisfaction compared with life satisfaction before SCI." Results: Structural equation modeling showed that activities and neuroticism were related to participation and explained 49% of the variance in participation. Self-efficacy, neuroticism, and 2 appraisals were related to mental health and explained 35% of the variance in mental health. Participation, 3 appraisals, and mental health were related to life satisfaction and together explained 50% of the total variance in life satisfaction. Conclusions: Mental health and life satisfaction can be seen as 2 separate but interrelated outcome variables. Self-efficacy and neuroticism are related directly to mental health and indirectly to life satisfaction through the mediating role of appraisals.
引用
收藏
页码:82 / 89
页数:8
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