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Quality of Life Research
Gepubliceerd in: Quality of Life Research 10/2014

01-12-2014

Modeling life satisfaction in spinal cord injury: the role of psychological resources

Auteurs: Claudio Peter, Rachel Müller, Alarcos Cieza, Marcel W. M. Post, Christel M. C. van Leeuwen, Christina S. Werner, Szilvia Geyh

Gepubliceerd in: Quality of Life Research | Uitgave 10/2014

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Abstract

Purpose

The aims of the study were (1) to examine the associations between the psychological resources general self-efficacy (GSE) and purpose in life (PIL), appraisals, coping and life satisfaction, and (2) to examine whether the effects of the psychological resources on life satisfaction are mediated by appraisals and coping, as proposed by the spinal cord injury adjustment model (SCIAM).

Methods

Cross-sectional multicenter study conducted with persons with spinal cord injury (SCI) living in the community in Switzerland (N = 516). Pearson’s correlations were calculated for aim 1, and structural equation modeling was conducted to address aim 2.

Results

GSE (r = .48) and PIL (r = .58) were positively related to life satisfaction. The initial model corresponding to the SCIAM yielded a poor model fit. The final model had a good model fit [χ 2 = 66.0, df = 21, p < .01, RMSEA = .065 (90 % confidence interval .048–.082), CFI = .97] explaining 57 % of variance of life satisfaction. PIL had a direct large effect on life satisfaction (β = .54). The influence of GSE on life satisfaction was mediated by loss appraisals. Avoidance, active and humor coping had small effects on life satisfaction.

Conclusions

Psychological resources have a substantial effect on life satisfaction in persons with SCI. Our results correspond with the SCIAM and its conceptualization of adjustment as a multifactorial process, but did not fully support the hypothesized mediation. PIL was strongly related to higher life satisfaction and may be a suitable intervention target to support persons with SCI.
vorige artikel Ethical behaviour in clinical practice: a multidimensional Rasch analysis from a survey of primary health care professionals of Barcelona (Catalonia, Spain)
volgende artikel Prospectively measured 10-year changes in health-related quality of life and comparison with cross-sectional estimates in a population-based cohort of adult women and men
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Metagegevens
Titel
Modeling life satisfaction in spinal cord injury: the role of psychological resources
Auteurs
Claudio Peter
Rachel Müller
Alarcos Cieza
Marcel W. M. Post
Christel M. C. van Leeuwen
Christina S. Werner
Szilvia Geyh
Publicatiedatum
01-12-2014
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 10/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0721-9

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