Article

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.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS