Changes in life satisfaction in persons with spinal cord injury during and after inpatient rehabilitation: adaptation or measurement bias?

被引：23
|
作者：
van Leeuwen, Christel M. C. [1 ,2 ,3 ]
Post, Marcel W. M. [1 ,2 ,3 ]
van der Woude, Lucas H. V. [4 ,5 ]
de Groot, Sonja [4 ,6 ]
Smit, Christof [6 ]
van Kuppevelt, Dirk [7 ]
Lindeman, Eline [1 ,2 ]
机构：
[1] Univ Med Ctr Utrecht, Rudolf Magnus Inst Neurosci, Utrecht, Netherlands
[2] Rehabil Ctr De Hoogstraat, Ctr Excellence Rehabil Med, Utrecht, Netherlands
[3] Swiss Parapleg Res, Nottwil, Switzerland
[4] Univ Groningen, Univ Med Ctr Groningen, Ctr Human Movement Sci, Groningen, Netherlands
[5] Univ Groningen, Univ Med Ctr Groningen, Ctr Rehabil, Groningen, Netherlands
[6] Reade, Ctr Rehabil & Rheumatol, Amsterdam, Netherlands
[7] Rehabil Ctr Sint Maartensklin, Nijmegen, Netherlands
来源：
QUALITY OF LIFE RESEARCH | 2012年 / 21卷 / 09期
关键词：
Quality of life; Personal satisfaction; Spinal cord injuries; Rehabilitation; Response shift; QUALITY-OF-LIFE; RESPONSE SHIFT; AFTER-DISCHARGE; PEOPLE; HEALTH; RECALIBRATION; METAANALYSIS; PREDICTORS; ADJUSTMENT; COHORT;
D O I：
10.1007/s11136-011-0073-7
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Purpose To analyze changes in life satisfaction (LS) scores over time in persons with spinal cord injury (SCI) and to interpret what these changes mean. Methods Multicenter, prospective cohort study of persons with SCI (n = 96) classified into 3 life satisfaction trajectories identified earlier. Assessment took place 6 times from the start of active rehabilitation up to 5 years after discharge. Three LS scores were compared: (1) LS 'now' score, (2) 'comparison' score between LS 'now' and LS 'before the SCI', and (3) retrospective score of LS 'before the SCI'. Results Persons in the low LS trajectory showed increase in the LS 'now' score, but not in the LS 'comparison' score and retrospective score. Persons in the recovery trajectory showed increase in the LS 'now' and LS 'comparison' scores, but not in the retrospective score. Persons in the high LS trajectory showed increase in the 'comparison' LS score and decrease in the retrospective score, but no change in the LS 'now' score. Conclusions Diverging patterns of change were found and that were interpreted as adaptation or scale recalibration. Recalibration could also be considered healthy rebalancing after SCI. Being able to compare different LS ratings can facilitate the interpretation of change in and stability of LS.
引用
收藏
页码：1499 / 1508
页数：10
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