Social Skills: A Resource for More Social Support, Lower Depression Levels, Higher Quality of Life, and Participation in Individuals With Spinal Cord Injury?

被引：30
|
作者：
Mueller, Rachel [1 ,2 ]
Peter, Claudio [1 ,2 ]
Cieza, Alarcos [1 ,2 ]
Post, Marcel. W. [1 ,3 ,4 ]
Van Leeuwen, Christel M. [1 ,3 ,4 ]
Werner, Christina S. [5 ]
Geyh, Szilvia [1 ,6 ]
机构：
[1] Swiss Parapleg Res SPF, Nottwil, Switzerland
[2] Univ Munich, Dept Med Informat Biometry & Epidemiol, Chair Publ Hlth & Hlth Care Res, Unit Biopsychosocial Hlth, Munich, Germany
[3] Univ Med Ctr Utrecht & De Hoogstr, Brain Ctr Rudolf Magnus, Utrecht, Netherlands
[4] Univ Med Ctr Utrecht & De Hoogstr, Ctr Excellence Rehabil Med, Utrecht, Netherlands
[5] Univ Zurich, Dept Psychol, Psychol Methods Evaluat & Stat, Zurich, Switzerland
[6] Univ Lucerne, Dept Hlth Sci & Hlth Policy, Luzern, Switzerland
来源：
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2015年 / 96卷 / 03期
关键词：
Depression; Quality of life; Rehabilitation; Social support; Spinal cord injuries; UTRECHT SCALE; ACTIVITIES SCREENER; PHYSICAL-ACTIVITY; MEDIATING ROLE; OLDER-ADULTS; FIT INDEXES; ICF MEASURE; SELF-REPORT; HEALTH; SATISFACTION;
D O I：
10.1016/j.apmr.2014.09.006
中图分类号：
R49 [康复医学];
学科分类号：
100215 ;
摘要：
Objective: To examine the relevance of social skills and their different dimensions (ie, expressivity, sensitivity, control) in relation to social support, depression, participation, and quality of life (QOL) in individuals with spinal cord injury (SCI). Design: Cross-sectional data collection within the Swiss Spinal Cord Injury Cohort. Setting: Community-based. Participants: Individuals with SCI (N=503). Interventions: Not applicable. Main Outcome Measures: Depression, participation, and QOL were measured using the Hospital Anxiety and Depression Scale, the Utrecht Scale for Evaluation of Rehabilitation-Participation, and 5 selected items of the World Health Organization Quality of Life Scale. The Social Skills Inventory and the Social Support Questionnaire were used to assess social skills (expressivity, sensitivity, control) and social support, respectively. Results: Structural equation modeling was conducted. In model 1 (chi(2)=27.81; df= 19; P=.087; root mean square error of approximation =.033; 90% confidence interval=.000-.052), social skills as a latent variable was related to social support (beta=.31; R-2=.10), depression (beta=-.31; total R-2=.42), and QOL (beta=.46; R-2=.25). Social support partially mediated the effect of social skills on QOL (indirect effect: beta=04; P=.02) but not on depression or participation. In model 2 (chi(2)=27.96; df= 19; P=.084; root mean square error of approximation =.031; 90% confidence interval=.000.053), the social skills dimension expressivity showed a path coefficient of beta=.20 to social support and beta=.18 to QOL. Sensitivity showed a negative path coefficient to QOL (beta=.15) and control a path coefficient of beta=-.15 to depression and beta=.24 to QOL. Conclusions: Social skills are a resource related to more social support, lower depression scores, and higher QOL. (C) 2015 by the American Congress of Rehabilitation Medicine
引用
收藏
页码：447 / 455
页数：9
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