Hicken Bret L, Putzke John David, Novack Tom, Sherer Mark, Richards J Scott
Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, USA.
J Rehabil Res Dev. 2002 May-Jun;39(3):359-65.
The current study was designed to examine the predictive validity of several factors that are common to spinal cord injury (SCI) and traumatic brain injury (TBI) populations to overall life satisfaction. We examined several demographic and functional predictors (1) within each group separately and (2) using both groups while controlling for unique predictors within groups. Participants included 190 and 57 individuals with SCI and TBI, respectively. To minimize the influence of injury duration, we assessed life satisfaction at 1-year postinjury in both groups. Functional disability (Functional Impairment Measure [FIM]) was the only common predictor within groups. For the TBI group, marital status was also a significant predictor of life satisfaction. None of the other predictors examined was significant among the SCI group. After functional disability and marital status were controlled, overall life satisfaction did not differ between groups. Total explained variance in life satisfaction was low in both groups, 9% and 25% in the SCI and TBI groups, respectively. Future directions are discussed.
本研究旨在检验脊髓损伤(SCI)和创伤性脑损伤(TBI)人群共有的几个因素对总体生活满意度的预测效度。我们分别在每组内(1)以及在控制组内独特预测因素的同时使用两组(2)检验了几个人口统计学和功能预测因素。参与者分别包括190名脊髓损伤患者和57名创伤性脑损伤患者。为尽量减少损伤持续时间的影响,我们在两组患者受伤后1年评估其生活满意度。功能残疾(功能障碍评定量表[FIM])是两组内唯一的共同预测因素。对于创伤性脑损伤组,婚姻状况也是生活满意度的一个重要预测因素。在脊髓损伤组中,所检验的其他预测因素均不显著。在控制功能残疾和婚姻状况后,两组之间的总体生活满意度没有差异。两组中生活满意度的总解释方差均较低,脊髓损伤组和创伤性脑损伤组分别为9%和25%。本文还讨论了未来的研究方向。