Alriksson-Schmidt Ann I, Wallander Jan, Biasini Fred
Department of Psychology, University of Alabama at Birmingham, Birmingham, Alabama 35294, USA.
J Pediatr Psychol. 2007 Apr;32(3):370-9. doi: 10.1093/jpepsy/jsl002. Epub 2006 Jun 3.
To examine the influences from life stress and the hypothesized protective variables of social competence, family functioning, and peer social engagement on quality of life (QL) in adolescents with mobility disabilities within a stress-resilience model.
Variables were assessed with questionnaires completed by 159 adolescents with a mobility disability (aged 11-18 years) and their parents. Both more subjective and objective QL measures were completed using both adolescent and parent reports.
Increased life stress was associated with worse QL. Hypothesized protective variables were used to explain significant variance in more subjective, but not objective, measures of QL beyond covariates and life stress. The hypothesized protective variables, however, did not moderate the effects of life stress on QL. There was a cumulative effect from the hypothesized protective variables such that adolescents with more of these factors had more subjective QL than those with just one factor, regardless of the specific factor.
Consistent with the tested model, interventions to improve QL in adolescents with a mobility disability may focus on reducing life stress and developing resilience by enhancing a variety of personal and social resources.
在压力 - 复原力模型中，研究生活压力以及社会能力、家庭功能和同伴社交参与等假定保护变量对行动不便青少年生活质量（QL）的影响。
通过对159名行动不便青少年（年龄在11 - 18岁）及其父母填写的问卷来评估变量。使用青少年和父母报告完成了更主观和客观的生活质量测量。
生活压力增加与较差的生活质量相关。假定的保护变量被用来解释在除协变量和生活压力之外的更主观而非客观的生活质量测量中的显著差异。然而，假定的保护变量并未调节生活压力对生活质量的影响。假定的保护变量存在累积效应，即拥有更多这些因素的青少年比仅拥有一个因素的青少年具有更高的主观生活质量，而不论具体因素如何。
与测试模型一致，改善行动不便青少年生活质量的干预措施可能侧重于通过增强各种个人和社会资源来减轻生活压力并培养复原力。
