Shriners Hospitals for Children, 2211 N. Oak Park Avenue, Chicago, IL 60707, USA.
Rehabil Psychol. 2010 Feb;55(1):58-67. doi: 10.1037/a0018275.
To examine social and job-related participation among girls with spinal cord injury (SCI) and relationships between participation, depression, and quality of life.
This sample included 97 girls (aged 7-17 years) who had sustained SCI at least 1 year prior to interview, and who were receiving care at three pediatric SCI centers within a single hospital system.
Participants completed the Children's Assessment of Participation and Enjoyment, Children's Depression Inventory, and Pediatric Quality of Life Inventory. Caregivers completed a demographics form.
Girls participated more often in social activities than in job-related activities and participated in social activities with a more diverse group and further from home. A broader context of social participation was related to lower depression, which in turn was related to higher quality of life. Higher frequency of job-related participation was related to lower depression, which in turn was related to higher quality of life.
Social and job-related participation are related to psychosocial outcomes among girls with SCI. Participation in social and job-related activities should be a focus of rehabilitation for girls, because the skills gained from this involvement may help build resilience against future obstacles to socialization and employment.
考察脊髓损伤女孩的社会和职业参与情况，以及参与度、抑郁和生活质量之间的关系。
本样本包括 97 名女孩（年龄 7-17 岁），她们在接受采访前至少 1 年就已患有脊髓损伤，并且正在单一医院系统内的三个儿科脊髓损伤中心接受治疗。
参与者完成了儿童参与和享受评估、儿童抑郁量表和儿科生活质量量表。护理人员填写了一份人口统计学表格。
女孩参与社会活动的频率高于职业活动，且与更多样化的群体在离家更远的地方参与社会活动。更广泛的社会参与背景与较低的抑郁程度有关，而较低的抑郁程度又与较高的生活质量有关。职业相关参与度越高，抑郁程度越低，生活质量越高。
社会和职业参与与脊髓损伤女孩的心理社会结果有关。社会和职业活动的参与应成为女孩康复的重点，因为从这种参与中获得的技能可能有助于建立对未来社交和就业障碍的适应能力。
