Department of Clinical Psychology and Psychotherapy, Philipps-University Marburg, Marburg, Germany.
Clin Rehabil. 2010 May;24(5):431-43. doi: 10.1177/0269215509358930.
To identify subjective importance, attainability and success of life goals and their predictive value for subjective well-being in patients with acquired brain injury.
Cross-sectional, descriptive.
Two inpatient neurological rehabilitation centres.
Patients with non-progressive neurological disorders.
Survey using questionnaires.
Life goal characteristics were assessed using a life goal questionnaire (GOALS). Subjective well-being (composite score) was measured using the Center of the Epidemic Studies Depression Scale (CES-D), the Positive and Negative Affect Schedule (PANAS) and the Satisfaction With Life Scale (SWLS).
Fifty-nine patients participated in the study. The most important life goals are intimacy (4.59/5), achievement (3.96/5) and altruism (3.89/5). The intimacy goals are considered most attainable (4.19/5) and patients feel most successful in this domain (3.98/5). Two important predictions of the personal goal model of subjective well-being could be confirmed. First, goal attainability moderates the relation between goal importance and goal success. Second, the influence of goal importance on subjective well-being is mediated by experienced success. The most powerful predictors for subjective well-being are success in the achievement domain (beta = 0.404) and discrepancy between importance and success in the intimacy domain (beta = -0.276).
The subjective well-being of neurological patients depends not only on the appraised importance of life goals but also on their attainability and success.
确定后天性脑损伤患者生活目标的主观重要性、可实现性和成功率，以及它们对主观幸福感的预测价值。
横断面描述性研究。
两家神经内科住院康复中心。
患有非进行性神经疾病的患者。
问卷调查。
使用生活目标问卷（GOALS）评估生活目标特征。使用中心流调抑郁量表（CES-D）、正性和负性情绪量表（PANAS）和生活满意度量表（SWLS）测量主观幸福感（综合评分）。
59 名患者参与了研究。最重要的生活目标是亲密关系（4.59/5）、成就（3.96/5）和利他主义（3.89/5）。亲密关系目标被认为最容易实现（4.19/5），患者在这一领域感觉最成功（3.98/5）。主观幸福感的个人目标模型可以证实两个重要的预测。首先，目标可实现性调节目标重要性与目标成功之间的关系。其次，目标重要性对主观幸福感的影响是通过体验到的成功来介导的。对主观幸福感最有力的预测因素是在成就领域的成功（β=0.404）和亲密关系领域的重要性和成功之间的差距（β=-0.276）。
神经科患者的主观幸福感不仅取决于生活目标的评价重要性，还取决于其可实现性和成功。
