Migliorini Christine, Callaway Libby, New Peter
Monash University, Melbourne, Victoria, Australia.
Spinal Rehabilitation Unit, Caulfield Hospital, Alfred Health, Melbourne, Victoria, Australia; and Epworth-Monash Rehabilitation Medicine Unit, Monash University, Melbourne, Victoria, Australia.
J Spinal Cord Med. 2013 Nov;36(6):660-5. doi: 10.1179/2045772313Y.0000000100. Epub 2013 Apr 13.
To undertake a pilot investigation into whether individuals whose subjective well-being had returned to the normal homeostatic range after a spinal cord injury (SCI) may be more resilient and therefore, at less risk of emotional distress over time. To consider the relative stability of subjective well-being in individuals with chronic SCI whose subjective well-being had previously returned to the normative homeostatic range.
Longitudinal study: Time 1 (T1) 2004 and Time 2 (T2) 2009.
Victoria, Australia.
Participants were adults living in the community with chronic SCI, who had no mental ill-health symptoms at T1.
Scales include: Comprehensive Quality of Life Scale - Adult v5 (COMQoL-A5) at T1, Personal Well-being Index (PWI - the successor to the COMQol-A5) at T2, and Depression, Anxiety & Stress Scale - short form (DASS-21) at T1 and T2.
Twenty-one adults participated at T1 and T2. Subjective well-being was stable for 57% of the cohort. However, 19% presented with symptoms of emotional distress by T2. There was no significant difference in age (P = 0.94) or time since injury (P = 0.51) between those reporting significant emotional symptoms and those without; nor was there any systematic change in health status.
This study yielded two important findings. First, individuals with chronic SCI may be vulnerable to mental health issues even after they have previously exhibited good resilience. Second, subjective well-being after SCI may not be as stable as suggested by the general quality of life literature that have examined genetic and personality connections to subjective well-being.
开展一项初步调查，探究脊髓损伤（SCI）后主观幸福感已恢复到正常稳态范围的个体是否可能更具复原力，因此随着时间推移出现情绪困扰的风险更低。考虑慢性SCI个体主观幸福感的相对稳定性，这些个体的主观幸福感此前已恢复到正常稳态范围。
纵向研究：2004年为时间1（T1），2009年为时间2（T2）。
澳大利亚维多利亚州。
参与者为居住在社区的成年慢性SCI患者，他们在T1时没有精神健康问题症状。
量表包括：T1时的成人综合生活质量量表 - 第5版（COMQoL - A5）、T2时的个人幸福感指数（PWI - COMQol - A5的后续版本）以及T1和T2时的抑郁、焦虑和压力量表 - 简表（DASS - 21）。
21名成年人参与了T1和T2阶段的研究。57%的队列主观幸福感稳定。然而，到T2时，19%的人出现了情绪困扰症状。报告有明显情绪症状的人与没有明显情绪症状的人在年龄（P = 0.94）或受伤后的时间（P = 0.51）上没有显著差异；健康状况也没有任何系统性变化。
本研究得出了两个重要发现。第一，慢性SCI个体即使此前表现出良好的复原力，仍可能易患心理健康问题。第二，SCI后的主观幸福感可能不像研究基因与个性和主观幸福感之间联系的一般生活质量文献所表明的那样稳定。
