Van Bost Gunther, Van Damme Stefaan, Crombez Geert
Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium.
Unit Acquired Brain Injury, Centrum voor Ambulante Revalidatie Ter Kouter, Deinze, Belgium.
PeerJ. 2017 Jul 6;5:e3545. doi: 10.7717/peerj.3545. eCollection 2017.
An acquired brain injury (ABI) is a challenge for an individual's quality of life (QOL). In several chronic illnesses acceptance has been found to be associated with a better health-related quality of life. This study investigated whether this relationship is also found in patients with ABI. We also explored the impact of the perceived ability to live according to one's own values (life-values-match).
A total of 68 individuals (18-65 years of age) with an acquired brain injury completed a battery of questionnaires. The relations between health-related QOL (SF-36) and disease specific QOL (EBIQ; European Brain Injury Questionnaire), and personal values (Schwartz Values Inventory) and acceptance (ICQ; Illness Cognitions Questionnaire) were investigated. An additional question measured the life-values-match. Rehabilitation professionals reported the extent of impairment involved.
Acceptance was positively associated with mental aspects of health-related QOL and the EBIQ Core Scale, after demographic variables and the extent of impairment were introduced in the regression. In a post hoc analysis we found that the life-values-match mediated the relationship between acceptance and mental aspects of QOL.
In patients with an ABI, promoting acceptance may be useful to protect QOL. Strengthening the life-values-match may be a way to accomplish this.
获得性脑损伤（ABI）对个体的生活质量（QOL）是一项挑战。在几种慢性疾病中，已发现接纳与更好的健康相关生活质量相关。本研究调查了这种关系在ABI患者中是否也成立。我们还探讨了根据自身价值观生活的感知能力（生活价值观匹配）的影响。
共有68名年龄在18 - 65岁之间的获得性脑损伤患者完成了一系列问卷调查。研究了健康相关生活质量（SF - 36）与疾病特异性生活质量（EBIQ；欧洲脑损伤问卷）、个人价值观（施瓦茨价值观量表）和接纳（ICQ；疾病认知问卷）之间的关系。另一个问题测量了生活价值观匹配情况。康复专业人员报告了所涉及的损伤程度。
在回归中引入人口统计学变量和损伤程度后，接纳与健康相关生活质量的心理方面以及EBIQ核心量表呈正相关。在事后分析中，我们发现生活价值观匹配介导了接纳与生活质量心理方面之间的关系。
在ABI患者中，促进接纳可能有助于保护生活质量。加强生活价值观匹配可能是实现这一目标的一种方式。
