College of Health Professions, Medical University of South Carolina, Charleston, SC; Mental Health Service, VA San Diego Healthcare System, San Diego, CA.
College of Health Professions, Medical University of South Carolina, Charleston, SC.
Arch Phys Med Rehabil. 2022 Jan;103(1):98-105. doi: 10.1016/j.apmr.2021.09.002. Epub 2021 Oct 2.
To investigate relationships between self-reported biological, psychological, and social factors and global, vocational, and home life satisfaction in individuals with traumatic spinal cord injury (SCI) an average of more than 30 years postinjury.
Cross-sectional analyses of self-report assessment data.
Specialty and university hospitals in the southeastern and midwestern United States.
Individuals with a history of traumatic SCI (n=546) who responded to the most recent data collection period of the SCI Longitudinal Aging Study (2018-2019) and who were at least 2 years postinjury and at least 18 years or older at initial study enrollment.
Not applicable.
Global life satisfaction, home life satisfaction, and vocational life satisfaction as measured by the Life Situation Questionnaire-Revised.
Taken together, the biopsychosocial variables explained 55.1% of the variance in global life satisfaction. Less severe depressive symptoms, greater emotional social support, and greater instrumental social support were significantly associated with greater global life satisfaction. Together, the independent variables explained 50.7% of the variance in home life satisfaction. Being in a relationship, having less severe depressive symptoms, having greater emotional social support, and having greater instrumental social support were significantly associated with home life satisfaction. Together, the independent variables explained 44.8% of the variance in vocational satisfaction. Being White, non-Hispanic, having more years of education, being in a relationship, having less severe depressive symptoms, and having greater emotional social support were significantly associated with greater vocational satisfaction.
These results support the need to assess psychological symptoms and available social support as potential modifiable factors related to several domains of life satisfaction in this aging population. Improving psychological symptoms and strengthening available social support may relate to improved life satisfaction.
调查创伤性脊髓损伤（SCI）个体在受伤后平均 30 多年后，自我报告的生物、心理和社会因素与整体、职业和家庭生活满意度之间的关系。
自我报告评估数据的横断面分析。
美国东南部和中西部的专科医院和大学医院。
曾有创伤性 SCI 病史的个体（n=546），他们在 SCI 纵向老化研究（2018-2019 年）的最新数据收集期内做出了回应，且在初始研究入组时至少受伤 2 年且年满 18 岁或以上。
不适用。
使用生活情境问卷修订版（Life Situation Questionnaire-Revised）测量的整体生活满意度、家庭生活满意度和职业生活满意度。
综合来看，生物心理社会变量解释了整体生活满意度变化的 55.1%。较轻的抑郁症状、更多的情感社会支持和更多的工具性社会支持与更高的整体生活满意度显著相关。独立变量共同解释了家庭生活满意度变化的 50.7%。处于恋爱关系中、抑郁症状较轻、情感社会支持较多和工具性社会支持较多与家庭生活满意度显著相关。独立变量共同解释了职业满意度变化的 44.8%。白人、非西班牙裔、受教育程度较高、处于恋爱关系中、抑郁症状较轻和情感社会支持较多与职业满意度较高显著相关。
这些结果支持了评估心理症状和可用社会支持的必要性，因为它们是与这一老龄化人群的几个生活满意度领域相关的潜在可改变因素。改善心理症状和加强可用的社会支持可能与提高生活满意度有关。
