Krause J S
Crawford Research Institute, Shepherd Center Atlanta, Georgia, USA.
Spinal Cord. 1998 May;36(5):320-8. doi: 10.1038/sj.sc.3100540.
A field study of aging after spinal cord injury (SCI) was conducted by surveying the life adjustment of a large sample of participants with SCI.
The purpose of the current study was to compare life adjustment scores between cohorts of participants based on chronologic age, age at injury onset, time since injury and percentage of life with SCI.
Existing cross-sectional research suggests that age is negatively correlated and time since injury is positively correlated with life adjustment. However, few studies had investigated aging among people who have lived 30 or more years with SCI.
A total of 435 participants, 55 of whom were injured for 30 or more years, completed the Life Situation Questionnaire-Revised (LSQ-R), a measure of multiple SCI outcomes.
Results indicated that being injured later in life is associated with a lower overall level of subjective well-being, poorer health, and a less active lifestyle. However, subjective well-being appears to improve throughout the life-cycle, even beyond 30 years post-injury, thus neutralizing the adverse impact of age at onset on subjective well-being, but not on health or activities.
The results suggest that rehabilitation professionals need to pay special attention to problems presented by being injured after the age of 40, particularly as it relates to activities. Living 30 or more years with SCI does not appear to present overwhelming barriers to adjustment.
通过对大量脊髓损伤（SCI）参与者的生活适应情况进行调查，开展了一项关于脊髓损伤后衰老的实地研究。
本研究的目的是根据实际年龄、损伤发病年龄、受伤时间以及脊髓损伤后的生活百分比，比较不同队列参与者的生活适应得分。
现有的横断面研究表明，年龄与生活适应呈负相关，受伤时间与生活适应呈正相关。然而，很少有研究调查过脊髓损伤30年及以上人群的衰老情况。
共有435名参与者完成了修订版生活状况问卷（LSQ-R），这是一种对多种脊髓损伤结果的测量方法，其中55人受伤30年及以上。
结果表明，晚年受伤与较低的总体主观幸福感、较差的健康状况以及不太活跃的生活方式有关。然而，主观幸福感在整个生命周期中似乎都会改善，甚至在受伤30年后也是如此，从而抵消了发病年龄对主观幸福感的不利影响，但对健康或活动没有影响。
结果表明，康复专业人员需要特别关注40岁以后受伤所带来的问题，尤其是与活动相关的问题。脊髓损伤30年及以上似乎并不会对适应造成压倒性的障碍。
