Krause J S
Crawford Research Institute, Shepherd Center, Atlanta, GA 30309, USA.
Arch Phys Med Rehabil. 1998 Aug;79(8):900-9. doi: 10.1016/s0003-9993(98)90085-5.
The purpose of this study was twofold: (1) to identify the underlying dimensions of subjective well-being after spinal cord injury (SCI), and (2) to develop reliable scales based on measurement of these dimensions.
A field study was conducted by surveying the subjective well-being of two large samples of participants with SCI. Principal axis factor analysis with varimax rotation was applied to participant responses to 50 subjective well-being items.
All participants were selected from the outpatient files of two midwestern rehabilitation hospitals and from a large southeastern rehabilitation hospital.
There were a total of 1,032 participants, 435 from the Midwest and 597 from the Southeast.
The Life Situation Questionnaire-revised version (LSQ-R) was used to measure subjective well-being. It included two prominent sections, one for life satisfaction (20 items) and the other for self-reported problems (30 items).
Seven subjective well-being factor scales were identified across the full participant sample: Engagement, Negative Affect, Health Problems, Career Opportunities, Finances, Living Circumstances, and Interpersonal Relations. The average alpha coefficient was .86 for the factor scales. Separate analyses of the midwestern and southeastern samples suggested stability of the factor structure, although gender and race/ ethnicity were related to subtle differences in subjective well-being.
The results suggest that rehabilitation professionals need to pay attention to multiple aspects of subjective well-being after SCI.
本研究有两个目的：（1）确定脊髓损伤（SCI）后主观幸福感的潜在维度，（2）基于这些维度的测量开发可靠的量表。
通过对两个大型脊髓损伤参与者样本的主观幸福感进行调查开展一项实地研究。对参与者对50个主观幸福感项目的回答应用主成分因子分析和方差最大化旋转。
所有参与者均选自中西部两家康复医院以及东南部一家大型康复医院的门诊病历。
共有1032名参与者，其中435名来自中西部，597名来自东南部。
使用修订版生活状况问卷（LSQ-R）测量主观幸福感。它包括两个主要部分，一部分用于生活满意度（20个项目），另一部分用于自我报告的问题（30个项目）。
在全部参与者样本中确定了七个主观幸福感因子量表：参与度、消极情绪、健康问题、职业机会、财务状况、生活环境和人际关系。因子量表的平均α系数为0.86。对中西部和东南部样本的单独分析表明因子结构具有稳定性，尽管性别和种族/族裔与主观幸福感的细微差异有关。
结果表明，康复专业人员需要关注脊髓损伤后主观幸福感的多个方面。
