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Modeling life satisfaction in spinal cord injury: the role of psychological resources

Modeling life satisfaction in spinal cord injury: the role of psychological resources
Modeling life satisfaction in spinal cord injury: the role of psychological resources
PURPOSE: The aims of the study were (1) to examine the associations between the psychological resources general self-efficacy (GSE) and purpose in life (PIL), appraisals, coping and life satisfaction, and (2) to examine whether the effects of the psychological resources on life satisfaction are mediated by appraisals and coping, as proposed by the spinal cord injury adjustment model (SCIAM).

METHODS: Cross-sectional multicenter study conducted with persons with spinal cord injury (SCI) living in the community in Switzerland (N = 516). Pearson's correlations were calculated for aim 1, and structural equation modeling was conducted to address aim 2.

RESULTS: GSE (r = .48) and PIL (r = .58) were positively related to life satisfaction. The initial model corresponding to the SCIAM yielded a poor model fit. The final model had a good model fit [? 2 = 66.0, df = 21, p < .01, RMSEA = .065 (90 % confidence interval .048-.082), CFI = .97] explaining 57 % of variance of life satisfaction. PIL had a direct large effect on life satisfaction (? = .54). The influence of GSE on life satisfaction was mediated by loss appraisals. Avoidance, active and humor coping had small effects on life satisfaction.

CONCLUSIONS: Psychological resources have a substantial effect on life satisfaction in persons with SCI. Our results correspond with the SCIAM and its conceptualization of adjustment as a multifactorial process, but did not fully support the hypothesized mediation. PIL was strongly related to higher life satisfaction and may be a suitable intervention target to support persons with SCI.

spinal cord injuries, psychological adjustment (= adaptation, psychological), self-efficacy, purpose in life, quality of life, structural models
0962-9343
2693-2705
Peter, C.
15040cd6-bf0e-4e46-9fbf-3955f7333408
Müller, R.
6524b971-59e6-4c83-868d-90dfc3c5b8b0
Cieza, A.
a0df25c5-ee2c-4580-82b3-d0a75591580e
Post, M.W.
60f3997b-ac88-42b2-b97a-ff05a7f5090a
van Leeuwen, C.M.
d24dc705-3a6b-4cc4-aca2-f320b0a389ff
Werner, C.S.
54fb5209-06cf-4d94-a830-de1d335c6483
Geyh, S.
dc073a71-f2cc-40af-94a5-dd520b858e5b
Peter, C.
15040cd6-bf0e-4e46-9fbf-3955f7333408
Müller, R.
6524b971-59e6-4c83-868d-90dfc3c5b8b0
Cieza, A.
a0df25c5-ee2c-4580-82b3-d0a75591580e
Post, M.W.
60f3997b-ac88-42b2-b97a-ff05a7f5090a
van Leeuwen, C.M.
d24dc705-3a6b-4cc4-aca2-f320b0a389ff
Werner, C.S.
54fb5209-06cf-4d94-a830-de1d335c6483
Geyh, S.
dc073a71-f2cc-40af-94a5-dd520b858e5b

Peter, C., Müller, R., Cieza, A., Post, M.W., van Leeuwen, C.M., Werner, C.S. and Geyh, S. (2014) Modeling life satisfaction in spinal cord injury: the role of psychological resources. Quality of Life Research, 23 (10), 2693-2705. (doi:10.1007/s11136-014-0721-9). (PMID:24880699)

Record type: Article

Abstract

PURPOSE: The aims of the study were (1) to examine the associations between the psychological resources general self-efficacy (GSE) and purpose in life (PIL), appraisals, coping and life satisfaction, and (2) to examine whether the effects of the psychological resources on life satisfaction are mediated by appraisals and coping, as proposed by the spinal cord injury adjustment model (SCIAM).

METHODS: Cross-sectional multicenter study conducted with persons with spinal cord injury (SCI) living in the community in Switzerland (N = 516). Pearson's correlations were calculated for aim 1, and structural equation modeling was conducted to address aim 2.

RESULTS: GSE (r = .48) and PIL (r = .58) were positively related to life satisfaction. The initial model corresponding to the SCIAM yielded a poor model fit. The final model had a good model fit [? 2 = 66.0, df = 21, p < .01, RMSEA = .065 (90 % confidence interval .048-.082), CFI = .97] explaining 57 % of variance of life satisfaction. PIL had a direct large effect on life satisfaction (? = .54). The influence of GSE on life satisfaction was mediated by loss appraisals. Avoidance, active and humor coping had small effects on life satisfaction.

CONCLUSIONS: Psychological resources have a substantial effect on life satisfaction in persons with SCI. Our results correspond with the SCIAM and its conceptualization of adjustment as a multifactorial process, but did not fully support the hypothesized mediation. PIL was strongly related to higher life satisfaction and may be a suitable intervention target to support persons with SCI.

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More information

Accepted/In Press date: 1 June 2014
e-pub ahead of print date: 1 June 2014
Published date: December 2014
Keywords: spinal cord injuries, psychological adjustment (= adaptation, psychological), self-efficacy, purpose in life, quality of life, structural models
Organisations: Psychology

Identifiers

Local EPrints ID: 366220
URI: https://eprints.soton.ac.uk/id/eprint/366220
ISSN: 0962-9343
PURE UUID: c011aaee-0a8c-4ec7-9396-5581ff235d30

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Date deposited: 26 Jun 2014 12:25
Last modified: 27 Jun 2018 16:32

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