Life Satisfaction In Adults With Pediatric-Onset Spinal Cord Injuries

Anderson, Caroline; Krajci, Katherine A

doi:10.1080/10790268.2002.11753620

Cited by 48 publications

(26 citation statements)

References 25 publications

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“…The 14 independent studies 1, 12,14,15,26,27,[35][36][37][38][39][40][41][42][43][44] included in the meta-analysis provided data for 9868 participants (Table 1). The majority of the data originated from the USA (n ¼ 10 studies), with studies from Australia (n ¼ 2 studies), Canada (n ¼ 1 study) and Norway (n ¼ 1 study) also contributing.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…9,10 Quality of life and life satisfaction have also been associated with employment, irrespective of injury level. 11,12 Additional psychological contributors include self-esteem and self-efficacy, 13 personality traits, 14 locus of control, 15 achievement orientation, 9 and work attitude or perceived importance of work. 14,16 In comparison, greater affective impairments, such as depressive symptoms, are suggested to increase the odds of being unemployed.…”

Section: Introductionmentioning

confidence: 99%

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Psychological variables associated with employment following spinal cord injury: a meta-analysis

Kent

Dorstyn

2014

Spinal Cord

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Objectives: Spinal cord injury (SCI) research has highlighted links between psychological variables and employment outcome; however, there remains a need to consolidate the available heterogenous data. Methods: Meta-analytic techniques were used to examine and quantify differences in psychological functioning and employment status among adults with an acquired SCI. Fourteen observational studies (N ¼ 9, 868 participants) were identified from an electronic database search. Standardised mean difference scores between employed and unemployed groups were calculated using Cohen's d effect sizes. Additionally, 95% confidence intervals, fail-safe Ns, percentage overlap scores and heterogeneity statistics were used to determine the significance of d. Results: Moderate to large and positive weighted effects were noted across three broad psychological constructs: affective experience or feelings (d w ¼ 3.16), quality of life (d w ¼ 1.06) and life satisfaction (d w ¼ 0.70). However, the most compelling non-heterogeneous finding was associated with life satisfaction, a finding that was also not subject to publication bias. Inconsistent and weak associations between employment and individual measures of vocational attitude, self-efficacy, locus of control, adjustment and personality were also noted. Conclusion: Psychological factors and attributes are linked to employment post-SCI; however, the available data are limited in quantity. Longitudinal research is also needed to determine whether these variables can help to preserve employment over time.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Psychological variables associated with employment following spinal cord injury: a meta-analysis

Kent

Dorstyn

2014

Spinal Cord

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“…12,13 We previously reported on the overall life satisfaction of adults with pediatric-onset SCI. 14 The measure used to assess overall life satisfaction in that study was the SWLS, which is used by the SCI Model Systems and was selected for our study to enable a comparison of adult-onset SCI with the pediatric-onset population. 14 However, the SWLS does not contain any domain-specific components.…”

Section: Introductionmentioning

confidence: 99%

Domain-specific satisfaction in adults with pediatric-onset spinal cord injuries

Anderson

2003

Spinal Cord

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Study design: Interview using a structured questionnaire and standardized measures. Objectives: To determine domain-specific satisfaction levels in adults with pediatric-onset spinal cord injuries (SCI), to determine factors associated with these levels of satisfaction, and to determine the relationship of domain-specific satisfaction to overall life satisfaction in this population. Setting: US and Canada. Methods: The participants were adults who sustained SCI at age 18 years or younger and were 24 years of age or older at the time of interview and did not have significant head injury. In addition to providing information about themselves, including education level, employment, marital status, and community participation, they were asked to rate their level of satisfaction in seven domains: transportation in the community, educational achievement, employment opportunities, income, social/recreational opportunities, dating opportunities, and sexual experience. They also completed the satisfaction with life scale (SWLS), the Craig handicap assessment and reporting technique, the functional independence measure, and the short-form-12 perceived health scale. Results: A total of 216 individuals were interviewed. The mean age at injury was 14 years and the mean age at interview was 29 years. From most satisfied to least satisfied, the domains were ranked in the following order: satisfaction with transportation in the community, educational achievement, social and recreational opportunities, sexual experiences, dating opportunities, job opportunities, and income. Age at interview, gender, and perceived health were identified in regression analyses as predictors of some of the domain-specific satisfactions, but the primary predictive factors were in the area of participation. Neither severity of neurologic impairment nor level of functional independence were predictors for any of the domains. Satisfaction in each of the domains was significantly associated with SWLS and satisfaction with dating, job opportunities, education, and income were identified as predictive factors in a regression analysis. Conclusions: Dating opportunities, job opportunities, and income are the three domains in which adults with pediatric-onset SCI are least satisfied and those domains have a significant impact on overall satisfaction.

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“…[3][4][5][6][7][8][9] Regardless of age, upright mobility has been positively associated with community participation and life satisfaction. [10][11][12] For children, upright mobility allows them to explore their physical environment, which facilitates independence and learning as part of the typical developmental process. 13,14 With the use of standers, walkers, and other assistive devices, as well as a variety of lower extremity orthoses, it is a reasonable expectation that some children with spinal injuries achieve upright stance and mobility.…”

mentioning

confidence: 99%

Relationship Between Neurological Injury and Patterns of Upright Mobility in Children With Spinal Cord Injury

Chafetz

Gaughan

Calhoun

et al. 2013

Topics in Spinal Cord Injury Rehabilitation

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Background:The predictors and patterns of upright mobility in children with a spinal cord injury (SCI) are poorly understood. Objective: The objective of this study was to develop a classification system that measures children's ability to integrate ambulation into activities of daily living (ADLs) and to examine upright mobility patterns as a function of their score and classification on the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) exam. Methods: This is a cross-sectional, multicenter study that used a convenience sample of subjects who were participating in a larger study on the reliability of the ISNCSCI. A total of 183 patients between 5 and 21 years old were included in this study. Patients were asked if they had participated in upright mobility in the last month and, if so, in what environment and with what type of bracing. Patients were then categorized into 4 groups: primary ambulators (PrimA), unplanned ambulators (UnPA), planned ambulators (PlanA), and nonambulators. Results: Multivariate analyses found that only lower extremity strength predicted being a PrimA, whereas being an UnPA was predicted by both lower extremity strength and lack of preservation of S45 pinprick sensation. PlanA was only associated with upper extremity strength. Conclusions: This study introduced a classification system based on the ability of children with SCI to integrate upright mobility into their ADLs. Similar to adults, lower extremity strength was a strong predictor of independent mobility (PrimA and UnPA). Lack of pinprick predicted unplanned ambulation, but not being a PrimA. Finally, upper extremity strength was a predictor for planned ambulation.

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Life Satisfaction In Adults With Pediatric-Onset Spinal Cord Injuries

Cited by 48 publications

References 25 publications

Psychological variables associated with employment following spinal cord injury: a meta-analysis

Psychological variables associated with employment following spinal cord injury: a meta-analysis

Domain-specific satisfaction in adults with pediatric-onset spinal cord injuries

Relationship Between Neurological Injury and Patterns of Upright Mobility in Children With Spinal Cord Injury

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