Spinal cord injuries: a shortened measure of function and mood

Lundqvist, Christer; Siösteen, A; Sullivan, L; Blomstrand, Christian; Lind, Bengt; Sullivan, Marianne

doi:10.1038/sj.sc.3100347

Cited by 34 publications

(27 citation statements)

References 18 publications

(10 reference statements)

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“…The SCI QL-23 consists of 23 items that were found to best predict overall QOL in individuals with SCI. 25 Two factors were used; problems regarding injury (PROB; six items), which was derived from a list of 10 questions 26 describing perceptions of physical dependency (being unable to walk or move freely, needing help with many things, being unable to do things when wanted), of complications and of social stigma. Physical/social functioning (FUNC; 10 items) covers limitations in mobility, body care and movement and social interaction.…”

Section: Outcome Measuresmentioning

confidence: 99%

Appraisals, coping and adjustment pre and post SCI rehabilitation: a 2-year follow-up study

et al. 2011

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Study design: Longitudinal, multi-wave panel design. Objectives: To explore the changes in and the relationships between appraisals and coping with mood, functioning and quality-of-life (QOL) pre-and post-rehabilitation for acute spinal cord injury (SCI). Setting: The data collected was part of an ongoing study from specialist units in selected British, Swiss, German and Irish SCI centres. Methods: Questionnaires (Functional Independence, QOL, Mood, Appraisals, Coping and Support) were administered to 232 patients at 12 weeks post injury and sent to participants at 1 and 2 years post injury by post. Results: Significant changes were observed in various outcome measures between 12 weeks and 1 year post injury, with little significant change occurring during the following year. Appraisals and coping at 12 weeks post injury were significantly related to outcome scores and also contributed significantly to the variance in QOL, mood and stress-related growth at 2 years post injury. Conclusion:The study provides further evidence for the link between appraisals, coping and subsequent adjustment to injury. Suggestion is made for the potential benefit of early assessment and intervention for patients at risk of poor adjustment to SCI.

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Section: Outcome Measuresmentioning

confidence: 99%

Appraisals, coping and adjustment pre and post SCI rehabilitation: a 2-year follow-up study

et al. 2011

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“…Published information of instrument reliability and validity is available for only two of the SCI speci®c measures. 8,9 However, for these two measures, there is limited documentation of the guiding framework or conceptualization, process of item selection and content validation.…”

Section: Introductionmentioning

confidence: 99%

Measuring quality of life of persons with spinal cord injury: external and structural validity

May

Warren

2002

Spinal Cord

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Study design: Measurement evaluation of the external and structural components of validity. Objectives: To examine the relationships between quality of life (QOL) as measured by the spinal cord injury (SCI) version of the Ferrans and Powers Quality of Life Index (QLI) and other constructs represented within the model of disablement; and to examine the domains and scoring model of the QLI by exploring item and overall score/section score relationships. Setting: Community, Alberta, Canada. Methods: A convenience sample of 98 individuals with SCI living in the community completed the QLI and measures representing the model of disablement including the ASIA motor index, Functional Independence Measure, Reintegration to Normal Living index, Rosenberg's Self-Esteem Scale and Rotter's Internal ± External Locus of Control scale. Results: Four of the ®ve a priori hypotheses were supported. Locus of control was not signi®cantly related to QOL as expected. Factor analysis resulted in a ®ve-factor structure that di ered from the four-domain model of the original QLI. Scoring relationships indicated that both the satisfaction and importance ratings contribute to the overall score, although not equally. Conclusion: There is support for the external component of validity although further examination regarding locus of control for persons with SCI is warranted. The structural component of validity requires further investigation to elucidate the domains of the SCI version of the QLI and the contribution of the importance scores.

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“…This questionnaire was created in an earlier study of SCI persons where a vast battery of generic questionnaires was applied. 23 This brief version contains ten items from the Sickness impact pro®le (SIP) 33 covering functional limitations in the SIP categories mobility, body care and movement and social interaction, and six items from the Hospital anxiety and depression (HAD) scale 34 measuring dierent aspects of depressed mood. In addition, the SCI persons completed six items from the SCI Problem scale de®ning the SCI person's perception of loss of independence.…”

Section: Quality Of Life Physical and Social Functioning And Moodmentioning

confidence: 99%

“…In addition, the SCI persons completed six items from the SCI Problem scale de®ning the SCI person's perception of loss of independence. 23 The controls completed the six items re¯ecting Depression from the HAD scale. 34 35 For overall comparison between the three groups, Kruskal Wallis one-way analysis of variance (ANOVA) of mean ranks was used.…”

Section: Quality Of Life Physical and Social Functioning And Moodmentioning

confidence: 99%

“…22 Furthermore, young age, a high level of social activity and gainful employment were closely associated with perceived high QL. 23 Severe pain was the only medical complication that related to lower QL scores. 20 Level or extent of injury was not related to perceived QL, which is consistent with the study of Cushman and Haslett, 24 undertaken 10 and 15 years after the injury.…”

Section: Introductionmentioning

confidence: 99%

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Partner relationships, functioning, mood and global quality of life in persons with spinal cord injury and traumatic brain injury

et al. 1998

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The aim of this study was to assess and compare spinal cord injured (SCI) and traumatic brain injured (TBI) persons and people from the general population concerning partner relationships, functioning, mood and global quality of life. One hundred and sixty seven SCI persons, 92 TBI persons and 264 controls participated in the study. The median age was: SCI persons 33 years (range 19 to 79 years), TBI persons 40 years (range 20 to 70 years), and controls 31 years (range 19 to 79 years). Age at injury ranged among SCI persons from 14 to 76 years (Md 28 years), and among TBI persons from 16 to 56 years (Md 32 years). Half of the SCI group (51%), 58% of the TBI group and 59% of the controls had a stable partner relationship at the time of the investigation. Many of these SCI and TBI relationships (38% and 55% respectively) were established after injury. Both SCI and TBI persons showed signi®cantly more depressive feelings compared with the controls. Perceived quality of life (global QL rating) was signi®cantly lower in the SCI group compared with the controls, whereas the ratings of TBI persons and controls did not dier signi®cantly. SCI and TBI persons did not dier signi®cantly in level of education, perceived quality of life or distress. In all three groups, global quality-of-life ratings were signi®cantly lower among single persons compared to those with a partner relationship. It was concluded that both SCI and TBI appear to aect overall quality of life and mental well-being negatively. The number of partner relationships contracted after injury among both SCI and TBI persons indicates, however, that the injury is not a major barrier to establishing close partner relationships. Being in good spirits, that is, lack of depressive feelings has a profound impact on the perception of a high quality of life in all three groups. For the SCI and TBI persons, a high level of physical and social independence were further positive determinants of a perceived high quality of life.

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Spinal cord injuries: a shortened measure of function and mood

Cited by 34 publications

References 18 publications

Appraisals, coping and adjustment pre and post SCI rehabilitation: a 2-year follow-up study

Appraisals, coping and adjustment pre and post SCI rehabilitation: a 2-year follow-up study

Measuring quality of life of persons with spinal cord injury: external and structural validity

Partner relationships, functioning, mood and global quality of life in persons with spinal cord injury and traumatic brain injury

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