Changes in life satisfaction in persons with spinal cord injury during and after inpatient rehabilitation: adaptation or measurement bias?

Christel M. C. van Leeuwen, Marcel W. M. Post*, Lucas H. V. van der Woude, Sonja de Groot, Christof Smit, Dirk van Kuppevelt, Eline Lindeman

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

19 Citations (Scopus)

Abstract

Purpose To analyze changes in life satisfaction (LS) scores over time in persons with spinal cord injury (SCI) and to interpret what these changes mean.

Methods Multicenter, prospective cohort study of persons with SCI (n = 96) classified into 3 life satisfaction trajectories identified earlier. Assessment took place 6 times from the start of active rehabilitation up to 5 years after discharge. Three LS scores were compared: (1) LS 'now' score, (2) 'comparison' score between LS 'now' and LS 'before the SCI', and (3) retrospective score of LS 'before the SCI'.

Results Persons in the low LS trajectory showed increase in the LS 'now' score, but not in the LS 'comparison' score and retrospective score. Persons in the recovery trajectory showed increase in the LS 'now' and LS 'comparison' scores, but not in the retrospective score. Persons in the high LS trajectory showed increase in the 'comparison' LS score and decrease in the retrospective score, but no change in the LS 'now' score.

Conclusions Diverging patterns of change were found and that were interpreted as adaptation or scale recalibration. Recalibration could also be considered healthy rebalancing after SCI. Being able to compare different LS ratings can facilitate the interpretation of change in and stability of LS.

Original languageEnglish
Pages (from-to)1499-1508
Number of pages10
JournalQuality of Life Research
Volume21
Issue number9
DOIs
Publication statusPublished - Nov-2012

Keywords

  • Quality of life
  • Personal satisfaction
  • Spinal cord injuries
  • Rehabilitation
  • Response shift
  • QUALITY-OF-LIFE
  • RESPONSE SHIFT
  • AFTER-DISCHARGE
  • PEOPLE
  • HEALTH
  • RECALIBRATION
  • METAANALYSIS
  • PREDICTORS
  • ADJUSTMENT
  • COHORT

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