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

van Leeuwen CM, Post MW, van der Woude LH, de Groot S, Smit C, van Kuppevelt D, Lindeman E - Qual Life Res (2011)

Bottom Line: 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.Diverging patterns of change were found and that were interpreted as adaptation or scale recalibration.Being able to compare different LS ratings can facilitate the interpretation of change in and stability of LS.

View Article: PubMed Central - PubMed

Affiliation: Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, The Netherlands.

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.

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Course of median life satisfaction ‘comparison’ scores of persons with SCI in the three trajectories
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Fig2: Course of median life satisfaction ‘comparison’ scores of persons with SCI in the three trajectories

Mentions: In Tables 2, 3 and Figs. 1, 2 changes in life satisfaction scores over time are shown. The persons in the low life satisfaction trajectory were characterized by a low life satisfaction ‘now’ score at the start of active rehabilitation which increased over time (P = 0.001). Five years after discharge, however, the mean life satisfaction ‘now’ score was still unsatisfying. The ‘comparison’ question showed that the experienced difference between life satisfaction ‘now’ and life satisfaction ‘before the SCI’ did not change over time (P = 0.234), nor did the early and late retrospective scores of life satisfaction ‘before the SCI’ (P = 0.531).Table 2


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

van Leeuwen CM, Post MW, van der Woude LH, de Groot S, Smit C, van Kuppevelt D, Lindeman E - Qual Life Res (2011)

Course of median life satisfaction ‘comparison’ scores of persons with SCI in the three trajectories
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3472064&req=5

Fig2: Course of median life satisfaction ‘comparison’ scores of persons with SCI in the three trajectories
Mentions: In Tables 2, 3 and Figs. 1, 2 changes in life satisfaction scores over time are shown. The persons in the low life satisfaction trajectory were characterized by a low life satisfaction ‘now’ score at the start of active rehabilitation which increased over time (P = 0.001). Five years after discharge, however, the mean life satisfaction ‘now’ score was still unsatisfying. The ‘comparison’ question showed that the experienced difference between life satisfaction ‘now’ and life satisfaction ‘before the SCI’ did not change over time (P = 0.234), nor did the early and late retrospective scores of life satisfaction ‘before the SCI’ (P = 0.531).Table 2

Bottom Line: 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.Diverging patterns of change were found and that were interpreted as adaptation or scale recalibration.Being able to compare different LS ratings can facilitate the interpretation of change in and stability of LS.

View Article: PubMed Central - PubMed

Affiliation: Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, The Netherlands.

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.

Show MeSH
Related in: MedlinePlus