Adjustment after spinal cord injury: a 9-year longitudinal study. Krause, J. S. Archives of Physical Medicine and Rehabilitation, 78(6):651–657, June, 1997. Number: 6
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OBJECTIVE: To generate longitudinal data on the stability of life adjustment over a 9-year period among a sample of participants with spinal cord injury (SCI). DESIGN: A field study was conducted by surveying the adjustment of a sample of participants with SCI in 1985 and again in 1994. SETTING: Outpatient files of a large, university hospital in the Midwest. PARTICIPANTS: All 235 participants had traumatic onset SCI, were a minimum of 18 years of age at the time of first testing, and were no less than 2 years postinjury. The average age was 46.7 yrs at the time of the 1994 study, with an average of 23.4 yrs having passed since injury. MAIN OUTCOME MEASURES: The Life Situation Questionnaire (LSO) was the outcome measure used. It was developed in 1973 to measure mostly objective information on adjustment and quality of life after SCI. It contains 7 scales and 40 individual items that were of interest in the current study. RESULTS: Declines were identified over the 9-year period in several aspects of subjective well-being, even though there were no declines in overall activity level and some limited increases in participation in employment related activities. CONCLUSIONS: The results of this study were in contrast to previous longitudinal follow-ups that identified positive changes over time in both subjective and objective aspects of quality of life. These changes suggest that participants had a less optimistic outlook in 1994 than they did in 1985.
@article{krause_adjustment_1997,
	title = {Adjustment after spinal cord injury: a 9-year longitudinal study},
	volume = {78},
	issn = {0003-9993},
	shorttitle = {Adjustment after spinal cord injury},
	doi = {10.1016/s0003-9993(97)90432-9},
	abstract = {OBJECTIVE: To generate longitudinal data on the stability of life adjustment over a 9-year period among a sample of participants with spinal cord injury (SCI).
DESIGN: A field study was conducted by surveying the adjustment of a sample of participants with SCI in 1985 and again in 1994.
SETTING: Outpatient files of a large, university hospital in the Midwest.
PARTICIPANTS: All 235 participants had traumatic onset SCI, were a minimum of 18 years of age at the time of first testing, and were no less than 2 years postinjury. The average age was 46.7 yrs at the time of the 1994 study, with an average of 23.4 yrs having passed since injury.
MAIN OUTCOME MEASURES: The Life Situation Questionnaire (LSO) was the outcome measure used. It was developed in 1973 to measure mostly objective information on adjustment and quality of life after SCI. It contains 7 scales and 40 individual items that were of interest in the current study.
RESULTS: Declines were identified over the 9-year period in several aspects of subjective well-being, even though there were no declines in overall activity level and some limited increases in participation in employment related activities.
CONCLUSIONS: The results of this study were in contrast to previous longitudinal follow-ups that identified positive changes over time in both subjective and objective aspects of quality of life. These changes suggest that participants had a less optimistic outlook in 1994 than they did in 1985.},
	language = {eng},
	number = {6},
	journal = {Archives of Physical Medicine and Rehabilitation},
	author = {Krause, J. S.},
	month = jun,
	year = {1997},
	pmid = {9196474},
	note = {Number: 6},
	keywords = {Adult, Cross-Sectional Studies, Employment, Female, Humans, Longitudinal Studies, Male, Quality of Life, Self Disclosure, Social Adjustment, Spinal Cord Injuries, Surveys and Questionnaires},
	pages = {651--657},
}

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