Psychological or physiological

Abrantes-Pais, Fátima de N.; Friedman, Joyce K.; Lovallo, William R.; Ross, Elliott D.

doi:10.1212/01.wnl.0000262763.66023.be

Cited by 29 publications

(26 citation statements)

References 37 publications

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“…4,5 This finding supports the notion that disability and health are separate constructs, and is consistent with the literature on disability and quality of life which documents high subjective quality-of-life ratings even for individuals who are severely disabled. 18,[29][30][31][32] Consistent with other literature on SRH, we found that individuals reporting more health conditions also rated their health as less robust. Health conditions have been recognized as a strong predictor of SRH among the general population 23,24 as well as disabled populations.…”

Section: Discussionsupporting

confidence: 90%

Self-rated health among persons with spinal cord injury: What is the role of physical ability?

Machacova

Lysack

Neufeld

2011

The Journal of Spinal Cord Medicine

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Objectives: Self-rated health (SRH) is a powerful concept that has greatly advanced our understanding of health and health outcomes. The SRH measure has become increasingly common in health research. Yet, puzzles remain about what shapes SRH ratings. The absence of knowledge is particularly acute in the context of disability. The aim of this study was to examine the relationship between SRH and self-rated physical ability in a sample of individuals with spinal cord injury (SCI). Methods: Data from 140 eligible participants drawn from a study of life in the community after SCI were analyzed. The study, cross-sectional in design, was conducted in a large urban city in the mid-western United States. Basic statistics such as ANOVA and chi-square tests were performed as appropriate, and a multiple linear regression analysis modeled the relationship between SRH and physical ability adjusting for potential confounding variables. Results: Self-rated physical ability was significantly associated with SRH after controlling for relevant covariates (P < 0.001). An analysis of the interaction between physical ability and level of injury revealed that the relationship was significant for persons with paraplegia but not for persons with tetraplegia. Conclusions: This study provides evidence that self-rated physical ability is an important factor associated with SRH for persons with SCI, but that the strength of the relationship depends on level of injury (paraplegia vs. tetraplegia). The challenge for future research is to replicate the study using a more comprehensive measure of physical ability and to ask how beliefs in one's ability to do those activities that are most meaningful and desired shape SRH. Only in this way will our understanding of the physical ability-SRH relationship be clarified.

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Section: Discussionsupporting

confidence: 90%

Self-rated health among persons with spinal cord injury: What is the role of physical ability?

Machacova

Lysack

Neufeld

2011

The Journal of Spinal Cord Medicine

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“…2 SCI and MT often cause severe disabilities and dramatic changes in the life of the afflicted person and are usually associated with reduced functional health levels. 2,3 The findings are not unequivocal, however. For example, several studies suggest that health-related quality of life after SCI or MT is not always influenced by the severity of either impairment or disability.…”

Section: Introductionmentioning

confidence: 90%

“…For example, several studies suggest that health-related quality of life after SCI or MT is not always influenced by the severity of either impairment or disability. 3,4 The causes of these findings are unclear, but it is assumed that psychological adaptive responses are involved. 3 Previous research on SCI and MT populations has included a variety of functional health determinants, such as demographic factors and co-morbidity, 2 physical fitness 5 and social support.…”

Section: Introductionmentioning

confidence: 99%

“…3,4 The causes of these findings are unclear, but it is assumed that psychological adaptive responses are involved. 3 Previous research on SCI and MT populations has included a variety of functional health determinants, such as demographic factors and co-morbidity, 2 physical fitness 5 and social support. 6 Yet, as emphasized by Post and Noreau,7 there is a lack of longitudinal studies, particularly of the effect of personal characteristics (for example, personality, coping strategies), in this research area.…”

Section: Introductionmentioning

confidence: 99%

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Predicting the long-term impact of acquired severe injuries on functional health status: the role of optimism, emotional distress and pain

Vassend

Aj²,

Røise

et al. 2011

Spinal Cord

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“…This is less likely for subjective QoL in which even those with high level complete tetraplegia have been reported to be very satisfied with their lives. 6 However to date, the focus of most studies of the QoL of people with an SCI has been on those with T-SCI. [7][8][9][10] Few study samples have included people with NT-SCI; 11,12 however, those studies did not differentiate between aetiologies in their analyses.…”

Section: Introductionmentioning

confidence: 99%