Magnus L. Elfström ^A1, Anna Rydén ^A1, Margareta Kreuter ^{A1 A2 A3}, Charles Taft ^A1, Marianne Sullivan ^A1
A1 Health Care Research Unit, Institute of Internal Medicine Sahlgrenska Academy at Göteborg University
^A2 Department of Physiotherapy Sahlgrenska University Hospital
^A3 Vårdal Institute Lund Universityand Göteborg University Sweden
DOI: 10.1080/16501970410034414

Objective: Although the use of appropriate coping strategies has been suggested to be a key factor in determining successful adjustment to severe physical illness/disability, little systematic support for this link has been found. We investigated relationships between spinal cord lesion-related coping strategies and health-related quality of life when studying for sociodemographic, disability-related and social support variables. Design and subjects: We studied 256 persons with traumatically acquired spinal cord lesion (≥1 year) from a typical rural/urban Swedish area in a cross-sectional design. Methods: Coping measure was the Spinal Cord Lesion-related Coping Strategies Questionnaire. Outcome measures were the Spinal Cord Injury Quality of Life Questionnaire, the Short-Form 36 Health Survey version 2. 0, and a standardized global question of overall quality of life. Multiple regressions were performed. Results: Coping strategies were clear correlates of health-related quality of life when sociodemographic, disability-related and social support variables were studied. The relationship between coping strategies and quality of life was: the more revaluation of life values (Acceptance) and the fewer tendencies towards dependent behaviour (Social reliance) the better the health-related quality of life. Conclusion: Our results suggest that greater focus needs to be directed to coping strategies and to ways of facilitating adaptive outcomes in rehabilitation.