RELATIONS BETWEEN COPING STRATEGIES AND HEALTH-RELATED QUALITY OF LIFE IN PATIENTS WITH SPINAL CORD LESION
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
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.