The purpose of this study was to explore the joint contributions of demographic variables, perceived health, self-efficacy beliefs, and perceived social support to subjective well-being (SWB) in people with spinal cord injuries (SCI). One hundred twenty-seven individuals with SCI participated in the study. The results indicated that general self-efficacy, perceived social support, perceived health, and age at injury accounted for a substantial variance in SWB of the participants. Income was correlated with SWB, but it did not contribute to the prediction of SWB when the influences of general self-efficacy, perceived social support, perceived health, and age at injury were statistically controlled. Gender, ethnicity, and educational level were not significantly correlated with SWB. Implications of the results for rehabilitation counseling practice and research are discussed.
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References
1.
Bandura, A. (1977). Self-efficacy: Toward a unified theory of behavior change. Psychological Review, 94, 191—215.
2.
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice Hall.
3.
Bandura, A. (1997). Self-efficacy: The exercise of control. New York: WH Freeman.
4.
Berkman, P.L. (1971). Measurement of mental health in a general population survey. American Journal of Epidemiology, 94, 105—111.
5.
Bigot, A. (1974). The relevance of American life satisfaction indices for research on British subjects before and after retirement. Age and Aging, 3, 113—121.
6.
Boschen, K.A. (1996). Correlates of life satisfaction, residential satisfaction, and locus of control among adults with spinal cord injuries. Rehabilitation Counseling Bulletin, 39, 230—243.
7.
Boswell, B.B., Dawson, M., & Heininger, E. (1998). Quality of life as defined by adults with spinal cord injuries. Journal of Rehabilitation, 64, 27—32.
8.
Bracke, P. (2001). Measuring the subjective well-being of people in a psychosocial rehabilitation center. Psychiatric Rehabilitation Journal, 24, 222—237.
9.
Chase, B.W., Cornille, T.A., & English, R.W. (2000). Life satisfaction among persons with spinal cord injuries. Journal of Rehabilitation, 66(3), 14—20.
10.
Crewe, N.M. (1980). Quality of life: The ultimate goal in rehabilitation . Minnesota Medicine, 63, 586—589.
11.
Crewe, N. (1997). Life stories of people with long-term spinal cord injury. Rehabilitation Counseling Bulletin, 41, 26—42.
12.
Crewe, N.M., & Krause, J.S. (1991). An eleven-year follow-up of adjustment to spinal cord injury. Rehabilitation Psychology, 35, 205— 210.
13.
Cummins, R.A. (2002). Proxy responding for subjective well-being: A review. International Review of Research in Mental Retardation , 25, 183—207.
14.
Elliott, T.R., & Frank, R.G. (1996). Depression following spinal cord injury. Archives of Physical Medicine and Rehabilitation, 77, 816—823.
15.
Elliott, T.R., Herrick, S.M., Witty, T.E., & Godshall, F. (1992). Social support and depression following spinal cord injury. Rehabilitation Psychology, 37, 37—48.
16.
Feaster, D.J., Goodkin, K., Blaney, N., Baldewicz, T., Tuttle, R., Wood-ward, C., et al. (2000). Longitudinal psychoneuroimmunologic relationships in the natural history of HIV-1 infection: The stressorsupport-coping model . In K. Goodkin & A. P. Visser (Eds), Psychoneuroimmunology: Stress, mental disorders, and health: Progress in psychiatry no. 59 (pp. 153—193). Washington, DC: American Psychiatric Association.
17.
Frank, R.G., Elliott, T., Corcoran, J., & Wonderlich, S. (1987). Depression after spinal cord injury: Is it necessary?Clinical Psychology Review, 7, 611—630.
18.
Fuhrer, M.J. (1996). The subjective well-being of people with spinal cord injury: Relationships to impairment, disability, and handicap. Topics in Spinal Cord Injury Rehabilitation, 1(4), 56—71.
19.
Fuhrer, M.J., Rintala, D.H., Jart, K.A., Clearman, R., & Young, M.E. (1993). Depressive symptomatology in persons with spinal cord injury who reside in the community. Archives of Physical Medicine and Rehabilitation, 74, 255—260.
20.
Hampton, N.Z. (2000). Self-efficacy and quality of life in people with spinal cord injuries in China. Rehabilitation Counseling Bulletin , 43, 66—74.
21.
Hampton, N.Z. (2001). Disability status, perceived health, social support, self-efficacy, and quality of life among Chinese people with spinal cord injury . International Journal of Rehabilitation Research, 24(1), 69—71.
22.
Hanson, S., Buckelew, S., Hewett, J., & O'Neal, G. (1993). The relationship between coping and adjustment after spinal cord injury: A 5-year follow-up study. Rehabilitation Psychology, 38, 41—52.
23.
Kishi, Y., Robinson, R., & Forrester, A.W. (1994). Prospective longitudinal study of depression following spinal cord injury. Journal of Neuropsychiatry &Clinical Neurosciences, 6, 237—244.
24.
Krause, J.S. (1990). The relationship between productivity and adjustment following spinal cord injury. Rehabilitation Counseling Bulletin , 33, 188—199.
25.
Krause, J.S. (1997). Personality and traumatic spinal cord injury: Relationship to participation in productive activities. Journal of Applied Rehabilitation Counseling, 28(2), 15—20.
26.
Krause, J.S. (1998a). Dimensions of subjective well being after spinal cord injury. Archives of Physical Medicine and Rehabilitation , 79, 900— 909.
27.
Krause, J.S. (1998b). Subjective well-being after spinal cord injury: Relationship to gender, race-ethnicity, and chronological age. Rehabilitation Psychology, 43, 282—296.
28.
Krause, J.S., & Anson, C.A. (1997). Adjustment after spinal cord injury: Relationship to gender and race. Rehabilitation Psychology, 42, 31—46.
29.
Krause, J.S., & Dawis, R. (1992). Prediction of life satisfaction after spinal cord injury: A four-year longitudinal approach. Rehabilitation Psychology, 37, 49—59.
30.
Lawton, M.P., Moss, M., Fucomer, M., & Kleban, M.H. (1982). A research and service oriented multilevel assessment instrument. Journal of Gerontology, 37, 91—99.
31.
Livneh, H. (2000). Psychosocial adaptation to spinal cord injury: The role of coping strategies. Journal of Applied Rehabilitation Counseling, 31(2), 3—10.
32.
Livneh, H., & Antonak, R.F. (1997). Psychosocial adaptation to chronic illness and disability. Gaithersburg, MA: Aspen.
33.
Marini, I., Roger, L., Slate, J.R., & Vines, C. (1995). Self-esteem differences among persons with spinal cord injury. Rehabilitation Counseling Bulletin, 38, 198—206.
34.
National Spinal Cord Injury Statistical Center. ( 2001). Spinal cord injury facts and figures at a glance. Retrieved on July 24, 2003, from http:www.spinalcord/uab/edu
35.
Neugarten, B.L., Havighurst, R.J., & Tobin, S.S. (1961). The measurement of life satisfaction. Journal of Gerontology, 16, 134—143.
36.
Pollack, L., & Harris, R. (1983). Measurement of social support. Psychological Reports, 53, 466.
37.
Rintala, D., Young, M.E., Hart, K.A., Clearman, R.R., & Fuhrer, M.J. (1992). Social support and the well-being of persons with spinal cord injury living in the community. Rehabilitation Psychology, 37, 155—163.
38.
Roessler, R.T. (1990). A quality of life perspective on rehabilitation counseling. Rehabilitation Counseling Bulletin, 34, 82—91.
39.
Schulz, R., & Decker, S. (1985). Long-term adjustment to physical disability: The role of social support, perceived control, and self-blame. Journal of Personality and Social Psychology, 48, 1162—1172.
40.
Sherer, M., Maddux, J.E., Mercandante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R.W. (1982). The Self-Efficacy Scale: Construction and validation . Psychological Reports, 51, 663—671.
41.
Shnek, Z.M., Foley, F.W., LaRocca, N.G., Gordon, W.A., DeLuca, J., Schwartzman, H.G., et al. (1997). Helplessness, self-efficacy, cognitive distortions, and depression in multiple sclerosis and spinal cord injury. Annals of Behavioral Medicine, 19, 287—294.
42.
Skinner, A.L., Armstrong, K.J., & Rich, J. (2003). Depression and spinal cord injury: A review of diagnostic methods for depression, 1985—2000. Rehabilitation Counseling Bulletin, 46, 174—175.
43.
Strauser, D.R. (1995). Application of self-efficacy theory in rehabilitation counseling. Journal of Rehabilitation, 61(1), 7—11.
44.
Trieschmann, R.B. (1988). Spinal cord injuries: Psychological, social and vocational rehabilitation (2nd ed.). New York: Demos.
45.
Weaver, F., Guihan, M., Pape, T. L-B., Legro, M., LaVelaS., Collins, E., et al. (2001). Creating a research agenda in SCI based on provider and consumer input. Spinal Cord Injuries Psychosocial Process, 14(2), 77—88.
46.
Williamson, G.M., & Shaffer, D.R. (2000). Physical illness and depression in older adults: A handbook of theory, research, and practice. New York : Plenum Press.
47.
Woodrich, F., & Patterson, J.B. (1983). Variables related to acceptance of disability in persons with spinal cord injuries. Journal of Rehabilitation, 49(3), 26—30.
