title: A 25-year longitudinal study of the natural course of aging after spinal cord injury.
abstract: METHODS
  Longitudinal; Survey.
  
  
  OBJECTIVE
  The purpose of this study was to investigate the natural course of changes in activity patterns, health indicators, life satisfaction, and adjustment over 25-year period among people with spinal cord injury (SCI) in the USA.
  
  
  METHODS
  The preliminary data were collected from a Midwestern United States university hospital of the USA, whereas the follow-up data were collected at a large Southeastern United States rehabilitation hospital.
  
  
  METHODS
  The Life Situation Questionnaire was used to identify changes in education/employment, activities, medical treatments, adjustment, and life satisfaction.
  
  
  RESULTS
  Adjustment scores, satisfaction with employment, satisfaction with finances, years of education, and employment indicators significantly improved over time. In contrast, satisfaction with sex life, satisfaction with health, and then number of weekly visitors significantly decreased and the number of nonroutine medical visits and days hospitalized within 2 years prior to the study significantly increased over the 25-year period.
  
  
  CONCLUSIONS
  Given the mixed pattern of favorable and unfavorable changes, the findings challenge the assumption that aging will inevitably be associated with the overall decline in outcomes and quality of life.
authors.affiliation: Medical University of South Carolina, Charleston, SC, USA.
authors.forename: J S
authors.initials: JS
authors.lastname: Krause
authors.forename: L
authors.initials: L
authors.lastname: Broderick
mesh_terms: D017677:Age Distribution; D000375:Aging; D004651:Employment; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000379:methods; D010549:Personal Satisfaction; D011788:Quality of Life; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D012917:Social Adjustment; D013119:Spinal Cord Injuries / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation*; D014481:United States / Q000453:epidemiology