title: Change in life satisfaction of adults with pediatric-onset spinal cord injury.
abstract: OBJECTIVE
  To examine the change in life satisfaction over time and potential contributing factors among adults with pediatric-onset spinal cord injury (SCI).
  
  
  METHODS
  Prospective dynamic cohort study.
  
  
  METHODS
  Community.
  
  
  METHODS
  Individuals who sustained a SCI before age 19 years (N=278) were initially interviewed at age 24 years or older and followed on an annual basis between 1996 and 2006.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  A structured telephone interview was conducted to obtain the measures of Satisfaction with Life Scale (SWLS), physical independence, participation, and psychologic functioning. The hierarchical linear modeling was performed to characterize individual person-specific time paths and estimate the average rate of change in SWLS over time.
  
  
  RESULTS
  A total of 1171 interviews were conducted among 184 men and 94 women (89% white; baseline age, 27.1+/-3.4 y; baseline years since injury, 12.8+/-4.9). The initial SWLS score averaged 24.2 and was estimated to increase by 0.14 a year (P=.10). After adjusting for potential confounding factors, the overall life satisfaction was significantly higher for women and those who were married/living with a partner; were employed/students; did not use illicit drugs; and scored high in the FIM, the mental health component of the Short Form-12, and the social integration subscale of the Craig Handicap Assessment and Reporting Technique. The rate of change in life satisfaction did not differ significantly by any personal, medical, and psychosocial characteristics under investigation.
  
  
  CONCLUSIONS
  The study findings suggest that people who feel unsatisfied with life initially are likely to stay unsatisfied over time if the critical determinant factors remain unchanged in their life. To minimize the risk of decreasing life satisfaction, several modifiable risk factors identified in the present study could be targeted for intervention.
authors.affiliation: Spain Rehabilitation Center, University of Alabama at Birmingham, Birmingham, AL 35249-7330, USA. yychen@uab.edu
authors.forename: Yuying
authors.initials: Y
authors.lastname: Chen
authors.forename: Caroline J
authors.initials: CJ
authors.lastname: Anderson
authors.forename: Lawrence C
authors.initials: LC
authors.lastname: Vogel
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Chlan
authors.forename: Randal R
authors.initials: RR
authors.lastname: Betz
authors.forename: Craig M
authors.initials: CM
authors.lastname: McDonald
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D017668:Age of Onset; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016014:Linear Models; D008297:Male; D010549:Personal Satisfaction; D011788:Quality of Life; D013119:Spinal Cord Injuries / Q000523:psychology* / Q000534:rehabilitation*; D013997:Time Factors; D014481:United States