title: Psychological well-being after spinal cord injury: perception of loss and meaning making.
abstract: OBJECTIVE
  This study examined the influence of medical injury severity, perceived loss of physical functioning (conceptualized as physical resource loss), and global meaning making on psychological well-being among 79 veterans living with a spinal cord injury.
  
  
  METHODS
  Structured interviews were completed to assess perceived loss of physical abilities using the Conservation of Resources-Evaluation and SF-36 Health Survey, global meaning making (Purpose in Life scale), and psychological well-being (Sense of Well-Being Inventory). Medical injury severity was calculated from medical records.
  
  
  RESULTS
  Medical injury severity was not related to psychological well-being, whereas perceived loss of physical functioning was inversely associated. Global meaning making was significantly related to and accounted for a large portion of the variance in psychological well-being. Results suggest that global meaning making partially mediates perceived loss of physical resources and psychological well-being.
  
  
  CONCLUSIONS
  The perceived loss of physical abilities and the generation of meaning and purpose in life are important variables that relate to positive adaptation following spinal cord injury. Treatment implications related to factors that increase quality of life following spinal cord injury are discussed.
authors.affiliation: Department of Surgery/Trauma & Critical Care, Medical College of Wisconsin, Milwaukee, WI 53072, USA. tcassini@mcw.edu
authors.forename: Terri A
authors.initials: TA
authors.lastname: deRoon-Cassini
authors.forename: Ed
authors.initials: E
authors.lastname: de St Aubin
authors.forename: Abbey
authors.initials: A
authors.lastname: Valvano
authors.forename: James
authors.initials: J
authors.lastname: Hastings
authors.forename: Patricia
authors.initials: P
authors.lastname: Horn
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D001294:Attitude to Health; D032882:Comprehension; D005260:Female; D006801:Humans; D007406:Interview, Psychological / Q000379:methods; D008297:Male; D008875:Middle Aged; D010465:Perception; D010549:Personal Satisfaction; D011237:Predictive Value of Tests; D012720:Severity of Illness Index; D013119:Spinal Cord Injuries / Q000523:psychology* / Q000534:rehabilitation; D017741:Survivors / Q000523:psychology / Q000706:statistics & numerical data; D014728:Veterans / Q000523:psychology / Q000706:statistics & numerical data