RELATIONSHIP BETWEEN OCCUPATIONAL GAPS IN EVERYDAY LIFE, DEPRESSIVE MOOD AND LIFE SATISFACTION AFTER ACQUIRED BRAIN INJURY
RELATIONSHIP BETWEEN OCCUPATIONAL GAPS IN EVERYDAY LIFE, DEPRESSIVE MOOD AND LIFE SATISFACTION AFTER ACQUIRED BRAIN INJURY
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DOI：
10.2340/16501977-0307
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发表时间：
2009-02-01
影响因子：
3.5
通讯作者：
Tham, Kerstin
中科院分区：
文献类型：
--
作者：
Eriksson, Gunilla;Kottorp, Anders;Tham, Kerstin
目的：目的：探讨职业差距、抑郁情绪与生活满意度之间的关系，并对职业差距问卷进行检验。设计：横断面研究。对象：116名1- 4年前脑外伤或蛛网膜下腔出血的患者。方法：一项关于职业差距问题的邮政调查，侧重于日常生活、社会生活、休闲和工作的工具性活动（职业差距问卷）、生活满意度（LiSat-11检查表）和抑郁情绪（医院焦虑和抑郁量表）。进行了Rasch分析和主成分分析，以确保LiSat-11和职业差距问卷的数据随后可用作回归和相关分析中有效的一维指标。职业差距问卷和LiSat-11的校准显示，项目和人员分别表现出可接受的拟合优度的Rasch模型，支持内部量表效度和个人反应效度。此外，主成分分析表明，这些措施可以作为有效的职业差距和生活满意度的一维估计。职业差距的程度和感知的生活满意度之间有很强的关系，与抑郁情绪的关系较弱，与病因诊断和生活满意度的关系不显着。这些因素解释了32%（职业差距），6%（抑郁情绪）和2%（诊断），分别为总解释方差（40%）。结论：有一个很强的相关性之间的参与所需的日常职业和生活满意度1-4年后获得性脑损伤。这表明，个人认为的职业差距，如记录的，为量身定制的干预措施，以提高生活满意度的客户获得性脑损伤。
Objective: To explore the relationship between occupational gaps, depressive mood and life satisfaction in persons who have acquired a brain injury during the past 1-4 years and to test the Occupational Gaps Questionnaire.Design: A cross-sectional study.Subjects: A total of 116 persons with traumatic brain injury or subarachnoid haemorrhage acquired 1-4 years previously.Methods: A postal survey with questions on occupational gaps, focusing on the domains instrumental activities of daily living, social life, leisure and work (Occupational Gaps Questionnaire), life satisfaction (LiSat-11 checklist) and depressive mood (Hospital Anxiety and Depression Scale). Rasch analyses and principal component analyses were performed to ensure that data from the LiSat-11 and Occupational Gaps Questionnaire could be used subsequently as valid unidimensional measures in regression and correlational analyses.Results: Calibration of the Occupational Gaps Questionnaire and the LiSat-11 revealed that the items and persons demonstrated acceptable goodness-of-fit to the Rasch models respectively, supporting internal scale validity and person-response validity. In addition, principal component analyses revealed that the measures could be used as valid uni-dimensional estimations of occupational gaps and life satisfaction. There was a strong relationship between the extent of occupational gaps and perceived life satisfaction, a weaker relationship with depressive mood and a non-significant relationship with the aetiological diagnoses and life satisfaction. The factors explained 32% (occupational gaps), 6% (depressive mood), and 2% (diagnosis), respectively, of the total explained variance (40%).Conclusion: There was a strong correlation between participation in desired everyday occupations and life satisfaction 1-4 years after an acquired brain injury. This indicates that individually perceived occupational gaps, as recorded by the for tailored interventions in order to improve life satisfaction among clients with acquired brain injuries.