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Social skills: a resource for more social support, lower depression levels, higher quality of life, and participation in individuals with spinal cord injury?

Abstract：

OBJECTIVE:To examine the relevance of social skills and their different dimensions (ie, expressivity, sensitivity, control) in relation to social support, depression, participation, and quality of life (QOL) in individuals with spinal cord injury (SCI). DESIGN:Cross-sectional data collection within the Swiss Spinal Cord Injury Cohort. SETTING:Community-based. PARTICIPANTS:Individuals with SCI (N=503). INTERVENTIONS:Not applicable. MAIN OUTCOME MEASURES:Depression, participation, and QOL were measured using the Hospital Anxiety and Depression Scale, the Utrecht Scale for Evaluation of Rehabilitation-Participation, and 5 selected items of the World Health Organization Quality of Life Scale. The Social Skills Inventory and the Social Support Questionnaire were used to assess social skills (expressivity, sensitivity, control) and social support, respectively. RESULTS:Structural equation modeling was conducted. In model 1 (χ(2)=27.81; df=19; P=.087; root mean square error of approximation=.033; 90% confidence interval=.000-.052), social skills as a latent variable was related to social support (β=.31; R(2)=.10), depression (β=-.31; total R(2)=.42), and QOL (β=.46; R(2)=.25). Social support partially mediated the effect of social skills on QOL (indirect effect: β=.04; P=.02) but not on depression or participation. In model 2 (χ(2)=27.96; df=19; P=.084; root mean square error of approximation=.031; 90% confidence interval=.000-.053), the social skills dimension expressivity showed a path coefficient of β=.20 to social support and β=.18 to QOL. Sensitivity showed a negative path coefficient to QOL (β=-.15) and control a path coefficient of β=-.15 to depression and β=.24 to QOL. CONCLUSIONS:Social skills are a resource related to more social support, lower depression scores, and higher QOL.

journal_name

Arch Phys Med Rehabil

journal_title

Archives of physical medicine and rehabilitation

authors

Müller R,Peter C,Cieza A,Post MW,Van Leeuwen CM,Werner CS,Geyh S,SwiSCI Study Group.

doi

10.1016/j.apmr.2014.09.006

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

447-55

issue

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(14)01071-5

journal_volume

pub_type

杂志文章

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Social skills: a resource for more social support, lower depression levels, higher quality of life, and participation in individuals with spinal cord injury?