Individualised and health-related quality of life of persons with spinal cord injury

Spinal Cord. 2014 Mar;52(3):231-5. doi: 10.1038/sc.2013.156. Epub 2013 Dec 17.


Study design: Cross sectional.

Objectives: To examine associations among functional status, health-related and individualised quality of life (QoL) and coping style in subjects with spinal cord injury (SCI).

Setting: Italy.

Methods: Forty subjects attending our hospital-based rehabilitation centre for SCI were administered the Spinal Cord Independence Measure-version III (SCIM-III), the Short Form-36 (SF-36), the Schedule for the Evaluation of Individual QoL-Direct Weighting (SEIQoL-DW) and the Coping Inventory for Stressful Situation (CISS) to assess functional status, health-related QoL, individualised QoL and coping strategies, respectively.

Results: The SCIM-III scores were positively correlated (P<0.01) with the physical functioning subscale of the SF-36. The only scale that correlated (P<0.01) with the SEIQoL-DW scores was the SF-36 mental health subscale. Positive correlations among task-oriented or avoidance-oriented coping and specific measures of health-related QoL emerged.

Conclusions: Data from the present study showed only a few associations among different measures of QoL and suggest that patient-centered evaluations of QoL are not necessarily or strictly related to functional status or health-related QoL. Coping strategies seem to be significantly related to the subjects perceptions of QoL, but mostly in the health-related domains.

MeSH terms

  • Adaptation, Psychological / physiology*
  • Adult
  • Aged
  • Female
  • Health Status*
  • Humans
  • Male
  • Middle Aged
  • Perception / physiology
  • Quality of Life*
  • Severity of Illness Index
  • Social Support
  • Spinal Cord Injuries / psychology*
  • Spinal Cord Injuries / rehabilitation
  • Young Adult