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Original article| Volume 93, ISSUE 10, P1832-1837, October 2012

Validity of the Life Satisfaction Questions, the Life Satisfaction Questionnaire, and the Satisfaction With Life Scale in Persons With Spinal Cord Injury

  • Marcel W. Post
    Correspondence
    Correspondence to Marcel W. Post, PhD, De Hoogstraat, Rembrandtkade 10, 3583 TM, Utrecht, The Netherlands
    Affiliations
    Rudolf Magnus Institute of Neuroscience and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat, Utrecht, The Netherlands

    Swiss Paraplegic Research, Nottwil, Switzerland
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  • Christel M. van Leeuwen
    Affiliations
    Rudolf Magnus Institute of Neuroscience and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat, Utrecht, The Netherlands

    Swiss Paraplegic Research, Nottwil, Switzerland
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  • Casper F. van Koppenhagen
    Affiliations
    Rudolf Magnus Institute of Neuroscience and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat, Utrecht, The Netherlands
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  • Sonja de Groot
    Affiliations
    Amsterdam Rehabilitation Research Center, Reade, Amsterdam, The Netherlands

    Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
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Published:April 05, 2012DOI:https://doi.org/10.1016/j.apmr.2012.03.025

      Abstract

      Post MW, van Leeuwen CM, van Koppenhagen CF, de Groot S. Validity of the Life Satisfaction questions, the Life Satisfaction Questionnaire, and the Satisfaction With Life Scale in persons with spinal cord injury.

      Objective

      To assess and compare the validity of 3 life satisfaction instruments in persons with spinal cord injury (SCI).

      Design

      Cross-sectional study 5 years after discharge from inpatient rehabilitation.

      Setting

      Eight rehabilitation centers with specialized SCI units.

      Participants

      Persons (N=225) with recently acquired SCI between 18 and 65 years of age were included in a cohort study. Data were available for 145 persons 5 years after discharge.

      Interventions

      Not applicable.

      Main Outcome Measures

      The Life Satisfaction questions (LS Questions), the Life Satisfaction Questionnaire (LiSat-9), and the Satisfaction With Life Scale (SWLS).

      Results

      There were no floor or ceiling effects. Cronbach α was questionable for the LS Questions (.60), satisfactory for the LiSat-9 (.75), and good for the SWLS (.83). Concurrent validity was shown by strong and significant Spearman correlations (.59–.60) between all 3 life satisfaction instruments. Correlations with measures of mental health and participation were .52 to .56 for the LS Questions, .45 to .52 for the LiSat-9, and .41 to .48 for the SWLS. Divergent validity was shown by weak and in part nonsignificant correlations between the 3 life satisfaction measures and measures of functional independence and lesion characteristics.

      Conclusions

      Overall, the validity of all 3 life satisfaction measures was supported. Despite questionable internal consistency, the concurrent and divergent validity of the LS Questions was at least as good as the validity of the LiSat-9 and the SWLS.

      Key Words

      List of Abbreviations:

      AIS (American Spinal Injury Association Impairment Scale), LiSat-9 (Life Satisfaction Questionnaire), LS Questions (Life Satisfaction Questions), MHI-5 (Mental Health Scale of the 36-Item Short-Form Health Survey), SCI (spinal cord injury), SF-36 (36-Item Short-Form Health Survey), SIP-SOC (social dimension of the Sickness Impact Profile 68), SWLS (Satisfaction With Life Scale)
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