Sense of coherence and changes over six years among older adults aging with long-term spinal cord injury
(2021) In Spinal Cord 59(12). p.1278-1284- Abstract
Study design: Cross-sectional and longitudinal. Objectives: To (i) describe sense of coherence (SOC) and changes over six years in older adults aging with long-term spinal cord injury (SCI) and (ii) investigate how changes in SOC are associated with injury characteristics and changes in sociodemographics and secondary health conditions (SHCs; bowel-related and bladder-related problems, pain and spasticity). Setting: Community in Southern Sweden. Methods: From the initial 123 participants in the Swedish Aging with Spinal Cord Injury Study (SASCIS), 76 individuals (33% women, median age 66 years, median time since injury 30 years, AIS A-D, 30% complete) responded to the 13-item SOC scale (range 13–91) twice with a 6-year interval. Data... (More)
Study design: Cross-sectional and longitudinal. Objectives: To (i) describe sense of coherence (SOC) and changes over six years in older adults aging with long-term spinal cord injury (SCI) and (ii) investigate how changes in SOC are associated with injury characteristics and changes in sociodemographics and secondary health conditions (SHCs; bowel-related and bladder-related problems, pain and spasticity). Setting: Community in Southern Sweden. Methods: From the initial 123 participants in the Swedish Aging with Spinal Cord Injury Study (SASCIS), 76 individuals (33% women, median age 66 years, median time since injury 30 years, AIS A-D, 30% complete) responded to the 13-item SOC scale (range 13–91) twice with a 6-year interval. Data were analyzed with multivariable hierarchical regression. Results: The participants rated a strong SOC at both assessments (median 73 and 76.5, respectively) which significantly increased over time. Overall, their marital status and vocational situation remained stable whereas SHCs increased. A change from not having a partner to having one was the only significant explanatory factor for a positive change in SOC. Conclusions: The present study describes, for the first time, changes in SOC over time and associated factors in older adults aging with long-term SCI. They generally maintain a strong ability to understand, handle, and being motivated when dealing with stressful events arising in their lives as a result of their SCI. The associations emphasize the importance of the social context for successful adaptation to living with SCI along the aging process.
(Less)
- author
- Jörgensen, Sophie LU ; Lennman, Elsa and Lexell, Jan LU
- organization
- publishing date
- 2021
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Spinal Cord
- volume
- 59
- issue
- 12
- pages
- 1278 - 1284
- publisher
- Nature Publishing Group
- external identifiers
-
- pmid:34593987
- scopus:85116355857
- ISSN
- 1362-4393
- DOI
- 10.1038/s41393-021-00713-6
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: © 2021, The Author(s), under exclusive licence to International Spinal Cord Society.
- id
- 77c80fb4-71da-483c-a39a-33afe56e8d5f
- date added to LUP
- 2021-10-25 15:33:34
- date last changed
- 2025-01-13 16:18:55
@article{77c80fb4-71da-483c-a39a-33afe56e8d5f, abstract = {{<p>Study design: Cross-sectional and longitudinal. Objectives: To (i) describe sense of coherence (SOC) and changes over six years in older adults aging with long-term spinal cord injury (SCI) and (ii) investigate how changes in SOC are associated with injury characteristics and changes in sociodemographics and secondary health conditions (SHCs; bowel-related and bladder-related problems, pain and spasticity). Setting: Community in Southern Sweden. Methods: From the initial 123 participants in the Swedish Aging with Spinal Cord Injury Study (SASCIS), 76 individuals (33% women, median age 66 years, median time since injury 30 years, AIS A-D, 30% complete) responded to the 13-item SOC scale (range 13–91) twice with a 6-year interval. Data were analyzed with multivariable hierarchical regression. Results: The participants rated a strong SOC at both assessments (median 73 and 76.5, respectively) which significantly increased over time. Overall, their marital status and vocational situation remained stable whereas SHCs increased. A change from not having a partner to having one was the only significant explanatory factor for a positive change in SOC. Conclusions: The present study describes, for the first time, changes in SOC over time and associated factors in older adults aging with long-term SCI. They generally maintain a strong ability to understand, handle, and being motivated when dealing with stressful events arising in their lives as a result of their SCI. The associations emphasize the importance of the social context for successful adaptation to living with SCI along the aging process.</p>}}, author = {{Jörgensen, Sophie and Lennman, Elsa and Lexell, Jan}}, issn = {{1362-4393}}, language = {{eng}}, number = {{12}}, pages = {{1278--1284}}, publisher = {{Nature Publishing Group}}, series = {{Spinal Cord}}, title = {{Sense of coherence and changes over six years among older adults aging with long-term spinal cord injury}}, url = {{http://dx.doi.org/10.1038/s41393-021-00713-6}}, doi = {{10.1038/s41393-021-00713-6}}, volume = {{59}}, year = {{2021}}, }