Life satisfaction several years after severe XXXX --a retrospective investigation.

@entity717 @entity1230 @entity130
OBJECTIVES: To describe the prevalence of self-reported changes in life satisfaction after @entity1230 , to analyse associations between satisfaction with life as a whole and with domains in life, and to identify important contributors for satisfaction with life. DESIGN: Retrospective follow-up study. SETTING: Rehabilitation hospital three years after @entity1230 . SUBJECTS: Sixty-nine subjects with severe @entity1230 (ISS > or = 16). MAIN OUTCOME MEASURES: Clinical examinations to reveal prevalences of @entity717 . Questionnaires about satisfaction with life as a whole and eight domains of life, both for the time before @entity130 , and for the actual situation; sense of coherence (SOC-13); social network. RESULTS: A total of 87% experienced a decrease in at least one of the nine life satisfaction items from before to after @entity130 (six-graded scale). After @entity130 significantly fewer subjects reported to be satisfied with life as a whole, as well as the domains sexual life, ADL, contact with friends, leisure, vocational and financial situation. Satisfaction with family life and partner relationship did not decrease significantly. The most important domains after @entity130 were satisfaction with leisure, family life and vocation. Vocational and @entity717 after @entity130 were important determinants for satisfaction with life as a whole. A strong sense of coherence and sufficient social network quality had significant impact on satisfaction with life as a whole and some of the domain-specific satisfactions. CONCLUSIONS: Both personal resources (a strong sense of coherence) and the presence of a qualitatively sufficient social network can buffer the negative influence of disabilities on life satisfaction after @entity130 .
