Social Skills: A Resource for More Social Support, Lower Depression Levels, Higher Quality of Life, and Participation in Individuals With Spinal Cord Injury?

Rachel Mueller; Claudio Peter; Alarcos Cieza; Marcel. W. Post; Christel M. Van Leeuwen; Christina S. Werner; Szilvia Geyh

doi:10.1016/j.apmr.2014.09.006

Social Skills: A Resource for More Social Support, Lower Depression Levels, Higher Quality of Life, and Participation in Individuals With Spinal Cord Injury?

Rachel Mueller^*, Claudio Peter, Alarcos Cieza, Marcel. W. Post, Christel M. Van Leeuwen, Christina S. Werner, Szilvia Geyh,

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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 (chi(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 (beta=.31; R-2=.10), depression (beta=-.31; total R-2=.42), and QOL (beta=.46; R-2=.25). Social support partially mediated the effect of social skills on QOL (indirect effect: beta=04; P=.02) but not on depression or participation. In model 2 (chi(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 beta=.20 to social support and beta=.18 to QOL. Sensitivity showed a negative path coefficient to QOL (beta=.15) and control a path coefficient of beta=-.15 to depression and beta=.24 to QOL.

Original language	English
Pages (from-to)	447-455
Number of pages	9
Journal	Archives of Physical Medicine and Rehabilitation
Volume	96
Issue number	3
DOIs	https://doi.org/10.1016/j.apmr.2014.09.006
Publication status	Published - Mar 2015

Keywords

Depression
Quality of life
Rehabilitation
Social support
Spinal cord injuries
REHABILITATION-PARTICIPATION
UTRECHT SCALE
ACTIVITIES SCREENER
PHYSICAL-ACTIVITY
PERCEIVED STRESS
HOSPITAL ANXIETY
MEDIATING ROLE
OLDER-ADULTS
FIT INDEXES
ICF MEASURE

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10.1016/j.apmr.2014.09.006

Cite this

@article{de72068f0f9446d29d3c68d045a22ed7,

title = "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 (chi(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 (beta=.31; R-2=.10), depression (beta=-.31; total R-2=.42), and QOL (beta=.46; R-2=.25). Social support partially mediated the effect of social skills on QOL (indirect effect: beta=04; P=.02) but not on depression or participation. In model 2 (chi(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 beta=.20 to social support and beta=.18 to QOL. Sensitivity showed a negative path coefficient to QOL (beta=.15) and control a path coefficient of beta=-.15 to depression and beta=.24 to QOL.Conclusions: Social skills are a resource related to more social support, lower depression scores, and higher QOL. (C) 2015 by the American Congress of Rehabilitation Medicine",

keywords = "Depression, Quality of life, Rehabilitation, Social support, Spinal cord injuries, REHABILITATION-PARTICIPATION, UTRECHT SCALE, ACTIVITIES SCREENER, PHYSICAL-ACTIVITY, PERCEIVED STRESS, HOSPITAL ANXIETY, MEDIATING ROLE, OLDER-ADULTS, FIT INDEXES, ICF MEASURE",

author = "Rachel Mueller and Claudio Peter and Alarcos Cieza and Post, {Marcel. W.} and {Van Leeuwen}, {Christel M.} and Werner, {Christina S.} and Szilvia Geyh",

year = "2015",

month = mar,

doi = "10.1016/j.apmr.2014.09.006",

language = "English",

volume = "96",

pages = "447--455",

journal = "Archives of Physical Medicine and Rehabilitation",

issn = "0003-9993",

publisher = "W.B. Saunders",

number = "3",

}

Social Skills: A Resource for More Social Support, Lower Depression Levels, Higher Quality of Life, and Participation in Individuals With Spinal Cord Injury? / Mueller, Rachel; Peter, Claudio; Cieza, Alarcos et al.
In: Archives of Physical Medicine and Rehabilitation, Vol. 96, No. 3, 03.2015, p. 447-455.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Social Skills

T2 - A Resource for More Social Support, Lower Depression Levels, Higher Quality of Life, and Participation in Individuals With Spinal Cord Injury?

AU - Mueller, Rachel

AU - Peter, Claudio

AU - Cieza, Alarcos

AU - Post, Marcel. W.

AU - Van Leeuwen, Christel M.

AU - Werner, Christina S.

AU - Geyh, Szilvia

PY - 2015/3

Y1 - 2015/3

N2 - 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 (chi(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 (beta=.31; R-2=.10), depression (beta=-.31; total R-2=.42), and QOL (beta=.46; R-2=.25). Social support partially mediated the effect of social skills on QOL (indirect effect: beta=04; P=.02) but not on depression or participation. In model 2 (chi(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 beta=.20 to social support and beta=.18 to QOL. Sensitivity showed a negative path coefficient to QOL (beta=.15) and control a path coefficient of beta=-.15 to depression and beta=.24 to QOL.Conclusions: Social skills are a resource related to more social support, lower depression scores, and higher QOL. (C) 2015 by the American Congress of Rehabilitation Medicine

AB - 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 (chi(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 (beta=.31; R-2=.10), depression (beta=-.31; total R-2=.42), and QOL (beta=.46; R-2=.25). Social support partially mediated the effect of social skills on QOL (indirect effect: beta=04; P=.02) but not on depression or participation. In model 2 (chi(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 beta=.20 to social support and beta=.18 to QOL. Sensitivity showed a negative path coefficient to QOL (beta=.15) and control a path coefficient of beta=-.15 to depression and beta=.24 to QOL.Conclusions: Social skills are a resource related to more social support, lower depression scores, and higher QOL. (C) 2015 by the American Congress of Rehabilitation Medicine

KW - Depression

KW - Quality of life

KW - Rehabilitation

KW - Social support

KW - Spinal cord injuries

KW - REHABILITATION-PARTICIPATION

KW - UTRECHT SCALE

KW - ACTIVITIES SCREENER

KW - PHYSICAL-ACTIVITY

KW - PERCEIVED STRESS

KW - HOSPITAL ANXIETY

KW - MEDIATING ROLE

KW - OLDER-ADULTS

KW - FIT INDEXES

KW - ICF MEASURE

U2 - 10.1016/j.apmr.2014.09.006

DO - 10.1016/j.apmr.2014.09.006

M3 - Article

C2 - 25264110

SN - 0003-9993

VL - 96

SP - 447

EP - 455

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

IS - 3

ER -

Social Skills: A Resource for More Social Support, Lower Depression Levels, Higher Quality of Life, and Participation in Individuals With Spinal Cord Injury?

Abstract

Keywords

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