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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.121 SNIP: 0.228 CiteScore™: 0.5

ISSN Druckformat: 0896-2960
ISSN Online: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.2016015910
pages 95-103

Life Satisfaction, Functional Abilities, Social Roles, Depression, Environmental Barriers, and Health in Young Adults with Cerebral Palsy: An Exploratory Study

Mary E. Gannotti
University of Hartford, Department of Rehabilitation Sciences, Shriners Hospital for Children, Springfield, MA, USA
Christin L. Daniels
Research and Innovation Solutions, School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC
Chester Tylkowski
3Shriners Hospital for Children, Lexington, KY
Henry Chambers
4Rady Children's Hospital, San Diego, CA
Peter Smith
Shriners Hospital for Children, Chicago, IL


Life satisfaction is not directly linked with level of functional ability in adults with cerebral palsy (CP). Here, we explore interrelationships among life satisfaction, functional abilities, social roles, depression, environmental barriers, and health in 101 young adults with CP (mean age 26 yr). The majority of subjects (71%) were slightly satisfied or more with life and not depressed (94%). Life satisfaction was not associated with functional abilities (r = .113, p = 0.206) but was correlated with less environmental barriers (r = −.237, p < .05). Those reporting life satisfaction were 1.6 times (95% confidence interval [CI], 0.667−3.817) more likely to be employed and 1.7 times (95% CI, 0.594−4.734) more likely to live independently. Depression and attainment of adult social roles may directly influence life satisfaction, and environmental support can mediate the impact of reduced functional abilities. Additional research is warranted to evaluate whether pathway rehabilitation services can aid in promoting life satisfaction.

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