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Journal of Pediatric Psychology Advance Access originally published online on June 3, 2006
Journal of Pediatric Psychology 2007 32(3):370-379; doi:10.1093/jpepsy/jsl002
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© The Author 2006. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Quality of Life and Resilience in Adolescents with a Mobility Disability

Ann I. Alriksson-Schmidt, MA, MSPH, Jan Wallander, PhD and Fred Biasini, PhD

The University of Alabama at Birmingham

All correspondence concerning this article should be addressed to Ann Alriksson-Schmidt, Department of Psychology, University of Alabama at Birmingham, Birmingham, Alabama 35294. E-mail: aalriksson_s{at}hotmail.com


  Abstract

Objectives To examine the influences from life stress and the hypothesized protective variables of social competence, family functioning, and peer social engagement on quality of life (QL) in adolescents with mobility disabilities within a stress–resilience model. Methods Variables were assessed with questionnaires completed by 159 adolescents with a mobility disability (aged 11–18 years) and their parents. Both more subjective and objective QL measures were completed using both adolescent and parent reports. Results Increased life stress was associated with worse QL. Hypothesized protective variables were used to explain significant variance in more subjective, but not objective, measures of QL beyond covariates and life stress. The hypothesized protective variables, however, did not moderate the effects of life stress on QL. There was a cumulative effect from the hypothesized protective variables such that adolescents with more of these factors had more subjective QL than those with just one factor, regardless of the specific factor. Conclusions Consistent with the tested model, interventions to improve QL in adolescents with a mobility disability may focus on reducing life stress and developing resilience by enhancing a variety of personal and social resources.

Key words: adolescence; disability; quality of life; resilience.

Received June 8, 2005; revision received October 20, 2005; revision received March 14, 2006; accepted April 25, 2006


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