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Journal of the Korean Academy of Rehabilitation Medicine 2008;32(5):537-543.
Disability Identity According to the Severity of Disabilities in Persons with Spinal Cord Injury.
Lee, Bum Suk , Lee, Ick Seop , Rhee, Min Kyu , Shin, Eun Kyoung , Lim, Mun Hee
1Department of Rehabilitation Medicine, National Rehabilitation Hospital, Korea. ngelmuny@paran.com
2School of Social Welfare, Yonsei University, Korea.
3Department of Psychology, Gyeongsang National University, Korea.
척수장애인에서 장애정도에 따른 장애 정체감
이범석, 이익섭1, 이민규2, 신은경1, 임문희
국립재활병원 재활의학과, 1연세대학교 사회복지학과, 2경상대학교 심리학과
To investigate the disability identity and life satisfaction according to the severity of disability in the spinal cord injured persons resident in the community.
The subjects of this national wide study were 397 spinal cord injured persons resident in the community. We investigated their disability identity, life satisfaction, depression, social integration and social support. The questionnaire included the newly developed disability identity scale to evaluate the disability identity, that consisted of five sub-scales (personal worth, self-acceptance with the disabled, individual civil right, common cause and external barriers) and 23 questions. The subjects were divided into four groups according to severity of disability: motor complete tetraplegia, motor incomplete tetraplegia, motor complete paraplegia and motor incomplete paraplegia.
The scores of life satisfaction, depression and social support were not different according the four groups. However the disability identity scale of the motor incomplete paraplegia was lower than motor complete tetraplegia or motor complete paraplegia (p<0.05). The sub-scale score of the personal worth and self-acceptance were lower in less severely disabled persons. As the disability identity scale was higher, social integration (r=0.478, p=0.000), and social support (r=0.465, p=0.000) were moderate and the depression was negative (r=−0.252, p=0.000).
Less severely disabled persons showed lower disability identity. Disability identity scale was significantly correlated with higher social integration, higher social support and lower depression score. The newly developed disability identity scale will be a useful tool for the evaluation of the psychological status and planning the rehabilitation strategy for spinal cord injured persons. (J Korean Acad Rehab Med 2008; 32: 537-543)
Key Words: Disability identity scale, Acceptance of disability, Spinal cord injury, Life satisfaction


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