Publications by authors named "Christel M C van Leeuwen"

Purpose: To examine: (1) the proportion of individuals with spinal cord injury (SCI) meeting three exercise guidelines over one year following a five-month handcycle training period; (2) whether meeting these guidelines is associated with life satisfaction (LS) and mental health (MH); and (3) which components of exercise (moderate/vigorous aerobic or strength) are longitudinally associated with LS and MH.

Materials And Methods: Participants ( = 80) with SCI or spina bifida completed assessments at baseline (T1), post-training (T2), and four months (T3) and one year (T4) later. Measures included the Physical Activity Scale for Individuals with Physical Disabilities and LS and MH questionnaires.

View Article and Find Full Text PDF

Study Design: Retrospective analysis of medical records.

Objective: To assess personality traits in persons with spinal cord injury (SCI) and compare these with the general population group. Moreover, to explore associations between personality traits and depressive and anxiety symptoms among persons with SCI in first inpatient rehabilitation.

View Article and Find Full Text PDF

Illness cognitions (IC) influence how a patient adapts to a chronic disease. The aim was (1) to determine if training for a handcycling mountain time trial (HandbikeBattle) improves IC and (2) to identify factors associated with IC change scores. Persons with a chronic disability (N = 220; including N = 151 with spinal cord disorder) trained 5 months and participated in the time trial.

View Article and Find Full Text PDF

Study Design: International Classification of Functioning, Disability and Health (ICF) linking study.

Objective: Analyze cognitive interview data using the ICF as an analytic framework, to examine aspects of social life relevant to quality of life (QoL) according to people with spinal cord injury or disease (SCI/D). This study builds upon results of an international study about the cross-cultural validity of the International SCI QoL Basic Data Set (QoL-BDS).

View Article and Find Full Text PDF

Purpose: To examine associations between illness perception, also called illness cognitions or appraisals, disposition of passive coping, and symptoms of anxiety and depression, and to test whether passive coping mediates the associations between illness perception and symptoms of anxiety and depression.

Materials And Methods: Longitudinal, multicentre study. Participants were inpatients of spinal cord injury (SCI) rehabilitation.

View Article and Find Full Text PDF

This study investigated the feasibility and efficacy of mindset and breathing exercises (Wim Hof Method (WHM)) on physical and mental health in persons with spinal cord injury (SCI). Ten individuals with SCI participated in this pilot study. These ten participants followed a 4-week WHM intervention, with one weekly group session in the rehabilitation center and daily practice at home using the WHM app.

View Article and Find Full Text PDF

Purpose: To investigate: (1) changes in body satisfaction during five months of handcycle training and one year after the training period; (2) whether longitudinal changes are dependent on sex, waist circumference and severity of the physical impairment; (3) associations between changes in physical capacity or body composition, and body satisfaction.

Materials And Methods: Individuals ( = 143) with health conditions such as spinal cord injury filled out the Adult Body Satisfaction Questionnaire: at the start of the training (T1), directly after the training period (T2); and four months (T3) and one year after the training period (T4). At T1 and T2, physical capacity was determined with an upper-body graded exercise test, and waist circumference was measured.

View Article and Find Full Text PDF

Study Design: Multicentre longitudinal study.

Objectives: To assess overall illness perception and specific illness representations at admission and discharge of inpatient spinal cord injury (SCI) rehabilitation, and to detect associations between demographic and injury-related variables, and illness perception.

Setting: Seven Dutch SCI-specialised rehabilitation centres.

View Article and Find Full Text PDF

Objective: To assess the reliability and validity of the Brief Illness Perception Questionnaire (B-IPQ) and possible subscales, and to interpret Brief Illness Perception Questionnaire (B-IPQ) total scores, in individuals with a spinal cord injury.

Design: Cross-sectional.

Setting: Seven Dutch rehabilitation centres.

View Article and Find Full Text PDF

Objectives: To examine the course of mental health and psychological factors over time in persons with a recent spinal cord injury and to determine whether change in psychological factors is associated with change in mental health.

Design: Prospective cohort study in the Netherlands with 3 measurement time-points.

Subjects: A total of 60 persons with recently acquired spinal cord injury.

View Article and Find Full Text PDF

Purpose: To test the spinal cord injury adjustment model (SCIAM) and to examine how psychological resources may influence depressive symptoms in persons with spinal cord injury (SCI). We expect that (a) higher general self-efficacy (GSE) and higher purpose in life (PIL) are associated with lower levels of depressive symptoms, and that (b) the effect of GSE and PIL on depressive symptoms is mediated by appraisals and coping strategies, as proposed by the SCIAM.

Method: A nationwide cross-sectional survey (the Swiss Spinal Cord Injury Cohort Study) was conducted with individuals with SCI living in the Swiss community (N = 516).

View Article and Find Full Text PDF

Purpose: The aims of the study were (1) to examine the associations between the psychological resources general self-efficacy (GSE) and purpose in life (PIL), appraisals, coping and life satisfaction, and (2) to examine whether the effects of the psychological resources on life satisfaction are mediated by appraisals and coping, as proposed by the spinal cord injury adjustment model (SCIAM).

Methods: Cross-sectional multicenter study conducted with persons with spinal cord injury (SCI) living in the community in Switzerland (N = 516). Pearson's correlations were calculated for aim 1, and structural equation modeling was conducted to address aim 2.

View Article and Find Full Text PDF

Objective: To test the Spinal Cord Injury Adjustment Model and gain a better understanding about whether and how the psychological resources general self-efficacy (SE), purpose in life (PIL), appraisals, and coping influence participation in persons with spinal cord injury (SCI).

Design: Cross-sectional data collection within the Swiss Spinal Cord Injury Cohort.

Setting: Community setting.

View Article and Find Full Text PDF

Purpose: To analyze changes in life satisfaction (LS) scores over time in persons with spinal cord injury (SCI) and to interpret what these changes mean.

Methods: Multicenter, prospective cohort study of persons with SCI (n = 96) classified into 3 life satisfaction trajectories identified earlier. Assessment took place 6 times from the start of active rehabilitation up to 5 years after discharge.

View Article and Find Full Text PDF

Objective: To describe the proportion of people with spinal cord injury who returned to work 5 years after discharge from inpatient rehabilitation, and to investigate whether return to work is related to wheelchair capacity at discharge from inpatient rehabilitation.

Design: Multi-centre prospective cohort study.

Subjects: A total of 103 participants with acute spinal cord injury at 8 Dutch rehabilitation centres, specialized in the rehabilitation of spinal cord injury.

View Article and Find Full Text PDF

Purpose: To describe the course of life satisfaction in persons with spinal cord injury (SCI) during the first 5 years after discharge from inpatient rehabilitation and to examine its determinants.

Methods: Multi-centre prospective cohort study with four measurements, the first at discharge from inpatient rehabilitation, the last 5 years after discharge. Data of 162 persons with SCI were analyzed.

View Article and Find Full Text PDF

Objective: To describe the course of social support in spouses of patients with stroke, and to examine direct and indirect relationships between social support and life satisfaction over time.

Methods: Prospective cohort study (N=180) with measurements at 2 months after discharge from inpatient rehabilitation, 1 year, and 3 years after stroke. Social support was assessed using the Social Support List-12, Life satisfaction with the Life Satisfaction Questionnaire (LiSat-9) and Caregiver strain with the Caregiver Strain Index.

View Article and Find Full Text PDF

Objective: To describe the course of social support in persons with recently acquired spinal cord injury, and to examine direct and indirect relationships between social support and life satisfaction over time.

Design: A multi-centre prospective cohort study with measurements at the start of active rehabilitation, at discharge from inpatient rehabilitation and one year after discharge.

Subjects: One hundred and ninety individuals with spinal cord injury from 8 Dutch rehabilitation centres.

View Article and Find Full Text PDF