Purpose in life as a mediator of adjustment after spinal cord injury.

Objective: Determine how purpose in life influences adjustment after spinal cord injury (SCI). Study Design: Cross-sectional survey with mediation analysis. Subjects: 1,391 adults with traumatic SCI 1 or more years prior. Main Outcome Measure: Ladder of Adjustment (N. M. Crewe & J. S. Krause, 1990). The Purpose in Life scale (PIL: .J. C. Crumbaugh, 1968), the Zuckerman-Kuhlman Personality Questionnaire (M. Zuckerman, D. M. Kuhlman, J. Joireman, P. Teta, & M. Kraft, 1993), and the Multidimensional Health Locus of Control scale (K. A. Wallston, B. S. Wallston, & R. DeVellis, 1978) were assessed. Results: PIL mediated between most measures and adjustment. Conclusions: Logotherapy is effective in strengthening purpose in life. Its use with persons with SCI may improve their adjustment and quality of life. (PsycINFO Database Record (c) 2010 APA, all rights reserved)