Quality of life (QOL) is an important topic today, especially in rehabilitation research. Although there is debate on how to define QOL, our model suggests that QOL is a bi-direction model, either positive or negative. This article examines QOL as a dichotomy and how positive or negative experiences affect it. Participants included 125 people with SCI and 140 people without a disability who completed measures on QOL, depression, social interaction, and fatigue. Data were analyzed through use of chi-square, logistic regression, and multiple regression. Results indicated that different experiences can affect different aspects of QOL. It was also found that disability status did not affect how different variables affect QOL.

Towards a Common Language for Functioning, Disability, and Health, ICF. Geneva: World Health Organization; 2002.
Dijkers MP. Quality of life in individuals with spinal cord injury: a review of conceptualization, measurement, and research findings. J Rehabil Res Dev. 2005;42(Suppl 3):87-110.
,
Quality of life in individuals with spinal cord injury: a review of conceptualization, measurement, and research findings
,
J Rehabil Res Dev.
, vol.
42
Dijkers M. “What’s in a name?” The indiscriminate use of the “quality of life” label, and the need to bring about clarity in conceptualizations. Int J Nurs Stud. 2007;44(1):153-155.
,
“What’s in a name?” The indiscriminate use of the “quality of life” label, and the need to bring about clarity in conceptualizations
,
Int J Nurs Stud.
, vol.
44
Flanagan JC. A research approach to improving quality of life. Am Psychol. 1978:138-147.
,
A research approach to improving quality of life
,
Am Psychol.
Campbell A, Converse PE, Rodgers WL. The Quality of American Life: Perceptions, Evaluations, and Satisfaction. New York: Russell Sage Foundation; 1976.
,
The Quality of American Life: Perceptions, Evaluations, and Satisfaction
Andrews FM, Withey SB. Social Indicators of Well-being: Americans Perception of Life Quality. New York: Plenum Press; 1976.
,
Social Indicators of Well-being: Americans Perception of Life Quality
Ware JE. SF-36 Health Survey: Manual and Interpretation Guide. Boston, MA: Nimrod Press; 1993.
,
SF-36 Health Survey: Manual and Interpretation Guide
Ware J Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220-233.
,
A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity
,
Med Care
, vol.
34
Kidd D, Stewart G, Baldry J, et al. The functional independence measure: a comparative validity and reliability study. Disabil Rehabil. 1995;17(1):10-14.
,
The functional independence measure: a comparative validity and reliability study
,
Disabil Rehabil.
, vol.
17
Tate DG, Kalpakjian CZ, Forchheimer MB. Quality of life issues in individuals with spinal cord injury. Arch Phys Med Rehabil. 2002;83(12 Suppl 2):S18–-25.
,
Quality of life issues in individuals with spinal cord injury
,
Arch Phys Med Rehabil.
, vol.
83
Hammell KR. Spinal cord injury rehabilitation research: patient priorities, current deficien-cies and potential directions. Disabil Rehabil. 2010;32(14):1209-1218.
,
Spinal cord injury rehabilitation research: patient priorities, current deficien-cies and potential directions
,
Disabil Rehabil.
, vol.
32
Kemp BJ. Quality of life, coping, and depression. In: Kemp BJ, Mosqueda L, eds. Aging With a Disability. Baltimore: John Hopkins University Press; 2004:48-67.
,
Quality of life, coping, and depression
,
Aging With a Disability
Kemp BJ, Adkins R. The Subjective Quality of Life Scale. Downey, CA and Los Angeles, CA: Los Amigos Research and Education Institute, University of Southern California; 2010.
,
The Subjective Quality of Life Scale
Kemp BJ, Ettelson D. Quality of life while living and aging with a spinal cord injury and other impairments. Top Spinal Cord Inj Rehabil. 2001;6(3):116-127.
,
Quality of life while living and aging with a spinal cord injury and other impairments
,
Top Spinal Cord Inj Rehabil.
, vol.
6
Kemp BJ, Adams BM. The Older Adult Health and Mood Questionnaire: a measure of geriatric depressive disorder. J Geriatr Psychiatry Neurol. 1995;8(3):162-167.
,
The Older Adult Health and Mood Questionnaire: a measure of geriatric depressive disorder
,
J Geriatr Psychiatry Neurol.
, vol.
8
Kahan JS, Mitchell JM, Kemp BJ, Adkins RH. The results of a 6-month treatment for depression on symptoms, life satisfaction, and community activities among individuals aging with a disability. Rehabil Psychol. 2006;51:13-22.
,
The results of a 6-month treatment for depression on symptoms, life satisfaction, and community activities among individuals aging with a disability
,
Rehabil Psychol.
, vol.
51
Kahan JS. The Social Interaction Inventory Downey, CA and Los Angeles, CA: Los Amigos Research and Education Institute, University of Southern California; 2010.
,
The Social Interaction Inventory
Schwartz JE, Jandorf L, Krupp LB. The measurment of fatigue: a new instrument. J Psychosomatic Res. 1993;37(7):753-762.
,
The measurment of fatigue: a new instrument
,
J Psychosomatic Res.
, vol.
37
Devins GM, Blinik YM, Hutchinson TA, Hollomby DJ, Barre PE, Guttman RD. The emotional impact of end-state renal disease: importance of patients’ perceptions of intrusiveness and control. Int J Psychiatry Med. 1983;13(4):327-343.
,
The emotional impact of end-state renal disease: importance of patients’ perceptions of intrusiveness and control
,
Int J Psychiatry Med.
, vol.
13
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