promoting behaviors and employment, key factors influencing overall quality of life for this population. Addressing psychological well-being for persons with SCI is essential as previous literature suggests. Perceived loss of physical functioning is associated with psychological well-being; however, global meaning making mediates the relationship between perceived loss of physical functioning and psychological well-being (deRoon-Cassini, de St. Aubin, Valvano, Hastings, & Horn, 2009).Thus, psychological interventions are indeed necessary to improve the quality of life of persons with SCI. The prevalence of depression, anxiety, and post-traumatic stress disorders is higher for persons with SCI compared to the general population (Post & van Leeuwen, 2012). In a review the literature, Post and van Leeuwen show life satisfaction, a proxy for happiness, is lower initially following SCI and life satisfaction improves over time. This trend is important as
interventions aimed at increasing self-esteem, finding ways to cope with newfound stressors, and finding a strong supportnetwork as early as possible after medical rehabilitation may help to improve psychosocial outcomes for persons with SCI. This potential for effective intervention is supported by previous research showing positive psychological constructs greatly influence subjective well-being in persons with SCI post- acute rehabilitation (Kortee, Gilbbert, Gorman, & Wegener, 2010).Although the results of this study provide support for the mediational model, the five predictor variables did not completely explain the mechanism by which spirituality influences happiness in persons with SCI. Future studies should examine other potential positive psychological constructs as predictors such as optimism, hope, and resiliency to determine if the addition of variables such as those completely explain the link between spirituality and happiness.Concluding StatementsIn this article, we explored the relationship of spirituality andhappiness, specifically spirituality and happiness for individuals with SCI and the mediating factors of health status, perceived stress, social support, self-esteem and psychological well-being. Each of these variables taken alonehave an individual effect on happiness and spirituality both.
This study found a significant association between spirituality and happiness for people with SCI; while each of the variables could explain this association, the explanation was not complete. Future studies would do well to continue research to find a more complete link between spirituality and happiness. An individual's spirituality brings with it several positive effects on life happiness; a person with a SCIcan likewise benefit from these positive effects. We know individuals with SCI experience many encroachments to life satisfaction, but happiness and life satisfaction can fundamentally return. Rehabilitation counselors and psychologists can facilitate quality of life improvements for people with SCI through interventions that include the