Rehabilitation Psychology最新文献

{"title":"Validating the Multidimensional Health Perceptions Questionnaire: A traumatic brain injury model systems Rasch analysis.","authors":"Shannon B Juengst, Angelle M Sander, Monique R Pappadis, Librada Callender, Flora M Hammond, Dawn Neumann, Therese M O'Neil-Pirozzi, Amanda Rabinowitz, Kristin Wilmoth, Lauren Terhorst","doi":"10.1037/rep0000672","DOIUrl":"https://doi.org/10.1037/rep0000672","url":null,"abstract":"<p><strong>Purpose/objective: </strong>The Multidimensional Health Perceptions Questionnaire (MHPQ) is a comprehensive self-reported multidimensional measure of health perceptions that was previously validated in a sample of individuals with no specific health conditions. It has 8 subscales: Anticipated Discrimination and Judgment, Communication With Healthcare Providers, Spiritual Health Beliefs, Health Self-Efficacy, Trust in Social Health Advice, Trust in Medicine, How Health Affects My Life, and How Others Affect My Health. The study objective was to determine MHPQ structural validity among English-speaking adults with ≥ 1 year history of traumatic brain injury (TBI) who required inpatient rehabilitation.</p><p><strong>Research method/design: </strong>The MHPQ was administered via electronic survey (REDCap) or telephone interview to 250 participants enrolled in the TBI Model Systems National Database study. We conducted Rasch analysis per MHPQ subscale to confirm the structural validity of the MHPQ. The sample was 30.8% cisgender-female (68.4% cisgender-male, 0.8% Other gender), 18-90 years old (<i>M</i> = 45.8, <i>SD</i> = 16.2), 16.0% Hispanic/Latino, and White (68.0%), Black (18%), and all other races (2.0-5.2%).</p><p><strong>Results: </strong>Internal consistency reliabilities ranged from acceptable to excellent across subscales (Cronbach's alpha = .64-.91). Rasch analysis confirmed unidimensionality in all subscales, with 2 items removed to improve unidimensionality and fit indices (final 51 items). The MHPQ displayed excellent reliability via item (.77-.99) and person (.74-.87) separation indices per subscale.</p><p><strong>Conclusions/implications: </strong>This study established psychometric evidence for the MHPQ as a measure to comprehensively characterize health perceptions among adults with chronic TBI, which could support more culturally responsive and person-centered care. Future work will validate the Spanish-language version of the MHPQ and evaluate subscale test-retest reliability. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between 5-year changes in perceived cognitive function and psychosocial outcomes in individuals with spinal cord injury.","authors":"Brielle D Grant, Yue Cao, Devyn E Smith, James S Krause","doi":"10.1037/rep0000679","DOIUrl":"https://doi.org/10.1037/rep0000679","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Changes in perceived cognitive function after spinal cord injury (SCI) may have important implications for psychosocial well-being. Our purpose was to examine the association between 5-year changes in perceived cognitive function and subjective well-being, satisfaction with participation, depressive symptoms, and anxiety in adults with SCI.</p><p><strong>Research method/design: </strong>Data were collected from 385 individuals with traumatic SCI in 2018 and 2023, the two most recent time points in the 50-year SCI Longitudinal Aging Study. Perceived cognitive function was assessed at both times using the Patient-Reported Outcomes Measurement Information System-Cognitive Function scale.</p><p><strong>Results: </strong>Participants whose perceived cognitive function scores were below normal limits on both occasions reported significantly lower satisfaction with participation (<i>B</i> = -3.25, <i>p</i> < .01) and subjective well-being (<i>B</i> = -6.08, <i>p</i> < .05), greater depressive symptoms (<i>B</i> = 3.83, <i>p</i> < .01), and higher anxiety (<i>B</i> = 2.99, <i>p</i> < .01) compared with those who remained within normal limits. Participants whose scores declined below normal limits also reported significantly lower satisfaction with participation (<i>B</i> = -4.73, <i>p</i> < .01) and greater depressive symptoms (<i>B</i> = 2.64, <i>p</i> < .01) and anxiety (<i>B</i> = 2.48, <i>p</i> < .01).</p><p><strong>Conclusions/implications: </strong>Perceived cognitive function may be particularly important to maintaining psychological and social well-being after SCI. Routinely assessing perceived cognitive function may guide interventions to support well-being after SCI. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the impact of perceived app usability on the efficacy of mobile health intervention for traumatic brain injury caregivers.","authors":"Jitao Wang, Zhenke Wu, Angelle M Sander, Srijan Sen, Sung Won Choi, Jennifer A Miner, Christopher Graves, Noelle E Carlozzi","doi":"10.1037/rep0000674","DOIUrl":"10.1037/rep0000674","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Caregiving for individuals with traumatic brain injury (TBI) is often highly stressful, and traditional in-person interventions can be inaccessible given the demands of their caregiver role. Mobile health (mHealth) interventions offer a low-burden, scalable alternative by delivering personalized, real-time support. However, how effective these interventions depends on whether people perceive them as useful and engage with them. The role of perceived usability in mHealth efficacy remains underexplored in the TBI caregiver population. This study primarily evaluates the relationship between self-reported app usability and the efficacy of a fully automated mHealth intervention, delivered via personalized mobile-app messages, in reducing caregiver strain, anxiety, and depression in a TBI caregiver population. The secondary aim is to identify variables that moderate the intervention efficacy among caregivers reporting high app usability.</p><p><strong>Research method/design: </strong>We analyzed data from 122 TBI caregivers assigned to receive self-monitoring plus push notifications for self-care as part of a larger randomized controlled trial. Perceived app usability was assessed via caregiver responses to a questionnaire item. We applied multivariate linear models with a weighted and centered least squares estimator to assess the moderating effects of perceived app usability and other variables on message efficacy.</p><p><strong>Results: </strong>Messages were more effective in reducing depression among TBI caregivers who reported high app usability. Moreover, shorter caregiving duration, higher Fitbit step count, and lower prior-week anxiety were significantly associated with improved message efficacy among this high usability group.</p><p><strong>Conclusion/implications: </strong>Perceived app usability plays a critical role in the mHealth message efficacy among TBI caregivers. Tailoring interventions based on perceived app usability and identified moderators may optimize health outcomes and support more personalized care for this population. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13143335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trajectories of fear avoidance behavior and recovery after mild traumatic brain injury: Findings from the Toronto Concussion Study.","authors":"Billy Lam, Ana Mikolić, Mark Bayley, Tharshini Chandra, Paul Comper, Evan Foster, Tavina Sathish, Noah D Silverberg","doi":"10.1037/rep0000619","DOIUrl":"10.1037/rep0000619","url":null,"abstract":"<p><strong>Objective: </strong>Fear avoidance behavior is associated with more severe postconcussion symptoms after mild traumatic brain injury (mTBI). However, it remains unclear when after injury fear avoidance behavior becomes a barrier to recovery. This study investigated changes in early fear avoidance behavior after mTBI and its associations with postconcussion symptoms.</p><p><strong>Method: </strong>Adults with concussion (<i>N</i> = 308) were prospectively recruited from an outpatient concussion clinic in Ontario, Canada. They completed measures assessing fear avoidance behavior (Fear Avoidance Behavior after Traumatic Brain Injury Questionnaire) and postconcussion symptoms (Sport Concussion Assessment Tool-5) at Weeks 2 and 8 postinjury (<i>N</i> = 216).</p><p><strong>Results: </strong>Based on normative reference values, the two most common postconcussion trajectories of fear avoidance behavior were those with persistently low and those with initially elevated but decreasing fear avoidance behavior. Using linear regression, we found an interaction effect between fear avoidance behavior at Weeks 2 and 8, indicating that participants with persistently elevated fear avoidance behavior (at Weeks 2 and 8) had more severe postconcussion symptoms at Week 8, whereas participants with initially elevated but decreasing fear avoidance behavior tended to recover well.</p><p><strong>Conclusion: </strong>Early fear avoidance behavior often decreases, but when it does not, it is associated with worse recovery from mTBI. These findings may inform the timing and design of interventions targeting fear avoidance behavior in patients with mTBI. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"182-190"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disability portrayals in artificial intelligence text-to-image generation: Influence of context and the medicalization of disability.","authors":"Benjamin Ertman, Bridget Xia, Mona Sloane, Tom Hartvigsen, Paul B Perrin","doi":"10.1037/rep0000634","DOIUrl":"10.1037/rep0000634","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Text-to-image (TTI) systems are artificial intelligence (AI) models that incorporate large amounts of data to produce high-resolution images. Although research has documented racial/ethnic and gender bias in TTI, little has examined disability bias. This study compared generated images of disabled people with no prompted setting to images of disabled individuals in health care settings.</p><p><strong>Research method/design: </strong>OpenAI's DALL-E-3 TTI generated 50 images for each of the following prompts: (a) \"person with a disability,\" (b) \"patient with a disability,\" (c) \"doctor with a disability,\" and (d) \"doctor with a disability and a patient without a disability.\" We calculated DALL-E's success in generating prompted images and coded disability type and demographics.</p><p><strong>Results: </strong>When prompted to create a \"person with a disability,\" DALL-E-3 was 100% successful, with a wide diversity of disabilities. When prompted to create a \"patient with a disability,\" DALL-E-3 was similarly 100% successful, although 70% of images portrayed an individual with a stereotypical physical disability. When prompted to create a \"doctor with a disability,\" DALL-E-3 did with 92% accuracy: 94% had a physical disability and 6% a sensory disability; no other disability types were portrayed. When prompted to create a \"doctor with a disability and a patient without a disability,\" in 64% of cases, DALL-E-3 generated images of doctors without disabilities, and 70% portrayed a disabled patient instead.</p><p><strong>Conclusions/implications: </strong>Disability diversity decreases dramatically when AI-generated images place disabled people in a medical environment. As TTI generation grows more ubiquitous, further work by model developers to mitigate representational harms is vital. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"272-282"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resilience and positive mental health in persons with spinal cord injury and their informal caregivers: A dyadic study.","authors":"Sonia Mangialavori, Maria Chiara Cortesi, Antonella Delle Fave","doi":"10.1037/rep0000635","DOIUrl":"10.1037/rep0000635","url":null,"abstract":"<p><strong>Background: </strong>Despite daily challenges, persons with spinal cord injury (PwSCI) successfully mobilize individual and relational resources and attain good mental health. Psychosocial resources were investigated as components of resilience, defined as satisfactory adaptation to adversity. While the association between resilience and positive mental health, conceptualized as psychological, emotional, and social well-being, was widely observed in individuals, it remains unexplored within dyads. This study was thus aimed to investigate this association at both individual and relational levels among PwSCI and their informal caregivers, defined as family members providing regular and unpaid assistance.</p><p><strong>Method: </strong>Through a cross-sectional dyadic design, 162 PwSCI and their 162 caregivers completed the Resilience Scale for Adults and the Mental Health Continuum-Short Form. Actor and partner effects were analyzed using the actor-partner interdependence model.</p><p><strong>Results: </strong>Significant actor effects emerged for self-perception (<i>b</i> = .60, <i>p</i> < .001), planned future (<i>b</i> = .62, <i>p</i> < .001), social competence (<i>b</i> = .26, <i>p</i> < .01), and social resources (<i>b</i> = .28, <i>p</i> < .01), resilience components positively associated with individuals' own positive mental health. A significant partner effect emerged for self-perception (<i>b</i> = .33, <i>p</i> < .05), suggesting interpersonal influence within the dyad. Caregivers reported higher positive mental health than PwSCI, but no role-based interactions emerged.</p><p><strong>Conclusions: </strong>Resilience, particularly through self-perception, supports both personal and relational well-being, suggesting the potential usefulness of dyadic-focused interventions in chronic disease. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"161-172"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring two marginalized identities among Asian Americans with disabilities: A qualitative investigation.","authors":"Eun-Jeong Lee, Jinhee Park, Yen Chun Tseng, John Elmer, Jonathan Tsen","doi":"10.1037/rep0000649","DOIUrl":"10.1037/rep0000649","url":null,"abstract":"<p><strong>Purpose/objective: </strong>During COVID-19, issues related to Asian Americans have received increased media attention, which has negatively impacted Asian Americans with disabilities living in the United States. This study aimed to explore racial and disability identity development and intersectionality between these identities among Asian Americans with disabilities using a qualitative design.</p><p><strong>Research method/design: </strong>The semistructured interview was conducted with 39 participants. Many of them self-identified as having a mental health disorder. Interview questions were developed to assess factors influencing their racial and disability identity development and how the intersectionality of these two identities influenced Asian Americans with disabilities. Thematic analysis was employed to identify key themes across multiple coding steps.</p><p><strong>Results: </strong>Analyses yielded two themes related to disability identity development: (a) <i>The Process of Disability Identity Development</i> and (b) <i>Stigma as a Barrier to Embracing Disability Identity</i>, and two themes regarding racial identity development: (a) <i>Cultural Connection and the Formation of Asian American Identity</i> and (b) <i>Social Barriers to Racial Identity Development.</i> Subsequent subthemes were also identified. Additionally, meaningful shared experiences related to the intersectionality between disability and racial identities were identified. Participants reported significant family roles in both racial and disability identity development. Stigma toward disability and stereotypes toward Asians had a negative impact, while interactions with others with disabilities and having role models had a buffering effect on their identity development.</p><p><strong>Conclusions/implications: </strong>Findings suggest service providers need to have a better understanding of intersecting identities among Asian Americans with disabilities and to develop interventions promoting self-advocacy skills and family participation. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"240-251"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using the Delphi method to develop trauma-informed practice guidelines for neurorehabilitation.","authors":"Colette M Smart, Sarah J Macoun, Lauren K Qualls, Hayley A Ellis, Karen Baker, Emily Becker, Richard Burrell, Shannon Ellis, Julie Foster, Steven Jorgensen, James Loe, Simon McVaugh-Smock, Allison Power, Katie Techen, Renée Trueggelmann","doi":"10.1037/rep0000615","DOIUrl":"10.1037/rep0000615","url":null,"abstract":"<p><strong>Study objective: </strong>Traumatic stress is common in persons with acquired brain injury. Untreated trauma not only negatively affects mental health but can also impact rehabilitation outcomes and overall recovery. However, not every neurorehabilitation professional has the scope of practice to treat traumatic stress, and providers may not feel well equipped to support patients dealing with significant trauma. Trauma-informed practice (TIP) is an approach in health care where traumatic stress is assumed to be common, and where the environment can be made to feel safe and welcoming without needing to address trauma directly. The objective of our study was to create draft consensus guidelines for TIP within the neurorehabilitation context.</p><p><strong>Research method: </strong>Researchers, trainees, neurorehabilitation professionals, and adults with lived experience of acquired brain injury and traumatic stress were recruited to participate in our study. We used the Delphi method-a methodology used in health care to develop consensus-over the course of 12 months, whereby panelists participated in group meetings and individual qualitative interviews to generate preliminary items for our guidelines.</p><p><strong>Results: </strong>Items from the interviews were rank ordered, and a final set of items was used to create a draft set of guidelines, formatted into a brochure for ease of dissemination.</p><p><strong>Conclusions/implications: </strong>The current guidelines can serve as an initial starting point for the implementation of TIP in a variety of clinical settings. Future directions would be for these guidelines to be implemented and tested in diverse rehabilitation environments, in terms of outcome data and patient/provider satisfaction. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"208-218"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation engagement is associated with lower level of care needs on discharge from postacute care in older adults with cognitive impairment.","authors":"Emily T Noyes, Jinkyung Ha, Neil B Alexander, Robert V Hogikyan, Robert J Spencer, Julija Stelmokas","doi":"10.1037/rep0000625","DOIUrl":"10.1037/rep0000625","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Older adults with cognitive impairment (CI) in postacute care (PAC) are at risk for an increased level of care (LOC) postdischarge. Rehabilitation engagement may impact the relationship between CI and increased LOC.</p><p><strong>Research method/design: </strong>Ninety-two older veterans (> 50 years) were assessed by physical therapists or assistants with the Hopkins Rehabilitation Engagement Rating Scale (HRERS) while participating in Veterans Affairs PAC. Hierarchical logistic regression examined whether rehabilitation engagement predicted LOC while controlling for cognition as assessed with the Montreal Cognitive Assessment (MoCA). We then examined whether rehabilitation engagement moderated the effect of cognition on LOC.</p><p><strong>Results: </strong>Hierarchical logistic regression modeling revealed that the HRERS total score predicted LOC after controlling for MoCA scores. The interaction between MoCA and HRERS total score was nonsignificant. Item-level HRERS analyses revealed a significant interaction for CI (MoCA score < 22) and active participation (HRERS Item 5). Examination of the interaction indicated that among low scorers on active participation, CI increased the odds of requiring higher LOC, while the main effect of CI on LOC was nonsignificant among those who scored high on active participation.</p><p><strong>Conclusion/implications: </strong>Higher rehabilitation engagement reduced the risk of requiring higher LOC at PAC discharge after controlling for cognitive functioning. Additionally, active participation may buffer against adverse outcomes for older adults with CI. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"219-224"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dimensions of participation as predictors of satisfaction with roles and abilities after traumatic brain injury.","authors":"Amanda M Wisinger, Shannon B Juengst, Angelle M Sander, Robiann R Broomfield, Leia Vos, Michael W Williams, Mark Sherer","doi":"10.1037/rep0000627","DOIUrl":"10.1037/rep0000627","url":null,"abstract":"<p><strong>Purpose/objective: </strong>This study aimed to determine the relationship of participation dimensions with satisfaction with social roles and activities after traumatic brain injury (TBI).</p><p><strong>Research method/design: </strong>Secondary analysis of baseline data from 127 participants enrolled in the MoodTracker intervention trial (https://ClinicalTrials.gov Identifier NCT04410770). Participants (<i>M</i>_age = 35.24) were predominately male (64.6%) and non-Hispanic White (70.1%). Primary measures were the TBI Quality of Life scales for Satisfaction With Ability to Participate in Social Roles and Activities, Ability to Participate in Social Roles and Activities, Independence, Stigma, and Self-Esteem and the Participation Assessment With Recombined Tools-Objective Out and About, Social Relations, and Productivity subscales.</p><p><strong>Results: </strong>We performed a hierarchical regression to determine the unique association of different participation dimensions to Satisfaction with Social Roles and Activities. The Participation Assessment With Recombined Tools-Objective scores, representing the frequency of participation in activities, explained 18% of the variance (<i>R</i>² change = .177, <i>p</i> < .001) in Satisfaction with Social Roles and Activities. Ability to Participate in Social Roles and Activities and Independence, representing a person's perceived participation ability, explained 40% of the variance (<i>R</i>² change = .397, <i>p</i> < .001) when added to the model. Stigma and Self-Esteem uniquely explained 8% of the variance (<i>R</i>² change = .079, <i>p</i> < .001) when added to the model.</p><p><strong>Conclusion/implications: </strong>A person's self-perceived ability to participate and be independent makes a greater contribution to satisfaction with social participation than the frequency of participation. Enhanced understanding of the interplay of subjective and objective factors in influencing participation satisfaction after TBI may result in more effective interventions to support meaningful participation. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"191-197"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}