Rehabilitation Psychology最新文献

{"title":"Recovery profiles and disability acceptance among individuals with serious mental illness: A latent profile analysis.","authors":"Yongsu Song, Sang Qin, EunJeong Ko, Deyu Pan, Kaiqi Zhou","doi":"10.1037/rep0000621","DOIUrl":"https://doi.org/10.1037/rep0000621","url":null,"abstract":"<p><strong>Purpose/objective: </strong>The recovery experiences of individuals with serious mental illness (SMI) involve a complex interaction between intrapersonal and interpersonal factors through which they continue to pursue life goals and enhance their psychosocial adaptation. Among these outcomes, disability acceptance is an important aspect but remains underexplored in this context. This study aimed to identify recovery patterns among individuals with SMI using a latent profile approach and explore how these patterns relate to disability acceptance.</p><p><strong>Research method/design: </strong>We analyzed responses from participants with SMI (<i>N</i> = 268) and employed latent profile analysis to uncover distinct recovery profiles based on key indicators: resilience, self-efficacy, coping, social support, and perceived social stigma. Each profile was then examined in relation to levels of disability acceptance. The participant sample had a relatively higher employment rate and was more educated compared to \"typical\" populations with SMI.</p><p><strong>Results: </strong>Latent profile analysis revealed three subgroups: recovery-initiating, recovery-developing, and recovery-sustained. Over half of the participants were classified in the recovery-developing group, while approximately one-third were included in the recovery-sustained group. High levels of resilience, self-efficacy, coping, and social support-along with low levels of perceived social stigma-increased the likelihood of being classified in the recovery-sustained group. This group also demonstrated the highest levels of disability acceptance.</p><p><strong>Conclusions/implications: </strong>The identification of distinct recovery patterns suggests the importance of enhancing resilience, self-efficacy, coping strategies, and social support, as well as managing perceived social stigma when working with individuals with SMI. Considerations for tailored interventions to promote recovery and disability acceptance among individuals with SMI are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144080231","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":"Gender is not related to disability acceptance among individuals with disabilities in Korea: A longitudinal observational study.","authors":"Heerak Choi, Hyun-Ju Ju, Connie Sung","doi":"10.1037/rep0000624","DOIUrl":"https://doi.org/10.1037/rep0000624","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Disability acceptance is an evolving process influenced by personal and contextual predictors, with gender potentially playing a role. This study aimed to examine gender differences in the trajectory of disability acceptance and its predictors among individuals with disabilities in the Republic of Korea (hereafter, Korea).</p><p><strong>Research method/design: </strong>We analyzed 4-year longitudinal data (2016-2019) from the Panel Survey of Employment for Persons With Disabilities using multigroup latent growth modeling. The sample consisted of 1,007 men and 1,040 women with disabilities.</p><p><strong>Results: </strong>The research model of disability acceptance demonstrated a good fit, influenced by personal and contextual factors. No significant gender differences were found in intercepts (<i>F</i> = 0.05, <i>p</i> = .83) and slopes of disability acceptance (<i>F</i> = 0.15, <i>p</i> = .70). Multigroup latent growth modeling results indicated that perceived socioeconomic status, disability-related stress, self-efficacy, self-esteem, and satisfaction with friend relationships significantly predicted disability acceptance over most years, with no gender differences in these predictors.</p><p><strong>Conclusion/implications: </strong>Gender did not predict longitudinal changes in disability acceptance. However, modifiable factors, such as perceived socioeconomic status, disability-related stress, self-efficacy, self-esteem, and satisfaction with friend relationships, were associated with disability acceptance. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040859","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":"\"I would not want my leg back\": Living experiences of adult amputees following intensive functional rehabilitation.","authors":"Joel Montanez, Dahlia Kairy, Maxime Gilbert, Nicolas Gulino, Ilja Ormel, Ruth Pytka-Jones, Susan Law","doi":"10.1037/rep0000617","DOIUrl":"https://doi.org/10.1037/rep0000617","url":null,"abstract":"<p><strong>Purpose: </strong>Individuals living with amputations following intensive functional rehabilitation (IFR) represent an under-researched group in Quebec. This pilot study aimed to examine the health experiences of adults living with an amputation in Quebec by exploring their personal narratives. Design/Research Method: A qualitative descriptive design was adopted aiming to capture and convey the lived experiences of people with lower limb amputations or upper limb amputations who, at any point of their lives, followed IFR. Individual qualitative interviews with 10 adult amputees were conducted between 2018 and 2019.</p><p><strong>Results: </strong>Thematic analysis revealed seven key themes: (a) overcoming public scrutiny; (b) intrapersonal challenges; (c) stakeholders as sources of motivation; (d) the role of play; (e) recognizing normality in situations of disability; (f) acceptance and personal development; and (g) shortcomings in IFR services.</p><p><strong>Conclusion: </strong>This research stresses the impact IFR and long-term follow-up can pose on physical and psychosocial development and on going back to a normalized lifestyle. As such, fostering stakeholders for motivational support, strengthening work and sports activities focused on challenging and playful activities to improve limb-loss-affected skills, and providing sustained rehabilitation support, appear to facilitate recovery, postamputation development, and psychosocial adaptation. Improved access to information on postrehabilitation aids, including financial rights and prosthetics, appears important. Although the study sample was restricted in terms of representation, the findings may support the consideration of diverse patient perspectives and distinct types of amputations to better understand the impact of IFR and follow-up throughout the lifespan. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020726","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":"https://doi.org/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) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-12","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":"https://doi.org/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) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-12","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":"Psychosocial adaptation following spinal cord injury: Perspectives of people with lived experience.","authors":"Linda Ehrlich-Jones, Jennifer Burns, Katherine Kaufman, Angelika Kudla, Allen Heinemann","doi":"10.1037/rep0000616","DOIUrl":"https://doi.org/10.1037/rep0000616","url":null,"abstract":"<p><strong>Purpose/objective: </strong>This study sought to identify common mental health-related concerns of people living with spinal cord injury (SCI) and define strategies that can mitigate adverse circumstances.</p><p><strong>Research method/design: </strong>We organized three focus groups of persons living with SCI (N = 5, 6, and 5, respectively) and recruited participants using a research registry and social media. We conducted focus groups via Webex, which lasted 60-90 min. We used discussion guides that an advisory committee, composed of persons with SCI and health care providers, reviewed and revised. A professional service transcribed Webex audio recordings. We used NVivo Pro 12 to code the transcripts for thematic analysis.</p><p><strong>Results: </strong>Sixteen persons with SCI (six men, 10 women; <i>M</i> = 48 years) residing in Midwestern and Atlantic coast states participated. Eighty-one percent sustained SCI 2 or more years earlier, 69% sustained paraplegia, and 69% had incomplete injuries. Participants described feelings of anger/frustration, social isolation/loneliness, and depression as mental health challenges, in addition to developing identity as a person with a disability and timing of supportive mental health services such as SCI peer mentors.</p><p><strong>Conclusions/implications: </strong>Persons with SCI identified the need for improved access to community resources as well as mental health services. The findings can guide the development of practice recommendations and resources for rehabilitation professionals and mental health providers. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062835","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":"Social inequalities in mental health: Exploring the mediating role of psychosocial resources in individuals with spinal cord injury.","authors":"Caroline Debnar, Christine Fekete, Stéphane Cullati, Mayra Galvis, Janina Lüscher","doi":"10.1037/rep0000620","DOIUrl":"https://doi.org/10.1037/rep0000620","url":null,"abstract":"<p><strong>Objective: </strong>Lower mental health was observed in individuals with lower socioeconomic position (SES) in the general population. Similarly, social inequalities in mental health have also been observed in individuals with spinal cord injury (SCI), however, there is limited knowledge of the nonbiological mechanisms contributing to this uneven distribution. Previous research has demonstrated that psychosocial resources are linked to improved mental health. The aims of the present study were (a) to investigate the direct effects between SES and mental health load and (b) the mediating role of psychosocial resources in the SES mental health load associations in individuals living with SCI.</p><p><strong>Research method: </strong>Cross-sectional self-report data from <i>N</i> = 1,294 persons living with SCI from the Swiss Spinal Cord Injury Cohort study were analyzed using structural equation modeling. SES was operationalized by education, household income, perceived financial hardship, and subjective social status. Psychosocial resources were operationalized by self-esteem, self-efficacy, hope, optimism and energy, feeling of belonging, purpose in life, social support, and relationship satisfaction. Mental health load was operationalized by emotional state, depressive symptoms, psychological distress, and affective components of well-being.</p><p><strong>Results: </strong>Higher SES was significantly associated with lower mental health load. Self-esteem, self-efficacy, optimism and energy, feeling of belonging, purpose in life, and relationship satisfaction were found to mediate the association between SES and mental health load.</p><p><strong>Conclusion: </strong>The study underscores potential interventions to address socioeconomic inequalities in mental health load among individuals living with SCI. Strengthening psychosocial resources could offer promising interventions, particularly for those from low SES backgrounds facing mental health challenges. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034959","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":"Improving knowledge and attitudes via an interactive video: A randomized controlled trial.","authors":"Michele C McDonnall, Karla Antonelli, Emily G Marett","doi":"10.1037/rep0000622","DOIUrl":"https://doi.org/10.1037/rep0000622","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluated the effectiveness of an interactive video (IV) to improve knowledge, attitudes, and intent to hire people who are blind or have low vision (B/LV) and determined whether immediate improvements were retained 3 months later.</p><p><strong>Method: </strong>We conducted two randomized controlled trials to evaluate the IV's effectiveness, one involving 157 management students, and the other including 63 adults involved in making hiring decisions for their organizations. In both studies, participants took a pretest consisting of six outcome measures, viewed the IV or a control video, and completed an immediate posttest. Study 1 participants also completed a 3-month follow-up.</p><p><strong>Results: </strong>Viewing the IV was associated with large improvements in knowledge about B/LV and explicit attitudes about employing people who are B/LV and medium increases in intent to hire. Changes in discomfort around people who are B/LV and implicit attitudes about their competence were mixed. Improvements exhibited immediately after viewing the IV were retained.</p><p><strong>Conclusions: </strong>Research supports that improvements in these outcome measures may be associated with an increased likelihood of hiring an applicant who is B/LV. Organizations could adopt the video as a training for personnel who are involved in making hiring decisions to promote inclusive hiring. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041179","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 barriers to spinal cord injury rehabilitation services in Nepal: A qualitative study of rehabilitation professionals' perspectives.","authors":"Muna Bhattarai, Sadiksha Karki, Mandira Baniya, Raju Dhakal, Heather B Taylor","doi":"10.1037/rep0000575","DOIUrl":"10.1037/rep0000575","url":null,"abstract":"<p><strong>Purpose/objective: </strong>This study aims to explore the perspectives of rehabilitation professionals regarding the barriers to spinal cord injury (SCI) rehabilitation services in Nepal.</p><p><strong>Research method/design: </strong>A qualitative study involved 15 rehabilitation professionals working in the Spinal Injury Rehabilitation Center in Nepal. After obtaining informed consent, in-depth semistructured interviews were conducted using Zoom and phone calls between June and July 2023. Braun and Clarke's thematic analysis approach was utilized to analyze the interviews and generate themes from the participants' responses.</p><p><strong>Results: </strong>The participants represented nine different rehabilitation professions. Over half of them were female (53.33%), and 86.67% had one to 10 years of experience in SCI rehabilitation. From in-depth interviews, four themes depicting barriers to rehabilitation were identified: (a) resource constraints within the rehabilitation centers, (b) concerns related to finance, awareness, and support mechanisms, (c) systemic problems coupled with geographical and physical barriers, and (d) beliefs and practices influencing access and adherence to rehabilitation.</p><p><strong>Conclusions and implications: </strong>Delivering effective rehabilitation services for people with SCI presents a range of barriers. Considering the critical importance of rehabilitation for this population, the findings underscore the necessity of engaging stakeholders at multiple levels, individuals, communities, and government agencies to address the identified barriers and improve rehabilitation services in Nepal. The implications of the findings are further discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"203-213"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903218","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":"Cultural, moral, and ethical considerations in the inclusion of nonterminal conditions and mental illness in medical assistance in dying (MAiD) laws.","authors":"Kathleen S Brown","doi":"10.1037/rep0000597","DOIUrl":"https://doi.org/10.1037/rep0000597","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Medical assistance in dying (MAiD) is permitted in certain U.S. jurisdictions and other countries for suffering associated with terminal physical illness, such as advanced cancer, progressive neurological disease, and major organ failure, in which natural death is foreseeable. In a few European countries and Canada, eligibility for MAiD has recently been extended for nonterminal chronic health conditions and severe psychiatric illnesses that are considered to be irremediable.</p><p><strong>Results: </strong>For psychologists, this expansion of eligibility for MAiD in other countries raises considerable questions within cultural, moral, and ethical contexts.</p><p><strong>Design: </strong>This commentary is based on personal reflections within the framework of the foundational principles of rehabilitation psychology given our knowledge of how MAiD potentially differentially impacts the disability community.</p><p><strong>Conclusions/implications: </strong>Rehabilitation psychologists need to grapple with the complexity of the issues to begin to forecast the research, education, practice standards, and policies that are needed before legislation is proposed in the United States. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":"70 2","pages":"123-130"},"PeriodicalIF":1.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022428","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}