{"title":"When support feels close: The buffering role of perceived service proximity in disability, safety, and self-rated health.","authors":"Sahana Tiwana, Gum-Ryeong Park","doi":"10.1037/rep0000698","DOIUrl":"https://doi.org/10.1037/rep0000698","url":null,"abstract":"<p><strong>Purpose/objectives: </strong>This study investigates (a) the association between daily perceived disability levels and two key outcomes (perception of safety and self-rated health) and (b) whether proximity to health care and social welfare centers moderates these associations among community-dwelling adults with disabilities in Korea. Research Methods/Design: Using three waves (2018-2020) of data from the nationally representative Disability and Life Dynamic Panel (<i>n</i> = 5,165; 14,018 observations), we conducted individual-level fixed-effects regressions to estimate the associations between perceived disability levels and the two outcomes. Interaction terms were included to assess the moderating effects of proximity to social welfare and health care centers.</p><p><strong>Results: </strong>Greater perceived disability levels were significantly associated with lower perceived safety (<i>b</i> = -0.081) and poorer self-rated health (<i>b</i> = -0.132). These negative associations were attenuated among individuals reporting proximity to social welfare and health care centers, suggesting a buffering role of perceived service accessibility.</p><p><strong>Conclusion/implications: </strong>These findings highlight the importance of place-based interventions that improve accessibility to essential services in promoting health and well-being for people with disabilities. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197017","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}
Enzo G Plaitano, Hanan H Hamed, Eric Kuhn, Brian P Suffoletto, Maria L Pacella-LaBarbara
{"title":"Cognitive appraisal processes mediate postinjury pain and disability: A longitudinal observational study.","authors":"Enzo G Plaitano, Hanan H Hamed, Eric Kuhn, Brian P Suffoletto, Maria L Pacella-LaBarbara","doi":"10.1037/rep0000696","DOIUrl":"https://doi.org/10.1037/rep0000696","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Psychological appraisal processes of pain catastrophizing (PC) and perceived injustice (PI) are involved in the transition to postinjury disability. Although these factors are modifiable and may serve as ideal intervention targets to improve recovery, they have not been examined as mediators between acute pain and postinjury disability. The present study utilized longitudinal mediation to examine acute PC and PI as mechanisms by which acute pain contributes to 90-day disability in adults after a motor vehicle crash.</p><p><strong>Research method/design: </strong>This study represents secondary data analysis of a null randomized controlled trial. In total, 47 emergency department patients (<i>M</i><sub>age</sub> = 37 years; 64% female) completed an assessment within 24 hr postinjury, and 30-day and 90-day follow-up assessments on postinjury PC, PI, and disability. We utilized longitudinal mediation models to estimate direct and indirect effects adjusted for age, sex, preinjury disability, and intervention.</p><p><strong>Results: </strong>Higher levels of PI and PC were associated with greater disability. There was a statistically significant indirect effect for PC and PI, suggesting that the relationship between emergency department pain and 90-day disability was partially explained by these psychological appraisal mechanisms.</p><p><strong>Conclusion/implications: </strong>Patients at risk for postinjury disability display higher levels of PC, in the form of rumination, feeling helpless, or magnifying their pain, and higher levels of PI, via blaming others for their situation. Future work is warranted to determine whether interventions targeting these mechanisms may help improve long-term postinjury recovery. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13641149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116656","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}
Madison Fansher, Anthony T Fauser, Jonathan P Troost, Jennifer A Miner, Christopher M Graves, Angelle M Sander, Noelle E Carlozzi
{"title":"Understanding sleep-related quality of life in caregivers of people with traumatic brain injury.","authors":"Madison Fansher, Anthony T Fauser, Jonathan P Troost, Jennifer A Miner, Christopher M Graves, Angelle M Sander, Noelle E Carlozzi","doi":"10.1037/rep0000691","DOIUrl":"10.1037/rep0000691","url":null,"abstract":"<p><strong>Purpose/objective: </strong>This study examined the relationships among measures of subjective and objective sleep-related quality of life (SRQOL), health-related quality of life (HRQOL), and care recipient functioning in caregivers of persons with traumatic brain injury (PwTBI).</p><p><strong>Research method/design: </strong>This secondary analysis utilized data from a 6-month randomized controlled trial conducted at two academic medical centers. The sample included 257 informal caregivers of PwTBI, who completed monthly survey assessments and continuous wrist actigraphy monitoring. Objective SRQOL was measured as average sleep duration and variability via actigraphy; subjective SRQOL was measured using PROMIS Fatigue and Sleep-Related Impairment. HRQOL was assessed with established caregiver and general health measures.</p><p><strong>Results: </strong>Caregivers (<i>n</i> = 228) slept a mean of 6.8 hr per night, with a mean within-month night-to-night variability of approximately 1.4 hr. Objective and subjective SRQOL were weakly correlated (<i>r</i> = -.02-.28), and neither was strongly associated with care recipient functioning. However, subjective sleep impairment and fatigue were highly correlated (<i>r</i> = .84) and showed moderate to high associations with most measures of HRQOL (<i>r</i> > .40). Linear mixed-effects models indicated that greater between-subjects sleep variability, but not sleep duration, was associated with worse global physical and mental health.</p><p><strong>Conclusion/implications: </strong>These findings highlight the need to further examine the relationship between sleep variability and HRQOL in caregivers of PwTBI. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116713","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}
Wei Du, Xi-Yuan Peng, Wei Li, Ur-Rehman Attiq, Xiao-Min Li, Rui Feng, Kang Zhong, Xin-Rui Lu, Hong-Lin Chen
{"title":"Mapping applications of artificial intelligence in social support for persons with disabilities: A systematic scoping review.","authors":"Wei Du, Xi-Yuan Peng, Wei Li, Ur-Rehman Attiq, Xiao-Min Li, Rui Feng, Kang Zhong, Xin-Rui Lu, Hong-Lin Chen","doi":"10.1037/rep0000692","DOIUrl":"10.1037/rep0000692","url":null,"abstract":"<p><strong>Purpose/objectives: </strong>An increasing number of studies have verified the application potential of artificial intelligence (AI) in advancing rights protection and social inclusion for persons with disabilities. This study maps AI applications in social support for persons with disabilities through the lens of participation, autonomy, and environmental fit and identifies structural patterns, evidence gaps, and implications for the field. Research Methods/Design: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines, a systematic scoping review was conducted in PubMed and Web of Science to comprehensively evaluate the current research landscape within this emerging domain.</p><p><strong>Results: </strong>A total of 72 relevant studies were identified. AI applications spanned five key areas: \"Mobility and Navigation Assistance\" (<i>n</i> = 20, 41.7%), \"Communication and Information Accessibility\" (<i>n</i> = 14, 29.2%), \"Smart Assistance for Daily Living\" (<i>n</i> = 7, 14.6%), \"Education and Vocational Empowerment\" (<i>n</i> = 5, 8.3%), and \"Mental Health Support and Social Inclusion\" (<i>n</i> = 3, 6.3%). Domains addressing psychosocial participation were represented by very few studies, limiting the generalizability of findings. Critical challenges included ethical concerns regarding data privacy (58.3%), inadequate training datasets (25.0%), high implementation costs (25.0%), algorithmic biases (20.8%), and limited real-world evidence of benefits (20.8%).</p><p><strong>Conclusion/implications: </strong>The review reveals a structural imbalance favoring functional over psychosocial support, a predominantly medical-model orientation in AI development, and systematic underrepresentation of persons with intellectual and psychosocial disabilities. These findings underscore the need for psychosocial applications, social-model approaches, real-world validation, and inclusive codesign. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992092","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}
Melissa Shang, Franchesca Castro-Ramirez, Taylor C McGuire, Kathleen R Bogart
{"title":"Lifetime suicidal thoughts and attempts among people with disabilities: Applying the minority stress model.","authors":"Melissa Shang, Franchesca Castro-Ramirez, Taylor C McGuire, Kathleen R Bogart","doi":"10.1037/rep0000694","DOIUrl":"10.1037/rep0000694","url":null,"abstract":"<p><strong>Purpose/objective: </strong>People with disabilities experience substantially higher rates of suicidal thoughts and attempts than their nondisabled peers. They also face significant experienced and internalized stigma, which has been linked to poorer mental health outcomes. This study applied the minority stress theory to examine how distal (overt discrimination and microaggressions) and proximal (internalized stigma and disability concealment) stressors relate to lifetime suicidal thoughts and attempts among people with disabilities. It also examined the role of perceived burdensomeness and thwarted belongingness as mediators.</p><p><strong>Research method/design: </strong>Participants were 279 U.S. adults with disabilities who completed an online survey. A multinomial regression was used to assess the associations between minority stressors and lifetime suicidal thoughts and attempts. A parallel path analysis with manifest variables was used to assess the mediating roles of perceived burdensomeness and thwarted belongingness.</p><p><strong>Results: </strong>Internalized stigma was significantly associated with an increased risk of lifetime suicidal thoughts and attempts, with perceived burdensomeness mediating this relationship for attempts. Overt discrimination, microaggressions, and disability concealment were not significantly linked to lifetime suicidal thoughts or attempts. Thwarted belongingness was also not a significant mediator.</p><p><strong>Conclusion/implications: </strong>These findings underscore the need for disability-informed mental health treatment that addresses internalized stigma and promote suicide gatekeeper training for professionals who work with people with disabilities. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931559","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}
Jennifer G Pearlstein, Natalie A Snodgrass, Mercedes A Zapata, Dawn M Ehde
{"title":"A multidimensional examination of resilience in multiple sclerosis.","authors":"Jennifer G Pearlstein, Natalie A Snodgrass, Mercedes A Zapata, Dawn M Ehde","doi":"10.1037/rep0000693","DOIUrl":"10.1037/rep0000693","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Multiple sclerosis (MS) is a chronic neurological condition associated with substantial physical and mental health symptoms, yet psychosocial outcomes vary widely. This variability suggests resilience may play a critical role in adaptation. This study aimed to characterize resilience in adults with MS who identified as having a disability by examining interrelations among individual- and social-level psychosocial factors.</p><p><strong>Research method/design: </strong>This observational, exploratory study included 534 adults with MS who completed an online self-report survey. Measures assessed individual-level factors (affective experience, emotion regulation, coping strategies, disability identity), social-level factors (perceived social support and participation in social roles and activities), and global resilience. Analyses included bivariate correlations, confirmatory factor analyses, and hierarchical multiple regressions.</p><p><strong>Results: </strong>Individual-level processes accounted for the majority of variance in resilience. Greater positive affect was positively associated with higher resilience (βs = .13-.15, <i>p</i> < .001). Fewer difficulties in emotion regulation were strongly associated with higher resilience (β = -.27, <i>p</i> < .001). Adaptive coping strategies were positively associated with resilience with small effects (βs = .09-.13, <i>p</i> < .01). Disability identity attitudes of self-worth (β = .13, <i>p</i> = .002) and personal meaning (β = .07, <i>p</i> = .030) were also positively associated with higher resilience.</p><p><strong>Conclusions/implications: </strong>Findings support conceptualizing resilience in MS as a multidimensional, contextually embedded process. Results underscore the importance of interventions that support cultivating positive affect, emotion regulation, adaptive coping, and positive disability identity. This work informs future psychosocial intervention and rehabilitation efforts aimed at promoting quality of life. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931515","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}
Anna L Kratz, Jade Treder, Josiah Goga, Evan Smith, Dawn Ehde
{"title":"\"Find sunshine wherever you can\": A conceptual model of psychosocial wellness based on perspectives from individuals with multiple sclerosis.","authors":"Anna L Kratz, Jade Treder, Josiah Goga, Evan Smith, Dawn Ehde","doi":"10.1037/rep0000690","DOIUrl":"10.1037/rep0000690","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Psychosocial wellness (PSW), a construct incorporating emotional/psychological well-being and social/collective well-being, is not well defined in people with multiple sclerosis (MS). We conducted a qualitative study of definitions and experiences of PSW, facilitators and barriers, and associations with distress and resilience to inform an empirically grounded person-centered conceptual model of PSW in MS.</p><p><strong>Research method/design: </strong>Five focus groups (∼90 min) were conducted via videoconference with 40 adults with MS from the United States between March and April 2024. Focus groups were facilitated by a clinical psychologist using a semistructured guide and were audio-recorded, transcribed, deidentified, and analyzed using thematic analysis within a constructivist framework to generate a PSW conceptual model.</p><p><strong>Results: </strong>We identified 11 minor themes (<i>italicized</i> in parentheses) organized under nine major themes: Definitions of PSW, temporal characteristics (<i>daily variability, change over time, hope follows grief</i>), psychological contributors to PSW (<i>silver linings and flexibility and acceptance)</i>, behavioral contributors to PSW (<i>creative outlets/hobbies, symptom management</i>), social contributors to PSW (<i>supporters and partners, contribution/responsibility, finding community, setting boundaries),</i> spirituality, environmental barriers, social/cultural barriers, and health and function barriers. Themes informed a conceptual model of PSW as a dynamic, individualized equilibrium between distress and satisfaction shaped by shifting facilitators and barriers; resilience buffers the effects of barriers to PSW.</p><p><strong>Conclusion/implications: </strong>Qualitative themes informed an empirically grounded, person-centered model of PSW in MS. Participants' descriptions highlight concrete, teachable strategies-such as psychological flexibility, value-based role redefinition, boundary setting, activity adaptations, and savoring-that could be leveraged to support living well with MS. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708001","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}
Sandy J Lwi, Jas Chok, Krista Schendel, Timothy J Herron, Brian C Curran, Juliana V Baldo
{"title":"A randomized controlled trial of online mindfulness-based stress reduction in chronic stroke.","authors":"Sandy J Lwi, Jas Chok, Krista Schendel, Timothy J Herron, Brian C Curran, Juliana V Baldo","doi":"10.1037/rep0000651","DOIUrl":"10.1037/rep0000651","url":null,"abstract":"<p><strong>Purpose/objectives: </strong>Mindfulness-based stress reduction (MBSR) has been shown to improve mental health and well-being in people with different medical conditions. However, whether it improves outcomes in chronic stroke populations is less clear, as few studies have examined the efficacy of MBSR in this population with a randomized controlled trial and an active control condition. Our study aimed to address this gap.</p><p><strong>Research method/design: </strong>People with a history of chronic stroke (n = 59) participated in a randomized controlled trial of MBSR. They were randomly assigned to an online MBSR intervention or an online Brain Health Education intervention. Both interventions were matched on a number of variables, including schedule, instructor, and format. Participants were assessed pre-, post-, and 6 months postintervention using online questionnaires and an online neuropsychological battery.</p><p><strong>Results: </strong>MBSR did not lead to improved anxiety <i>F</i>(2, 55) = 1.13, <i>p</i> = .321, η² = .01) or depression <i>F</i>(2, 68) = 0.53, <i>p</i> = .588, η² = .002) symptoms over time. Exploratory outcomes of cognitive functioning, physical health, and well-being also revealed no MBSR-specific improvements over time (<i>p</i>s > .318).</p><p><strong>Conclusions/implications: </strong>People with a history of chronic stroke reported improved outcomes from participating in either intervention, providing support that both online MBSR and Brain Health Education interventions are feasible and low-cost interventions for this population. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"404-416"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12778976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145906973","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":"Disability discrimination, disability permanence, and mental health among U.S. adults.","authors":"Jordan Rubin-McGregor, Jeffrey M Hunger","doi":"10.1037/rep0000643","DOIUrl":"10.1037/rep0000643","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Disability is often framed as an inherently negative experience that harms the mental health and well-being of disabled individuals. This perspective, however, ignores the impact of disability discrimination. The relationship between disability discrimination and mental health has been documented in several cultural contexts, but not yet in a large-scale, nationally representative sample in the United States. Additionally, limited research has explored moderators of the relationship between disability discrimination and mental health. The purpose of the present study was to examine the association between disability discrimination and mental health outcomes, as well as the moderating role of disability permanence-a critical yet understudied component of the disability experience-in shaping this relationship.</p><p><strong>Research method/design: </strong>The present study uses a large national sample of adults with physical disabilities in the United States (<i>N</i> = 5,115), drawn from the second wave of the National Epidemiologic Survey on Alcohol and Related Conditions Wave-II.</p><p><strong>Results: </strong>Our findings reveal that experiencing greater disability discrimination in the prior year predicts greater anxiety and depression, assessed through both symptomology and clinical diagnoses, and that this relationship is stronger for people with temporary (vs. permanent) disabilities.</p><p><strong>Conclusion/implications: </strong>These results underscore the necessity of addressing disability discrimination in order to promote the mental health and well-being of disabled individuals. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"351-361"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776073","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}
Laurie N Baker, Brigid Waldron-Perrine, Robert L Karol, Mark Barisa, Greg A Stern, W Mark Sweatman
{"title":"Rehabilitation psychology: 2024 state of the field survey.","authors":"Laurie N Baker, Brigid Waldron-Perrine, Robert L Karol, Mark Barisa, Greg A Stern, W Mark Sweatman","doi":"10.1037/rep0000656","DOIUrl":"10.1037/rep0000656","url":null,"abstract":"<p><strong>Purpose/objective: </strong>To date, only one \"salary survey\" has been published to depict state of the field information specifically for the specialty of rehabilitation psychology (Baker et al., 2022) Given workforce challenges identified since the COVID-19 pandemic, the authors initiated an updated survey to obtain comprehensive information regarding the current workforce. This study provides improved data on rehabilitation psychologists' demographics, geography, board certification, training, and salary information. The current article provides comparisons with the prior survey and discusses advocacy implications for the future of the specialty with respect to service, policy, payment, public impact, and protecting rehabilitation psychology.</p><p><strong>Research method/design: </strong>Members of the American Psychological Association (APA) Division 22 Practice Committee designed, tested, and disseminated the survey via Division 22 membership email listserv. This resulted in a voluntary convenience sample of 295 responses, of which 285 were included in the final data analyses.</p><p><strong>Results: </strong>Findings indicated that 81% of respondents were Division 22 members; most were women (76%), worked in hospitals/medical centers (64%), held PhD degrees (66%), worked in urban/suburban settings (97%), and had a traditional salary compensation structure (65%). Significant income differences were identified based on gender, age, degree, certification, years licensed, job title, and workplace setting. There were no significant differences found by race, disability, population served, or region.</p><p><strong>Conclusions/implications: </strong>Inferences related to salary information, gender, race, ethnicity, workload, reimbursement issues, and implications for our current and future workforce, including the need for additional analyses of experiential information such as quality-of-life items, are discussed. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"480-490"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229407","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}