Rehabilitation Psychology最新文献

{"title":"Cognitive remediation for schizophrenia: Clinician perspectives on implementation barriers and facilitators.","authors":"Rosalie Ariane Eva Altman, Maree Reser, Eric Josiah Tan, Susan Lee Rossell","doi":"10.1037/rep0000552","DOIUrl":"10.1037/rep0000552","url":null,"abstract":"<p><strong>Objectives: </strong>Neurocognitive deficits in schizophrenia have a major impact on functioning; however, they remain poorly targeted by available treatment offerings. Cognitive remediation (CR) is effective in improving neurocognition and functioning. Despite clinical guidelines for schizophrenia recommending CR, it is still not readily available in clinical services and sizeable attrition rates are reported in clinical trials.</p><p><strong>Method: </strong>To elucidate the barriers and facilitators of CR access and engagement, we conducted a mixed methods qualitative-dominant study with 12 clinicians in Australia, in 2021, with 1 hr interviews and additional rating scales completed.</p><p><strong>Results: </strong>Thematic analysis highlighted four themes (cognitive symptoms, CR intervention, motivation and engagement in CR, and CR implementation), and 14 subthemes. Clinicians emphasized the broad impact of cognitive deficits and outlined pros and cons of different CR approaches. Several factors were suggested as impacting engagement, including motivation assessments/techniques, neurocognitive insight, illness, and demographic factors. Lack of routine implementation in Australia was unanimously espoused and partly explained by a need for cost-effectiveness analyses, remote and flexible delivery, and increasing service resource provision and staff training in CR.</p><p><strong>Conclusions: </strong>This study offers key insights into CR access, while recommending methods for optimizing CR implementation and dissemination to improve recovery outcomes of people diagnosed with schizophrenia. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"171-183"},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177186","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":"Do depressive and anxiety symptoms influence the construct validity of Multiple Sclerosis Walking Scale-12 scores?","authors":"Petra Šilić, Catherine D Jones, Brenda Jeng, Robert W Motl","doi":"10.1037/rep0000534","DOIUrl":"10.1037/rep0000534","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Walking dysfunction, depression, and anxiety are prevalent, burdensome, and interrelated outcomes in persons with multiple sclerosis (MS). The 12-item Multiple Sclerosis Walking Scale (MSWS-12) is a common patient-reported outcome (PRO) of walking dysfunction in research and practice involving MS, but the construct validity of its scores might be influenced by symptoms of depression and anxiety. This study examined if symptoms of depression and anxiety influenced the construct validity of MSWS-12 scores.</p><p><strong>Research method/design: </strong>The sample included 189 participants with MS who completed the MSWS-12, Hospital Anxiety and Depression Scale (HADS-Depression subscale [HADS-D] and HADS-Anxiety subscale [HADS-A]), 6-minute walk (6MW), and timed 25-foot walk (T25FW). We conducted bivariate correlation analysis to examine the associations between MSWS-12 scores and both the 6MW and T25FW, while controlling for HADS-D and HADS-A scores.</p><p><strong>Results: </strong>MSWS-12 scores were significantly correlated with the 6MW (<i>r</i> = -.752), T25FW (<i>r</i> = .694), HADS-D (<i>r</i> = .405), and HADS-A (<i>r</i> = .235). The correlations between MSWS-12 and 6MW (pr = -.725) and T25FW (pr = .685) did not change when controlling for HADS-D and HADS-A scores. The correlations between MSWS-12 and 6MW (<i>r</i> = -.708 and <i>r</i> = -.726) and T25FW (<i>r</i> = .687 and <i>r</i> = .748) were strong in subsamples with elevated HADS-D and HADS-A scores.</p><p><strong>Conclusions/implications: </strong>Our results strengthen the validity evidence for MSWS-12 scores as a PRO of walking dysfunction in MS, including among those with symptoms of depression and anxiety. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"129-134"},"PeriodicalIF":2.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139080975","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":"Suicidal ideation among individuals aging with spinal cord injury.","authors":"Jillian M R Clark, James S Krause","doi":"10.1037/rep0000529","DOIUrl":"10.1037/rep0000529","url":null,"abstract":"<p><strong>Objective: </strong>To identify the prevalence of suicidal ideation (SI) and its correlates among an aging cohort of people with spinal cord injury (SCI) with an average of more than three decades of having lived with SCI.</p><p><strong>Research method: </strong>The study was a cross-sectional analysis of self-report assessment data. These data were collected from 2018 to 2019 during the most recent data collection period of the 45-year SCI Longitudinal Aging Study. Participants (<i>n</i> = 553) were identified from specialty and university hospitals in the southeastern and midwestern United States. The participants averaged 31 years since SCI onset, with an average age of 58 years. Participants were predominantly non-Hispanic, White (79%), male (70.1%), and had a cervical level SCI (51%). Approximately 23% of participants were ambulatory. SI was assessed using a nonzero response to the ninth item on the Patient Health Questionnaire-9.</p><p><strong>Results: </strong>Over 14% of the sample endorsed experiencing recent SI. Bivariate analyses indicated that those with SI had greater pain severity, pain interference, depressive symptom severity, and frequency of anxiety. Having a cervical injury level, lower self-reported general health, instrumental social support, emotional social support, and fewer days spent outside the home were also associated with SI. Logistic regression analysis indicated that when all biopsychosocial variables were considered simultaneously, having a cervical-level injury and greater depressive symptom severity remained significantly associated with SI.</p><p><strong>Conclusion: </strong>The results of this study highlight the importance of continued assessment of depressive symptoms and SI as individuals age with SCI. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"153-158"},"PeriodicalIF":2.7,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71427915","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":"Predictors of participation in online self-management programs: A longitudinal observational study.","authors":"Elena D Staguhn, Tricia Kirkhart, Lauren Allen, Claudia M Campbell, Stephen T Wegener, Renan C Castillo","doi":"10.1037/rep0000521","DOIUrl":"10.1037/rep0000521","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Lack of patient participation and engagement remains a barrier to implementing effective online self-management and behavioral health interventions. Identifying patient characteristics associated with engagement rates may lead to interventions that improve engagement in traditional and online self-management programs. In this study, two online self-management and recovery programs were evaluated to identify factors that predict patient engagement.</p><p><strong>Research method/design: </strong>Predictors were collected in a questionnaire at baseline before 435 participants started either of the two interventions. One or two online lessons were completed per week with seven or eight total lessons to complete in each program, and each lesson took about 20-30 min to finish. Full patient engagement was defined as completing all lessons and assessments in the program and partial engagement as attempting at least one lesson or assessment.</p><p><strong>Results: </strong>Predictors of full patient engagement were self-rated confidence in completing the program or being over 60 years of age. Predictors of at least partial patient engagement were experienced ordering online or being over 50 years of age.</p><p><strong>Conclusions/implications: </strong>Identifying profiles of individuals who predict poor engagement may improve implementation and the health outcomes of intervention programs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"102-109"},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92156974","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":"Inaugural editorial: Rehabilitation Psychology.","authors":"Paul B Perrin, Anna L Kratz","doi":"10.1037/rep0000539","DOIUrl":"10.1037/rep0000539","url":null,"abstract":"<p><p>For over 50 years, <i>Rehabilitation Psychology</i> has helped highlight important issues experienced by the disability community. We are extremely excited to continue that legacy in our role as the journal's first dual editors-in-chief, and we look forward to working with our associate editors, Kathleen Bogart and Daniel Klyce, our editorial fellows, and our large editorial board and ad hoc reviewer pool. In our tenure as the journal's editors, we will focus heavily on (a) providing exceptional service, (b) emphasizing diversity and disability identity, (c) broadening the scope of the field, (d) promoting high-quality research standards, and (e) looking ahead. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":"69 1","pages":"1-3"},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139564925","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":"Examining the roles of disability-related body esteem and perceived burdensomeness in suicidal ideation among adults with vision- and mobility-related disabilities.","authors":"Lauren R Khazem, Cameron M Long, Jarrod M Hay, Emily M Lund, Michael D Anestis, Kim L Gratz, Matthew T Tull, Craig J Bryan","doi":"10.1037/rep0000514","DOIUrl":"10.1037/rep0000514","url":null,"abstract":"<p><strong>Purpose/objective: </strong>People with disabilities (PWD) generally exhibit an increased risk of suicidal ideation (SI) and behaviors. Underlying cognitive states, namely perceived burdensomeness, have been identified as a contributor to the increased risk of suicidal thoughts and behaviors in PWD. However, the role of body esteem in the development of SI in this population remains unexamined, despite its salience in other populations. In this study, we examined whether the interaction of perceived burdensomeness and body esteem contributed to the perceived likelihood of future SI among PWD, and whether this relationship was further moderated by disability type.</p><p><strong>Method: </strong>Participants included 119 adults with self-reported vision- and mobility-related disabilities who participated in a larger study focused on disability and suicide involving interviews and self-report measures. We examined the interaction between perceived burdensomeness and disability-related body esteem on self-reported likelihood of future SI and whether this interaction was further moderated by disability type (i.e., vision- or mobility-related disability).</p><p><strong>Results: </strong>Greater perceived burdensomeness was associated with a greater perceived likelihood of future SI only for participants with vision impairments and at low levels of body esteem.</p><p><strong>Conclusions/implications: </strong>The combination of experiences of perceived burdensomeness and low body esteem may be particularly relevant to SI among people with vision-related versus mobility-related disabilities. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"24-28"},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9967722","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":"Latent profile analysis of the symptoms of depression and activities of daily living impairment among older adults.","authors":"Kexin Zhou, Min Wang, Li Yang, Zihan Gao, Xiao Wei, Jinke Kuang, Mengfan Xu","doi":"10.1037/rep0000518","DOIUrl":"10.1037/rep0000518","url":null,"abstract":"<p><strong>Background: </strong>With the aging population, depressive symptoms and impaired Activities of Daily Living have increased medical costs and mortality, generating severe public health issues. This study reconsiders the potential classification of depressive symptoms and ADL impairment in older adults and identifies various factors that may affect classifications.</p><p><strong>Methods: </strong>This study focused on 6270 Chinese adults aged 65 years or older. We used latent profile analysis to explore depressive symptoms and ADL impairment (basic ADLs and instrumental ADLs) in various subgroups of older adults. We used Chi-square analysis and multivariate logistic regression to examine the determinants of depressive symptoms and ADL impairment among subgroups.</p><p><strong>Results: </strong>The study's results classified older adults into three subgroups: those with high level depressive symptoms and BADLs and IADLs impairment, those with moderate level depressive symptoms and IADLs impairment, and those with no to low level depressive symptoms and without BADLs and IADLs impairment. Illiterate, having fallen in the past year, as well as having hearing difficulties all predicted high level depressive symptoms and severe BADLs and IADLs impairment. In contrast, regular exercise, contact with friends, playing cards/mahjong, participating in organized social activities, and visiting siblings predicted moderate level depressive symptoms and IADLs impairment.</p><p><strong>Conclusion: </strong>This paper discusses what is known about the various subgroups as well as the treatment of depressive symptoms and ADL impairment in older populations. It also gives policy and practice recommendations for the future that may help rehabilitate and maintain the mental health and ADLs independence of older adults. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"45-54"},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71427894","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":"Barriers to finding psychology postdoctoral training opportunities in intensive care settings.","authors":"Andrew D May, Jamie L Tingey, Kirk J Stucky, Quinn D Kellerman, Megan M Hosey","doi":"10.1037/rep0000524","DOIUrl":"10.1037/rep0000524","url":null,"abstract":"<p><strong>Purpose/objective: </strong>U.S. health organizations, including Division 22 of the American Psychological Association, the Society for Critical Care Medicine, and the American Thoracic Society advocate for psychological treatment that improves long-term outcomes in critical illness survivors. However, limited information exists with regard to psychology training opportunities in intensive care settings. We aim to identify and describe (a) existing psychology programs with training in intensive care settings and (b) barriers to finding these training opportunities.</p><p><strong>Research method/design: </strong>Using aspects of the Arksey and O'Malley Framework and Preferred Reporting Items for Systematic Review and Meta-Analyses Extension for Scoping Reviews reporting checklist as guides, two independent reviewers searched the Association of Psychology Postdoctoral and Internship Centers (APPIC) Directory and Universal Psychology Postdoctoral Directory (UPPD) to identify programs with training experiences in intensive care settings.</p><p><strong>Results: </strong>Searching the APPIC Directory did not reliably or accurately identify training opportunities in intensive care settings. Thus, only programs identified in the more reliable UPPD search were considered for inclusion. After duplicates were removed, searches using the UPPD yielded 31 programs for review. Of those, 22 programs met inclusion, offering heterogeneous training in intensive care settings.</p><p><strong>Conclusions/implications: </strong>These results suggest few opportunities exist for psychology training in intensive care settings and available opportunities are difficult to identify using standard search methods. The identified challenges also emphasize the need for advanced search features for training opportunities within APPIC/UPPD and/or a list of programs offering these training opportunities. Our results highlight the importance of program descriptions that accurately and comprehensively reflect training opportunities-particularly relating to opportunities in intensive care settings. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"70-73"},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11749554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71427892","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":"Evaluation of online adaptive yoga for psychological well-being in adults with disabilities.","authors":"Megan J Sundstrom, Alexa L Asplund, Viann N Nguyen-Feng","doi":"10.1037/rep0000520","DOIUrl":"10.1037/rep0000520","url":null,"abstract":"<p><strong>Purpose/objective: </strong>The present study examined the preliminary effectiveness of an online, community-based adaptive yoga program on mindfulness, social connectedness, life satisfaction, and communicative participation.</p><p><strong>Research method/design: </strong>Adults (<i>N</i> = 48) were from a U.S. Midwest rehabilitation program and modally identified as White (73%), women (68%), and in their 30s (24%). One-third (35%) of participants were able to walk independently, and cerebral palsy was the most common primary disability diagnosis (32%). The 90-min adaptive yoga program and assessments were offered online weekly for 6 weeks, in which data from 29 participants across three sessions were included in the present analyses.</p><p><strong>Results: </strong>Regarding our primary outcome of interest, there was a statistically significant positive increase in mindfulness over time, <i>F</i>(1, 28) = 5.66, <i>p</i> = .02, with a strong effect size, <i>d</i> = 2.43. All secondary variables had statistically nonsignificant changes over time, although with large effect sizes: social connectedness (<i>d</i> = 0.77), life satisfaction (<i>d</i> = 0.92), and communicative participation (<i>d</i> = 0.40).</p><p><strong>Conclusions/implications: </strong>The present study provides support for well-being programs for an underserved group; specifically, an online adaptive yoga program with routine outcome monitoring assessments has preliminary effectiveness in increasing mindfulness. Consideration of such well-being programs alongside insurance would be an important policy consideration. Further controlled research is necessary to draw decisive conclusions. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"55-60"},"PeriodicalIF":2.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71427893","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":"Evaluating the benefits of a second pain treatment following a clinical trial.","authors":"Tracy M Anastas, Aaron P Turner, Erica J Ho, Melissa A Day, Dawn M Ehde, Mark P Jensen, Rhonda M Williams","doi":"10.1037/rep0000510","DOIUrl":"10.1037/rep0000510","url":null,"abstract":"<p><strong>Objective: </strong>To examine the value of including an open label phase after a clinical trial of pain treatments by examining participant characteristics and potential benefits.</p><p><strong>Method: </strong>Secondary data analysis. Veterans with chronic pain who completed a randomized controlled trial (RCT) comparing hypnosis, mindfulness meditation, and pain education were invited to participate in an open label phase. Average and worst pain intensities, pain interference, and depression were assessed pre- and postopen label phase; global impressions of change and treatment satisfaction were assessed at postopen label phase only.</p><p><strong>Results: </strong>Of those who were offered the open label phase, 40% (<i>n</i> = 68) enrolled. Enrollees were likely to be older, to have attended more sessions in the RCT, to be satisfied with their first treatment, and to perceive improvement in their ability to manage pain after the RCT. In the open label phase, depression and worst pain decreased across all three treatment conditions. No other improvements were observed. However, most Veterans perceived improvements in pain intensity, ability to manage pain, and pain interference, and were satisfied with the second intervention.</p><p><strong>Conclusions: </strong>There appears to be some value to adding an open label phase to the end of a trial of pain treatments. A substantial portion of study participants elected to participate and reported it to be beneficial. Exploring data from an open label phase can illuminate important aspects of patient experience, barriers to and facilitators of care, as well as treatment preferences. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"74-83"},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10728346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9760378","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}