Rehabilitation Psychology最新文献

{"title":"Comprehensive feedback on user experiences with brain injury identification cards.","authors":"Sarah M Bannon, Natalia Bernal Fernández, Holly Carrington, Kristen Dams-O'Connor, Eric Watson","doi":"10.1037/rep0000586","DOIUrl":"10.1037/rep0000586","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Brain injuries are often \"invisible\" injuries that can have lifelong consequences including changes in identity, functional independence, relationships, and reduced participation in daily activities. Survivors of brain injury experience stigma and challenges related to the misattribution of symptoms to other causes that are significant barriers to recovery and adjustment. Changes in policy and other large-scale interventions are cited as an underexplored, yet critical path to reducing the impact of brain injury. The present study sought to comprehensively characterize the impact of one such initiative-Brain Injury Identification Cards-among survivors to further refine the resource.</p><p><strong>Research method/design: </strong>In this cross-sectional qualitative focus group study, we recruited 16 individuals with a history of brain injury via email listservs of individuals who registered for a Brain Injury Identification Card. We used rapid data analysis with a hybrid of deductive and inductive analytic strategies to identify themes within a priori domains.</p><p><strong>Results: </strong>We extracted themes within four domains: (a) process and reasons for obtaining cards; (b) overall impressions of the cards; (c) uses of the cards; and (d) feedback and proposed changes. Participants described the process of obtaining cards as straightforward and shared wide-ranging benefits across domains, including improving survivors' sense of safety, self-advocacy, and ability to participate in daily activities.</p><p><strong>Conclusions/implications: </strong>Findings highlight the utility of Brain Injury Identification Cards for improving community understanding of brain injury symptoms and how injury-related challenges may manifest in daily life. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"311-319"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367002","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":"Prolonged exposure for posttraumatic stress disorder following spinal cord injury: A randomized controlled trial.","authors":"Megan E Douglas, Monica Bennett, Kirstie A Jones, Jamie R Pogue, Gregory V Chauvette, Seema Sikka, Simon Driver, Rita Hamilton, Nicholas Curcio, Sarita Patel, Andrea Wierzchowski, Maris Adams, Estrella V Thomas, Emma Turner, Kiara Leonard, Emily Carl, Michael Foreman, Ann Marie Warren, Mark B Powers","doi":"10.1037/rep0000580","DOIUrl":"10.1037/rep0000580","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Individuals with a spinal cord injury (SCI) may experience posttraumatic stress disorder (PTSD) at a higher rate, which is associated with worse psychiatric comorbidity, decreased quality of life, and greater disability. Yet, effective PTSD interventions remain understudied for individuals with SCI. We conducted the first randomized controlled trial (RCT) of an evidence-based psychotherapy (prolonged exposure [PE]) with survivors of SCI during acute rehabilitation. We examined the efficacy, feasibility, and secondary outcomes.</p><p><strong>Research method/design: </strong>Participants (<i>n</i> = 29) were adults recruited from 2018 to 2021 1-month postinjury with PTSD randomized into either PE therapy or treatment as usual. The primary outcome was PTSD assessed at baseline, 6, 10, and 32 weeks postenrollment.</p><p><strong>Results: </strong>An overall group-by-time interaction was not statistically significant (<i>p</i> = .102), but effect sizes demonstrated moderate and large improvements in PTSD for the PE group at 6 (-19.4 vs. -9.7) and 10 (-25.8 vs. -5.7), respectively. Similarly, moderate to large effect sizes were observed for depression, maladaptive posttraumatic cognitions, disruptive nocturnal behaviors, SCI-related quality of life, and risky alcohol consumption. Low rates of enrollment (50%) and treatment completion (25%) suggest feasibility challenges; however, treatment completers did report high satisfaction (100%).</p><p><strong>Conclusions/implications: </strong>Results suggest that individuals who received PE had a quicker and clinically meaningful reduction in PTSD symptoms, but delivery during acute rehabilitation is not feasible for many individuals. Future research should examine abbreviated versions of PE for PTSD to enhance the feasibility of treatment in this setting. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"240-254"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113503","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":"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":"https://doi.org/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) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-03","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":"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":"https://doi.org/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) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-03","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}

{"title":"The relationship of resilience with prescription opioid use and misuse among people with spinal cord injury.","authors":"James S Krause, Clara E Dismuke-Greer, Brielle Grant","doi":"10.1037/rep0000628","DOIUrl":"https://doi.org/10.1037/rep0000628","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Spinal cord injury presents major long-term challenges, including the need to manage chronic pain and avoid overuse or misuse of prescription medication. Our purpose was to identify the extent to which resilience, bouncing back quickly from major challenges, is associated with prescription opioid use and misuse, controlling for depression.</p><p><strong>Research method/design: </strong>Follow-up data were collected from 918 individuals with spinal cord injury. Resilience was assessed using the Brief Resilience Scale, and depression was measured with the Patient Health Questionnaire.</p><p><strong>Results: </strong>In total, 13.6% of participants reported low resilience (<i>n</i> = 123), 66.1% reported moderate (<i>n</i> = 598), and 20.3% reported high resilience (<i>n</i> = 184). Resilience was protective of monthly/occasional use and misuse of opioids but not overall opioid use or regular weekly/daily use. Pain intensity was most highly associated with weekly/daily use, yet minimally related to occasional/monthly use. Depression was associated with misuse, overall opioid use, and regular use.</p><p><strong>Conclusions/implications: </strong>Resilience was related to a lower likelihood of use of prescription opioid medications in situations where pain intensity was strongly associated with usage (i.e., intermittent use and using opioids other than prescribed). Resilience is strongly associated with a diminished likelihood of opioid misuse. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561545","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 disability identity and use of person-first and identity-first language.","authors":"Connie M S Janiszewski, Emily Friedel, David Skvarc, Donna Koller, Lisa B Grech","doi":"10.1037/rep0000631","DOIUrl":"https://doi.org/10.1037/rep0000631","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Debate continues over disability language preferences, with some individuals favoring person-first language and others preferring identity-first language. Not all people with disabilities identify as such, and language use may be influenced by an individual's disability identity. This study examined the relationship between disability identity and language use for self-identification, referring to others, and perceived appropriateness across different contexts.</p><p><strong>Research method/design: </strong>In 2021, 776 participants (<i>M</i> = 39.9 years; 72.8% female, 17.5% nonbinary; 87.2% from Australia, 6.1% from the United States, 3.6% from the United Kingdom) completed a survey on demographic and health-related factors, disability identity, disability language use, and perceived appropriateness of disability language use across different contexts. Multiple linear and multinomial logistic regression models explored relationships among these variables.</p><p><strong>Results: </strong>Participants with a stronger disability identity were more likely to use identity-first language and perceived it as more appropriate across contexts, while those with a lower disability identity preferred person-first language. Several demographic and health-related factors significantly predicted stronger disability identity, including younger age, nonbinary gender, residence in \"other\" countries (e.g., New Zealand, Canada, and European countries excluding the United Kingdom), neurodevelopmental, hearing, digestive, or pain conditions, congenital conditions, and having visible or both visible and invisible disabilities.</p><p><strong>Conclusions/implications: </strong>These findings contribute to a deeper understanding of disability identity and language preferences. Future research should explore how personal and environmental contexts influence language use among people with disabilities, as addressing individuals with dignity and respect is essential in advancing toward a more inclusive society. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561544","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":"Self-stigma profiles among transition-age individuals with disabilities.","authors":"Heerak Choi, Allen W Heinemann, Connie Sung","doi":"10.1037/rep0000629","DOIUrl":"https://doi.org/10.1037/rep0000629","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Self-stigma can negatively affect transition-age individuals with disabilities, resulting in low self-worth, decreased psychosocial functioning, and reduced interest in career achievement. This study aimed to identify self-stigma profiles among transition-age individuals with disabilities, describe these profile patterns, and examine differences in basic psychological need satisfaction and career achievability across subgroups defined by these profiles.</p><p><strong>Research method/design: </strong>We conducted a cross-sectional study using an online survey. A total of 199 transition-age individuals with disabilities were included in the data analysis. Latent profile analysis, Fisher's exact test, and one-way analysis of variance were used.</p><p><strong>Results: </strong>The analysis identified a four-profile solution characterized by high, mid-high, mid-low, and low levels of self-stigma in cognition, affect, and behavior. Individuals in the high (<i>n</i> = 17) or mid-high self-stigma groups (<i>n</i> = 104) reported lower satisfaction in autonomy, competence, and relatedness compared to those in the low (<i>n</i> = 19) or mid-low (<i>n</i> = 59) self-stigma groups. These subgroups differed significantly in career achievability, such that individuals in the low or mid-low self-stigma groups reported higher career achievability than those in the high or mid-high self-stigma groups.</p><p><strong>Conclusions/implications: </strong>Transition-age individuals with disabilities require support to reduce self-stigma that is associated with the satisfaction of basic psychological needs and career achievability. This can be achieved by addressing stigmatizing beliefs and fostering empowerment. Replication with a larger, more diverse sample is necessary to validate these findings and develop effective interventions to counter self-stigma. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561543","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":"Patient engagement in inpatient rehabilitation: A scoping review of measures and evolving conceptualizations.","authors":"Mayra L Sánchez González, Kristian Nitsch, Nicolette Carnahan, Rachel V Aaron, Megan M Hosey, Nicole Schechter","doi":"10.1037/rep0000630","DOIUrl":"10.1037/rep0000630","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review aims to describe measures of patient engagement in acute inpatient rehabilitation settings, measurement approaches, and conceptualizations of patient engagement.</p><p><strong>Method: </strong>Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines and the Joanna Briggs Scoping Review Framework, we searched seven databases-PubMed, EMBASE, Cochrane Library, CINAHL Plus, Web of Science, Scopus, and PsycInfo-from inception to May 2024. Inclusion criteria included (a) participants aged 18 or older; (b) conducted in a hospital-based acute inpatient rehabilitation program irrespective of diagnosis; (c) measured patient engagement during rehabilitation; and (d) published in English. Major search concepts included patient engagement, measures, rehabilitation, and inpatient rehabilitation settings. Two independent reviewers assessed eligibility and extracted data, resolving conflicts through consultation with a third reviewer. The initial search identified 8,320 records.</p><p><strong>Results: </strong>Of the 384 studies that underwent full-text review, 37 met inclusion criteria and reported on 10 engagement measures. The Pittsburgh Rehabilitation Participation Scale was the most frequently used, followed by therapy dosage and the Hopkins Rehabilitation Engagement Rating Scale. Most studies used an observer-rated approach. Conceptualizations of engagement varied in depth and integration of theoretical models. Although motivation was a central theme, conceptualizations have evolved, recognizing multiple factors influencing engagement.</p><p><strong>Conclusion: </strong>The lack of consensus on measuring and conceptualizing patient engagement limits efforts to advance research and clinical practices to improve engagement and, ultimately, outcomes in rehabilitation. Future research could explore the clinical utility of existing measures and establish patient-centered best practices for measurement. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12286654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561542","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":"Validation of the Body Compassion Scale in multiple sclerosis.","authors":"Erin G Mistretta, Jennifer K Altman, Lindsey M Knowles, Dawn M Ehde","doi":"10.1037/rep0000618","DOIUrl":"https://doi.org/10.1037/rep0000618","url":null,"abstract":"<p><strong>Purpose/objective: </strong>The Body Compassion Scale (BCS) is a novel measure assessing the extent to which an individual is able to (a) view their body as one of the many components of their personhood, (b) recognize that everyone shares the experience of living in a physical body, with its advantages and disadvantages, and (c) embrace their body's current appearance, state of health, and functioning. It has been validated in healthy undergraduate samples; yet, there exists limited work documenting the psychometric properties among individuals with chronic health conditions. We evaluated the factor structure of the BCS among a sample of individuals with multiple sclerosis (MS).</p><p><strong>Research method/design: </strong>In total, 677 people (<i>M</i>_age = 52.89, <i>SD</i>_age = 12.83) reported on their body compassion, fatigue, pain, cognitive functioning, disability, depression, anxiety, and resilience in an online survey sent out to a regional and national MS listserv.</p><p><strong>Results: </strong>A three-factor structure (defusion, common humanity, and acceptance) emerged as the best fit to the data. All three subscores demonstrated acceptable internal consistency and validity evidence.</p><p><strong>Conclusions/implications: </strong>The findings extend existing work demonstrating a three-factor structure of the BCS and provide preliminary validity for the use of the BCS among people living with MS and potentially other rehabilitation populations. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162584","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":"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}