Rehabilitation Psychology最新文献

{"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":"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) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"307-317"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13082817/pdf/","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":"OA","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":"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) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"173-181"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","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":"Contending with disability-based minority stressors: Adapting the minority stress model to people with disabilities.","authors":"Robert B Manning, Rebecca Cipollina, Kathleen R Bogart, Sarah R Lowe, Jonathan M Adler, Joan M Ostrove, Michelle R Nario-Redmond, Katie Wang","doi":"10.1037/rep0000633","DOIUrl":"10.1037/rep0000633","url":null,"abstract":"<p><strong>Purpose/objective: </strong>People with disabilities (PWDs) are at elevated risk for depression compared to their nondisabled peers (Okoro et al., 2021). Experiences of ableism and emotion dysregulation are identified risk factors for depression among disabled adults (Almeida et al., 2017; Wang et al., 2022). This study applies a minority stress lens, originally developed among sexual minorities, to a sample of PWDs, specifically, by examining distal (i.e., interpersonal and structural ableism) and proximal (i.e., internalized ableism and disability concealment) minority stressors as predictors of emotion dysregulation and depressive symptoms in a cross-disability sample.</p><p><strong>Research method/design: </strong>U.S. adults (<i>N</i> = 162) with a range of disabilities completed an online survey in Fall 2022 assessing all model variables. A cross-sectional mediation analysis examined emotion dysregulation as a mechanism linking distal and proximal minority stressors to depressive symptoms. The model controlled for comorbid disability status to account for differences in depression among participants with multiple disabilities.</p><p><strong>Results: </strong>As hypothesized, emotion dysregulation mediated the relationships between proximal minority stressors, internalized ableism, <i>B</i> = 0.12, 95% confidence interval (CI) [0.02, 0.23], and disability concealment (<i>B</i> = 0.13, 95% CI [0.03, 0.23]) and depressive symptoms. Ableist discrimination had a significant direct effect on depressive symptoms (<i>B</i> = 0.08, <i>p</i> = .008) but not a significant indirect effect through emotion dysregulation.</p><p><strong>Conclusion/implications: </strong>Findings highlight emotion dysregulation as a mechanism through which proximal minority stressors are associated with depressive symptoms among PWDs, underscoring the need to target minority stressors in mental health interventions for disabled adults. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"262-271"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144733997","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":"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) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"295-306"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353222/pdf/","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":"OA","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":"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) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"252-261"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","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) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"225-239"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","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":"Attention-deficit hyperactivity disorder as a moderator of the efficacy of family-based problem solving after pediatric traumatic brain injury.","authors":"Megan E Narad, Eloise E Kaizar, Nanhua Zhang, H Gerry Taylor, Keith Owen Yeates, Brad G Kurowski, Shari L Wade","doi":"10.1037/rep0000644","DOIUrl":"10.1037/rep0000644","url":null,"abstract":"<p><strong>Objective: </strong>Examine the moderating effect of preinjury attention-deficit hyperactivity disorder (ADHD) and secondary ADHD on response to a family-based problem solving (FBPS) intervention following pediatric traumatic brain injury.</p><p><strong>Method: </strong>Analyses included 233 participants (114 FBPS and 119 internet resource comparison group), aged 11-18 who had been hospitalized for a moderate-severe traumatic brain injury within the previous 18 months. Parents completed measures of child functioning and their own functioning at time of enrollment, 6-, 12-, and 18-month follow-ups. Linear mixed models examined the moderating effect of ADHD status on the effect of treatment over time.</p><p><strong>Results: </strong>Main effect of ADHD status was significant for executive functioning, <i>F</i>(2, 429) = 55.15, <i>p</i> < .0001; social competence, <i>F</i>(2, 421) = 22.94, <i>p</i> < .0001; parental depression, <i>F</i>(2, 420) = 4.83, <i>p</i> = .0085; and parental distress, <i>F</i>(2, 413) = 6.35, <i>p</i> = .0019. Consistently, those with ADHD demonstrated worse outcomes than those without ADHD. ADHD status moderated the effect of FBPS on functional impairment, <i>F</i>(6, 430) = 5.16, <i>p</i> < .0001. Among those who received FBPS, those without ADHD demonstrated the expected improvement in functional outcomes over time. The secondary ADHD group had a delayed improvement in outcomes, not present until the 18-month follow-up. The preinjury attention-deficit hyperactivity disorder group showed no change in outcomes over time.</p><p><strong>Conclusions/implications: </strong>ADHD status had a significant effect on adolescent and parent outcomes and moderated the effect of FBPS on functional outcomes. Findings highlight the importance of identifying children with preinjury ADHD as well as new onset ADHD symptoms after injury to guide intervention delivery. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"198-207"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776084","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":"A randomized controlled trial of the Caring Connections intervention to reduce loneliness in persons with spinal cord injuries and disorders.","authors":"Sherri L LaVela, Marissa Wirth, Kelsey Berryman, Robert W Motl, Brian Bartle, R Lorie Jacob, Keith Aguina, Charles H Bombardier","doi":"10.1037/rep0000637","DOIUrl":"10.1037/rep0000637","url":null,"abstract":"<p><strong>Purpose/objective: </strong>To evaluate the Caring Connections intervention compared to an attention control condition on loneliness, perceived burdensomeness (PB), and thwarted belongingness (TB).</p><p><strong>Research method/design: </strong>In a two-arm parallel randomized controlled trial (RCT), 58 individuals with spinal cord injuries and disorders were randomized 1:1 to the intervention or the attention control condition. Block randomization with random block sizes of 2, 4, or 6 and allocation concealment were used to assign individuals to arms.</p><p><strong>Results: </strong>Both groups showed within-group improvements in loneliness from baseline to post-RCT, but no statistically significant differences in change scores between the conditions over time. The treatment group showed within-group improvement in PB from baseline to post (<i>p</i> = .0008), but not in TB. The control group showed within-group improvement in TB from baseline to post (<i>p</i> = .04), but not in PB. No significant differences over time were found for either PB or TB between conditions. A greater proportion of the treatment versus control group found the program to be beneficial (76% vs. 45%, <i>p</i> = .02) and satisfactory (79% vs. 52%, <i>p</i> = .03).</p><p><strong>Conclusions/implications: </strong>We did not demonstrate that the Caring Connections intervention reduced feelings of loneliness compared to the control condition. We found significant within-group improvements in loneliness from baseline to post-RCT for both groups. Within-group improvements in PB were seen in the treatment group and TB in the control group, but no significant differences in change scores over time between conditions. Communication over a 6-month period (from personalized peer letters or informational material on quality of life) had some impact on loneliness, PB, and TB. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"149-160"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193385","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":"Factors influencing self-selected mental health-related recovery goals poststroke: An observational study.","authors":"Shaun Hancock, Jan Cameron, Tharshanah Thayabaranathan, Rene Stolwyk, Natasha A Lannin, Monique F Kilkenny, Nadine E Andrew, Ian Kneebone, Muideen Olaiya, Maree Hackett, Dominique A Cadilhac","doi":"10.1037/rep0000638","DOIUrl":"10.1037/rep0000638","url":null,"abstract":"<p><strong>Objective: </strong>To assess characteristics of individuals who wanted to address mental health needs during hospital admission for stroke through structured, person-centered goal setting, and to describe the types of mental health-related goals.</p><p><strong>Method: </strong>Analysis of aggregated baseline data from a randomized controlled trial (Recovery-focused Community support to Avoid readmissions and improve Participation after Stroke). Trial participants were recruited from 11 Australian hospitals. Within 10 days of stroke admission, participants selected two to five recovery goals from five categories (health, mind and body, everyday activities, out-and-about, and health care). Baseline data included demographics, anxiety/depression status, health-related quality of life, unmet needs, and self-efficacy after stroke. Characteristics associated with selecting mental health-related goals were determined using multivariable logistic regressions.</p><p><strong>Results: </strong>Among 465 participants (33% female, <i>Mdn</i> = 67 years), 50 (11%) selected a mental health-related goal. Content of most mental health-related goals focused on improving mental health (73%) and controlling another lifestyle factor (20%). Selection of mental health-related goals was associated with being under 65 years of age, <i>OR</i> = 2.1, 95% confidence interval (CI) = [1.1, 3.9]; history of mental health concerns, <i>OR</i> = 4.7, 95% CI = [2.5, 8.9]; elevated symptoms of depression or anxiety, <i>OR</i> = 6.6, 95% CI = [3.3, 13.0]; or reporting an unmet mental health need, OR = 5.5, 95% CI = [2.7, 10.9].</p><p><strong>Conclusion: </strong>We highlight important characteristics associated with self-selecting mental health-related goals after stroke. Greater understanding of barriers for older individuals and those with elevated symptoms of depression/anxiety setting mental health-related goals is warranted. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"283-294"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460327","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":"A qualitative exploration of disability appraisals in pediatric spinal cord injury.","authors":"Justine Stewart, Alexis Ortiz, Deanna Tuttle, Kathy Zebracki, Kyle C Deane","doi":"10.1037/rep0000673","DOIUrl":"https://doi.org/10.1037/rep0000673","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Although research suggests that adults with chronic illnesses experience disability in ways that are not fully captured by objective indicators of illness, little is known about subjective aspects of disability among pediatric populations and their parents/caregivers. This qualitative study explored the substance and context of disability appraisals held by youth with chronic spinal cord injury (SCI) and their parents/caregivers.</p><p><strong>Research method/design: </strong>This study was part of a larger study to develop a patient-reported outcome measure capturing appraisals of disability in youth with chronic SCI and their caregivers. Data were gathered through 60- to 90-min semistructured cognitive pretest interviews with 14 youth-caregiver dyads and one caregiver. Interviews were conducted between April 2022 and June 2024. Youth-caregiver dyads were recruited from an active patient list at a specialty hospital. Data were analyzed using a thematic analysis coding reliability approach, grounded in a critical realism philosophy of science.</p><p><strong>Results: </strong>Thematic analysis generated six themes of disability appraisals: (a) disability is one part of a person, (b) centering disability to identity, (c) process of adaptation and acceptance, (d) the costs of living with SCI, (e) the collaborative aspect of managing SCI, and (f) accessibility based on the environment, adaptive equipment, and physical body.</p><p><strong>Conclusions/implications: </strong>Disability appraisals are dynamic and vary. Most themes indicated positive adjustment among youth living with chronic SCI and their caregivers. The diversity of appraisals, however, underscores the need for ongoing assessment as families reappraise the significance of SCI to their lives. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785781","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}