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The Internalized Ableism Inventory: Scale development using a hybrid artificial intelligence and community-based participatory research design. 内化残疾量表:使用混合人工智能和基于社区的参与式研究设计的规模开发。
IF 2 4区 医学
Rehabilitation Psychology Pub Date : 2026-08-01 Epub Date: 2025-09-22 DOI: 10.1037/rep0000639
Paul B Perrin, Bryan R Christ, Tiffanie A Vargas, Mia E Dini, Benjamin Ertman, Steph L Cull, Diego Rivera, Bridget Xia, Erin E Andrews-Ash, Linda Mona, Alexander J Gates, Daniel W Klyce
{"title":"The Internalized Ableism Inventory: Scale development using a hybrid artificial intelligence and community-based participatory research design.","authors":"Paul B Perrin, Bryan R Christ, Tiffanie A Vargas, Mia E Dini, Benjamin Ertman, Steph L Cull, Diego Rivera, Bridget Xia, Erin E Andrews-Ash, Linda Mona, Alexander J Gates, Daniel W Klyce","doi":"10.1037/rep0000639","DOIUrl":"10.1037/rep0000639","url":null,"abstract":"<p><strong>Objective: </strong>This study (a) used OpenAI's GPT-4 large language model to generate an initial item pool for a potential scale measuring internalized ableism, (b) involved disabled community stakeholders in refining the items and prompting additional artificial intelligence-generated items, and (c) psychometrically validated the scale in a large sample of disabled individuals.</p><p><strong>Method: </strong>Following a series of GPT-4 prompts and iterative community-based participatory research feedback, a tentative item pool of 90 statements was developed. A sample of 409 adults with diverse disabilities completed a survey containing the initial item pool, potentially related scales, and demographic questions.</p><p><strong>Results: </strong>An exploratory factor analysis helped identify the final 51 items and subscale structure, and a confirmatory factor analysis then provided evidence of excellent factor structure fit. The scale contained eight subscales with Cronbach's αs that ranged from .85 to .97, with an overall total score α of .98. The total score and subscales showed consistent convergent validity with other measures of internalized stigma for chronic illness and anger and frustration with disability.</p><p><strong>Conclusion: </strong>This study generated for the first time in the known research literature a nuanced, comprehensive, and psychometrically sound scale based on the integration of both artificial intelligence and community-based participatory research methodology: the Internalized Ableism Inventory. The demonstrated methodology generating it has the potential to modernize psychological scale development approaches. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"370-382"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12462894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139035","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}
引用次数: 0
The effectiveness of i-virtual reality and telemedicine based cognitive approach for rehabilitation of prospective memory in individuals with Parkinson's disease and mild cognitive impairment: A randomized-controlled trial. 基于i-虚拟现实和远程医疗的认知方法对帕金森病和轻度认知障碍患者前瞻记忆康复的有效性:一项随机对照试验
IF 2 4区 医学
Rehabilitation Psychology Pub Date : 2026-08-01 Epub Date: 2026-02-16 DOI: 10.1037/rep0000645
Silvia Zabberoni, Maria Stefania De Simone, Sara Taglieri, Gaetano Tieri, Giorgia Cona, Eleonora Fiorenzato, Antonella Peppe, Valentina Massimi, Gian Daniele Zannino, Giovanni Augusto Carlesimo, Angelo Antonini, Carlo Caltagirone, Alberto Costa
{"title":"The effectiveness of i-virtual reality and telemedicine based cognitive approach for rehabilitation of prospective memory in individuals with Parkinson's disease and mild cognitive impairment: A randomized-controlled trial.","authors":"Silvia Zabberoni, Maria Stefania De Simone, Sara Taglieri, Gaetano Tieri, Giorgia Cona, Eleonora Fiorenzato, Antonella Peppe, Valentina Massimi, Gian Daniele Zannino, Giovanni Augusto Carlesimo, Angelo Antonini, Carlo Caltagirone, Alberto Costa","doi":"10.1037/rep0000645","DOIUrl":"10.1037/rep0000645","url":null,"abstract":"<p><strong>Purpose/objective: </strong>The ability to perform intended actions after a delay or specific event reflects prospective memory (PM), a multiprocess involving episodic memory and attentional/executive functions. PM difficulties are common in Parkinson's disease patients, especially those with Mild Cognitive Impairment (PD-MCI). This study explores the efficacy of attention/executive function training on PM in PD-MCI patients using a combined immersive Virtual Reality (iVR) and Telemedicine approach. Research Methods/Design: Thirty PD-MCI patients were assessed on PM and attention-executive measures and randomly assigned to two groups: training (TR-C) or active placebo (AP-C). Training involved real-life scenarios with planning, shifting, and updating exercises, of increasing difficulty, in an immersive virtual environment. The AP-C group performed similar daily tasks with lower cognitive demands. All tasks were conducted remotely via telemedicine using iVR headsets. Outcome measures were collected at baseline (T0), post-training (T1, 4 weeks), and follow-up (T2, 2 months). A randomized controlled trial (RCT) was executed with Experimental Condition (TR-C vs. AP-C) as between factor and Time of Assessment (T0 vs. T1 and T2) and Task (prospective score and ongoing task) as within factor.</p><p><strong>Results: </strong>A mixed ANOVA revealed that the training group improved on PM tasks versus placebo, with effects lasting at follow-up. However, no significant gains were observed in executive tasks, highlighting the greater multitasking demands of PM compared to selective executive tasks.</p><p><strong>Conclusion/implications: </strong>The study demonstrates the efficacy of iVR and telemedicine in improving PM in PD-MCI patients, highlighting the potential of innovative cognitive interventions. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"417-430"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146214612","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}
引用次数: 0
Childhood academic experiences and employment outcomes in adults with disabilities or chronic health conditions: A machine-learning approach. 残疾或慢性健康状况成年人的童年学习经历和就业结果:机器学习方法。
IF 2 4区 医学
Rehabilitation Psychology Pub Date : 2026-08-01 Epub Date: 2025-10-16 DOI: 10.1037/rep0000640
Bryan R Christ, Lucie Adams, Jack D Watson, Olivia Chapman, Madeline Lee, Beau LeBlond, Paul B Perrin
{"title":"Childhood academic experiences and employment outcomes in adults with disabilities or chronic health conditions: A machine-learning approach.","authors":"Bryan R Christ, Lucie Adams, Jack D Watson, Olivia Chapman, Madeline Lee, Beau LeBlond, Paul B Perrin","doi":"10.1037/rep0000640","DOIUrl":"10.1037/rep0000640","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Prior research highlights the complex interplay among disability, education, employment, and poverty, underscoring the importance of investigating how positive academic experiences among disabled individuals may predict employment status and poverty levels, potentially many years later. To address this gap, this study examined how educational factors including academic satisfaction, college degree attainment, and unmet academic accommodation needs predict employment and poverty among adults with disabilities or chronic health conditions.</p><p><strong>Research method/design: </strong>A sample of 409 adults with disabilities or chronic health conditions while they had attended school in the United States completed an online survey of these constructs. Random forest models and their built-in measures of feature (or predictor) importance were used to predict the binary outcomes of employment status and poverty status using academic satisfaction, college degree attainment, and unmet academic accommodation needs as well as several common sociodemographic characteristics, including age, disability level, gender, rurality, and minority racial/ethnic identity. Across measures of feature importance, the academic factors showed comparable or greater predictive importance than all other sociodemographic predictors, and correlational analyses revealed that these academic factors were associated with higher levels of employment and lower levels of poverty.</p><p><strong>Conclusion/implication: </strong>These findings suggest that positive educational experiences and accommodations are important predictors of both employment and poverty outcomes for individuals with disabilities. Future research should further explore how specific educational experiences impact employment outcomes for individuals with disabilities and examine supports and interventions that can create positive academic experiences. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"341-350"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309599","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}
引用次数: 0
Correction to "Tools for rehabilitation and cognitive care (ON-TRACC): Development of a brief intervention for chronic cognitive difficulties after mild traumatic brain injury" by Pagulayan et al. (2025). 对Pagulayan等人(2025)的“康复和认知护理工具(ON-TRACC):对轻度创伤性脑损伤后慢性认知困难的简短干预的发展”的更正。
IF 2 4区 医学
Rehabilitation Psychology Pub Date : 2026-08-01 Epub Date: 2026-07-20 DOI: 10.1037/rep0000683
{"title":"Correction to \"Tools for rehabilitation and cognitive care (ON-TRACC): Development of a brief intervention for chronic cognitive difficulties after mild traumatic brain injury\" by Pagulayan et al. (2025).","authors":"","doi":"10.1037/rep0000683","DOIUrl":"10.1037/rep0000683","url":null,"abstract":"<p><p>Reports an error in \"Tools for rehabilitation and cognitive care (On-TRACC): Development of a brief intervention for chronic cognitive difficulties after mild traumatic brain injury\" by Kathleen F. Pagulayan, Holly K. Rau, Orli M. Shulein, Madeleine L. Werhane, David P. Sheppard, Jeanne M. Hoffman, Elizabeth W. Twamley and Rhonda M. Williams (<i>Rehabilitation Psychology</i>, Advanced Online Publication, Nov 17, 2025, np; see record 2026-91104-001). Due to an editorial production error, the title was originally incorrectly published as \"On-Tools for Rehabilitation and Cognitive Care: Development of a Brief Intervention for Chronic Cognitive Difficulties After Mild Traumatic Brain Injury.\" All versions of this article have been corrected. (The following abstract of the original article appeared in record 2026-91104-001.) Purpose/Objective: To describe the development of a novel rehabilitation intervention (Tools for Rehabilitation and Cognitive Care [On-TRACC]) for individuals reporting cognitive persistent postconcussive symptoms (PPCSs) after mild traumatic brain injury (mTBI) as a bridge to care for modifiable conditions that can impact cognition.</p><p><strong>Research method/design: </strong>Intervention development via four methods: literature review, veteran survey, clinician survey, and a beta test with three participants/three clinicians. A total of 53 veterans with a history of mTBI and cognitive PPCSs participated in the veteran survey, while seven clinicians, including speech pathologists, psychologists, and a psychology postdoctoral fellow, completed the clinician survey. Three veterans and three clinicians participated in a beta test of the intervention to assess usability, identify any content issues, and gather specific feedback.</p><p><strong>Results: </strong>The new intervention is a five-session, patient-centered rehabilitation program for individuals reporting persistent cognitive difficulties after mTBI. On-TRACC provides tailored psychoeducation about modifiable factors contributing to cognitive difficulties, self-management skills, and compensatory cognitive rehabilitation strategies. On-TRACC is based on personalized values and is designed to support short- and long-term management of factors contributing to current symptoms that are currently untreated or undertreated.</p><p><strong>Conclusion/implications: </strong>Through a multistep process that incorporated stakeholder input and a review of the empirical literature, we developed an evidence-informed intervention that fills a gap in current care for cognitive PPCSs. Future studies are needed to evaluate the efficacy of this intervention for individuals with chronic cognitive difficulties after mTBI. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"450"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521258","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}
引用次数: 0
Tools for rehabilitation and cognitive care (On-TRACC): Development of a brief intervention for chronic cognitive difficulties after mild traumatic brain injury. 康复和认知护理的工具:轻度创伤性脑损伤后慢性认知困难的简短干预措施的发展。
IF 2 4区 医学
Rehabilitation Psychology Pub Date : 2026-08-01 Epub Date: 2025-11-17 DOI: 10.1037/rep0000641
Kathleen F Pagulayan, Holly K Rau, Orli M Shulein, Madeleine L Werhane, David P Sheppard, Jeanne M Hoffman, Elizabeth W Twamley, Rhonda M Williams
{"title":"Tools for rehabilitation and cognitive care (On-TRACC): Development of a brief intervention for chronic cognitive difficulties after mild traumatic brain injury.","authors":"Kathleen F Pagulayan, Holly K Rau, Orli M Shulein, Madeleine L Werhane, David P Sheppard, Jeanne M Hoffman, Elizabeth W Twamley, Rhonda M Williams","doi":"10.1037/rep0000641","DOIUrl":"10.1037/rep0000641","url":null,"abstract":"<p><p>[Correction Notice: An Erratum for this article was reported online in <i>Rehabilitation Psychology</i> on Jul 20 2026 (see record 2027-92628-001). Due to an editorial production error, the title was originally incorrectly published as \"On-Tools for Rehabilitation and Cognitive Care: Development of a Brief Intervention for Chronic Cognitive Difficulties After Mild Traumatic Brain Injury.\" All versions of this article have been corrected.] Purpose/Objective: To describe the development of a novel rehabilitation intervention (Tools for Rehabilitation and Cognitive Care [On-TRACC]) for individuals reporting cognitive persistent postconcussive symptoms (PPCSs) after mild traumatic brain injury (mTBI) as a bridge to care for modifiable conditions that can impact cognition.</p><p><strong>Research method/design: </strong>Intervention development via four methods: literature review, veteran survey, clinician survey, and a beta test with three participants/three clinicians. A total of 53 veterans with a history of mTBI and cognitive PPCSs participated in the veteran survey, while seven clinicians, including speech pathologists, psychologists, and a psychology postdoctoral fellow, completed the clinician survey. Three veterans and three clinicians participated in a beta test of the intervention to assess usability, identify any content issues, and gather specific feedback.</p><p><strong>Results: </strong>The new intervention is a five-session, patient-centered rehabilitation program for individuals reporting persistent cognitive difficulties after mTBI. On-TRACC provides tailored psychoeducation about modifiable factors contributing to cognitive difficulties, self-management skills, and compensatory cognitive rehabilitation strategies. On-TRACC is based on personalized values and is designed to support short- and long-term management of factors contributing to current symptoms that are currently untreated or undertreated.</p><p><strong>Conclusion/implications: </strong>Through a multistep process that incorporated stakeholder input and a review of the empirical literature, we developed an evidence-informed intervention that fills a gap in current care for cognitive PPCSs. Future studies are needed to evaluate the efficacy of this intervention for individuals with chronic cognitive difficulties after mTBI. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"439-450"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543306","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}
引用次数: 0
Reducing burden and anxiety for caregivers of veterans with traumatic brain injury and dementia: Randomized controlled trial of the resources for enhancing all caregivers' health-Hope intervention. 减轻创伤性脑损伤和痴呆退伍军人照顾者的负担和焦虑:增强所有照顾者健康希望干预资源的随机对照试验
IF 2 4区 医学
Rehabilitation Psychology Pub Date : 2026-08-01 Epub Date: 2025-07-31 DOI: 10.1037/rep0000632
Linda O Nichols, Jennifer Martindale-Adams, Ronald T Seel, Jeffrey K Zuber, Robert Perera, Paul B Perrin
{"title":"Reducing burden and anxiety for caregivers of veterans with traumatic brain injury and dementia: Randomized controlled trial of the resources for enhancing all caregivers' health-Hope intervention.","authors":"Linda O Nichols, Jennifer Martindale-Adams, Ronald T Seel, Jeffrey K Zuber, Robert Perera, Paul B Perrin","doi":"10.1037/rep0000632","DOIUrl":"10.1037/rep0000632","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Caregivers of veterans with comorbid traumatic brain injury (TBI) and dementia face many challenges managing their loved ones' neurobehavioral functioning and, importantly, their own well-being. This study developed and tested Resources for Enhancing All Caregivers' Health (REACH) Hope, which provides caregivers with one-on-one telehealth education, support, skills building, and personalized digital information.</p><p><strong>Method: </strong>Caregivers (<i>N</i> = 110) of veterans with both TBI and dementia were randomly assigned to either REACH Hope (<i>n</i> = 56) or a waitlist-control group (<i>n</i> = 54) for 3 months; waitlist participants then received REACH Hope. Data collection occurred by telephone at baseline, 3 months (postintervention/waitlist switch), 6 months, and 9 months (for waitlist-control only). The 12-item short-form Zarit Burden Interview (ZBI-12) at 3 months (posttreatment) was the primary outcome. Secondary outcomes included caregiver depression, anxiety, self-efficacy, and number of veteran safety risks.</p><p><strong>Results: </strong>REACH Hope reduced burden and anxiety for caregivers with moderate to high levels of burden and anxiety compared to the waitlist group. Caregivers with ZBI-12 scores ≥ 21 had increasing treatment benefits with higher burden. Caregivers with Generalized Anxiety Disorder-7 scores ≥ 13 showed the same pattern for higher anxiety levels. There were no significant treatment group effects for depression, self-efficacy, or veteran safety.</p><p><strong>Conclusion: </strong>This is the first clinical trial to evaluate the efficacy of a telehealth intervention for caregivers of veterans with both TBI and dementia. REACH Hope represents the first evidence-based intervention of its kind and one that warrants further study and implementation. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"383-394"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12483318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761799","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}
引用次数: 0
The relationship between disability identity and use of person-first and identity-first language. 残障认同与以人为本和以身份为本语言使用的关系。
IF 2 4区 医学
Rehabilitation Psychology Pub Date : 2026-08-01 Epub Date: 2025-07-03 DOI: 10.1037/rep0000631
Connie M S Janiszewski, Emily Friedel, David Skvarc, Donna Koller, Lisa B Grech
{"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":"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) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"330-340"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","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}
引用次数: 0
The prototypical disabled person and its implications for discrimination research and intersectionality. 残障原型及其对歧视研究和交叉性的启示。
IF 2 4区 医学
Rehabilitation Psychology Pub Date : 2026-08-01 Epub Date: 2025-12-01 DOI: 10.1037/rep0000646
Carli Friedman
{"title":"The prototypical disabled person and its implications for discrimination research and intersectionality.","authors":"Carli Friedman","doi":"10.1037/rep0000646","DOIUrl":"10.1037/rep0000646","url":null,"abstract":"<p><strong>Purpose: </strong>Prototypes are idealized examples of the \"typical\" member of that group. Prototypicality plays an important role not only in how people are treated and discriminated against, but also whose experiences with discrimination are seen as legitimate. When it comes to research, prototypicality can also mask the experiences of people with multiply marginalized identities. The aim of this study was to examine prototypicality related to disability-what is the gender and race of the prototypical disabled person, does this differ based on participants' own identities, and does this impact perceptions of warmth?</p><p><strong>Research method: </strong>We conducted an online survey in April 2025 with 230 people. The data were analyzed with descriptive statistics, chi-square tests, and ordinal regression models.</p><p><strong>Results: </strong>While picturing a disabled person who experienced discrimination, 59.9% of participants thought of a cisgender man, and 79.0% of participants thought of a White person. When gender and race were combined, disabled White men were prototypical 49.5% of the time, disabled White women 29.8%, disabled Black men 7.2%, disabled Black women 5.3%, and all other combinations of race and gender identities less than 2% each. There was no significant relationship between participants' own identities and prototypicality. There was a relationship between prototypicality and warmth, with disabled White women rated significantly warmer (<i>OR</i> [CI] = 2.18 [1.09, 4.36]).</p><p><strong>Conclusion: </strong>Prototypicality has significant implications not only for the ways we produce and enact science but also for our attempts to reduce discrimination and combat inequity. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"362-369"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656056","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}
引用次数: 0
Videoconference-delivered acceptance and commitment therapy for depressed individuals with spinal cord injury sustained within the past 5 years: A pilot randomized controlled trial. 视频会议对5年内脊髓损伤抑郁症患者的接受和承诺治疗:一项随机对照试验
IF 2 4区 医学
Rehabilitation Psychology Pub Date : 2026-08-01 Epub Date: 2025-12-01 DOI: 10.1037/rep0000642
Areum Han, Jereme D Wilroy, Hon K Yuen, Jeremy Jenkins, Jessica Hawkins
{"title":"Videoconference-delivered acceptance and commitment therapy for depressed individuals with spinal cord injury sustained within the past 5 years: A pilot randomized controlled trial.","authors":"Areum Han, Jereme D Wilroy, Hon K Yuen, Jeremy Jenkins, Jessica Hawkins","doi":"10.1037/rep0000642","DOIUrl":"10.1037/rep0000642","url":null,"abstract":"<p><strong>Objective: </strong>This pilot study examined the effects of videoconference-delivered acceptance and commitment therapy (ACT), supplemented with psychoeducation materials, compared to psychoeducation materials alone, on depressive symptoms and other mental health outcomes in individuals with spinal cord injury (SCI) sustained within the past 5 years.</p><p><strong>Method: </strong>A parallel-group, two-arm randomized controlled trial was conducted in the United States with 34 adults who had sustained an SCI within 5 years and reported at least mild depressive symptoms (Patient Health Questionnaire-9 [PHQ-9] scores ≥5). Participants were randomly assigned to either the ACT group (<i>n</i> = 15) or the control group (<i>n</i> = 19). The ACT group received eight weekly 1-hr individual ACT sessions via videoconferencing, along with a 1-hr booster session. The control group received only psychoeducation materials. The primary outcome was depressive symptoms measured by the PHQ-9.</p><p><strong>Results: </strong>From pretest to posttest, the ACT group demonstrated significantly greater improvements in PHQ-9 scores (<i>Z</i> = 2.1, <i>p</i> = .04, <i>d</i> = 0.75) and all other mental health outcomes compared to the control group, with medium-to-large effect sizes. These improvements were maintained at the 2-month follow-up for PHQ-9 scores (<i>Z</i> = 2.78, <i>p</i> = .005, <i>d</i> = 0.97) and all other measures, except cognitive fusion.</p><p><strong>Conclusion: </strong>This pilot randomized controlled trial is the first to demonstrate the potential efficacy of videoconference-delivered ACT in improving mental health outcomes among individuals with SCI experiencing depressive symptoms. Larger, more diverse samples and longer follow-up periods are needed to confirm and extend these findings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"395-403"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656010","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}
引用次数: 0
A qualitative exploration of self-compassion for caregivers of children with physical disabilities. 残障儿童照顾者自我同情的质性探讨。
IF 2 4区 医学
Rehabilitation Psychology Pub Date : 2026-08-01 Epub Date: 2025-09-04 DOI: 10.1037/rep0000636
Christine R Lathren, Macy Lawrence Ratliff, Jamie Lynn Tatera, Rosemary Ellsworth, Jinyoung Park, Hannah Allen
{"title":"A qualitative exploration of self-compassion for caregivers of children with physical disabilities.","authors":"Christine R Lathren, Macy Lawrence Ratliff, Jamie Lynn Tatera, Rosemary Ellsworth, Jinyoung Park, Hannah Allen","doi":"10.1037/rep0000636","DOIUrl":"10.1037/rep0000636","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Caregivers of children with physical disabilities face unique stressors and experience high levels of anxiety, depression, and burnout. In general, self-compassion-based skills are associated with decreased psychological distress and increased well-being. However, the nuances of why or how self-compassion may promote the psychological well-being in caregivers of children with physical disabilities are unknown. Using qualitative data, this study explores the relevance of self-compassion in supporting caregivers' psychological well-being from multiple perspectives.</p><p><strong>Method: </strong>We conducted 13 semistructured interviews with community service providers, a group feedback session with seven caregiver advisors, and a feedback session with eight caregivers who had recently completed a self-compassion-based resilience course. Transcripts were analyzed by two coders using reflexive thematic analysis.</p><p><strong>Results: </strong>We developed three themes regarding how self-compassion skills may promote caregivers' psychological well-being within the context of caregiving: (a) balancing \"gritting through\" with increased awareness and expression of emotions and needs, (b) balancing isolation with increased connection, and (c) balancing self-judgment with increased grace and self-advocacy.</p><p><strong>Conclusion: </strong>Self-compassion skills may benefit caregivers in specific ways in the context of caring for a child with a physical disability. Self-compassion-based interventions that target and measure these unique factors are promising for alleviating psychological distress for this community. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"431-438"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993794","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}
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