Rehabilitation Psychology最新文献

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Self-regulation resource model of body compassion in multiple sclerosis. 多发性硬化症身体同情的自我调节资源模型。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-04-17 DOI: 10.1037/rep0000612
Erin G Mistretta, Lindsey M Knowles, Jennifer K Altman, Aaron P Turner, Dawn M Ehde
{"title":"Self-regulation resource model of body compassion in multiple sclerosis.","authors":"Erin G Mistretta, Lindsey M Knowles, Jennifer K Altman, Aaron P Turner, Dawn M Ehde","doi":"10.1037/rep0000612","DOIUrl":"https://doi.org/10.1037/rep0000612","url":null,"abstract":"<p><strong>Purpose/objective: </strong>This cross-sectional study applied the self-regulation resource model of self-compassion to people with multiple sclerosis (PwMS). We examined the role of body compassion as a resilience resource and its associations with self-regulation resources (affect and self-efficacy) and health behaviors (substance use, exercise, and social engagement).</p><p><strong>Research method/design: </strong>Participants were <i>N</i> = 799 adults with a self-reported multiple sclerosis (MS) diagnosis who completed an online survey sent out to a regional and national MS listserv (August 2023-February 2024). The survey assessed stress, coping, resilience, mental health, and common MS symptoms. We employed three structural equation mediation models to examine hypotheses.</p><p><strong>Results: </strong>Body compassion was associated with all self-regulation resources. However, not all self-regulation resources mediate the relationship between body compassion and health behaviors. Health self-efficacy partially mediated the relationship between body compassion, social relations, and drug use, while negative affect partially mediated the body compassion-drug use relation. Model fit was generally good across analyses.</p><p><strong>Conclusions/implications: </strong>The study expands the theory of body compassion to a clinical sample of PwMS, suggesting that body compassion may be an important factor in various health behaviors relevant to MS. The findings highlight the potential of self-efficacy and negative affect as self-regulation resources in the relationship between body compassion and health behaviors. These insights could help rehabilitation psychologists and multidisciplinary care teams in developing interventions to enhance resilience and maintain adaptive health behaviors in PwMS. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052477","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 moderating role of critical consciousness among racial and ethnic minorities with chronic pain. 少数民族慢性疼痛患者批判意识的调节作用。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-04-17 DOI: 10.1037/rep0000613
Nguyen P Nguyen, Shin Ye Kim
{"title":"The moderating role of critical consciousness among racial and ethnic minorities with chronic pain.","authors":"Nguyen P Nguyen, Shin Ye Kim","doi":"10.1037/rep0000613","DOIUrl":"https://doi.org/10.1037/rep0000613","url":null,"abstract":"<p><strong>Objective: </strong>Psychosocial interventions for racial and ethnic minority (REM) individuals with chronic pain have largely focused on adjusting to and coping with discrimination rather than empowerment and advocacy to contest discrimination and injustice. Scholars have called for the empirical shift from harm reduction to a strength-based and empowerment approach to help REM individuals not only survive but also thrive in an oppressive society. This study examines the moderating role of critical consciousness (CC), a theoretical construct that promotes individuals' awareness of injustice (i.e., critical reflection) and motivates them (i.e., critical motivation) to take action and advocate for themselves and their communities (i.e., critical action). CC has been found to potentially moderate the adverse effects of ethnic discrimination on REM individuals' psychological and health-related outcomes.</p><p><strong>Research method: </strong>Grounded in empirical and theoretical evidence, this study tested three moderated meditation models to examine if three components of CC would moderate the adverse associations between perceived ethnic discrimination and pain severity via perceived pain injustice.</p><p><strong>Results: </strong>The results indicated that critical reflection and action significantly moderated the association between perceived ethnic discrimination and perceived pain injustice. However, perceived pain injustice was not significantly associated with pain severity. Participants with higher levels of critical reflection and action reported higher perceived pain injustice at all levels of perceived ethnic discrimination.</p><p><strong>Conclusions: </strong>The findings suggest that critical reflection and action could exacerbate the association between ethnic discrimination and perceived pain injustice. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041665","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 intersecting disability and race attitudes implicit association test. 残障与种族态度交叉内隐联想测验。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-04-07 DOI: 10.1037/rep0000623
Carli Friedman
{"title":"The intersecting disability and race attitudes implicit association test.","authors":"Carli Friedman","doi":"10.1037/rep0000623","DOIUrl":"https://doi.org/10.1037/rep0000623","url":null,"abstract":"<p><strong>Purpose: </strong>Due to the ways disability and race overlap, intersect, and inform each other, to dismantle ableism, we must first understand how these processes operate in an intersectional manner, including when it comes to implicit bias. Yet, social psychology, and its prominent measures, including the implicit association test (IAT), have often taken a single-axis approach rather than attending to intersectionality. This study's aim was to develop and establish the intersecting disability and race attitudes implicit association test (IDRA-IAT).</p><p><strong>Research method: </strong>We piloted the IDRA-IAT (July-October 2024) with 536 people (27.7% nondisabled White people, 32.3% disabled White people, 12.7% nondisabled people of color, and 27.3% disabled people of color). We analyzed the data using descriptive statistics, t tests, split-half reliability (internal consistency), and correlation analyses (test-retest reliability, and construct validity).</p><p><strong>Results: </strong>People preferred nondisabled White people the most (<i>M</i> = 0.19), then disabled White people (<i>M</i> = 0.04), then nondisabled people of color (<i>M</i> = -0.09), and then disabled people of color (<i>M</i> = -0.13). However, the findings differed significantly based on the participants' identities. Our findings also indicated the IDRA-IAT has similar psychometrics to other IATs.</p><p><strong>Conclusion: </strong>To advance disability justice, much more research about intersectionality and quantitative methodologies that promote intersectionality are necessary. We recognize that there is a lot more that comprises oppression and discrimination than attitudes alone. However, our hope is that the IDRA-IAT can be one valuable tool in the arsenal of many in the work to dismantle the oppression disabled people face. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804488","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
Survey of mental health care for people with poststroke aphasia: Mixed-methods analysis. 脑卒中后失语症患者的心理保健调查:混合方法分析。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-03-20 DOI: 10.1037/rep0000611
Maria Dekhtyar, Katrina Ross, Camila Maura, Mackenzie Zisser, Andreana P Haley, Christopher G Beevers
{"title":"Survey of mental health care for people with poststroke aphasia: Mixed-methods analysis.","authors":"Maria Dekhtyar, Katrina Ross, Camila Maura, Mackenzie Zisser, Andreana P Haley, Christopher G Beevers","doi":"10.1037/rep0000611","DOIUrl":"https://doi.org/10.1037/rep0000611","url":null,"abstract":"<p><strong>Purpose/objective: </strong>People with poststroke aphasia (PWA) are at increased risk for developing symptoms of depression. However, access to mental health (MH) care is often limited for this population. The goal of this study was to survey clinicians about current practices and specifically to examine (1) whether they work with PWA, (2) how often they observe symptoms of mood disorders in PWA, (3) how often these symptoms are treated, (4) who provides treatment for PWA, (5) what treatment consists of, and (6a) what training clinicians receive and (6b) provide for their trainees.</p><p><strong>Research method/design: </strong>A 19-question multiple-choice and free-response survey was shared widely with clinicians.</p><p><strong>Results: </strong>One hundred sixteen participants responded to at least 80% of the survey. The respondents were grouped as: MH and non-MH providers. Among MH and non-MH providers, most observed mood symptoms in PWA at least half the time, though the majority reported PWA receiving behavioral interventions for depression only sometimes/rarely. Responses regarding who provides care and what types of care are provided were mixed. Only 24% of MH and 9% of non-MH providers reported receiving specific training to address mood disorders in PWA, and more supervisors reported teaching MH trainees to work with people with language disorders than teaching non-MH providers to provide mental health care.</p><p><strong>Conclusion/implications: </strong>The path for receiving and providing MH treatment for PWA does not appear to be standardized, which may contribute to gaps in services. Considerations for collaborative training and treatment are discussed. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671477","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
Family risk factors are related to warfighter brain health: A dyad study. 家庭风险因素与战士大脑健康相关:一项双元研究。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-03-20 DOI: 10.1037/rep0000608
Tracey A Brickell, Megan M Wright, Sara M Lippa, Samantha M Baschenis, Jamie K Sullivan, Lars D Hungerford, Jason M Bailie, Brian J Ivins, Louis M French, Rael T Lange
{"title":"Family risk factors are related to warfighter brain health: A dyad study.","authors":"Tracey A Brickell, Megan M Wright, Sara M Lippa, Samantha M Baschenis, Jamie K Sullivan, Lars D Hungerford, Jason M Bailie, Brian J Ivins, Louis M French, Rael T Lange","doi":"10.1037/rep0000608","DOIUrl":"https://doi.org/10.1037/rep0000608","url":null,"abstract":"<p><strong>Purpose/objective: </strong>This study aimed to explore family risk factors for chronic neurobehavioral symptoms in service members and veterans (SMVs) with traumatic brain injury (TBI).</p><p><strong>Research method/design: </strong>SMVs (<i>n</i> = 72) completed eight neurobehavioral outcome measures. Their family members (<i>n</i> = 72) completed 13 family risk factor measures assessing physical, psychological, and social health, and family functioning. The number of neurobehavioral measures that were clinically elevated (≥ 60T) were summed and used to classify SMVs into three outcome groups: (a) none/few symptoms (0-1 elevated scores), (b) several symptoms (2-3 elevated scores), and (c) many symptoms (4-8 elevated scores).</p><p><strong>Results: </strong>SMVs in the many symptoms group had family members with significantly higher scores on nine family risk factor measures compared to family members of SMVs in the none/few symptoms group and two family risk factors compared to family members of SMVs in the several symptoms group. SMVs in the several symptoms group had family members with higher scores on three risk factor measures compared to family members of SMVs in the none/few symptoms group. Family member Anger was the most significant predictor of the total number of SMV elevated scores followed by family functioning, together accounting for 26.9% of the variance.</p><p><strong>Conclusions/implications: </strong>An important and unique addition to the literature was the finding that a range of risk factors in the warfighter's family environment were strongly associated with clinically elevated chronic neurobehavioral symptoms following a TBI of any severity. More attention to the well-being of family members and their role in warfighter recovery and return to duty following a TBI are required. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671474","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
Cognitive and social determinants affecting driving after moderate-to-severe traumatic brain injury. 中重度脑外伤后影响驾驶的认知和社会决定因素。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-03-13 DOI: 10.1037/rep0000609
Christina A DiBlasio, Thomas Novack, Laura E Dreer, Despina Stavrinos, Michael Crowe, Lisa Rapport, Thomas Watanabe, Charles Bombardier, Thomas F Bergquist, Candace Tefertiller, William C Walker, Robert Brunner, Richard Kennedy
{"title":"Cognitive and social determinants affecting driving after moderate-to-severe traumatic brain injury.","authors":"Christina A DiBlasio, Thomas Novack, Laura E Dreer, Despina Stavrinos, Michael Crowe, Lisa Rapport, Thomas Watanabe, Charles Bombardier, Thomas F Bergquist, Candace Tefertiller, William C Walker, Robert Brunner, Richard Kennedy","doi":"10.1037/rep0000609","DOIUrl":"https://doi.org/10.1037/rep0000609","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Moderate-to-severe traumatic brain injury (TBI) often results in cognitive deficits that hinder the ability to drive an automobile, which in turn hinders independence and quality of life. Determinants affecting the relationship between impaired cognition and return to driving have been understudied. The current study examined the relationship between cognition and driving status following moderate-to-severe TBI.</p><p><strong>Research method/design: </strong>Participants were 585 adults aged 19-96 (70% male) who sustained a moderate-to-severe TBI and were enrolled in the TBI Model System. Cross-sectional data were obtained (2018-2019) 1-30 years post injury (<i>M</i> = 8.2 years). Relationships were examined between driving status (active drivers vs. nondrivers), cognitive function (verbal memory, executive function), and covariates (demographics; injury factors including motor function; social factors).</p><p><strong>Results: </strong>About 70% were driving at interview. Higher memory (<i>OR</i> = 1.36, <i>p</i> < 0.05) and executive function (<i>OR</i> = 1.38, <i>p</i> < .001) scores predicted active driving status; however, the relationships were not significant when the covariates were included. Family income, motor function, and history of seizure were related to driving status (all <i>p</i> < .05). Income and motor function were related to memory and executive function (all <i>p</i> < .001), whereas seizure history was not.</p><p><strong>Conclusion/implications: </strong>Memory and executive function are significantly associated with driving status following TBI, but these relationships dissipate after accounting for sociodemographic/injury factors, particularly family income and motor function. Further research is needed to understand the interplay of cognition with other factors in return to driving decisions. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625981","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
Social development of girls with a physical disability during adolescence: Parent perspectives. 青春期身体残疾女孩的社会发展:父母视角。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-03-13 DOI: 10.1037/rep0000610
Courtney S Streur, Jodi M Kreschmer, Mary E Crumbley, Jacqueline M Kaufman, Daniela A Wittmann, John F Bridges, Claire Z Kalpakjian
{"title":"Social development of girls with a physical disability during adolescence: Parent perspectives.","authors":"Courtney S Streur, Jodi M Kreschmer, Mary E Crumbley, Jacqueline M Kaufman, Daniela A Wittmann, John F Bridges, Claire Z Kalpakjian","doi":"10.1037/rep0000610","DOIUrl":"https://doi.org/10.1037/rep0000610","url":null,"abstract":"<p><strong>Purpose/objective: </strong>This study aims to investigate the parents' perspectives of the social experiences of their daughters with a physical disability during adolescence.</p><p><strong>Research method/design: </strong>Parents of girls with a physical disability aged 7-26 were recruited through a combination of convenience, purposive, and snowball sampling. Semistructured interviews were conducted with respect to the experience of adolescence for their daughters. An interpretive phenomenological analysis was performed by three members of the research team with lived and clinical experience to identify superordinate and subordinate themes describing mother's perceptions of their daughter's social experiences during adolescence.</p><p><strong>Results: </strong>Interviews were conducted with 21 mothers and mother-like figures of daughters (<i>Mdn</i><sub>age</sub> = 11) with spina bifida (10), cerebral palsy (nine), spinal cord injury (one), and another physical disability (one). We identified six superordinate themes, each defined by several experiences. These include amplification of differences during puberty (increasing differences and self-consciousness regarding differences), barriers to peer friendships (lack of opportunities, difficulties relating to peers with disabilities, difficulties relating to peers without disabilities, and lack of comfort with peers), facilitators of peer relationships (family support, school environment, and social skills), romantic relationship interest (perceived age-appropriate interest, perceived immature interest, and lack of interest), romantic relationship opportunities (lack of opportunities, relationship experiences, and parental support), and stability of parent-child relationships (dependence on mothers, impact of disability, and desire for independence).</p><p><strong>Conclusions/implications: </strong>Mothers perceived their daughters with a physical disability experience increased disability awareness and variable challenges with peer relationships during adolescence. Regardless of the disability characteristics, mothers felt their daughters struggled to fully relate to peers both with and without disabilities. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626091","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
Microaggressions, internalized oppression, mental health, and suicidality in disabled transgender and gender nonbinary individuals. 残疾变性人和非二元性别个体的微侵犯、内化压迫、心理健康和自杀行为。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-03-13 DOI: 10.1037/rep0000607
Stephanie L Cull, Paul B Perrin, Eric G Benotsch, B Ethan Coston, Mia E Dini, Kevin W Allison
{"title":"Microaggressions, internalized oppression, mental health, and suicidality in disabled transgender and gender nonbinary individuals.","authors":"Stephanie L Cull, Paul B Perrin, Eric G Benotsch, B Ethan Coston, Mia E Dini, Kevin W Allison","doi":"10.1037/rep0000607","DOIUrl":"10.1037/rep0000607","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Transgender/gender nonbinary (TGNB) and disabled individuals commonly experience microaggressions that can lead to depression, anxiety, and suicidality; yet, limited research has explored the intersections of disabled and TGNB identities. This study explored hypothesized pathways leading from microaggressions through internalized oppression and mental health to suicidal ideation in a sample of disabled TGNB individuals.</p><p><strong>Research method/design: </strong>Disabled TGNB individuals (<i>n</i> = 289) completed an online survey assessing the constructs under scrutiny. The study performed multiple mediation path analyses to identify direct and indirect effects of each aspect of the hypothesized model.</p><p><strong>Results: </strong>Fifty-seven percent of the sample had clinically significant anxiety symptoms and 71% depression symptoms; 47% experienced suicidal ideation in the past month and 93% during their lifetime. Suicide attempt rates were 3% for the past 3 months and 52% lifetime. Within the good-fitting path model, cisgenderist microaggressions had a direct effect on internalized cisgenderism. Disability microaggressions had direct effects on internalized ableism and mental health symptoms. Internalized ableism had direct effects on mental health symptoms and suicidal ideation. Internalized ableism mediated the relationship between disability microaggressions and mental health symptoms, mental health symptoms mediated the relationship between internalized ableism and suicidal ideation, and both internalized ableism and mental health symptoms mediated the relationship between disability microaggressions and suicidal ideation.</p><p><strong>Conclusions/implications: </strong>Rehabilitation clinicians working with disabled TGNB individuals should consider the intersections of both systems of oppression (ableism and cisgenderism) and how microaggressions impact internalized oppression, mental health, and suicide. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625997","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
Identifying loneliness cues in persons with spinal cord injuries and disorders: A qualitative inquiry of provider's perspectives. 识别孤独线索的人与脊髓损伤和疾病:提供者的观点的定性调查。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-02-17 DOI: 10.1037/rep0000585
Sherri L LaVela, Marissa Wirth, Keith Aguina, Charles H Bombardier, Robert W Motl
{"title":"Identifying loneliness cues in persons with spinal cord injuries and disorders: A qualitative inquiry of provider's perspectives.","authors":"Sherri L LaVela, Marissa Wirth, Keith Aguina, Charles H Bombardier, Robert W Motl","doi":"10.1037/rep0000585","DOIUrl":"https://doi.org/10.1037/rep0000585","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Individuals with spinal cord injuries and disorders (SCI/D) may exhibit cues that tell a story about their loneliness. Health care providers must recognize loneliness cues in order to take action. This study identified and described loneliness cues exhibited by persons with SCI/D from health provider perspectives.</p><p><strong>Research method/design: </strong>Descriptive qualitative design using in-depth interviews with health providers and analyzed using thematic analysis.</p><p><strong>Results: </strong>Multidisciplinary SCI/D health providers from 10 nationwide Veterans Health Administration facilities. Ten themes described loneliness cues exhibited by persons with SCI/D: (a) direct or indirect verbal expression; (b) physical health symptoms/conditions; (c) mental health indicators; (d) withdrawal/lack of engagement; (e) \"severe\" voluntary seclusion, for example, not leaving house, not getting out of bed, sitting in the dark; (f) poor lifestyle behaviors, for example, substance use, poor nutrition; (g) neglecting personal self-care, for example, poor hygiene; (h) neglecting ones' internal environment, for example, dirty home, hoarding; (i) avoiding health care and health care management needs, for example, missing medical appointments, neglecting bowel care; and (j) fixating on health care to meet social health needs.</p><p><strong>Conclusions/implications: </strong>Health care providers identified several loneliness cues commonly exhibited by individuals with SCI/D. These cues, whether verbal or nonverbal, may represent a signal that alerts the provider of a concern around loneliness. The value of such cues depends on the health provider's ability to identify them in order to decide on next steps, which may involve formal screening or validated measurement followed by collaborative patient engagement to identify potential sources contributing to loneliness and areas patients wish to address. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442205","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
Development and validation of the Physical Disability Identity Scale: A multistudy quantitative investigation with participant feedback. 肢体残疾认同量表的开发与验证:一项有参与者反馈的多研究定量调查。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-02-13 DOI: 10.1037/rep0000606
Payton D Rule, Kaylin Ratner, Emily C Willroth, Patrick L Hill
{"title":"Development and validation of the Physical Disability Identity Scale: A multistudy quantitative investigation with participant feedback.","authors":"Payton D Rule, Kaylin Ratner, Emily C Willroth, Patrick L Hill","doi":"10.1037/rep0000606","DOIUrl":"https://doi.org/10.1037/rep0000606","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Disability has traditionally been viewed as a deficit in psychology research; however, accruing work suggests that viewing disability as an identity may be protective for mental health and well-being among disabled individuals. Therefore, developing disability identity measures that comprehensively capture this view of disability as an identity is an important step for promoting disabled individuals' flourishing.</p><p><strong>Research method/design: </strong>To address this, we conducted two studies aimed at developing and validating a new scale to measure physical disability identity among adults with physical disability. In Study 1 (<i>N</i> = 104), we solicited feedback on our new scale from adults with physical disabilities and revised our scale to ensure that it captured their lived experiences. In Study 2 (<i>N</i> = 296), we tested the factor structure of the new Physical Disability Identity Scale. All data were collected in 2023.</p><p><strong>Results: </strong>Most participants reported that our scale was easy to comprehend and comprehensively captured their lived experiences. We found evidence for a six-factor structure of the new Physical Disability Identity Scale, which assessed the following dimensions: Connection, Satisfaction, Centrality, Openness, Individual Self-Stereotyping, and Disability Lens. In addition, results suggested that Connection, Satisfaction, and Openness were adaptively related to well-being and health, whereas Centrality, Individual Self-Stereotyping, and Disability Lens were mostly adversely related to well-being and health.</p><p><strong>Conclusion/implications: </strong>This research suggests that our Physical Disability Identity Scale is valid among adults with physical disabilities and that physical disability identity dimensions may be valuable to consider in future work on well-being and health among individuals with physical disabilities. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415838","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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