Rehabilitation Psychology最新文献

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Development of an online acceptance and commitment therapy program for pain in spinal cord injury and findings from a randomized pilot trial of coached and unguided delivery formats. 针对脊髓损伤疼痛的在线接受和承诺治疗项目的开发,以及对有指导和无指导交付形式的随机试点试验的结果。
IF 1.7 4区 医学
Rehabilitation Psychology Pub Date : 2026-04-16 DOI: 10.1037/rep0000670
Anna L Kratz, Kristen Pickup, Keara Ginell, Duygu Kuzu, Brigid Waldron-Perrine, Jade Treder, Daniel Whibley
{"title":"Development of an online acceptance and commitment therapy program for pain in spinal cord injury and findings from a randomized pilot trial of coached and unguided delivery formats.","authors":"Anna L Kratz, Kristen Pickup, Keara Ginell, Duygu Kuzu, Brigid Waldron-Perrine, Jade Treder, Daniel Whibley","doi":"10.1037/rep0000670","DOIUrl":"https://doi.org/10.1037/rep0000670","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Chronic pain is a common symptom in spinal cord injury (SCI) that requires new and accessible treatment options. We describe the process of developing a web-delivered acceptance and commitment therapy-based program (<i>My SCI Toolkit</i>) for chronic pain management in SCI. Results of a three-arm randomized pilot trial to test the feasibility, acceptability, adverse effects, and effects of the program in unguided and coached formats are presented.</p><p><strong>Research method/design: </strong>Following a stakeholder-informed development phase, we conducted a three-arm randomized pilot trial (<i>N</i> = 60) of unguided website use, coached website use, and waitlist control for 8 weeks with adults with chronic pain and SCI. Treatment feasibility (participant retention and engagement), acceptability (Client Satisfaction Questionnaire-8 [CSQ] scores), Patient Global Impression of Change scores, and pre- to posttreatment change in SCI-QOL Pain Interference and Pain Behavior and Patient Reported Outcomes Measurement Information System Pain Intensity scores were examined.</p><p><strong>Results: </strong><i>My SCI Toolkit</i> was developed and released for public use in 2023. Regardless of delivery format, the program was feasible (e.g., retention 95% in both groups) and acceptable (mean CSQ-8 score of 23.94 and 26.42 for unguided and coached arms, respectively). Pilot trial data indicate pre- to posttreatment decreases in clinical pain outcomes of medium to large effect sizes.</p><p><strong>Conclusion/implications: </strong><i>My SCI Toolkit</i> is an accessible, stakeholder-informed, web-delivered pain self-management program that is feasible, acceptable, and potentially meaningful for people with SCI. Findings support the value of pursuing a fully powered randomized controlled trial to assess clinical efficacy and implementation potential in real-world settings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700407","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
Correlates of patient interest in rehabilitation psychology services among individuals with long COVID: A cross-sectional analysis. 长冠状病毒感染者对康复心理服务兴趣的相关性:横断面分析
IF 1.7 4区 医学
Rehabilitation Psychology Pub Date : 2026-04-13 DOI: 10.1037/rep0000671
Kristen M O'Loughlin, Tracy E Herring, Nicole L Gentile, Jessica A Bender, Janna L Friedly, Lindsey M Knowles
{"title":"Correlates of patient interest in rehabilitation psychology services among individuals with long COVID: A cross-sectional analysis.","authors":"Kristen M O'Loughlin, Tracy E Herring, Nicole L Gentile, Jessica A Bender, Janna L Friedly, Lindsey M Knowles","doi":"10.1037/rep0000671","DOIUrl":"https://doi.org/10.1037/rep0000671","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Long COVID is a complex chronic condition, affecting approximately 18% of adults in the United States and commonly involves fatigue, cognitive impairment, pain, and psychiatric conditions (e.g., depression, anxiety, posttraumatic stress disorder, and insomnia). Despite high psychiatric burden, many individuals do not receive mental health care, and little is known about their interest in psychological services. This study characterized symptom profiles of long COVID and examined correlates of patients' interest in rehabilitation psychology services.</p><p><strong>Research method/design: </strong>Secondary data analysis of routinely collected clinical data. Descriptive statistics were calculated, and logistic regression analyses examined associations of interest.</p><p><strong>Results: </strong>Participants in the full sample (<i>N</i> = 1,789) were predominantly White, non-Hispanic, and female, with high rates of fatigue (84.9%), cognitive difficulties (55.3%-74.3%), and psychiatric history (51.8%). Over half (56.8%) expressed interest in rehabilitation psychology services, including individual (50.2%) and group (32.1%) formats. Two participants were excluded from regression analyses due to sparse cell size, yielding a final analytic sample of <i>n</i> = 1,787. Interest in individual services was associated with not having a mental health provider, greater depression and anxiety, poor sleep, and lower cognitive functioning. Interest in group services was associated with psychiatric history, greater anxiety, lower cognitive and social functioning, and better physical functioning.</p><p><strong>Conclusion/implications: </strong>Anxiety symptoms and cognitive difficulties are key correlates of interest in rehabilitation psychology services, underscoring the value of early screening and targeted intervention. Stigma and prioritization of medical concerns may limit engagement, highlighting the importance of psychoeducation and stigma-reduction efforts to support engagement in care. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677643","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
Latent profile analysis and associated factors of rehabilitation motivation in stroke patients. 脑卒中患者康复动机的潜在特征分析及相关因素分析。
IF 1.7 4区 医学
Rehabilitation Psychology Pub Date : 2026-04-13 DOI: 10.1037/rep0000660
Yueling Wang, Min Wang, Jiayi Zhong, Yawen Ren, Wenguang Wang, Xiuqing Fang, Qiuyun Mao, Li Yang
{"title":"Latent profile analysis and associated factors of rehabilitation motivation in stroke patients.","authors":"Yueling Wang, Min Wang, Jiayi Zhong, Yawen Ren, Wenguang Wang, Xiuqing Fang, Qiuyun Mao, Li Yang","doi":"10.1037/rep0000660","DOIUrl":"https://doi.org/10.1037/rep0000660","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Rehabilitation motivation is a critical determinant of recovery outcomes in stroke patients, yet its underlying profiles and associated factors remain insufficiently explored. This study aimed to delineate distinct latent profiles of rehabilitation motivation and examine their demographic and clinical correlates. Research Methods/Design: A total of 429 stroke patients were recruited from three tertiary hospitals in Qingdao, Shandong Province, China, between January and April 2022 using convenience sampling. Participants completed the General Information Questionnaire, Stroke Rehabilitation Motivation Scale, and Stroke Knowledge and Attitude Questionnaire. Latent profile analysis was conducted using the seven dimensions of Stroke Rehabilitation Motivation Scale to identify motivational subgroups, and their predictors were analyzed via multinomial logistic regression.</p><p><strong>Results: </strong>Four unique motivation profiles were identified: Low group (7.7%), low introjected group (30.8%), balanced motivation group (28.6%), and high regulation group (32.9%). Significant differences (<i>p</i> < .05) were observed among groups in gender, age, employment status, education level, medical insurance, income, stroke frequency, primary caregiver, dizziness/headache symptoms, disease guidance, self-care ability, and Stroke Knowledge and Attitude Questionnaire scores.</p><p><strong>Conclusion/implications: </strong>This study revealed four distinct rehabilitation motivation profiles and their predictors in stroke patients. These findings provide a foundation for clinicians to accurately identify patient subgroups and implement tailored interventions, ultimately optimizing rehabilitation motivation and improving recovery outcomes. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677638","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
"Tell her she's not any different": Family roles in disability identity development. “告诉她,她并没有什么不同”:残疾身份发展中的家庭角色。
IF 1.7 4区 医学
Rehabilitation Psychology Pub Date : 2026-04-06 DOI: 10.1037/rep0000665
Carlyn Mueller, Gabriela Puma, Yazmin Castruita Rios
{"title":"\"Tell her she's not any different\": Family roles in disability identity development.","authors":"Carlyn Mueller, Gabriela Puma, Yazmin Castruita Rios","doi":"10.1037/rep0000665","DOIUrl":"https://doi.org/10.1037/rep0000665","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Disability identity development is an essential process that individuals with disabilities engage in to understand the impact of their disability on their sense of self and their ongoing connection to the disability community (Dunn & Burcaw, 2013; Mueller 2021). In this qualitative study, we explored the ways that disability identity is shaped by families.</p><p><strong>Research method/design: </strong>Drawing from a larger study of youth and adults with disabilities, we discuss a specific population of six women with physical disabilities' meaning-making and reflection on their families' involvement in the development of disability identity. We utilized qualitative interview methodologies, including a life history interview (Plummer, 2001) and a semistructured interview (Merriam, 2009) on the development of disability identity.</p><p><strong>Results: </strong>Across participant narratives, there are common threads about how families participated in the development of disability identity for their female children with physical disabilities. The common actions included family members wrestling with disability stigma; intervening on behalf of the daughter in school; emphasizing how the daughter is \"just like everyone else; and making connections with the disability community.\"</p><p><strong>Conclusions/implications: </strong>This study's findings support generating new resources and tools for families and communities who are interested in positive disability identity development, specifically for people with physical disabilities. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624286","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
Workplace discrimination, family, and chronic pain: The longitudinal buffering role of work-to-family enrichment. 职场歧视、家庭与慢性疼痛:工作-家庭充实的纵向缓冲作用。
IF 1.7 4区 医学
Rehabilitation Psychology Pub Date : 2026-04-06 DOI: 10.1037/rep0000667
Nguyen P Nguyen, Kristina Hall, Nathan H Craven
{"title":"Workplace discrimination, family, and chronic pain: The longitudinal buffering role of work-to-family enrichment.","authors":"Nguyen P Nguyen, Kristina Hall, Nathan H Craven","doi":"10.1037/rep0000667","DOIUrl":"https://doi.org/10.1037/rep0000667","url":null,"abstract":"<p><strong>Purpose/objective: </strong>As work and family life are deeply interconnected, stressors in the work domain, such as workplace discrimination, can spill over into the family domain, affecting its dynamics and overall health outcomes. Despite work-to-family (WF) enrichment having emerged as a critical protective factor in the literature, research on the protective role of WF enrichment for working adults with chronic pain, particularly in the face of workplace discrimination, remains limited.</p><p><strong>Research method/design: </strong>The current study employed a longitudinal moderated mediation model to examine whether WF enrichment moderated the relationship between workplace discrimination and pain interference through perceived family support. Data were drawn from two waves of the national Midlife in the United States (MIDUS) study, with 243 participants with chronic pain.</p><p><strong>Results: </strong>Mediation analyses revealed that higher workplace discrimination at Time 1 predicted lower family support at Time 2, which in turn predicted greater pain interference at Time 2. Moderated mediation analyses revealed that WF enrichment at Time 1 moderated this mediation model by buffering the negative association between workplace discrimination and family support.</p><p><strong>Conclusion/implications: </strong>These findings highlight how workplace discrimination was predictive of disruptions in family dynamics and greater pain interference. Furthermore, WF enrichment emerged as a protective factor, moderating the adverse associations between workplace discrimination and pain-related outcomes through family support. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624338","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
Food avoidance behaviors in individuals living with spinal cord injuries and disorders. 脊髓损伤和疾病患者的食物回避行为。
IF 1.7 4区 医学
Rehabilitation Psychology Pub Date : 2026-04-02 DOI: 10.1037/rep0000659
Sherri L LaVela, Gary J Farkas, Allen W Heinemann, Dan Eisenberg, Lorena Reyes, Rena M Steiger-Chadwick, Jennifer Burns, Myrissa Le, Brian Bartle, Marissa Wirth, Keith Aguina, Alex W K Wong
{"title":"Food avoidance behaviors in individuals living with spinal cord injuries and disorders.","authors":"Sherri L LaVela, Gary J Farkas, Allen W Heinemann, Dan Eisenberg, Lorena Reyes, Rena M Steiger-Chadwick, Jennifer Burns, Myrissa Le, Brian Bartle, Marissa Wirth, Keith Aguina, Alex W K Wong","doi":"10.1037/rep0000659","DOIUrl":"https://doi.org/10.1037/rep0000659","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Research on food avoidance behaviors in individuals with chronic spinal cord injuries and disorders (SCI/D) is scarce. The objective was to assess food avoidance, reasons, and associated variables in persons with chronic SCI/D.</p><p><strong>Research method/design: </strong>A cross-sectional survey was conducted. Bivariate and multivariable analyses identified variables associated with food avoidance.</p><p><strong>Results: </strong>Of 365 respondents, 63% engaged in food avoidance behaviors. Reasons included intentional weight loss (49%), lack of hunger cues (40%), fear of bowel complications (32%), fear of gastrointestinal concerns (26%), uninterested in food (26%), and lack of help needed to prepare/eat food (11%). Bivariate analysis showed that a greater proportion of individuals with SCI/D who engaged in food avoidance behaviors compared with those who did not had low blood pressure (29% vs. 19%), heart problems (13% vs. 5%), sleep problems (86% vs. 66%), musculoskeletal pain (82% vs. 63%), bowel complications (78% vs. 69%), bladder complications (77% vs. 65%), gastroesophageal reflux disease (49% vs. 30%), osteoporosis (37% vs. 24%), posttraumatic stress (35% vs. 16%), and loneliness (31% vs. 14%; all <i>p</i> < .05). Variables that remained independently associated with food avoidance in multivariable analysis included: heart conditions (OR = 3.09, 95% confidence interval [CI]: 1.18-8.12), gastroesophageal reflux disease (<i>OR</i> = 1.77, 95% CI: 1.05-2.97), musculoskeletal pain (<i>OR</i> = 2.00, 95% CI: 1.11-3.62), sleep problems (<i>OR</i> = 1.81, 95% CI: 1.01-3.30), and loneliness (<i>OR</i> = 2.19, 95% CI: 1.17-4.10; all <i>p</i> < .05).</p><p><strong>Conclusions/implications: </strong>Many individuals with SCI/D engaged in food avoidance behaviors. Food avoidance may be a strategy people use to modify their diet to manage health conditions, or it may suggest disordered avoidant eating behaviors. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610489","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
What does it mean to be proud: A scoping literature review of disability pride. 什么是骄傲:关于残疾骄傲的文献综述。
IF 1.7 4区 医学
Rehabilitation Psychology Pub Date : 2026-03-30 DOI: 10.1037/rep0000663
Carlyn Mueller, Sang Qin
{"title":"What does it mean to be proud: A scoping literature review of disability pride.","authors":"Carlyn Mueller, Sang Qin","doi":"10.1037/rep0000663","DOIUrl":"https://doi.org/10.1037/rep0000663","url":null,"abstract":"<p><strong>Purpose/objective: </strong>The purpose of this scoping review was to explore extant research on disability pride, focusing on populations and methods, conceptual definitions, and relationships between disability pride and related constructs. We aim to build a shared definition of disability pride (Baumeister & Leary, 1997), which could benefit rehabilitation research.</p><p><strong>Research method/design: </strong>Our scoping review began with a cross-disciplinary search of multiple research databases. Next, we conducted a two-step abstract and full-text review process to evaluate the articles that resulted from this search. In total, 24 articles were included in the review. Finally, our team proceeded with coding each article, identifying key themes and arguments (Onwuegbuzie et al., 2016).</p><p><strong>Results: </strong>Disability pride is an idea relevant to a wide variety of fields and areas of inquiry. Half of the articles in our review that discuss disability pride (<i>n</i> = 11) were conceptual or theoretical in nature. A second, smaller group of articles (<i>n</i> = 6) utilized qualitative methods to investigate individual experiences with disability pride. Finally, only three articles utilized scale- and survey-based methods to explore disability pride.</p><p><strong>Conclusions/implications: </strong>The results of this review revealed a close relationship between identity and pride as defined in the literature. The review suggests that specific dimensions of disability pride require further examination as a unique construct specifically for assessment development. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576030","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
Chronic conditions and disability self-identification: An exploratory analysis of sociodemographic and psychological correlates. 慢性疾病和残疾自我认同:社会人口和心理相关因素的探索性分析。
IF 1.7 4区 医学
Rehabilitation Psychology Pub Date : 2026-03-26 DOI: 10.1037/rep0000662
Rachel A VanDaalen, Sarah Y Liu
{"title":"Chronic conditions and disability self-identification: An exploratory analysis of sociodemographic and psychological correlates.","authors":"Rachel A VanDaalen, Sarah Y Liu","doi":"10.1037/rep0000662","DOIUrl":"https://doi.org/10.1037/rep0000662","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Not everyone who reports having a medical or psychiatric diagnosis self-identifies as disabled. However, many services and research instruments are framed for those who self-identify as disabled. It is important to understand the characteristics of individuals with impairments who do not self-identify as disabled to appropriately address this population. In this study, we explored whether adults with chronic conditions self-identified as disabled at different rates across demographic categories as well as whether there are differences between groups on antidisability prejudice and self-esteem.</p><p><strong>Research method/design: </strong>Adults within the United States completed online surveys as part of a larger study. Of those who reported having chronic conditions, 286 self-identified as disabled, and 71 did not. We compared responses to demographic questions and attitudinal scales between these two groups using <i>t</i> tests, linear regressions, and binary logistic regressions.</p><p><strong>Results: </strong>Participants who self-identified as disabled were more likely to be younger and have a higher socioeconomic status than those who did not self-identify as disabled. There were significant differences by gender, sexual orientation, race/ethnicity, educational attainment, educational and employment status, political beliefs, and neurodivergent self-identification. When controlling for demographic variables, participants who self-identified as disabled reported lower self-esteem but no differences in antidisability prejudice compared with those who did not.</p><p><strong>Conclusion/implications: </strong>Services and research instruments that only address people who self-identify as disabled may reach a different population as those with impairments who do not self-identify as disabled. Further research should be conducted regarding internalized ableism, disability identity, and self-esteem from a longitudinal perspective. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515874","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
Structural ableism and institutionalization of disabled people. 结构性残疾歧视和残疾人机构化。
IF 1.7 4区 医学
Rehabilitation Psychology Pub Date : 2026-03-26 DOI: 10.1037/rep0000658
Carli Friedman
{"title":"Structural ableism and institutionalization of disabled people.","authors":"Carli Friedman","doi":"10.1037/rep0000658","DOIUrl":"https://doi.org/10.1037/rep0000658","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Structural ableism is a system of macrolevel policies, laws, and cultural and social norms that become institutionalized and serve to devalue and discriminate against disabled people. In the United States, institutionalization was and is not only one of the major forms of violence disabled people faced but also one of the first ways disabled people were defined as a class-institutionalization helped shape how we understand disability and how disabled people were and are treated. The aim of this exploratory study was to examine institutionalization and structural ableism. More specifically, our first subaim was to examine the relationship between historical institutionalization and the institutionalization of disabled people today. Our second subaim was to explore the relationship between historical institutionalization and implicit disability bias in states today.</p><p><strong>Research method/design: </strong>To explore these questions, we analyzed data from the 1860 U.S. Census about institutionalization, Medicaid data about institutionalization today (2022), and data about state implicit disability bias today (2004-2022).</p><p><strong>Results: </strong>Our findings suggest that states that had more institutions in 1860 and institutionalized more disabled people in 1860 were correlated with higher rates of institutionalization today (2022). States that had more institutions in 1860 also appeared to have worse implicit disability attitudes today, centuries later.</p><p><strong>Conclusion/implications: </strong>Structural ableism is a threat to the health, quality of life, and equity of disabled people. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515958","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
Life satisfaction trajectories over the 10 years post-TBI among Asian Americans and Pacific Islanders: A model systems study. 亚裔美国人和太平洋岛民脑外伤后10年的生活满意度轨迹:一个模型系统研究。
IF 1.7 4区 医学
Rehabilitation Psychology Pub Date : 2026-03-02 DOI: 10.1037/rep0000653
Olivia Chapman, Bridget Xia, Mia E Dini, Bani Malhotra, Umesh M Venkatesan, Stephanie Agtarap, Amy J Starosta, Juan Carlos Arango-Lasprilla, Paul B Perrin
{"title":"Life satisfaction trajectories over the 10 years post-TBI among Asian Americans and Pacific Islanders: A model systems study.","authors":"Olivia Chapman, Bridget Xia, Mia E Dini, Bani Malhotra, Umesh M Venkatesan, Stephanie Agtarap, Amy J Starosta, Juan Carlos Arango-Lasprilla, Paul B Perrin","doi":"10.1037/rep0000653","DOIUrl":"10.1037/rep0000653","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Asian Americans and Pacific Islanders (AAPIs) have been underrepresented in rehabilitation research, resulting in a limited understanding of the long-term effects of traumatic brain injury (TBI) in this population. The current study bridges this gap by examining demographic and injury-related factors predicting life satisfaction trajectories over the first 10 years after TBI in AAPIs.</p><p><strong>Research method/design: </strong>The sample consisted of 381 AAPI-identifying individuals with moderate-to-severe TBI who were enrolled in the National Institute on Disability, Independent Living, and Rehabilitation Research-funded TBI Model Systems national study and had data for at least one Satisfaction with Life Scale total score at any time point (i.e., years 1, 2, 5, or 10). Hierarchical linear models examined baseline predictors of life satisfaction trajectories over the 10 years post-TBI and whether these predictors interacted with time.</p><p><strong>Results: </strong>Overall, life satisfaction remained stable over time. Higher overall life satisfaction trajectories were seen among AAPIs who had been married at baseline, had higher educational attainment, had been employed at injury, had low annual earnings, and had no pre-TBI mental health treatment history. Nativity/country of birth was not a significant predictor of life satisfaction trajectories when controlling for other demographic factors. None of these predictors interacted with time, suggesting no differential change in life satisfaction as a function of these predictors.</p><p><strong>Conclusions/implications: </strong>The findings provide valuable insights into culturally sensitive rehabilitation approaches for AAPIs with TBI by highlighting key risk and protective factors associated with long-term life satisfaction. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12958144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147327819","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
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