Rehabilitation Psychology最新文献

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Identity development among veterans with spinal cord injury: A qualitative study. 脊髓损伤退伍军人身份发展:一项定性研究。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-02-13 DOI: 10.1037/rep0000603
Lauren L Mitchell, Erica Johnsen-Buss
{"title":"Identity development among veterans with spinal cord injury: A qualitative study.","authors":"Lauren L Mitchell, Erica Johnsen-Buss","doi":"10.1037/rep0000603","DOIUrl":"https://doi.org/10.1037/rep0000603","url":null,"abstract":"<p><strong>Purpose/objective: </strong>The purpose of the present study was to identify perceived effects of spinal cord injury (SCI) on identity development and processes of reestablishing an integrated identity after SCI in a veteran sample.</p><p><strong>Research method/design: </strong>Semistructured interviews with <i>N</i> = 21 veterans explored perceived effects of SCI on identity, including future orientation, meaning and purpose in life, engagement in key life roles including family, friendships, and work and engagement with other individuals with disabilities. Participants also completed survey measures of depressive symptoms and self-concept clarity. Mental health history data were extracted from electronic health records. Qualitative data were analyzed using thematic analysis.</p><p><strong>Results: </strong>Participants frequently discussed identity-relevant changes in career roles, disrupted social roles, and changes in their sense of independence. However, most participants also emphasized aspects of their identity that remained continuous despite their injury. Among the most frequently discussed strategies for reestablishing an integrated identity after SCI were \"adapting activities\" and \"establishing an active life,\" themes that highlight the relevance of identity exploration in adulthood. Military identity and culture afforded both benefits in adjusting to SCI (e.g., perseverance in recovery processes) as well as vulnerabilities (e.g., threats to self-sufficiency and physical fitness).</p><p><strong>Conclusions/implications: </strong>The findings reinforce the importance of disability identity development as well as overall identity integration and reveal potential strategies that individuals may use to adapt their identities following SCI. (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":"143415839","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
Examining the construct validity of posttraumatic growth following moderate-severe traumatic brain injury: A mixed-methods analysis. 中重度颅脑损伤后创伤后生长的结构效度检验:一种混合方法分析。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-02-10 DOI: 10.1037/rep0000596
Stephanie Agtarap, Mackenzie Peckham, Marissa Lundstern, Steve Bistricky, Adriel Boals, Jennifer Gallagher, Robin Hanks, Daniel W Klyce, Paul B Perrin
{"title":"Examining the construct validity of posttraumatic growth following moderate-severe traumatic brain injury: A mixed-methods analysis.","authors":"Stephanie Agtarap, Mackenzie Peckham, Marissa Lundstern, Steve Bistricky, Adriel Boals, Jennifer Gallagher, Robin Hanks, Daniel W Klyce, Paul B Perrin","doi":"10.1037/rep0000596","DOIUrl":"10.1037/rep0000596","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Posttraumatic growth (PTG) refers to positive changes that individuals experience in the wake of a stressful or traumatic event. Though growth and adaptation are considered ideal outcomes of rehabilitation, the extent to which PTG captures the unique experience of individuals with traumatic brain injury (TBI) has not been empirically evaluated. The purpose of the current study was to establish construct validity of PTG for individuals following moderate-severe TBI.</p><p><strong>Research method: </strong>Forty participants who received inpatient or outpatient rehabilitation services for moderate-severe TBI and who were > 1 year postinjury completed a one-time phone interview of mental health and quality of life assessments, and answered a free-response question about significant life changes after injury. Using convergent parallel design, scores on the Posttraumatic Growth Inventory (PTGI) were compared to other assessments and themes of PTG and posttraumatic depreciation derived through thematic analysis.</p><p><strong>Results: </strong>PTGI total scores (<i>M</i> = 66.60, <i>SD</i> = 21.79) were similar to other brain injury populations respective to time since injury (<i>M</i> = 11.20 years). Qualitatively derived themes of PTG aligned with domains of the PTGI, and endorsement of PTG was significantly associated with greater mental health and social support.</p><p><strong>Discussion: </strong>This study provides evidence of the existence of PTG and posttraumatic depreciation in a sample of individuals with moderate-severe TBI, supporting its construct validity using mixed-methods data. Our findings may be helpful in identifying what significant changes may indicate significant growth and depreciation during the rehabilitation process, and be critical mechanisms for optimal psychosocial adjustment following brain injury. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392312","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
Online family training after traumatic brain injury: A parallel randomized control trial. 外伤性脑损伤后的在线家庭训练:一项平行随机对照试验。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-02-10 DOI: 10.1037/rep0000605
Christina M Karns, Laurie Powell, Karen A Durany, Jody Slocumb, Laura Beck, Jeff Gau, Ann Glang
{"title":"Online family training after traumatic brain injury: A parallel randomized control trial.","authors":"Christina M Karns, Laurie Powell, Karen A Durany, Jody Slocumb, Laura Beck, Jeff Gau, Ann Glang","doi":"10.1037/rep0000605","DOIUrl":"https://doi.org/10.1037/rep0000605","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate an online intervention to support family members of individuals who sustained a traumatic brain injury (TBI).</p><p><strong>Research design: </strong>Randomized control trial. Parallel assignment to TBI Family Support (TBIFS) intervention or enhanced usual care control (TAU). Three testing timepoints: pretest baseline (T1), posttest within 2 weeks of assignment (T2), and follow-up 1 month after posttest (T3).</p><p><strong>Setting: </strong>Online.</p><p><strong>Participants: </strong>Sixty-eight caregivers recruited nationally: 18 years of age or older, English speaking, providing primary caregiving to an adult family member with TBI and mild to moderate disability.</p><p><strong>Intervention: </strong>Eight interactive modules providing information about cognitive, behavioral, and social consequences of TBI, training in problem-solving framework, and application exercises (<i>N</i> = 35). TAU was an informational website (<i>N</i> = 33).</p><p><strong>Measures: </strong>Proximal outcomes-program use, usability, and user satisfaction for TBIFS participants. Primary outcomes-TBI content knowledge, strategy application objective response and open-ended response, and strategy-application confidence. Secondary outcomes-appraisals of burden, satisfaction, uncertainty in mastery, guilt, and negative environment.</p><p><strong>Results: </strong>Proximal outcomes-about 80% of TBIFS participants completed the posttest assessment, and 91% reported moderate to high usability and user satisfaction. Primary outcomes-greater posttest gains in TBI content knowledge for TBIFS than TAU (<i>t</i> = 3.53, <i>p</i> = .0005, adjusted <i>p</i> = .0090, <i>d</i> = 0.91). Gains maintained through follow-up (<i>t</i> = 2.89, <i>p</i> = .0038, adjusted <i>p</i> = .0342, <i>d</i> = 0.90). No other effects for the primary or secondary outcomes.</p><p><strong>Conclusion: </strong>TBIFS improved TBI content knowledge relative to TAU. Modifications might be needed to improve application and distal outcomes for caregivers. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392313","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
Promoting psychological health in women with spinal cord injury: A randomized trial. 促进脊髓损伤妇女的心理健康:一项随机试验
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-02-06 DOI: 10.1037/rep0000602
Susan Robinson-Whelen, Rosemary B Hughes, Diana Gonzalez, Linda Norah-Davis, Luis G Leon-Novelo, Esther Ngan, Megan L Whelen, Lisa Wenzel, Heather B Taylor
{"title":"Promoting psychological health in women with spinal cord injury: A randomized trial.","authors":"Susan Robinson-Whelen, Rosemary B Hughes, Diana Gonzalez, Linda Norah-Davis, Luis G Leon-Novelo, Esther Ngan, Megan L Whelen, Lisa Wenzel, Heather B Taylor","doi":"10.1037/rep0000602","DOIUrl":"https://doi.org/10.1037/rep0000602","url":null,"abstract":"<p><strong>Purpose/objective: </strong>To report on a randomized controlled trial of Zest, a highly innovative psychological health promotion group intervention designed specifically for women with spinal cord injury (SCI), a population at risk for adverse psychological health.</p><p><strong>Research method/design: </strong>A national sample of 175 women with SCI were randomized to either the Zest intervention or a control group that received intervention materials at the end of the study. The Zest group participated in a psychological health promotion intervention that met weekly for 10 weeks in the free, online, three-dimensional virtual world of Second Life. The novel use of this technology afforded delivery to participants with SCI without requiring them to leave their homes. Both groups completed online surveys at baseline, at program end, and at 6 months assessing the primary outcomes (depression, self-esteem, and life satisfaction) and the proposed mediators (self-efficacy, connectedness, and perceived stress).</p><p><strong>Results: </strong>Zest was well received by participants. We found significant group differences supporting the efficacy of the intervention on the primary outcomes of depression, self-esteem, and life satisfaction. Analyses also supported self-efficacy and perceived stress as important mediators of the impact of the intervention on the primary outcomes.</p><p><strong>Conclusion/implications: </strong>Zest, a group program offered on a virtual world platform, offers promise as an intervention for enhancing the psychological health of women with SCI. More attention should be devoted to the psychosocial health needs of people with SCI by developing and implementing affordable, accessible, and widely available programming. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366562","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
Service needs and neurobehavioral functioning following traumatic brain injury in U.S. military personnel. 美国军人脑外伤后的服务需求和神经行为功能。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-02-01 Epub Date: 2024-05-23 DOI: 10.1037/rep0000556
Rael T Lange, Louis M French, Sara M Lippa, Alicia A Rogers, Kelly Gillow, Corie E Tippett, Jason M Bailie, Lars Hungerford, Jan Kennedy, Tracey A Brickell
{"title":"Service needs and neurobehavioral functioning following traumatic brain injury in U.S. military personnel.","authors":"Rael T Lange, Louis M French, Sara M Lippa, Alicia A Rogers, Kelly Gillow, Corie E Tippett, Jason M Bailie, Lars Hungerford, Jan Kennedy, Tracey A Brickell","doi":"10.1037/rep0000556","DOIUrl":"10.1037/rep0000556","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to (a) identify the prevalence and barriers of self-reported service needs in a military sample with and without traumatic brain injury (TBI), (b) evaluate the influence of the number of service needs on overall neurobehavioral functioning, and (c) examine the longitudinal trajectories of service needs over time.</p><p><strong>Method: </strong>Participants were 941 U.S. service members and veterans (SMVs) prospectively enrolled into four groups: uncomplicated mild TBI (MTBI; <i>n</i> = 455); complicated mild, moderate, severe, and penetrating TBI combined (STBI; <i>n</i> = 164); injured controls (IC, <i>n</i> = 138); and noninjured controls (NIC, <i>n</i> = 184). Participants completed a battery of neurobehavioral measures, as well as a self-reported service need interview, 12 or more month's postinjury. In addition, a longitudinal cohort (<i>n</i> = 553) was included using a subset of participants who had completed two or more evaluations.</p><p><strong>Results: </strong>When examining the total number of self-reported service needs, there was a greater proportion of the MTBI and STBI groups that had a higher number of service needs compared to the NIC and IC groups (<i>p</i> < .001). In the MTBI and STBI groups, as the number of service needs increased, worse scores were found on all neurobehavioral measures. In the longitudinal cohort, the STBI group reported the highest number of service needs that persisted or developed over time (six needs), followed by the MTBI (three needs), IC (one need), and NIC (zero need) groups.</p><p><strong>Conclusions: </strong>These findings call for the need to enhance the provision of information given to service members and veterans following TBI regarding available services. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"63-74"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082573","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
Disparities between Native Americans and Whites in trajectories of functional independence and life satisfaction over the 5 years after traumatic brain injury. 美国原住民与白人在脑外伤后 5 年的功能独立性和生活满意度方面的差距。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-02-01 Epub Date: 2024-03-21 DOI: 10.1037/rep0000553
Jack D Watson, Paul B Perrin, Bridget Xia, Juan Carlos Arango-Lasprilla
{"title":"Disparities between Native Americans and Whites in trajectories of functional independence and life satisfaction over the 5 years after traumatic brain injury.","authors":"Jack D Watson, Paul B Perrin, Bridget Xia, Juan Carlos Arango-Lasprilla","doi":"10.1037/rep0000553","DOIUrl":"10.1037/rep0000553","url":null,"abstract":"<p><strong>Purpose: </strong>Traumatic brain injury (TBI) can lead to impairments in motor and cognitive function and reduced life satisfaction. TBI is one of the leading causes of death and disability worldwide and disproportionately affects Native Americans, who have the highest rates of TBI among all races in the United States and elevated likelihood for fatality and severe complications. This study investigated whether disparities in functional and life satisfaction outcomes exist longitudinally over the 5 years after complicated mild, moderate, or severe TBI between Native Americans and White individuals; it further explored which demographic and injury-related covariates account for them.</p><p><strong>Research method: </strong>The current study used a subsample of the national TBI Model Systems Database of 80 demographically and injury-severity matched Native American and White pairs (total <i>n</i> = 160).</p><p><strong>Results: </strong>A series of longitudinal hierarchical linear models found that Native Americans experienced significantly lower Functional Independence Measure Cognitive and Motor trajectories than Whites; however, life satisfaction was comparable. Native Americans had declining cognitive function over time relative to a slight increase in White individuals. This differential movement dissipated with the addition of employment status at the time of injury and type of health insurance.</p><p><strong>Conclusions: </strong>These results demonstrate a profound need to further investigate the cultural and contextual variables unique to Native Americans that underlie these differences and highlight the importance of culturally responsive treatment and rehabilitation in bridging the gap in recovery. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"15-25"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177187","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
Predicting meditation practices among individuals with cardiovascular diseases: A logistic regression analysis. 预测心血管疾病患者的冥想习惯:逻辑回归分析
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-02-01 Epub Date: 2024-06-20 DOI: 10.1037/rep0000566
Junfei Lu, Cassandra D Ford, Doris Vaughans
{"title":"Predicting meditation practices among individuals with cardiovascular diseases: A logistic regression analysis.","authors":"Junfei Lu, Cassandra D Ford, Doris Vaughans","doi":"10.1037/rep0000566","DOIUrl":"10.1037/rep0000566","url":null,"abstract":"<p><strong>Purpose/objective: </strong>Since the prevalence and cost of cardiovascular diseases (CVD) are high in the United States, research on affordable preventative and treatment approaches is needed. While meditation shows promise for heart-health promotion, there is little knowledge about its use among people with CVD and factors that may influence its usage. In response, the purposes of the current research are to (a) shed light on the proportion of people with CVD who practice meditation; and (b) reveal variables that predict the use of meditation among them.</p><p><strong>Research method: </strong>A secondary data analysis was conducted using data from the 2017 National Health Interview Survey. A total of 4,197 data entries (respondents with CVD) were included for analysis, and both descriptive and logistic regression analysis results were reported.</p><p><strong>Results: </strong>Approximately 16% of respondents with CVD practiced meditation. Among them, many used spiritual (82.5%) meditation, followed by mindfulness (29.9%), and mantra (24.9%) meditation. Females (odds ratio [<i>OR</i>] = 1.69), those advised to increase physical activity (<i>OR</i> = 1.34), and email users (<i>OR</i> = 1.63) had higher odds; and those able to afford medication (<i>OR</i> = 0.70) or mental health care/counseling (<i>OR</i> = 0.46) had lower odds to use meditation compared to respective counterparts.</p><p><strong>Conclusions/implications: </strong>There is a significant proportion of people with CVD who used meditation practices, especially spiritual meditations. However, more research is needed to reveal the determinants of meditation use among people with CVD to facilitate their heart-health-self-care. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"104-109"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141427963","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
Comparison, othering, and surveillance: Foucauldian discourse analysis of peer support in visual impairment rehabilitation services in South Africa. 比较、他化和监视:对南非视力障碍康复服务中同伴支持的福柯话语分析。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-02-01 Epub Date: 2024-06-24 DOI: 10.1037/rep0000565
Michelle Botha, Brian Watermeyer
{"title":"Comparison, othering, and surveillance: Foucauldian discourse analysis of peer support in visual impairment rehabilitation services in South Africa.","authors":"Michelle Botha, Brian Watermeyer","doi":"10.1037/rep0000565","DOIUrl":"10.1037/rep0000565","url":null,"abstract":"<p><strong>Purpose: </strong>Peer support has been identified as an important aspect of rehabilitation for visually impaired adults. However, there is a limited exploration in rehabilitation studies literature of the identity-related impact of these interventions, both at an individual and collective level. Through attending to the discourses on blindness, well-being, and social inclusion that circulate in organization cultures, this article considers the role that peer support plays in forming \"blind communities\" with particular characteristics, and what these communities might model about life with blindness, both to newly blind persons and to society.</p><p><strong>Research method: </strong>Foucauldian discourse analysis was conducted on semi-structured interviews with 18 visual impairment rehabilitation service users and eight rehabilitation practitioners at four organizations providing services in the Western Cape, South Africa.</p><p><strong>Results: </strong>Formal peer support is lacking in the sampled organizations, suggesting that relational aspects are not a priority in rehabilitation practice. The formal and informal peer support that does exist in these services is shadowed by largely negative sociocultural beliefs about blindness. Participants described a culture of comparison, othering, and surveillance within which, the article suggests, they are unable to explore and embrace authentic and positive blind identities. This has implications for both individual and collective empowerment.</p><p><strong>Conclusions: </strong>Greater attention must be paid to both rehabilitation practitioner training and the design and implementation of rehabilitation services to the identity-level impact of rehabilitation. This is essential to develop services that promote individual and collective empowerment and that respond to the multilayered practical, social, and psychoemotional needs of blind adults. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"84-93"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447369","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
Positive impacts of psychological pain treatments: Supplementary analyses of a randomized clinical trial. 心理疼痛治疗的积极影响:随机临床试验的补充分析。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-02-01 Epub Date: 2024-03-28 DOI: 10.1037/rep0000557
Erica J Ho, Aaron P Turner, Mark P Jensen, Melissa A Day, Dawn M Ehde, Tracy M Anastas, Rhonda M Williams
{"title":"Positive impacts of psychological pain treatments: Supplementary analyses of a randomized clinical trial.","authors":"Erica J Ho, Aaron P Turner, Mark P Jensen, Melissa A Day, Dawn M Ehde, Tracy M Anastas, Rhonda M Williams","doi":"10.1037/rep0000557","DOIUrl":"10.1037/rep0000557","url":null,"abstract":"<p><strong>Objective: </strong>Clinical trials often focus on symptom reduction as a primary outcome, overlooking positive psychology factors of potential importance although many individuals can and do live well with pain. The Patient-Reported Outcomes Measurement Information System (PROMIS) Psychosocial Illness Impact-Positive (PIIP) scale assesses perceptions of adaptive psychosocial functioning (e.g., coping and meaning-making) after illness onset. This study evaluated the effects of hypnosis (HYP), mindfulness meditation (MM), and pain psychoeducation (ED) on PIIP scores, using data from a completed randomized clinical trial (RCT) of complementary and integrative chronic pain interventions. We hypothesized that treatment effects on PIIP would mirror the RCT's primary pain intensity outcome, such that HYP and MM, relative to ED, would lead to greater improvements in PIIP during trial follow-up.</p><p><strong>Method: </strong>Our sample included 262 Veterans who completed the PROMIS PIIP Short-Form 8a at pre- and posttreatment and at 3- and 6-month follow-up. Linear regression was used to test between-group differences in PIIP at each time point, controlling for baseline PIIP, average pain intensity, and baseline perceptions of prepain psychosocial functioning.</p><p><strong>Results: </strong>There were no significant between-group differences in PIIP at posttreatment or 3-month follow-up. However, group differences emerged at 6-month follow-up: individuals randomized to MM and HYP showed improved PIIP relative to those randomized to ED.</p><p><strong>Conclusions: </strong>Positive psychosocial outcomes are a mostly untapped territory in clinical trials of pain interventions. The present work highlights the potential benefits of including positive psychology concepts in both research and clinical contexts, emphasizing the importance of understanding human flourishing in the presence of illness and disability. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"36-45"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307403","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
Positionality statements: Intersectional considerations for rehabilitation psychology. 定位陈述:康复心理学的交叉考虑。
IF 1.9 4区 医学
Rehabilitation Psychology Pub Date : 2025-02-01 DOI: 10.1037/rep0000569
Emily M Lund, Christopher R DeJesus, Mana K Ali Carter, Lauren R Khazem
{"title":"Positionality statements: Intersectional considerations for rehabilitation psychology.","authors":"Emily M Lund, Christopher R DeJesus, Mana K Ali Carter, Lauren R Khazem","doi":"10.1037/rep0000569","DOIUrl":"10.1037/rep0000569","url":null,"abstract":"<p><strong>Introduction: </strong>Positionality statements accompanying peer-reviewed publications are increasingly being implemented in academic journals across many disciplines, including psychology. These statements serve as transparent, public acknowledgments of the authors' identities, which can offer valuable insight into the authors' work in the context of their lived experiences and potential biases. However, journal editors and associated staff risk harm by uniformly adopting a policy on positionality statements without consideration of the unintended consequences of implementing such practices.</p><p><strong>Objective/purpose: </strong>The purpose of the current article is to discuss the benefits and challenges of incorporating positionality statements, with a focus on the specific context and principles of rehabilitation psychology.</p><p><strong>Method: </strong>We reviewed the literature on positionality statements and disclosure and incorporated our own experiences as researchers and authors from marginalized and/or minoritized groups.</p><p><strong>Results: </strong>Editorial and research teams in rehabilitation psychology are encouraged to reflect on both the potential benefits of positionality statements (e.g., greater recognition of \"insider perspectives,\" recognition of potential biases) as well as the potential negative consequences (e.g., forced disclosure of characteristics and identities in published work, minimization of the impact of intersectional identities, dissolution of dynamic identities and stages of identity development).</p><p><strong>Conclusions/implications: </strong>Positionality statements present complex challenges for rehabilitation psychology researchers from diverse backgrounds and their colleagues; thus, authors should be given the freedom to choose if and how to include a positionality statement in their work. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":"70 1","pages":"110-117"},"PeriodicalIF":1.9,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014109","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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