Rehabilitation Psychology最新文献

{"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":"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":1.7,"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}

{"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":"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>_age = 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":1.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353495/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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":1.7,"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}

{"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":"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":1.7,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344462/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identity development among veterans with spinal cord injury: A qualitative study.","authors":"Lauren L Mitchell, Erica Johnsen-Buss","doi":"10.1037/rep0000603","DOIUrl":"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":1.7,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12343904/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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":1.7,"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}

{"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":"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":1.7,"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}

{"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":"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":1.7,"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}

{"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":1.7,"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}

{"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}