Rehabilitation Psychology最新文献

{"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":"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":2.0,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13372725/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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":"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":2.0,"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}

{"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":"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":2.0,"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}

{"title":"Associations among epilepsy phenotypes and pain, sleep interference, and dissociative symptoms.","authors":"Jack D Watson, Elise V Bailey, Amy Henion, Shirin Saleh, Madeline Myers, Hamada H Altalib, W Curt LaFrance, Mary Jo Pugh","doi":"10.1037/rep0000657","DOIUrl":"10.1037/rep0000657","url":null,"abstract":"<p><strong>Purpose/objective: </strong>The current study investigated the extent to which epilepsy comorbidity phenotypes (relatively healthy, posttraumatic stress disorder, polytrauma, bipolar/substance use disorder, chronic disease, and anxiety and depression) are associated with pain interference, sleep interference, and dissociative symptoms for post-9/11 Veterans with epilepsy (VWE).</p><p><strong>Research method/design: </strong>A total of 482 veterans were recruited via postal mail with a final sample size of 423 veterans included for analysis, with 59 veterans removed due to incomplete data. Veterans were largely non-Hispanic White (85.80%) and predominantly female (54.80%). Three series of hierarchical blockwise regressions were conducted to test the predictive capability of the epilepsy phenotypes for pain interference, sleep interference, and dissociative symptoms while controlling for covariates (age, ethnicity, sex, traumatic brain injury severity, epilepsy interference, caregiver status, blast exposure, and warzone deployment).</p><p><strong>Results: </strong>After adjusting for covariates, the posttraumatic stress disorder, polytrauma, and chronic disease phenotypes remained significant predictors of pain interference, and the polytrauma and bipolar/substance use disorder phenotypes remained significant predictors of sleep interference. No phenotype predicted dissociative symptoms in fully adjusted models. Critically, epilepsy interference was the single most consistent and strongest predictor across models (<i>p</i> < .001), accounting for the largest unique share of variance in pain, sleep, and dissociative symptom scores.</p><p><strong>Conclusion/implications: </strong>Among VWE, some epilepsy phenotypes may account for independent risk beyond demographic and injury characteristics for pain and sleep interference. These findings underscore the importance of targeted assessment and intervention strategies tailored to specific comorbidity profiles in the management of pain and sleep difficulties among VWE. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13426610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229355","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":"Long COVID brain fog treatment: An early-phase randomized controlled trial of constraint-induced cognitive therapy signals go.","authors":"Gitendra Uswatte, Edward Taub, Karlene Ball, Brandon S Mitchell, Jason A Blake, Staci McKay, Fedora Biney, Olesya Iosipchuk, Piper Hempfling, Elise Harris, Anne Dickerson, Kristine Lokken, Amy J Knight, Victor W Mark, Shruti Agnihotri, Gary Cutter","doi":"10.1037/rep0000626","DOIUrl":"10.1037/rep0000626","url":null,"abstract":"<p><strong>Purpose: </strong>Long COVID brain fog is often disabling. Yet, no empirically supported treatments exist. This study's objectives were to evaluate the feasibility and efficacy, provisionally, of a new rehabilitation approach, Constraint-Induced Cognitive Therapy (CICT), for post-COVID-19 cognitive sequelae.</p><p><strong>Design: </strong>Sixteen community residents ≥3 months post-COVID-19 infection with mild cognitive impairment and dysfunction in instrumental activities of daily living (IADL) were enrolled. Participants were randomized to Immediate-CICT or treatment as usual (TAU) with crossover to CICT. CICT combined behavior change techniques modified from Constraint-Induced Movement Therapy with Speed of Processing Training, a computerized cognitive training program. CICT was deemed feasible if (a) ≥ 80% of participants were adherent, (b) the same found treatment highly satisfying and at most moderately difficult, and (c) < 2 study-related, serious adverse events occurred. The primary outcome was IADL performance in daily life (Canadian Occupational Performance Measure). Employment status and brain fog (Mental Clutter Scale) were also assessed.</p><p><strong>Results: </strong>Fourteen completed Immediate-CICT (<i>n</i> = 7) or TAU (<i>n</i> = 7); two withdrew from TAU before their second testing session. Completers were, M (SD): 10 (7) months post-COVID; 51 (13) years old; 10 females, four males; one African American, and 13 European American. All the feasibility benchmarks were met. Immediate-CICT, relative to TAU, produced very large improvements in IADL performance (<i>M</i> = 3.7 points, <i>p</i> < .001, <i>d</i> = 2.6) and brain fog (<i>M</i> = -4 points, <i>p</i> < .001, <i>d</i> = -2.9). Four of five nonretired Immediate-CICT participants returned to work posttreatment; no TAU participants did, <i>p</i> = .048.</p><p><strong>Conclusion: </strong>Those who received CICT adhered to the protocol and were highly satisfied with their outcomes. The findings warrant a large-scale randomized controlled trial with an active-comparison group. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"46-61"},"PeriodicalIF":2.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12323405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041561","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":"Emotional well-being in transition-age adults with pediatric-onset disabilities: A cross-sectional study.","authors":"Christine L Petranovich, Samantha Koerber, Cristina Sarmiento, Sarah Graber, Michael Dichiaro, Pamela Wilson, Andrea Miele, Robin L Peterson, Tess Simpson, Amy K Connery, Michael W Kirkwood, Susan Apkon","doi":"10.1037/rep0000599","DOIUrl":"10.1037/rep0000599","url":null,"abstract":"<p><strong>Purpose/objective: </strong>The transition from childhood to adulthood often involves emotional challenges. These problems may be especially prominent for transition-age adults (TAA) with pediatric-onset disabilities, although there are currently few studies that speak to this. The aim of this study is to characterize depressive symptoms and the association with family functioning in a sample of TAA with pediatric-onset disabilities.</p><p><strong>Research method/design: </strong>This sample is comprised of 55 TAA (18-28 years of age, <i>M</i> = 20.88, <i>SD</i> = 2.49) who were followed by pediatric rehabilitation medicine clinics. Participants have childhood acquired brain injury (<i>n</i> = 17), spina bifida (<i>n</i> = 10), or neuromuscular disorders (<i>n</i> = 28). Participants completed the Center for Epidemiological Studies-Depression scale and the Family Assessment Device Short Form.</p><p><strong>Results: </strong>Clinically elevated depressive symptoms were endorsed by 65.4% of the sample. Forty-five percent of those with elevated depressive symptoms were not currently receiving psychotherapy services. Poorer family functioning on the Family Assessment Device Short Form and older age were independently associated with more depressive symptoms, controlling for medical condition, mobility status, and other relevant sociodemographic factors.</p><p><strong>Conclusions/implications: </strong>Emotional problems are quite common in TAA with a history of acquired brain injury, spina bifida, and neuromuscular disorders, yet are seemingly inadequately managed. In view of the results of this study, TAA with pediatric-onset disabilities are likely to benefit from interventions that bolster emotional well-being and target risk factors related to their family system. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"83-89"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972781","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":"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":"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) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"111-120"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","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}

{"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) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"22-34"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","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":"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":"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) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"101-110"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","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}

{"title":"Decision-making capacity in rehabilitation psychology practice: Historical, contemporary, and future perspectives.","authors":"Kathleen T Bechtold, James W Mikesell","doi":"10.1037/rep0000604","DOIUrl":"10.1037/rep0000604","url":null,"abstract":"<p><strong>Purpose: </strong>This article will review the historical underpinnings of informed consent and decisional capacity, current practices, and potential evolving future modifications or elaborations of decision-making practices in clinical settings.</p><p><strong>Method: </strong>Ethical and legal foundations for informed consent for health care are reviewed. Contemporary issues with decision making, clinical capacity, and proxy decision making in rehabilitation psychology practice are discussed with a specific focus on health care decision making.</p><p><strong>Conclusions: </strong>As a subspecialist in psychology, a rehabilitation psychologist necessarily seeks to incorporate a working knowledge of its historical anchors while simultaneously seeking changes sensitive to honoring and advocating for the rights of the individuals whom they serve. The contributions of the disability rights movement have been immeasurable in ensuring that those most impacted with potential challenges to their right to self-determine their choices across a wide range of psycholegal issues are safeguarded. As rehabilitation psychologists, we must remain steadfast stewards and constructive supporters of those under our care through protecting and advocating for their rights. (PsycInfo Database Record (c) 2026 APA, all rights reserved).</p>","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"90-100"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972779","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}