Rehabilitation Psychology最新文献_第9页

Psychometric network analysis in rehabilitation research: A methodological demonstration in depression symptoms of veterans and service members at 1 and 2 years after traumatic brain injury. 康复研究中的心理测量网络分析：脑外伤后 1 年和 2 年退伍军人和军人抑郁症状的方法论论证。

IF 1.9 4区医学

Rehabilitation Psychology Pub Date : 2024-11-01 Epub Date: 2024-08-29 DOI: 10.1037/rep0000576

Paul B Perrin, Samuel J West, Daniel W Klyce, Sarah W Clark, Tiffanie A Vargas, Alexander J Gates, Teague R Henry, Mia E Dini, Stephanie D Agtarap, C B Eagye, Jacob A Finn, Shannon B Juengst, Kristen Dams-O'Connor, Charles H Bombardier

{"title":"Psychometric network analysis in rehabilitation research: A methodological demonstration in depression symptoms of veterans and service members at 1 and 2 years after traumatic brain injury.","authors":"Paul B Perrin, Samuel J West, Daniel W Klyce, Sarah W Clark, Tiffanie A Vargas, Alexander J Gates, Teague R Henry, Mia E Dini, Stephanie D Agtarap, C B Eagye, Jacob A Finn, Shannon B Juengst, Kristen Dams-O'Connor, Charles H Bombardier","doi":"10.1037/rep0000576","DOIUrl":"10.1037/rep0000576","url":null,"abstract":"Purpose/objective: Psychometric network analysis (PNA) is an application of dynamic systems theory that can inform measurement of complex rehabilitation phenomena such as depressive symptom patterns in veterans and service members (V/SMs) after traumatic brain injury (TBI). This study applied PNA to the Patient Health Questionnaire-9 (PHQ-9), a common measure of depressive symptoms, in a sample of V/SMs with TBI at Years 1 and 2 (Y1-2) postinjury.Research method/design: A sample of 808 V/SMs with TBI participated, 594 contributing PHQ-9 data at Y1 and 585 at Y2. Participants were recruited while or after receiving inpatient postacute rehabilitation from one of five Veterans Affairs Polytrauma Rehabilitation Centers.Results: The networks were stable and invariant over time. At both times, network structure revealed the cardinal depressive symptom \"feeling down, depressed, or hopeless,\" as evidenced by its strength centrality. In the Y1 network, the suicidal ideation node was connected exclusively to the network through the guilt node, and in the Y2 network, the suicidal ideation node formed a second connection through the low mood node. The guilt node was the second most influential node at Y1 but was replaced by anhedonia node at Y2.Conclusions/implications: This study demonstrated the potential of PNA in rehabilitation research and identified the primacy of feeling down, depressed, and hopeless after TBI at both Y1 and Y2, with guilt being the second most influential symptom at Y1, but replaced by anhedonia at Y2, providing supportive evidence that the relationships among depressive symptoms after TBI are dynamic over time. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"347-356"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113504","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

Dos and don'ts for conducting mediation analysis: A commentary with practical tips to avoid common problems. 进行调解分析的注意事项：评注，附带避免常见问题的实用提示。

IF 1.7 4区医学

Rehabilitation Psychology Pub Date : 2024-11-01 DOI: 10.1037/rep0000572

Anna L Kratz

{"title":"Dos and don'ts for conducting mediation analysis: A commentary with practical tips to avoid common problems.","authors":"Anna L Kratz","doi":"10.1037/rep0000572","DOIUrl":"10.1037/rep0000572","url":null,"abstract":"Purpose: Mediation analyses allow for exploration of causal mechanisms that explain how a predictor is related to an outcome. Tests of mediation are fundamental to addressing some of the most consequential questions in rehabilitation science. In recent decades, the development of easy-to-use analytical tools has made conducting statistical tests of mediation more accessible to researchers. Unfortunately, there are persistent problems in the conceptual underpinning of many tests of mediation. Even in cases where the statistical analyses are correctly run, problems with the underlying rationale for the mediational analysis will render the results inconsequential, in the best case, or misleading, in the worst case. Method: In this commentary, I summarize the uses of mediation analysis and through a series of six main types of errors provide practical, plain language guidance (\"Dos and Don'ts\") for conducting a conceptually robust mediation analysis. Results: The \"Dos and Don'ts\" laid out in this commentary highlight that there are persistent issues with lack of understanding of mediation, confusion about the differences between moderation, mediation, and covariates, lack of strong theoretical justification for mediation, and lack of attention to methodological issues (e.g., measurement) in many mediation analyses. Conclusions: Promoting the use of mediation analysis in rehabilitation research will advance theory and effective practice in our field. Researchers undertaking mediation analysis are encouraged to prioritize developing a strong theoretical framework that justifies use of mediation analysis, ensuring study methodology supports and enables tests of mediation, as well emphasizing a strong statistical approach to conducting the test of mediation. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":"69 4","pages":"357-363"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510484","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

Parallel processing modeling in longitudinal designs: An example predicting trajectories of distress and life satisfaction. 纵向设计中的并行处理模型：以预测痛苦和生活满意度的轨迹为例。

IF 1.7 4区医学

Rehabilitation Psychology Pub Date : 2024-11-01 Epub Date: 2024-03-14 DOI: 10.1037/rep0000545

Oi-Man Kwok, Hsiang Yu Chien, Qiyue Zhang, Chi-Ning Chang, Timothy R Elliott, Anne-Stuart Bell

{"title":"Parallel processing modeling in longitudinal designs: An example predicting trajectories of distress and life satisfaction.","authors":"Oi-Man Kwok, Hsiang Yu Chien, Qiyue Zhang, Chi-Ning Chang, Timothy R Elliott, Anne-Stuart Bell","doi":"10.1037/rep0000545","DOIUrl":"10.1037/rep0000545","url":null,"abstract":"Purpose: Parallel process modeling (PPM) can be used to analyze co-occurring relationships between health and psychological variables over time. A demonstration is provided using data obtained from the British Household Panel Survey (years 2005, 2006, 2007, and 2008), examining predictors of ongoing changes in their distress and life satisfaction of a subsample from the survey.Research method: In the 2005 survey, data were available from 7,970 participants based on the following demographic variables: gender, age, ever registered as disabled, and ever experienced any strokes (before or at 2005). Time-varying variables included distress and life satisfaction collected yearly from 2005 to 2008. Time-invariant variables included age (65 or older), gender, disability condition, and stroke survivor status.Results: Steps of fitting the PPM are presented. Four distinct distress trajectory groups-chronic, recovery, delayed, and resilient-were identified from the PPM estimates. Resilient and recovery groups showed a positive trend in life satisfaction. The delayed distress and chronic groups had a slight decrease in satisfaction. The time-invariant covariates only significantly predicted baseline levels of distress and satisfaction (i.e., their intercepts).Conclusions: PPM is a relatively simple and powerful tool for simultaneously studying relations between multiple processes. A step-by-step approach on decomposing the significant predictive relation from the change of distress to the change of satisfaction is presented. Properly decomposing any significant growth factor regressed on another growth factor is necessary to fully comprehend the intricate relationships within the results. Practical implications and additional methodological information about fitting PPM are discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"301-314"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132869","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

Patients' beliefs as predictors of patient satisfaction and health-related quality of life in pediatric rehabilitation. 患者信念是儿科康复治疗中患者满意度和健康相关生活质量的预测因素。

IF 1.7 4区医学

Rehabilitation Psychology Pub Date : 2024-11-01 Epub Date: 2024-07-18 DOI: 10.1037/rep0000562

Gloria Metzner, Cindy Höhn, Edith Waldeck, Manuela Glattacker

{"title":"Patients' beliefs as predictors of patient satisfaction and health-related quality of life in pediatric rehabilitation.","authors":"Gloria Metzner, Cindy Höhn, Edith Waldeck, Manuela Glattacker","doi":"10.1037/rep0000562","DOIUrl":"10.1037/rep0000562","url":null,"abstract":"Objective: This study investigated the predictive value of illness and treatment beliefs for patient satisfaction and health-related quality of life (HRQOL) in adolescents receiving inpatient rehabilitation treatment. In addition, we examined the relationship between fulfilled rehabilitation-related treatment expectations and patient satisfaction.Method: In this longitudinal study (recruitment between April 2019 and March 2020), 170 participants (M = 14.3 years [SD = 1.6]) answered self-report questionnaires before and at the end of rehabilitation (6 weeks later). We applied multiple hierarchical regression analyses, controlling for sociodemographic and diagnoses variables.Results: The results showed fulfilled expectations of treatment success and sustainability to be a significant predictor of patient satisfaction (p < .01). The illness belief dimension of emotional representation predicted HRQOL (p < .01). Rehabilitation-related treatment beliefs were not predictive of any outcome.Conclusion: This study provides a first insight into the relationships between these constructs in the context of inpatient pediatric rehabilitation. However, future research is needed to further examine illness and treatment beliefs in this specific treatment setting. Practical implications concern the incorporation of children's and adolescents' beliefs into treatment management to optimize rehabilitation outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"409-419"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The experience of gender in spousal caregiving: A phenomenological psychological study (Greece). 配偶照料中的性别体验：现象心理学研究（希腊）。

IF 1.7 4区医学

Rehabilitation Psychology Pub Date : 2024-11-01 Epub Date: 2024-03-28 DOI: 10.1037/rep0000558

Ioanna Zygouri, Stefanos Mantzoukas, Fiona Cowdell, Mary Gouva, Avraam Ploumis

{"title":"The experience of gender in spousal caregiving: A phenomenological psychological study (Greece).","authors":"Ioanna Zygouri, Stefanos Mantzoukas, Fiona Cowdell, Mary Gouva, Avraam Ploumis","doi":"10.1037/rep0000558","DOIUrl":"10.1037/rep0000558","url":null,"abstract":"Purpose/objective: To explore how spousal caregivers of older people undergoing rehabilitation experience gender within the Greek community.Research method/design: A psychological phenomenological design and analysis were used to illuminate the unique meanings 11 spousal caregivers attribute to their experience of gender by gathering qualitative data via interviews.Results: The data provided an insight into the structure of the experience of gender for the spousal caregivers as a normative diachronic identity in a succession of phases: normative constitution, alienation, and reparation.Conclusions/implications: The findings highlight the influence of gender stereotypes on spousal caregivers' self-concept, agency, caregiving evaluations, and practices, emphasizing the importance of adopting an intersectional perspective in future research and interventions, considering various factors such as ethnicity, gender, sexuality, age, power dynamics, and cultural norms. Spousal caregivers experience alienation on entering the caregiving journey, with gender-related vulnerabilities affecting their psychological well-being. Addressing these vulnerabilities can improve caregivers' mental health and foster effective coping strategies. The study emphasizes the moral aspect of caregiving, highlighting the relationship between a sense of obligation, feelings of guilt, gender norms, and motivations calling for challenging self-sacrificial morals and societal norms associated with them to empower caregivers to prioritize their well-being while maintaining their caregiving motivations. This shift in perspective can lead to a more positive and fulfilling caregiving experience. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"375-383"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307404","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

Methodological considerations for collecting and analyzing data on multiply marginalized psychology trainees with disabilities. 收集和分析多重边缘化残疾心理学学员数据的方法论考虑。

IF 1.7 4区医学

Rehabilitation Psychology Pub Date : 2024-11-01 Epub Date: 2023-11-02 DOI: 10.1037/rep0000530

Emily M Lund, Lauren R Khazem, Mana K Ali, Christopher R DeJesus, Katie B Thomas

{"title":"Methodological considerations for collecting and analyzing data on multiply marginalized psychology trainees with disabilities.","authors":"Emily M Lund, Lauren R Khazem, Mana K Ali, Christopher R DeJesus, Katie B Thomas","doi":"10.1037/rep0000530","DOIUrl":"10.1037/rep0000530","url":null,"abstract":"Objective/purpose: Historically, psychology trainees from marginalized communities have been underrepresented both as researchers and as participants in research on trainee experiences and outcomes. The current research can be used to develop evidence-based strategies to understand and improve the recruitment, retention, advancement, and overall training experiences of trainees with marginalized identities.Method: We review the existing literature on the experiences of psychology trainees, particularly that focused on trainees from marginalized backgrounds.Results: Quantitative, qualitative, and archival data collection and analysis methods each carry their own benefits and limitations, which must be considered and addressed intentionally to optimize the impact of research findings for multiply marginalized individuals. Mixed methods approaches are also discussed. Matching each limitation with a research design strategy is recommended, including the use of sample weights from population archival data to contextualize sample results, incorporating flexibility for reasonable accommodations for intensive qualitative studies, and other strategies.Conclusions/implications: We provide guidance on selecting a methodology based on specific research and dissemination goals within this area and discuss implications and recommendations for both rehabilitation psychology specifically and the field more broadly. Training programs, governing bodies, faculty, researchers, and other invested parties have shared accountability to deliver diverse, equitable, and inclusive education and training experiences, and conducting high-quality research on the experiences of multiply marginalized trainees, including those with disabilities, is a key component of that process. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"315-325"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71427897","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

Dyadic coping and illness adjustment after stroke: A longitudinal prospective study. 中风后的双向应对与疾病适应：一项纵向前瞻性研究。

IF 1.7 4区医学

Rehabilitation Psychology Pub Date : 2024-11-01 Epub Date: 2024-02-15 DOI: 10.1037/rep0000548

Frederike Svensson, Sarah Zwick, Cornelia Exner, Bettina K Doering

{"title":"Dyadic coping and illness adjustment after stroke: A longitudinal prospective study.","authors":"Frederike Svensson, Sarah Zwick, Cornelia Exner, Bettina K Doering","doi":"10.1037/rep0000548","DOIUrl":"10.1037/rep0000548","url":null,"abstract":"Purpose/objective: To investigate associations between illness appraisals, dyadic coping, and illness adjustment in individuals with stroke and their healthy partners.Method/design: This longitudinal observational study examined dyadic data in 17 couples (patient and partner) after stroke. Patients and partners completed self-report measures on event centrality of the stroke (appraisal) at 2 months (t₁), common dyadic coping (CDC) at 5 months (t₂), and quality of life (adjustment) at 8 months (t₃) after the stroke. Dyadic data were analyzed using actor-partner interdependence models.Results: Higher event centrality at t₁ predicted more CDC at t₂ in patients (b = 0.38, p < .05). For partners, the effect of event centrality on dyadic coping differed significantly from the patients' effect but was not significant itself (b = -0.17, p = .601). More CDC at t2 predicted higher physical (b = 3.21, p < .05) and psychological quality of life at t₃ (b = 3.66, p < .05) for partners but not for patients.Conclusions/implications: Preliminary evidence suggests that patients and their healthy partners may endorse event centrality of the stroke differentially. Perceiving dyadic coping processes seems to be especially important to the healthy partners' illness adjustment. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"384-394"},"PeriodicalIF":1.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139736431","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

Exploring the feasibility of heart rate variability biofeedback for individuals with tetraplegia: A pilot clinical trial. 探索心率变异性生物反馈对四肢瘫痪患者的可行性：试点临床试验。

IF 2.7 4区医学

Rehabilitation Psychology Pub Date : 2024-09-09 DOI: 10.1037/rep0000577

Kimberley R Monden,Jason Nupp,Asma Ali,Bria MacIntyre,Mitch Sevigny,Angela Hanks Philippus

{"title":"Exploring the feasibility of heart rate variability biofeedback for individuals with tetraplegia: A pilot clinical trial.","authors":"Kimberley R Monden,Jason Nupp,Asma Ali,Bria MacIntyre,Mitch Sevigny,Angela Hanks Philippus","doi":"10.1037/rep0000577","DOIUrl":"https://doi.org/10.1037/rep0000577","url":null,"abstract":"PURPOSE/OBJECTIVEThis study aimed to determine the feasibility of using commercially available heart rate variability (HRV) biofeedback training to improve physiological and self-reported stress and anxiety among adults with tetraplegia. HRV biofeedback teaches individuals to effectively modify their HRV levels in synchronization with their respiration rate and amplitude.RESEARCH METHOD/DESIGNThirty participants with tetraplegia were enrolled and allocated into one of two study arms: biofeedback or control. The study was conducted remotely from June 2022 through February 2023. Participants in the biofeedback arm received eight HRV training sessions with physiological monitoring, while participants in the control arm received physiological monitoring only. Outcome measures included feasibility, percentage of time spent in the low-frequency range, the Depression Anxiety Stress Scale-21, the Subjective Units of Distress Scale, and the State-Trait Anxiety Inventory-Y Form.RESULTSFeasibility was demonstrated with 100% completion of the protocol and no participant withdrawals due to adverse events. The biofeedback arm showed a greater percentage of time spent in the low-frequency range and reported greater improvement in anxiety from baseline to Session 8 on the Subjective Units of Distress Scale compared to the control arm. However, no differences were found between study arms on the Depression Anxiety Stress Scale-21 and State-Trait Anxiety Inventory-Y Form.CONCLUSIONS/IMPLICATIONSThis study demonstrated that a remotely delivered, self-administered HRV biofeedback intervention could feasibly be delivered to individuals with tetraplegia who report moderate-to-high levels of anxiety. Trends in the reduction of physiological and self-reported anxiety were observed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":"3 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142209683","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

Challenges and facilitators in the experience of caregiving for an older adult with traumatic brain injury: A longitudinal qualitative study in the first-year postinjury. 照顾脑外伤老年人的挑战和促进因素：受伤后第一年的纵向定性研究。

IF 1.9 4区医学

Rehabilitation Psychology Pub Date : 2024-08-01 Epub Date: 2024-01-25 DOI: 10.1037/rep0000531

Guillaume Souesme, Valérie Poulin, Agnès Ethier, Marianne Grenier, Marie-Josée Sirois, Simon Beaulieu-Bonneau, Élaine De Guise, Marie-Eve Lamontagne, Carol Hudon, Marcel Émond, Marie-Christine Ouellet

{"title":"Challenges and facilitators in the experience of caregiving for an older adult with traumatic brain injury: A longitudinal qualitative study in the first-year postinjury.","authors":"Guillaume Souesme, Valérie Poulin, Agnès Ethier, Marianne Grenier, Marie-Josée Sirois, Simon Beaulieu-Bonneau, Élaine De Guise, Marie-Eve Lamontagne, Carol Hudon, Marcel Émond, Marie-Christine Ouellet","doi":"10.1037/rep0000531","DOIUrl":"10.1037/rep0000531","url":null,"abstract":"Purpose: To obtain a better understanding of the factors which complicate or facilitate the adjustment of caregivers after traumatic brain injury (TBI) in older adults.Research method: At 4, 8, and 12 months post-TBI (mild to severe), 65 caregivers answered two open-ended questions regarding facilitators and challenges linked to the injury of their loved one. A thematic analysis was performed.Results: Participants mentioned almost as many facilitators as challenges at each time point. Among the facilitators, we found the following themes: receiving social support, having access to rehabilitation, improvement of the injured loved one's health condition, returning to live at home, having access to home services, feeling useful, effective communication, and having time for oneself. The challenges identified were: health issues in the injured loved one, psychological impact on the caregiver, assuming a new role, relationship strain, and decrease in activities and outings.Conclusions: During the first year following TBI in older adults, caregivers were able to identify several facilitators despite the presence of challenging factors, suggesting effective coping and resilience. This knowledge can guide potential caregivers in their adaptation after TBI in an older adult, and we propose a simple tool to support this process. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"227-238"},"PeriodicalIF":1.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139564877","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

Doing difference differently: Identity (re)constructions of adults with acquired disabilities. 与众不同：后天残疾成人的身份（再）建构。

IF 1.7 4区医学

Rehabilitation Psychology Pub Date : 2024-08-01 Epub Date: 2024-01-22 DOI: 10.1037/rep0000541

Shawni C B Botha, Clare Harvey

{"title":"Doing difference differently: Identity (re)constructions of adults with acquired disabilities.","authors":"Shawni C B Botha, Clare Harvey","doi":"10.1037/rep0000541","DOIUrl":"10.1037/rep0000541","url":null,"abstract":"Purpose/objective: The acquisition of a disability impacts one's corporeality and has been found to destabilize one's sense of personal and social identity. The article explores the psychological and behavioral adaptation strategies that are employed in response to resisting, incorporating, and/or integrating disability into one's identity. We refer to a study that considered factors that facilitate and/or impede disability identification, aiming to investigate the trajectory that the process of identity (re)construction takes.Research method/design: Seven individual, in person, semistructured interviews were conducted with adults with acquired physical and sensory disabilities. Data underwent thematic analysis. To encapsulate the intrapersonal as well as interpersonal dynamics inherent in identity (re)construction, the analysis was guided by an interpretative phenomenological lens and social identity theory (SIT).Results: Disability identification is a complex and contradictory phenomenon, with strategies of resistance, incorporation, and/or integration fluctuating by setting and circumstance. These findings represent a significant departure from SIT literature-participants rather made use of more collectivist as opposed to individualistic adaptation strategies. Arguably, progress is being made with regard to disability pride, opening up a space for more positive and affirming disabled identities. Furthermore, disability identification is largely facilitated by greater opportunities for political advocacy and social support-online and in the disabled community. However, stigma-internalized and external-is still a major inhibitory factor to disability identification.Conclusions/implications: Recommendations for rehabilitation programs and psychological professionals working with acquired physical and sensory disability are proposed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":47974,"journal":{"name":"Rehabilitation Psychology","volume":" ","pages":"280-289"},"PeriodicalIF":1.7,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139513979","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