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Rehabilitation Psychology

Erin E Andrews, Anjali J Forber-Pratt, Linda R Mona, Emily M Lund, Carrie R Pilarski, Rochelle Balter
PURPOSE: To inform the field of rehabilitation psychology about the sociocultural implications of the term "disability," and explain the rationale behind the #SaytheWord movement, a social media call to embrace disability identity. METHOD: Review of the literature on disability terminology, the history of language use, and the relationship between attitudes toward disability and language. We reflect on the role of disability within the field of psychology and within the American Psychological Association (APA), including the underrepresentation of disabled psychologists and trainees with disabilities and the lack of mentorship opportunities available in the field...
February 14, 2019: Rehabilitation Psychology
Armando Fuentes, Chelsea Schoen, Rebecca R Kulzer, Coralynn Long, Tamara Bushnik, Joseph F Rath
PURPOSE/OBJECTIVE: Racial/ethnic minorities and other vulnerable social groups experience health care disparities. There is a lack of research exploring how time to acute rehabilitation admission is impacted by race/ethnicity and other marginalizing systemic vulnerabilities. The purpose of this study is to investigate whether race/ethnicity and other sociodemographic vulnerabilities impact expediency of acute rehabilitation admission following traumatic brain injury (TBI). Research Method/Design: This study is a secondary analysis of an existing dataset of 111 patients admitted for acute TBI rehabilitation at an urban public hospital...
January 28, 2019: Rehabilitation Psychology
Chung Jung Mun, Mary C Davis, Ivan R Molton, Paul Karoly, Hye Won Suk, Dawn M Ehde, Howard Tennen, Robert D Kerns, Mark P Jensen
PURPOSE/OBJECTIVE: Previous studies have demonstrated important associations between personal resources and pain interference. Using latent profile analysis, the present study (a) identified subgroups of individuals with chronic pain who have different personal resource profiles; (b) explored sociodemographic differences among subgroups; and (c) examined how these subgroups differ in pain interference. Research Method/Design: Study 1 is based on daily diary and survey data from 220 individuals with fibromyalgia (FM)...
January 28, 2019: Rehabilitation Psychology
Jed N McGiffin, Isaac R Galatzer-Levy, George A Bonanno
OBJECTIVE: Adjustment to chronic disability is a topic of considerable focus in the rehabilitation sciences and constitutes an important public health problem given the adverse outcomes associated with maladjustment. While existing literature has established an association between disability onset and elevated rates of depression, resilience and alternative patterns of adjustment have received substantially less empirical inquiry. The current study sought to model heterogeneity in mental health responding to disability onset in later life while exploring the impact of socioeconomic resources on these latent patterns of adaptation...
December 20, 2018: Rehabilitation Psychology
Heather Feldner
BACKGROUND/PURPOSE: Providing powered mobility technology to people with disabilities is a common rehabilitation practice. However, the relationship between powered mobility introduction and identity development, when considered in the context of lived experiences of children with disabilities and their families, is not well understood. Investigating this relationship is timely given the emergence of alternative, community-based early mobility opportunities using adapted mobility toys whose impact may contrast experiences using powered wheelchairs typically provided in rehabilitation settings...
December 20, 2018: Rehabilitation Psychology
Megan Douglas, Simon Driver, Librada Callender, Anne Woolsey
Weight gain and inactivity are common problems for individuals living with a traumatic brain injury (TBI). Yet, interventions to support a healthy lifestyle specific to individuals with TBI are lacking. The purpose of this study was to complete a program evaluation of a 12-month evidence-based healthy lifestyle intervention adapted for people with a TBI. Eighteen participants completed a brief interview after the yearlong intervention to determine their perceptions of the program effectiveness as well as barriers and facilitators in making lifestyle changes...
December 20, 2018: Rehabilitation Psychology
Heather Lesch, Kimberly Burcher, Tracy Wharton, Reshawna Chapple, Kiara Chapple
OBJECTIVE: Although developmental stages and identity have been studied as part of aging, one category of both identity and biological difference that has received little attention in the medical and public health literature is that of older adults who were born deaf and/or who identify as part of the signing Deaf community. RESEARCH METHOD: Researchers conducted a systematic search of the literature for barriers to care access related to both aging and deafness...
November 29, 2018: Rehabilitation Psychology
Anjali J Forber-Pratt, Carlyn O Mueller, Erin E Andrews
PURPOSE/OBJECTIVE: The purpose of this conceptual paper was to put forth a call for rehabilitation practitioners to consider their role in developing disability identity in their clients, and to understand this action as a form of allyship toward the disability community. METHOD: This conceptual paper is organized to engage existing disability and disability-identity literature and its clinical implications. Practical tools and skills are offered for rehabilitation practitioners to develop disability identity and engage in disability allyship...
November 29, 2018: Rehabilitation Psychology
Kristin J Conover, Tania Israel
PURPOSE: Prejudice and discrimination have been associated with mental and physical health disparities among people with disabilities (Emerson, 2010) and sexual minorities (American Psychological Association [APA], 2012b). Subtle everyday communications of prejudice, known as microaggressions, are one form of oppressive experience that contribute to minority stress among these groups. As sexual minority people with disabilities (SMPWDs) embody at least two marginalized statuses, they may face unique levels of risk...
November 29, 2018: Rehabilitation Psychology
Rodney D Vanderploeg, Heather G Belanger, Glenn Curtiss, Amy O Bowles, Douglas B Cooper
PURPOSE/OBJECTIVE: Effective treatment for postconcussive symptoms (PCS) immediately following mild traumatic brain injury (mTBI) includes reassurance, support, education about mTBI, and symptom management. However, effective treatments for chronic postconcussive-like symptoms, particularly with mental health comorbidities, remain unclear. Research Method/Design: We conduct a critical review of the treatment literature for chronic PCS, present exemplar studies of two alternative treatment approaches (i...
February 2019: Rehabilitation Psychology
Elizabeth J Richardson, Emily C McKinley, A K M Fazlur Rahman, Phillip Klebine, David T Redden, J Scott Richards
PURPOSE: This study is an examination of the efficacy of a virtual walking protocol to treat spinal cord injury (SCI)-related pain. METHOD: A total of 59 individuals with SCI and neuropathic pain (NP) were randomly assigned to receive 20 min of virtual walking, the treatment condition, or virtual wheeling, the control condition. Although having NP was a requirement to participate in the study, participants also underwent pain classification of up to 3 worst pain sites to also examine the effects of virtual walking on nonneuropathic pain...
November 8, 2018: Rehabilitation Psychology
Lisa D Goldberg, Scott D McDonald, Paul B Perrin
PURPOSE/OBJECTIVE: This study examined predictors of trajectories of posttraumatic growth (PTG) among individuals with acquired physical disability across the first year after discharge from acute rehabilitation. Research Method/Design: Data were collected from participants (64 veterans with spinal cord injury and dysfunction, and 19 with brain injury) on various demographic and injury characteristics, appraisals of injury, and coping styles at baseline, as well as PTG at baseline and 1-, 3-, 6-, and 12-month follow-ups...
November 1, 2018: Rehabilitation Psychology
Anne Arewasikporn, Dawn M Ehde, Kevin N Alschuler, Aaron P Turner, Mark P Jensen
OBJECTIVE: Much is known about the associations between negative factors and adjustment to chronic pain. However, less is known about how positive factors (e.g., positive affect [PA], resilience) function in relation to disability and mood in individuals with multiple sclerosis (MS). To better understand how positive factors contribute to function we sought to determine if (a) PA and/or trait resilience moderate the associations between pain intensity and function (pain interference, depressive symptoms), and (b) trait resilience concurrently mediates the association between PA and function in a sample of individuals with MS...
November 2018: Rehabilitation Psychology
Maryam Soltani, Sydney A Drever, Hunter G Hoffman, Sam R Sharar, Shelley A Wiechman, Mark P Jensen, David R Patterson
OBJECTIVE: We conducted a randomized controlled study to determine the effects of virtual reality (VR) distraction on pain and range of motion (ROM) in patients hospitalized for burn care during active physical therapy exercises. METHOD: Thirty-nine participants aged 15 to 66 (M = 36) years with significant burn injuries (mean burn size = 14% TBSA) participated. Under therapist supervision, using a within-subjects design, participants performed unassisted active ROM exercises both with and without VR distraction in a randomized order...
November 2018: Rehabilitation Psychology
Jennifer Quirk, Gaynor Parfitt, Katia Ferrar, Kade Davison, James Dollman
PURPOSE/OBJECTIVE: Cardiac rehabilitation aims to reduce the likelihood of recurrent cardiac events through physical activity (PA) and education. There is limited understanding about the predictors of physical activity behavior in rural adults beyond rehabilitation. This study explored predictors of regular physical activity in rural adults, 6-12 months post cardiac rehabilitation. Research Method/Design: A self-report questionnaire (quantitative cross-sectional design) was mailed to a simple random sample of rural South Australians who previously participated in cardiac rehabilitation (n = 315)...
November 2018: Rehabilitation Psychology
Andrew J Hoisington, Deidra M Billera, Katherine L Bates, Christopher E Stamper, Kelly A Stearns-Yoder, Christopher A Lowry, Lisa A Brenner
PURPOSE/OBJECTIVE: Recently, there has been an increase in the use of therapy animals, often dogs, to assist individuals with challenges associated with managing stressful social situations (i.e., psychological rehabilitation). Potential applications are wide-ranging from elementary schools to airports to hospitals. Here we present an overview of the present knowledge and provide recommendations for future research aimed at exploring the impact of therapy dogs on the rehabilitation of Veterans with posttraumatic stress disorder (PTSD) with a focus on the microbiome...
November 2018: Rehabilitation Psychology
Julia M P Poritz, Leia Vos, Esther Ngan, Luis Leon-Novelo, Mark Sherer
OBJECTIVE: Due to limited systematic research on gender differences in health and quality of life outcomes following traumatic brain injury (TBI), the present study sought to contribute to the growing literature on gender differences in postinjury employment while also adding an examination of postinjury economic quality of life, an emerging area in disability research. METHOD: Independent variables included demographic and injury characteristics. Outcome variables included postinjury employment and economic quality of life, measured by the Participation Assessment With Recombined Tools-Objective and the Economic QOL, respectively...
October 22, 2018: Rehabilitation Psychology
Manu Thakral, Andrea Z Lacroix, Ivan R Molton
BACKGROUND: Women with disabling conditions experience health disparities relative to nondisabled women, but few studies have compared women and men with disabling conditions. OBJECTIVES: To investigate gender differences in physical functioning and emotional health among individuals with long-term disabling conditions, that is, neuromuscular disease, multiple sclerosis, postpolio syndrome, or spinal cord injury. METHOD: From a mailed survey of 1,862 adults with long-term disabling conditions, we used the 12-item Patient-Reported Outcomes Measurement Information System (PROMIS) physical functioning to assess physical limitations in activities and Patient Health Questionnaire-9 (PHQ-9) for emotional health and severity of secondary conditions (rated 0-10)...
October 8, 2018: Rehabilitation Psychology
Natalie A Williams, Judith M Burnfield
OBJECTIVE: This study compared children with and without current musculoskeletal (MSK) problems on key indices of child psychological adjustment and parental well-being. RESEARCH METHOD: Prevalence estimates of psychological problems were compared for children ages 2-17 years with and without current MSK problems in the 2011/2012 National Survey of Children's Health. Multivariate logistic regression analyses examined the effects of MSK problem severity on the risk of psychological concerns...
October 8, 2018: Rehabilitation Psychology
Samuel L Battalio, Mari Glette, Kevin N Alschuler, Mark P Jensen
OBJECTIVE: This longitudinal study examined the unique relationship between anxiety, symptoms (pain intensity, sleep disturbance, fatigue severity), and function domains (self-reported cognitive function, physical function, satisfaction with social roles) in individuals with chronic physical conditions, independent of depressive symptoms. METHOD: Three surveys were mailed on an approximately yearly basis to community-dwelling adults with one of four chronic physical conditions (spinal cord injury, multiple sclerosis, muscular dystrophy, postpoliomyelitis syndrome)...
October 8, 2018: Rehabilitation Psychology
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