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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
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
Kristin M Graham, Brian T McMahon, Jeong Han Kim, Paige Simpson, Megan C McMahon
OBJECTIVE: The aim of this study was twofold: (a) to explore patterns of discrimination in relation to broad-basis categories of disability and (b) to investigate patterns of discrimination between allegations derived from charging parties with sensory impairments versus those with nonsensory impairments. Basis categories included physical, behavioral, neurological, and sensory impairments. RESEARCH METHOD: Database mining, descriptive analysis, and Pearson's chi-square analyses were utilized to compare broad-basis categories...
October 8, 2018: Rehabilitation Psychology
Rana Yaghmaian, Susan Miller Smedema
OBJECTIVE: To explore the biopsychosocial predictors of subjective well-being (SWB) in women with fibromyalgia syndrome (FMS) through a framework informed by feminist disability theory. METHOD: Two hundred twenty-nine women with FMS completed an online survey measuring FMS severity, physician-patient working alliance, meaningful role-functioning, illness centrality, and SWB. Structural equation modeling was used to determine the relationships among the constructs and their statistical contributions to SWB...
September 27, 2018: Rehabilitation Psychology
Milena Gandy, Eyal Karin, Vincent J Fogliati, Susanne Meares, Olav Nielssen, Nickolai Titov, Blake F Dear
PURPOSE/OBJECTIVE: To (a) explore the mental health and wellbeing of Australian adults with neurological disorders, (b) examine their history of help-seeking behavior and perceived barriers to treatment for emotional and cognitive difficulties, and (c) assess their interest in online self-management programs. METHOD/DESIGN: A sample of 2,254 (mean age = 46.3 year; SD = 14.1; 80% were female), Australians with a neurological disorder completed an online survey of standardized measures of mental health and wellbeing, and questions about help-seeking and perceived barriers to treatment...
September 24, 2018: Rehabilitation Psychology
Tracey A Brickell, Sara M Lippa, Louis M French, Rachel L Gartner, Angela E Driscoll, Megan M Wright, Rael T Lange
PURPOSE/OBJECTIVE: The purpose of this study was to examine the (a) prevalence of unmet caregiver needs across eight health care and social service needs and the (b) impact of unmet needs on caregiver health and appraisal outcomes. Research Method/Design: Participants were 264 caregivers (95.8% female; 85.2% spouse/partner) providing help to service members and veterans who sustained a mild to severe or penetrating traumatic brain injury. Caregivers were recruited from Walter Reed National Military Medical Center (Maryland) and via community outreach to participate in the congressionally mandated 15-year Longitudinal Traumatic Brain Injury Study (Sec721 NDAA FY2007) supported by the Defense and Veterans Brain Injury Center...
September 24, 2018: Rehabilitation Psychology
Hillary A Parker, Lisa J Rapport, Michael W Williams, Robin A Hanks, Mark A Lumley, Tim Bogg
OBJECTIVE: To examine how health self-efficacy and cognitive impairment severity relate to functional independence after acquired brain injury (ABI). DESIGN: Observational. SETTING: Outpatient rehabilitation hospital. PARTICIPANTS: Seventy-five adults with predominately stroke or traumatic brain injury who were beginning a course of occupational therapy. MAIN MEASURES: Health self-efficacy was assessed with the Self-Rated Abilities for Health Practices...
September 24, 2018: Rehabilitation Psychology
Daniel W Klyce, Kristin M Graham, Russell W Lacey, William E Carter
PURPOSE: To compare recovery experienced during inpatient rehabilitation among individuals with traumatic brain injury (TBI) based on whether their acute care included the Clinical Institute Withdrawal Assessment for Alcohol (CIWA) protocol. DESIGN: Participants included 234 individuals with TBI who completed inpatient rehabilitation at a TBI Model Systems site. Of these, 67 patients were treated using the CIWA protocol (TBI + CIWA); 167 patients were treated for TBI alone (TBI only)...
September 13, 2018: Rehabilitation Psychology
Shuanghong Chen, Todd Jackson
PURPOSE/OBJECTIVE: A substantial percentage of people affected by chronic back pain maintain a high quality of life despite ongoing discomfort. Presumably, more resilient persons view pain and their capacities to manage it in a manner that mitigates pain-related dysfunction. Research Method/Design: To test this premise, 307 mainland Chinese adults with chronic back pain (189 women, 118 men) completed self-report measures of psychological resilience, pain beliefs (challenge appraisals of pain, pain self-efficacy, pain catastrophizing) and pain-related dysfunction (i...
September 13, 2018: Rehabilitation Psychology
Jessica M Brooks, Garrett Huck, Kanako Iwanaga, Fong Chan, Jia-Rung Wu, Cruz A Finnicum, Emily A Brinck, Veronica Y Estala-Gutierrez
PURPOSE: People with chronic pain and related disability often report motivational difficulties with engaging in health-promoting behaviors. Although health promotion models of self-determination theory (SDT) and theory of planned behavior (TPB) have been shown to explain the motivational processes behind health behaviors in the general population, there is limited theoretical research among persons with chronic pain. This study examined the integration of such theories relevant to physical activity and exercise behavior among pain populations...
September 13, 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...
September 13, 2018: Rehabilitation Psychology
Keryn Chemtob, Jeffrey G Caron, Michelle S Fortier, Amy E Latimer-Cheung, Walter Zelaya, Shane N Sweet
PURPOSE/OBJECTIVE: The purpose of this study was to understand the peer mentorship experiences of adults with spinal cord injury (SCI) through a self-determination theory (SDT) lens. Research Method/Design: Semi-structured qualitative interviews were conducted with 13 adults with SCI who received mentorship (i.e., mentees) from fellow adults with SCI (i.e., mentors) as part of an existing provincial peer mentorship program. There were two analyses conducted in this study. The first was deductive, which involved organizing relevant data as per the three basic psychological needs of self-determination theory (i...
September 13, 2018: Rehabilitation Psychology
Mercedes A Zapata
PURPOSE/OBJECTIVE: Personal disability identity (PDI) refers to a positive self-concept as a person with a disability. This study examined the reliability and structural validity of scores on the Personal Disability Identity Scale (PDIS; Hahn & Belt, 2004) and correlates of PDI in adults with retinitis pigmentosa (RP). Research Method/Design: Two hundred six adult participants with RP completed a cross-sectional online survey measuring PDI, general self-efficacy, mobility tool use, age at diagnosis, education level, and demographic variables...
September 13, 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
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