Rehabilitation psychology
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Rehabilitation psychology · Nov 2013
Rehabilitation following surgery: clinical and psychological predictors of activity limitations.
Activity limitations following surgery are common, and patients may have an extended period of pain and rehabilitation. Inguinal hernia surgery is a common elective procedure. This study incorporated fear-avoidance models in investigating cognitive and emotional variables as potential risk factors for activity limitations 4 months after inguinal hernia surgery. ⋯ Interventions to reduce preoperative anxiety and postoperative depression may lead to reduced 4-month activity limitations. However, the additional variance explained by psychological variables was low (ΔR² = 0.05). Our models, which included biomedical and surgical variables, accounted for less than 50% of the variance in activity limitations overall. Therefore, further investigation of psychological variables, particularly cognitions related specifically to activity behavior, would be merited.
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Rehabilitation psychology · Nov 2013
Pain-related fear of movement and catastrophizing in whiplash-associated disorders.
The main aim of this study was to test whether pain-related fear of movement and catastrophizing were predictors of pain intensity and disability 6 months after a whiplash injury. The mediator role of fear of movement was also explored. A sample of 147 whiplash patients with neck pain for less than 3 months participated in the first assessment, and 123 of them were interviewed again at a 6-month follow-up. Multiple regression analyses were performed. ⋯ These findings suggest that interventions designed to reduce the impact of injury severity and pain-related fear of movement after a motor vehicle accident may be relevant for preventing long-lasting symptoms.
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Rehabilitation psychology · Nov 2013
Dimensions of coping in chronic pain patients: factor analysis and cross-validation of the German version of the Coping Strategies Questionnaire (CSQ-D).
The Coping Strategies Questionnaire (CSQ) by Rosenstiel and Keefe (1983) is one of the most widely used measures of coping strategies in pain patients, although its construct and factorial validity is dissatisfying. Verra, Angst, Lehmann, and Aeschlimann (2006) translated the full measure, which assesses eight different coping strategies, into German (CSQ-D). Our aim was to identify stable latent dimensions and present a shorter and more valid version of the CSQ-D. ⋯ The new short form, called CSQ-DS, is a valid and reliable instrument, composed of 26 items and assessing six coping strategies. Future investigations are recommended to further prove both the external and construct validity of the CSQ-DS.
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Rehabilitation psychology · Nov 2013
Observational StudyManaging lapses in cardiac rehabilitation exercise therapy: examination of the problem-solving process.
Poor adherence to cardiac rehabilitation (CR) exercise therapy is an ongoing problem. Problem-solving (PS) is an identified cognitive-behavioral strategy to promote exercise adherence. However, PS process has not been examined, and how PS promotes adherence is not known. Using Social Cognitive Theory and Ewart's Social Problem-Solving Model as guiding frameworks, we examined proposed theoretical links between persistence, an indicator of adherence, and (a) PS effectiveness and (b) self-regulatory efficacy. Based on the Model of Social Problem-Solving, 2 distinct components of the PS process (problem-solving and solution implementation), were examined. ⋯ Proposed theoretical relationships were supported, and both PS effectiveness and self-regulatory efficacy accounted for a greater amount of the variance in anticipated persistence than either alone. Future efforts to improve adherence to rehabilitative exercise could include the use of PS. The 2 distinct components of the PS process may be important for successful adjustment to problems.