Rehabilitation psychology
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Rehabilitation psychology · May 2014
The development and validation of the readiness to engage in self-management after acute traumatic injury questionnaire.
Although the management of acute traumatic injury has improved, long-term functional outcomes remain poor. Data suggest major improvements in outcome will require comprehensive, self-management (SM) interventions. However, little is known about trauma survivors' willingness to participate in such interventions. The goal of this study was to create and validate an instrument based on the stages of change (SOC) framework to assess readiness to engage in SM programs following acute traumatic injury. ⋯ The exploratory factor analysis yielded 3 domains that were consistent with the SOC model. Two notable exceptions were the lack of a "preparation" domain and lack of distinction between the action and maintenance stages. The RESMATI is a reliable instrument that requires further testing to establish validity and utility in identifying individuals' readiness to engage in SM following acute traumatic injury.
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Rehabilitation psychology · Feb 2014
Traumatic brain injury and PTSD screening efforts evaluated using latent class analysis.
To empirically identify latent classes of service members according to persistent postconcussive symptom patterns and to characterize the identified classes relative to other postdeployment variables including posttraumatic stress disorder (PTSD) and mild traumatic brain injury (TBI) screening results. Such comparisons may directly inform policy regarding these routine assessments and translate to improved treatment decisions. ⋯ Findings suggest that the routinely administered PDHA and PDHRA appear to underestimate the true prevalence of service members experiencing postdeployment health problems. Supplemental items or an alternative screening algorithm incorporating persistent postconcussive symptoms may enable identification of additional cases requiring treatment following return from deployment.
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Rehabilitation psychology · Feb 2014
Exploring the longitudinal stability of the CSQ24 in a back pain population.
The CSQ24 is a shortened version of the Coping Strategies Questionnaire and includes 24 items and four factors-Catastrophizing, Diversion, Reinterpreting, and Cognitive Coping. The factor structure of the CSQ has been a matter for debate for some time. This study aimed to explore the stability of the factor structure of the CSQ24 using repeated measurements in a back pain population at assessment, after physiotherapy treatment, and at 6 and 12 months after treatment. ⋯ These results provide support for the 4-factor structure of the CSQ24 and its longitudinal stability. Argument is provided for the need to explore the longitudinal stability of related tools in populations that undergo change as a result of treatment.
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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.