To examine the role of spiritual well-being as a mediator and moderator between perceived uncertainty and psychosocial adaptation to multiple sclerosis (MS). Participants and Design: Fifty individuals (40 women, 10 men) diagnosed with multiple sclerosis. Main Outcome Measures: Selfreport measures on illness uncertainty, spiritual (religious and existential) well-being, and psychosocial adjustment to illness were analyzed by a series of hierarchical multiple regression analyses. Results: Both uncertainty and spiritual well-being independently predicted psychosocial adjustment to MS after the influence of demographic and disability-related variables were considered. Spiritual well-being demonstrated a mediator effect but, mostly, failed to show a moderator effect. Conclusion: Spiritual well-being exerts an appreciable influence on adaptation to MS and also acts to mitigate the impact of uncertainty on adaptation. Rehabilitation psychologists may wish to consider its beneficial role as part of their clinical work.

No abstract

Burn trauma is not only physically painful, but the experience of sustaining a severe burn, dealing with a lengthy hospital stay, and being faced with long-term consequences can be emotionally devastating. This paper describes common reactions to critical injury within the acute and post-acute rehabilitation phases, and reviews the psychologic adjustment of both pediatric and adult survivors. Rehabilitation counseling interventions focus on building a convoy of social support, coping with pain and incapacitation, fostering a positive self-concept and body image, and promoting overall acceptance of the disability. The role of the rehabilitation counselor in assessing vocational potential is also discussed.

No abstract