The foundational principles as psychological lodestars: Theoretical inspiration and empirical direction in rehabilitation psychology.

Dunn, Dana S.; Ehde, Dawn M.; Wegener, Stephen T.

doi:10.1037/rep0000082

Cited by 35 publications

(49 citation statements)

References 33 publications

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“…Health-care professionals in rehabilitation today often, explicitly or implicitly, rely on the foundational principles of rehabilitation psychology where acceptance, as elaborated by Wright, is a core principle of adjustment [69]. This systematic review adds empirical weight to this perspective as the synthesis highlighted acceptance as a psychological resource supporting the adjustment process following life-changing injuries.…”

Section: Discussionmentioning

confidence: 97%

The associations of acceptance with quality of life and mental health following spinal cord injury: a systematic review

Aaby

Ravn

Kasch³

et al. 2019

Spinal Cord

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Study Design: Systematic review. Objectives: To identify, critically appraise, and synthesize research findings on the associations between acceptance, quality of life (QOL), and mental health outcomes in individuals living with spinal cord injury (SCI). Methods: Five databases (PubMed, PsycINFO, Embase, Web of Science, and Scopus) were systematically searched. Studies were included if they provided findings on the association between acceptance and QOL, mental health outcomes, or both in an SCI population aged 16 years or older. Only peer-reviewed original quantitative and qualitative studies were included. Screening, quality assessment, and data extraction were conducted independently by two researchers. Findings were tabulated and synthesized by outcome. Results: Forty-one studies were included. Greater acceptance was consistently associated with greater global and psychological QOL, life satisfaction, sense of well-being, mental health, and with lower levels of depression and anxiety. Inconsistent evidence was found with regards to social QOL and post-traumatic stress disorder. Acceptance was generally not associated with adjustment outcomes further than two years into the future. Study quality of the quantitative studies was mostly fair (n = 17) followed by good (n = 13), and poor (n = 9). Conclusion: Health-care professionals may regard acceptance as a psychological resource they can aim to support in improving QOL and mental health following SCI. A range of methodological and conceptual limitations were present in the research. Future studies should prioritize longitudinal designs, consider dyadic effects, explore subjective meaning(s) of acceptance, and investigate the effectiveness of therapeutic approaches that stimulate the acceptance process. AA was responsible for designing and writing the review protocol, conducting the literature search, screening identified records, conducting quality assessment, extracting and synthesizing data, interpreting results, creating figures and tables, and writing the manuscript. SLR was responsible for screening identified records, conducting quality assessment, and extracting and synthesizing data. She further contributed with guidance and continuous feedback on the review protocol, tables and figures, and revisions of the manuscript. HK contributed with guidance and continuous feedback on the review protocol, tables and figures, and revisions of the manuscript. TEA was responsible for arbitrating potentially eligible studies and further contributed with guidance and continuous feedback on the review protocol, tables and figures, and revisions of the manuscript.

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Section: Discussionmentioning

confidence: 97%

The associations of acceptance with quality of life and mental health following spinal cord injury: a systematic review

Aaby

Ravn

Kasch³

et al. 2019

Spinal Cord

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“…By referencing the tables provided here, researchers and clinicians can apply the diagnostic accuracy properties of NIHTB-CB to identify individual people with persistent cognitive impairment after TBI. Rehabilitation psychologists emphasize the psychosocial assets and capabilities of people with disabilities (Dunn, Ehde, & Wegener, 2016), and they promote a focus on individuals' strengths and the importance of one's self-perception on the evaluation of attributes (Shontz & Wright, 1980; Wright, 1972). Findings from this study inform rehabilitation psychologists' practice by providing NIHTB-CB score interpretations that put low scores in perspective.…”

Section: Discussionmentioning

confidence: 99%

NIH toolbox cognition tests following traumatic brain injury: Frequency of low scores.

Holdnack¹,

Silverberg²,

Tulsky³

et al. 2017

Rehabilitation Psychology

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Purpose/Objective To apply multivariate base rate analyses to the National Institutes of Health Toolbox Cognition Battery (NIHTB-CB) to facilitate the identification of cognitive impairment in individuals with traumatic brain injury (TBI). Research Method/Design In a multisite cross-sectional design, 158 participants who sustained a complicated mild or moderate TBI (n=74) or severe TBI (n=84) at least one year earlier were administered the NIHTB-CB. The NIHTB-CB is comprised of two crystallized cognition tests (reflecting premorbid ability) and five fluid cognition tests, measuring processing speed, memory, and executive functioning. Base rates for obtaining 0 to 5 low fluid cognition scores were calculated across a range of cutoffs for defining a low test score (≤25th to 5th percentiles). Base rates of low scores in the TBI sample were compared to the NIHTB-CB normative sample using diagnostic accuracy statistics. Results The proportion of the TBI sample obtaining low scores decreased as the cutoff for defining a low score decreased. Individuals with lower premorbid cognitive ability, as measured by NIHTB-CB crystallized composite score, tended to produce more low scores on the NIHTB-CB fluid cognition tests, even when using fully demographically-adjusted scores. Certain patterns of low scores were associated with TBI (defined as Likelihood Ratio>2.0), whereas others were non-specific, occurring almost as often in participants without TBI. Conclusions/Implications Premorbid ability stratified base rate tables provided in this article can guide researchers and clinicians in the interpretation of NIHTB-CB performance in adults with TBI.

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“…Compared with other cognitive and behavioral evidence-based interventions, PST may be considered non-value-laden or valueneutral in the sense that self-management goals are determined by care partners and not rehabilitation providers. This approach is consistent with foundational principles of rehabilitation psychology (Dunn, Ehde, & Wegener, 2016;Dunn & Elliott, 2005). Culturally adapting PST provides patient-and family-centered care that facilitates psychological assets and adaptation to disability.…”

Section: Discussionmentioning

confidence: 75%

“Descubriendo Soluciones Juntos”—An argument for adapting problem-solving training for Latinx care partners after traumatic brain injury (TBI).

Vega¹,

Nabasny²,

Juengst³

2020

Rehabilitation Psychology

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This commentary demonstrates the need for culturally adapted interventions to support informal caregivers (care partners) of adults with traumatic brain injuries (TBI), proposes and supports an evidence-based intervention, Problem-Solving Training (PST), uniquely suitable for cultural adaptation for Latinx care partners, and describes several considerations and concrete suggestions for initial cultural adaption of PST for Latinx care partners of adults with TBI. Results: Caregiving among Latinxs is rooted in cultural values and norms that may facilitate or challenge family coping and adaptation after TBI in the United States. Evidence-based interventions to address emotional distress, health, and caregiver burden are needed for Latinx care partners, but must first be translated and adapted to address language and cultural values. Compared with other cognitive and behavioral evidence-based interventions, PST is ideal for cultural adaptation, as the problem-solving process is driven by, and therefore sensitive and responsive to, care partners and their individual values and situations. Conclusions/Implications: Adapting evidence-based problem-solving interventions like PST ("Descubriendo Soluciones Juntos") to be culturally tailored and culturally sensitive for Spanish-speaking Latinx care partners of adults with TBI could reduce existing health disparities and improve the health, well-being, and quality of life of these care partners. Impact and ImplicationsThis commentary describes and supports the need for culturally adapted interventions to improve the health, well-being, and quality of life for Spanish-speaking Latinx care partners of adults with traumatic brain injury. Problem-Solving Training is an evidence-based metacognitive strategy training intervention uniquely suited for cultural adaptation, as it is sensitive and responsive to individual differences, goals, and values. Culturally adapting evidence-based problem-solving interventions, like Problem-Solving Training, for Spanish-speaking Latinx/Hispanic care partners of adults with traumatic brain injury could reduce existing health disparities.

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The foundational principles as psychological lodestars: Theoretical inspiration and empirical direction in rehabilitation psychology.

Cited by 35 publications

References 33 publications

The associations of acceptance with quality of life and mental health following spinal cord injury: a systematic review

The associations of acceptance with quality of life and mental health following spinal cord injury: a systematic review

NIH toolbox cognition tests following traumatic brain injury: Frequency of low scores.

“Descubriendo Soluciones Juntos”—An argument for adapting problem-solving training for Latinx care partners after traumatic brain injury (TBI).

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