The use of the EUROHIS as a brief measure of quality of life (QOL) in applied settings is increasingly commonplace, including in rehabilitation assessment contexts. However, there are concerns about the validity of data produced by the measure, chief amongst which is the latent structure underlying scores. This article reports on research conducted to investigate the dimensionality of scores derived from the EUROHIS. In addition, the factorial invariance of the retained model across gender as well as latent mean differences in QOL over age, employment status, and psychiatric severity were examined. Based on 251 responses to the EUROHIS by compensable accident victims, support was found for a complex one-factor model, which was found to be partially replicable across gender. Some evidence for differential item functioning across gender, age, and employment status was found. Finally, a U-shaped effect of age on QOL, characterized by a mid-life nadir, as well as effects of psychiatric severity on QOL, and a marginally significant effect of employment status were evident. Collectively, though the results of the present study yield validation data for the EUROHIS, they also raise concerns about the measure. We offer some tentative guidelines for working with the measure for both researchers and practitioners.
{"title":"Construct validity of the EUROHIS-QOL for rehabilitation assessment","authors":"Harsha N. Perera, J. Athanasou","doi":"10.1017/JRC.2016.12","DOIUrl":"https://doi.org/10.1017/JRC.2016.12","url":null,"abstract":"The use of the EUROHIS as a brief measure of quality of life (QOL) in applied settings is increasingly commonplace, including in rehabilitation assessment contexts. However, there are concerns about the validity of data produced by the measure, chief amongst which is the latent structure underlying scores. This article reports on research conducted to investigate the dimensionality of scores derived from the EUROHIS. In addition, the factorial invariance of the retained model across gender as well as latent mean differences in QOL over age, employment status, and psychiatric severity were examined. Based on 251 responses to the EUROHIS by compensable accident victims, support was found for a complex one-factor model, which was found to be partially replicable across gender. Some evidence for differential item functioning across gender, age, and employment status was found. Finally, a U-shaped effect of age on QOL, characterized by a mid-life nadir, as well as effects of psychiatric severity on QOL, and a marginally significant effect of employment status were evident. Collectively, though the results of the present study yield validation data for the EUROHIS, they also raise concerns about the measure. We offer some tentative guidelines for working with the measure for both researchers and practitioners.","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JRC.2016.12","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56976363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study examined the quality of life of compensable accident victims. The sample comprised 254 participants who completed the World Health Organization's EUROHIS Quality of Life scale as part of a vocational assessment. As hypothesised, there was substantially lower quality of life with a mean rating of 2.70 (SD = 0.74) on a five-point scale from very dissatisfied to very satisfied. There were statistically significant differences in quality of life, favouring those living in a rural vs city location, those living in areas of low unemployment and those with higher skill levels. Those who had a non-work accident had higher levels of quality of life as did those without a spinal cord injury or psychiatric sequelae. Participants who returned to work had the highest level of quality of life. The time since the personal injury averaged 3.58 years (SD = 3.61) and quality of life was not correlated positively with the effluxion of time (r = 0.057). A tentative process model of quality of life was proposed based on the significant factors from this study and divided the factors into three stages based on their occurrence across time as early, intermediate or late in relation to the injury.
{"title":"Compensable Injury and Quality of Life","authors":"J. Athanasou","doi":"10.1017/JRC.2015.4","DOIUrl":"https://doi.org/10.1017/JRC.2015.4","url":null,"abstract":"This study examined the quality of life of compensable accident victims. The sample comprised 254 participants who completed the World Health Organization's EUROHIS Quality of Life scale as part of a vocational assessment. As hypothesised, there was substantially lower quality of life with a mean rating of 2.70 (SD = 0.74) on a five-point scale from very dissatisfied to very satisfied. There were statistically significant differences in quality of life, favouring those living in a rural vs city location, those living in areas of low unemployment and those with higher skill levels. Those who had a non-work accident had higher levels of quality of life as did those without a spinal cord injury or psychiatric sequelae. Participants who returned to work had the highest level of quality of life. The time since the personal injury averaged 3.58 years (SD = 3.61) and quality of life was not correlated positively with the effluxion of time (r = 0.057). A tentative process model of quality of life was proposed based on the significant factors from this study and divided the factors into three stages based on their occurrence across time as early, intermediate or late in relation to the injury.","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JRC.2015.4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56976516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article examines whether Motivational Interviewing (MI) can be truly integrated with Carl Rogers' person-centered approach (PCA) to counselling. While the ‘spirit’ of MI has much in common with PCA, it is argued that the theory and practice of MI indicates several fundamental differences with PCA that distinguishes the ways that each perspective may contribute to rehabilitation counselling. These differences are discussed in relation to the unique aspects of their underlying assumptions, how they define clients' problems, and how they articulate the role of counsellor and successful outcome. Recent meta-analyses have indicated the beneficial aspects of both approaches. Empirical evidence for the efficacy of both MI and PCA is strong across a diverse range of client groups and health care settings. However, the highly variable effectiveness of both MI and PCA suggests that further process-outcome research is needed. Implications for rehabilitation counsellors are discussed.
{"title":"Can Motivational Interviewing be Truly Integrated with Person-centered Counselling?","authors":"R. Crisp","doi":"10.1017/JRC.2015.3","DOIUrl":"https://doi.org/10.1017/JRC.2015.3","url":null,"abstract":"This article examines whether Motivational Interviewing (MI) can be truly integrated with Carl Rogers' person-centered approach (PCA) to counselling. While the ‘spirit’ of MI has much in common with PCA, it is argued that the theory and practice of MI indicates several fundamental differences with PCA that distinguishes the ways that each perspective may contribute to rehabilitation counselling. These differences are discussed in relation to the unique aspects of their underlying assumptions, how they define clients' problems, and how they articulate the role of counsellor and successful outcome. Recent meta-analyses have indicated the beneficial aspects of both approaches. Empirical evidence for the efficacy of both MI and PCA is strong across a diverse range of client groups and health care settings. However, the highly variable effectiveness of both MI and PCA suggests that further process-outcome research is needed. Implications for rehabilitation counsellors are discussed.","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JRC.2015.3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56976453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"J. A. Schumacher and M. B. Madson (2015). Fundamentals of Motivational Interviewing. Oxford: Oxford University Press. ISBN 978-0-19-935463-4","authors":"Abdoulaye Diallo","doi":"10.1017/JRC.2015.5","DOIUrl":"https://doi.org/10.1017/JRC.2015.5","url":null,"abstract":"","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JRC.2015.5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56976590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jian Li, Hannah Wilson, S. Fitzgerald, M. Bishop, P. Rumrill
{"title":"Determinants of Independent Living Optimism among Adults with Multiple Sclerosis","authors":"Jian Li, Hannah Wilson, S. Fitzgerald, M. Bishop, P. Rumrill","doi":"10.1017/JRC.2015.6","DOIUrl":"https://doi.org/10.1017/JRC.2015.6","url":null,"abstract":"","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JRC.2015.6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56976645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
People diagnosed with psychotic illness continue to be underrepresented in the workforce despite the widespread provision of vocational rehabilitation services for people experiencing mental illness. A systematic literature review was undertaken using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines to identify psychological predictors of successful return to work for this population. The databases searched were PsycARTICLES, PsycINFO, PubMed, ProQuest, Cumulative Index of Nursing and Allied Health (CINAHL), and Taylor & Francis Online. A total of 4,076 articles were located and of these, 29 articles were analysed as part of this review. The data extracted was synthesised using a narrative approach. A number of psychological factors were identified which are predictive of successful return to work. These factors include but are not limited to identity, self-management of illness, social cognition, hope and self-esteem and motivation. On the basis of the reviewed literature, practice guidelines are proposed which support the psychological processes identified as pivotal to vocational success for people diagnosed with psychotic illness.
尽管为患有精神疾病的人广泛提供职业康复服务，但被诊断患有精神疾病的人在劳动力中的代表性仍然不足。使用系统评价和荟萃分析(PRISMA)指南的首选报告项目进行了系统文献综述，以确定该人群成功重返工作岗位的心理预测因素。检索的数据库包括PsycARTICLES、PsycINFO、PubMed、ProQuest、care and Allied Health Cumulative Index (CINAHL)和Taylor & Francis Online。共找到4,076篇文章，其中29篇文章作为本综述的一部分进行了分析。提取的数据是用叙述的方法合成的。确定了一些心理因素，这些因素预示着成功重返工作岗位。这些因素包括但不限于身份、疾病的自我管理、社会认知、希望、自尊和动力。在回顾文献的基础上，提出了实践指南，支持被确定为精神疾病患者职业成功关键的心理过程。
{"title":"Psychological Predictors of Vocational Success for People with Psychotic Illness","authors":"M. Matthewson, Jennifer E Langworthy, D. Higgins","doi":"10.1017/JRC.2015.2","DOIUrl":"https://doi.org/10.1017/JRC.2015.2","url":null,"abstract":"People diagnosed with psychotic illness continue to be underrepresented in the workforce despite the widespread provision of vocational rehabilitation services for people experiencing mental illness. A systematic literature review was undertaken using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines to identify psychological predictors of successful return to work for this population. The databases searched were PsycARTICLES, PsycINFO, PubMed, ProQuest, Cumulative Index of Nursing and Allied Health (CINAHL), and Taylor & Francis Online. A total of 4,076 articles were located and of these, 29 articles were analysed as part of this review. The data extracted was synthesised using a narrative approach. A number of psychological factors were identified which are predictive of successful return to work. These factors include but are not limited to identity, self-management of illness, social cognition, hope and self-esteem and motivation. On the basis of the reviewed literature, practice guidelines are proposed which support the psychological processes identified as pivotal to vocational success for people diagnosed with psychotic illness.","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JRC.2015.2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56976423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Mpofu, A. Craig, M. Millington, G. Murphy, D. Dorstyn
Post-injury return to work (RTW) is an important rehabilitation outcome regardless of injury type. With Spinal Cord Injury (SCI), the odds of successful RTW are lower than for the general population of work-injured. Australians living with a SCI have a higher RTW rate than many other developed countries, including the United States. Important influences on relatively higher post-injury RTW rates in the Australian context include its universal disability care policy, Australia's suite of no-fault accident insurance systems that allow for multi-faceted rehabilitation services to be provided to eligible individuals in addition to appropriate rewards for rehabilitation service providers. A combination of these systemic factors is important when delivering comprehensive rehabilitation services to those with catastrophic injuries, such as SCI. The empirical evidence on drivers of successful RTW post SCI is, however, limited in comparison to the evidence on interventions for enhanced coping following SCI. Future studies could consider the relative merits of specific RTW interventions with SCI contrasting policy and capitation systems as well as utilising study designs that take into account pre-morbid work participation and secondary health conditions.
{"title":"Return to Work Practices and Research with Spinal Cord Injury: An Australian Perspective","authors":"E. Mpofu, A. Craig, M. Millington, G. Murphy, D. Dorstyn","doi":"10.1017/JRC.2015.1","DOIUrl":"https://doi.org/10.1017/JRC.2015.1","url":null,"abstract":"Post-injury return to work (RTW) is an important rehabilitation outcome regardless of injury type. With Spinal Cord Injury (SCI), the odds of successful RTW are lower than for the general population of work-injured. Australians living with a SCI have a higher RTW rate than many other developed countries, including the United States. Important influences on relatively higher post-injury RTW rates in the Australian context include its universal disability care policy, Australia's suite of no-fault accident insurance systems that allow for multi-faceted rehabilitation services to be provided to eligible individuals in addition to appropriate rewards for rehabilitation service providers. A combination of these systemic factors is important when delivering comprehensive rehabilitation services to those with catastrophic injuries, such as SCI. The empirical evidence on drivers of successful RTW post SCI is, however, limited in comparison to the evidence on interventions for enhanced coping following SCI. Future studies could consider the relative merits of specific RTW interventions with SCI contrasting policy and capitation systems as well as utilising study designs that take into account pre-morbid work participation and secondary health conditions.","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JRC.2015.1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56976410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gloria K. Lee, C. Lopata, Martin A. Volker, M. Thomeer, J. Toomey, Jonathan D. Rodgers, A. Smerbeck, A. L. Schiavo, Christin A McDonald
This study investigated the relationships among stress, intrapersonal resiliency factors (self-esteem, locus of control, and optimism) and quality of life [QOL] (physical health and mental health) among caregivers of children with high functioning autism spectrum disorders (HFASDs). Participants consisted of 113 caregivers of children with HFASDs (males=38.1%, females=61.9%; age range=27-62; 93.6% Caucasians) and 47 caregivers of typically developing children (males=29.8%; females=70.2%; age range=30-56; 93.3% Caucasians). They completed a set of self-rating surveys on perceived locus of control, selfesteem, optimism, and QOL. Within-group inferential statistical analyses were applied. For the HFASD group analyses, two simultaneous regression analyses were used to study the independent effects of the three intrapersonal variables on the physical health and mental health QOL of the caregivers. Intrapersonal factors predicted self-reported mental health QOL but not physical health QOL in caregivers of children with HFASDs.
{"title":"Stress, resiliency factors, quality of life among caregivers of children with high functioning autism spectrum disorders (HFASDs)","authors":"Gloria K. Lee, C. Lopata, Martin A. Volker, M. Thomeer, J. Toomey, Jonathan D. Rodgers, A. Smerbeck, A. L. Schiavo, Christin A McDonald","doi":"10.1017/JRC.2012.5","DOIUrl":"https://doi.org/10.1017/JRC.2012.5","url":null,"abstract":"This study investigated the relationships among stress, intrapersonal resiliency factors (self-esteem, locus of control, and optimism) and quality of life [QOL] (physical health and mental health) among caregivers of children with high functioning autism spectrum disorders (HFASDs). Participants consisted of 113 caregivers of children with HFASDs (males=38.1%, females=61.9%; age range=27-62; 93.6% Caucasians) and 47 caregivers of typically developing children (males=29.8%; females=70.2%; age range=30-56; 93.3% Caucasians). They completed a set of self-rating surveys on perceived locus of control, selfesteem, optimism, and QOL. Within-group inferential statistical analyses were applied. For the HFASD group analyses, two simultaneous regression analyses were used to study the independent effects of the three intrapersonal variables on the physical health and mental health QOL of the caregivers. Intrapersonal factors predicted self-reported mental health QOL but not physical health QOL in caregivers of children with HFASDs.","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2012-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JRC.2012.5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56976342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Grotkamp, W. Cibis, E. Nüchtern, G. Mittelstaedt, W. Seger
The goal of this study was to propose a systematic classification of relevant personal factors for describing the background of an individual’s life and way of living. The German Society of Social Medicine and Prevention constituted an ICF working group consisting of members from Medical Advisory Boards of Statutory Health Insurances (n = 6) and other institutions (n = 12) in 2009. A two-tier consensus building approach was utilised to construct and document the personal factors, with an initial team of experts compiling the personal factors and a second group of experts, who had not participated in developing the initial proposal, validating the process. The consensus process resulted in personal factors classified into 72 categories and arranged in six chapters as follows: general factors normally unchangeable (chapter 1); a person’s inherent physical and mental constitution (chapters 2 and 3); more modifiable factors, such as attitudes, basic skills and behaviour patterns (chapter 4); life situation and socioeconomic/sociocultural factors (chapter 5); and other health factors e.g., prior interventions (chapter 6). We believe the personal factors from this effort to be a good basis for a wider global dialogue on their operationalisation.
{"title":"Personal Factors in the International Classification of Functioning, Disability and Health: Prospective Evidence","authors":"S. Grotkamp, W. Cibis, E. Nüchtern, G. Mittelstaedt, W. Seger","doi":"10.1017/JRC.2012.4","DOIUrl":"https://doi.org/10.1017/JRC.2012.4","url":null,"abstract":"The goal of this study was to propose a systematic classification of relevant personal factors for describing the background of an individual’s life and way of living. The German Society of Social Medicine and Prevention constituted an ICF working group consisting of members from Medical Advisory Boards of Statutory Health Insurances (n = 6) and other institutions (n = 12) in 2009. A two-tier consensus building approach was utilised to construct and document the personal factors, with an initial team of experts compiling the personal factors and a second group of experts, who had not participated in developing the initial proposal, validating the process. The consensus process resulted in personal factors classified into 72 categories and arranged in six chapters as follows: general factors normally unchangeable (chapter 1); a person’s inherent physical and mental constitution (chapters 2 and 3); more modifiable factors, such as attitudes, basic skills and behaviour patterns (chapter 4); life situation and socioeconomic/sociocultural factors (chapter 5); and other health factors e.g., prior interventions (chapter 6). We believe the personal factors from this effort to be a good basis for a wider global dialogue on their operationalisation.","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JRC.2012.4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56976329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study investigated fatigue and anger in people with SCI. Participants were 27 adults with SCI living in the community (males = 26, females = 1; mean age=50 years, SD=9.47 years) and a comparison group of 27 other adults without SCI. Data about their experience of fatigue and anger were collected using the Chalder Fatigue Scale and the Profile of Mood States. Kruskal-Wallis ANOVA by ranks and chi-square analyses were used to determine whether the SCI participants had elevated levels of fatigue and anger than the typical or noninjured community group. Persons with SCI reported significantly elevated fatigue and elevated levels of anger than typical others. These findings are discussed with reference to adjustment following SCI, and interpreted in light of the Stress Appraisal and Coping Model (SAC) of adjustment following SCI.
本研究调查了脊髓损伤患者的疲劳和愤怒。参与者为27名居住在社区的SCI成年患者(男性26人，女性1人;平均年龄为50岁，SD=9.47岁)，对照组为27名无脊髓损伤的成人。研究人员使用查尔德疲劳量表(Chalder fatigue Scale)和情绪状态量表(Profile of Mood States)收集了他们疲劳和愤怒经历的数据。采用秩和卡方分析的Kruskal-Wallis方差分析来确定SCI参与者是否比典型或未受伤的社区群体有更高的疲劳和愤怒水平。脊髓损伤患者报告的疲劳程度和愤怒程度明显高于一般人。本文将这些研究结果与脊髓损伤后的适应进行讨论，并根据脊髓损伤后适应的压力评估与应对模型(SAC)进行解释。
{"title":"Fatigue and Anger in People With Spinal Cord Injury","authors":"N. Wijesuriya, A. Craig, Y. Tran, J. Middleton","doi":"10.1017/JRC.2012.8","DOIUrl":"https://doi.org/10.1017/JRC.2012.8","url":null,"abstract":"This study investigated fatigue and anger in people with SCI. Participants were 27 adults with SCI living in the community (males = 26, females = 1; mean age=50 years, SD=9.47 years) and a comparison group of 27 other adults without SCI. Data about their experience of fatigue and anger were collected using the Chalder Fatigue Scale and the Profile of Mood States. Kruskal-Wallis ANOVA by ranks and chi-square analyses were used to determine whether the SCI participants had elevated levels of fatigue and anger than the typical or noninjured community group. Persons with SCI reported significantly elevated fatigue and elevated levels of anger than typical others. These findings are discussed with reference to adjustment following SCI, and interpreted in light of the Stress Appraisal and Coping Model (SAC) of adjustment following SCI.","PeriodicalId":43415,"journal":{"name":"Australian Journal of Rehabilitation Counselling","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/JRC.2012.8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"56976388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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