Psychosocial adaptation to chronic illness and disability

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psychosocial adaptation to chronic illness and disability

Understanding Psychosocial Adjustment to Chronic Illness and Disability: A Handbook for Evidence-Based Practitioners in Rehabilitation by Fong Chan

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Published 07.01.2019

Public Lecture Series 2017: Managing chronic illness in young people: A psychosocial approach

Part I provides an introduction to the theory of psychosocial adaptation to chronic illness and disability and to the methods available for the.
Fong Chan

Psychosocial Adaptation to Chronic Illness and Disability: A Virtue Based Model.

Hanoch Livneh , Portland State University. Human fascination with the concept of time can be traced to antiquity. Time has been viewed as fundamental to all human experience, and efforts to understand its nature, structure, and relationship to the human experience have generated a burgeoning body of literature, over the past two millennia, among philosophers, astronomers, physicists, and more recently psychologists. Yet, the field of rehabilitation counseling has been rather silent on the role of time and especially its place in understanding psychosocial adaptation to chronic illnesses and disabilities. In the first part of this article, the author seeks to a provide a brief review of the current understanding of the nature and structure of time and b explore the role that time plays in the context of personality theories and the therapeutic approaches spawned by them. Implications to the study of chronic illnesses and disabilities are discussed throughout the narrative.

Chronic illnesses and disabilities CID are integral parts of life, and their likelihood of occurrence increases with one's age. The experience of CID invariably necessitates personal adaptation to both the individual's diminished functional capacities and their altered interactions with the physical and social environments. The field of psychosocial adaptation PA to CID has exponentially grown during the past 30 years and can be conveniently collapsed into two broad domains, namely, conceptual and empirical approaches to the study of PA to CID. The conceptual approach is mostly rooted in extensive clinical observations of individuals following the aftermath of CID onset and has led to the development of numerous theoretical frameworks of PA to CID and coping with CID. The empirical literature is examined in this chapter by focusing on those studies that have directly sought to investigate the relationships albeit not necessarily causal in nature among a wide range of sociodemographic characteristics, CID-linked factors, personality attributes and coping strategies, and environmental influences these four classes of variables are typically considered as predictors, mediators or moderators , and measures of PA to CID the latter commonly regarded as outcomes. Due to space restrictions, our review of the empirical literature only focuses on certain types of CIDs, namely, spinal cord injuries, cancer, and multiple sclerosis. This chapter concludes with a discussion of those issues that need to be addressed by future researchers in the field of adaptation to CID.

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Journal of Clinical Psychology in Medical Settings. This study examined the factorial structure of psychosocial adaptation to chronic illness and disability in a sample of individuals who sustained spinal cord injury SCI. Three models were examined. The first model tested the hypothesis that psychosocial adaptation is composed of a single, global factor, in which positive adaptive and negative nonadaptive reactions define two opposing poles of the same dimension. The second model tested the validity of two distinguishable factors, representing adaptive and nonadaptive dimensions. The third model examined the relationship between the 2-factor model and a third dimension, that of denial. The data from the instruments measuring psychosocial adaptation to trauma and disability the Reactions to Impairment and Disability Inventory and the Purdue Posttraumatic Stress Disorder-Revised were submitted to a series of confirmatory factor analyses, and the results from the goodness of fit tests and fit indices provided strong support to the validity of the latter two models.

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  1. "The Concept of Time in Rehabilitation and Psychosocial Adaptation to C" by Hanoch Livneh

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