@article{ref1,
title="Appraisals of disability and psychological adjustment in veterans with spinal cord injuries",
journal="Journal of spinal cord medicine",
year="2020",
author="Russell, Matthew and Ames, Herb and Dunn, Callie and Beckwith, Sarah and Holmes, Sally A.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="<b>Context/Objective:</b> Following a spinal cord injury or disability (SCI/D), cognitive appraisals are a marker of psychological adjustment. The present study evaluated the clinical utility and discriminant validity of the Appraisals of DisAbility Primary and Secondary Scale - Short Form (ADAPSS-sf). The ADAPSS-sf was evaluated on 1. identification of individuals experiencing poor psychological adjustment and 2. prediction of life satisfaction beyond measures of emotional distress.<b>Design:</b> A retrospective study was completed using ROC analyses and odds ratios to identify the clinical utility of the ADAPSS-sf. In addition, blocked hierarchical regression explored the ADAPSS-sf predictive characteristics for satisfaction with life beyond measures of emotional distress.<b>Setting:</b> Veteran's Health Administration SCI Center.<b>Participants:</b> Ninety outpatient veterans with SCI/Ds.<b>Outcome Measures:</b> Measures of psychological adjustment post-SCI/D included the PHQ-9, GAD-7, PC-PTSD, and the Diener Satisfaction with Life Scale (SWLS). The ADAPSS-sf was used as a measure of cognitive appraisals.<b>Results:</b> Results indicated the ADAPSS-sf is effective in identification of poor psychological adjustment, P < .001. Diagnostic odds ratios and ADAPSS-sf cut scores were selected to prioritize sensitivity (7.17, ≤ 11), specificity (68.25, ≥ 22), or a balance of the two (16.32, ≤ 19). Hierarchical regression indicated the ADAPSS-sf accounted for unique variance in life satisfaction beyond measures of emotional distress, (Δ<i>R</i><sup>2</sup> = .20, <i>β</i> = -.66, <i>t</i>(89) = 6.54, P < .001).<b>Conclusion:</b> Results indicated SCI/D specific appraisals are predictive of concurrent poor psychological adjustment and provide insight into satisfaction with life beyond measures of emotional distress.<p /> <p>Language: en</p>",
language="en",
issn="1079-0268",
doi="10.1080/10790268.2020.1754650",
url="http://dx.doi.org/10.1080/10790268.2020.1754650"
}