Social participation and acceptance of disability in young and middle-aged breast cancer patients after surgery: A 6-month follow-up study.

Objective: To describe the social participation and acceptance of disability (AOD) in young and middle-aged patients with breast cancer after surgery and their dynamic trajectories and to explore the critical factors associated with social participation. Methods: 212 young and middle-aged patients with breast cancer after surgery were recruited for a 6-month follow-up study, and 158 of whom completed four surveys. Participants were asked to complete questionnaires including a general information questionnaire, Social Dysfunction Screening Scale, and Adaptation of Disability Scale Revised at baseline, and at 1, 3, and 6 months. T-test and chi-square test were used to analyze the difference in baseline data. Linear generalized estimating equations were used to analyze the dynamic trend and influencing factors. The Cochran-Armitage trend test was used to analyze the trend of the incidence of social function defects. Results: The status of social participation in patients after breast cancer surgery was poor, and 77.9%, 59.3%, 45.9%, and 29.1% had social function defects, respectively. The AOD was at a moderate level. Both social participation and AOD showed a trend of dynamic improvement. Age (P â€‹= â€‹0.044), residence (P â€‹= â€‹0.007), surgery type (P â€‹= â€‹0.043), postoperative chemotherapy (P â€‹= â€‹0.003), and AOD (P < 0.001) were the key factors associated with social participation. Conclusions: Medical staff should focus on elderly patients, who lived outside the provincial capital city, received total mastectomy, or modified radical mastectomy and postoperative chemotherapy. AOD might be an important potential avenue for improving the social participation level of young and middle-aged patients with breast cancer after surgery.

Toward the development of a training program that promotes a "social model of disability" for physical therapists: a discussion on experiential learning surrounding the use of "acceptance of disability" by physical therapists.

[Purpose] This study aimed to extract knowledge for the development of a training program for creating a social model of disability for physical therapists, focusing on the experiential learning of those physical therapists who did not use acceptance of disability according to their subjective judgment. [Participants and Methods] The study included 11 physical therapists who were interviewed about their use of acceptance of disability and the circumstances leading to its non-use. [Results] The study identified the past and current use of acceptance of disability, as well as cases and reasons for its discontinuation, along with changes in clinical content. [Conclusion] The study extracted knowledge for the development of training programs in line with the components of the experiential learning model.

Associations of perceived stigma, perceived environmental inaccessibility, and self-compassion among people with physical disability in Hong Kong.

BACKGROUND: People with physical disability are chronically stigmatized. They might internalize ableist attitudes and behaviors that they perceive from others, which can negatively affect social participation and well-being. It is essential to explore potential risk and protective factors associated with stigma perceptions. OBJECTIVE: The present study proposed and tested the positive associations of perceived environmental inaccessibility and self-coldness with perceived stigma, and the negative associations of self-warmth with perceived stigma, respectively, among people with physical disability in Hong Kong. METHODS: A cross-sectional sample of 98 adults with physical disability (42.3% female, mean age = 36.4 years) from 10 nongovernmental organizations in Hong Kong participated in the study. They filled in a self-report questionnaire on perceived stigma, perceived environmental inaccessibility, self-compassion, basic activities of daily living (ADL), instrumental activities of daily living (IADL), and demographics. MAIN RESULTS: Hierarchical multiple regression showed that ADL and IADL alone (Model 1) did not significantly predict perceived stigma. The full model of ADL, IADL, perceived environmental inaccessibility, self-warmth, and self-coldness to predict perceived stigma (Model 2) was significant and explained 53.9% variance in perceived stigma. Perceived environmental inaccessibility and self-coldness were significantly and positively associated with perceived stigma, respectively. Self-warmth was significantly and negatively associated with perceived stigma. CONCLUSIONS: The findings supported the important associations of both external contexts (i.e., as environmental inaccessibility) and internal resources (i.e., as self-compassion) with perceived stigma among people with physical disability. The findings inform future research and three-pronged design approaches to stigma reduction programs for people with physical disability.

Acceptance of disability, coping style, perceived social support and quality of life among patients with chronic lymphedema: a cross-sectional study.

OBJECTIVE: To examine acceptance of disability, coping style, perceived social support, and quality of life and to explore the relationships between acceptance of disability, coping style, perceived social support, and quality of life among Chinese patients with chronic lymphedema. METHODS: Chronic lymphedema patients were recruited from five tertiary hospitals between May and July 2020 in China. Recruited patients were assessed for quality of life (QOL), acceptance of disability (AOD), coping styles, perceived social support (PSS), and sociodemographic and disease-related factors. Multivariate linear regression models were conducted to examine the multivariate effect of AOD, coping style, PSS, and sociodemographic and disease-related factors on QOL. RESULTS: A total of 163 chronic lymphedema patients were recruited. The mean score of QOL was 2.23 (SD = 0.68). AOD, number of symptoms, acceptance-resignation, avoidance, degree of pain, PSS, and educational level were found to be significant predictors of QOL. CONCLUSION: Chinese patients with chronic lymphedema had moderate levels of QOL. The QOL and specific domains of patients were affected by different factors. Special attention and targeted interventions should be given to improve patients' QOL.

Interaction of Socio-demographic Characteristics on Acceptance of Disability Among Individuals With Physical Disabilities.

This study aimed to investigate the interaction of sociodemographic characteristics on acceptance of disability among individuals with physical disabilities (IWPD). Data from the 8th Panel Survey of Employment for the Disabled in Korea (PSED) in the second wave were used. A sample concerning the first phase of disability was extracted using the one-step colony method to extract regions and was stratified based on the type of disability, disability grade, and age. To explore the association between acceptance of sociodemographic characteristics and of disability, we used a general linear model. A significant main effect was observed in employment, health status, degree of help, and subjective economic status. Regarding employment status, acceptance of disability in unemployment of IWPD with less than high school was lower as compared to those with more than high school. We observed that unemployed IWPD with low income or poor health status could be the group with the highest risk for acceptance of disability. Individuals in the low economic group were more religious than those in the high economic one. These findings indicate that specialized intervention programs that consider religion, economic status, employment, education, health, and their interactions would be effective for acceptance of disability. Interdisciplinary team members should consider the individual profiles of these populations and implement suitable support and rehabilitation programs.

Acceptance of disability predicts quality of life in patients with epilepsy.

BACKGROUND: Acceptance of disability (AOD) is a key concept in rehabilitation psychology that enhances psychosocial adjustment of individuals with disability. However, the impact of AOD on well-being has never been examined for patients with epilepsy. The present study investigated whether AOD affects quality of life (QOL) in patients with epilepsy in the presence of other multiple aspects of epilepsy based on the biopsychosocial model. METHODS: We retrospectively reviewed 151 consecutive patients with epilepsy (77 men, aged 18-74 years) who underwent comprehensive assessment including long-term video-EEG monitoring, neuroimaging studies, and neuropsychological and psychosocial assessment in our epilepsy monitoring unit. Data were obtained from medical records and self-reported questionnaires. The outcome variable was QOL. Predictive variables included demographic characteristics, seizure-related variables (i.e., duration of epilepsy, seizure frequency, and number of antiepileptic drugs), psychological factors (i.e., AOD, depression, and self-stigma), and social factors (i.e., social support and education level). Acceptance of disability was measured by the Adaptation of Disability Scale-Revised (ADS-R), which we translated into Japanese with the original author's approval, and examined its internal consistency reliability. Data were analyzed using four hierarchical multiple regression analysis models. RESULTS: The mean ADS-R score was 80 (range 45-115). The predictors accounted for 42% of the variance in QOL (R2 = 0.45, ΔR2 = 0.42, F[8, 141] = 14.47, p = 0.00). Higher AOD (p < 0.01), higher social support (p < 0.01), and lower depression scores (p = 0.02) were found to contribute significantly to higher overall QOL. CONCLUSION: The present study revealed AOD as an important psychological concept, in addition to social support and depression as previously reported, to improve the QOL of patients with epilepsy. Acceptance of disability should be incorporated in the intervention to increase QOL of patients with epilepsy.

Sense of Coherence, Psychological Distress, and Disability Acceptance in Colostomy Cancer Survivors.

This study aimed to investigate the status of sense of coherence (SOC), acceptance of disability (AD) and psychological distress (PD) of patients with permanent colostomy and evaluate the role of AD in mediating the relationship between SOC and PD. Cross-sectional data were collected from 162 patients with permanent colostomy at stoma care outpatient clinic. Structural Equation Model of the SOC, AD, and PD was established to examine the mediating effect. Results indicated that the SOC and AD of patients with permanent colostomy were both at a low level, and PD was common in patients. In addition, a partial mediating effect of AD between SOC and PD was verified. Enhancing the SOC and AD of patients with permanent colostomy could be essential for alleviating their PD.

Current Status of Acceptance of Disability and the Correlation With the Life Quality in Parkinson's Disease in Southwest China.

BACKGROUND: Acceptance of disability (AOD) is a process that a patient must undergo to cope with altered abilities, but its effect in Parkinson's disease (PD) remains unclear. The present study aimed to determine the level of AOD, examine the influence of sociodemographic variables and disease characteristics on the AOD level, and evaluate the relation between AOD level and quality of life in a cohort of PD patients from Southwest of China. METHODS: A total of 336 PD patients were consecutively recruited from November 2018 to October 2020. At enrollment, demographic and clinical data were obtained using a questionnaire, and the Acceptance of Disability Scale-Revised (AODS-R) scale was used to measure the AOD level. RESULTS: The mean total score of AOD is 87.28, indicating a moderate level of disability acceptance in PD patients. Statistical analysis showed that understanding of PD, family support, and UPDRS-II score were major factors affecting AOD level, and patients with low AOD levels were more likely to have poorer quality of life. CONCLUSION: AOD is a serious problem in PD patients in Southwest China, especially among individuals with insufficient family support and a lack of recognition of the disease. AOD was also associated with motor function and daily living ability, thus suggesting that evaluation of the AOD and promotion of the awareness may be helpful to improve the quality of life in patients with PD.

Aspects of the minds of mothers of children with developmental but no intellectual disabilities and the nature of these disabilities.

[Purpose] This study aimed to elucidate the aspects of psychosocial adjustment of mothers of children with developmental but no intellectual disabilities and to clarify the nature of these disabilities. [Participants and Methods] We conducted an unstructured group interview with three mothers of children with developmental but no intellectual disabilities. [Results] The mothers who were not aware of the disabilities, because the disability characteristics made it difficult to recognize easily the disabilities, began to feel anxious about the unforeseeable future when their children began to fail in society outside the home, such as in school. This anxiety was made worse by the teachers' lack of understanding of the developmental disabilities and reduced self-esteem of the children themselves. Becoming aware of their children's ability that they had not seen earlier, a peaceful life and expectations for the future brought about by awareness led to the psychosocial recovery of these mothers. [Conclusion] The truth about the nature of developmental disabilities in the absence of intellectual disabilities, human consciousness does not accept diversity and allows the majority to force minorities to conform.

Self-efficacy and acceptance of disability following mild traumatic brain injury: A pilot study.

Recovery from mild traumatic brain injury (mTBI) and regaining emotional equilibrium afterward can take much longer than the typical three months. Recent works attribute persisting complaints to psychological factors, primarily the negative perception of mTBI. However, research has yet to demonstrate how self-beliefs concerning capability are linked to perception and ability to accept injury. The objective of this study was to investigate how perceived general self-efficacy (GSE) and acceptance of disability (AD) relate to emotional outcome following mTBI. Thirty individuals aged 21-57, all of whom were at least three-month post diagnosis of mTBI, underwent a psychiatric clinical interview assessing depression, post-traumatic stress disorder (PTSD), and quality of life (QoL), and completed self-report scales to evaluate psychological factors. Scores on AD, depression, and QoL for most life domains were significantly lower and worse than among the normative population. Pearson coefficients indicated significant correlations between psychological factors and emotional outcome. Mediation analysis showed a significant role of AD in mediating the correlation between GSE and depression/general QoL, irrespective of PTSD. Low self-efficacy accentuates negative perception of the injury which, in turn, leads to poor emotional outcomes post mTBI. Therefore, AD should become the focus of therapeutic interventions.

[Changes in quality of life and acceptance of disability of burn patients in rehabilitation treatment stage and the influencing factors].

Objective: To explore the development trajectories of quality of life and acceptance of disability of burn patients in the rehabilitation treatment stage and the influencing factors. Methods: Totally 207 burn patients, including 157 males and 50 females, aged (40±13) years, who were in the rehabilitation treatment stage were selected by convenient sampling method from October 2016 to July 2017 in the Department of Burns of Fujian Medical University Union Hospital for this longitudinal study. At discharge and 1, 3, and 6 months after discharge, the patient's quality of life and acceptance of disability were scored using the Burn Specific Health Scale-Brief and Chinese Version of Acceptance of Disability Scale-Revised respectively. Taking the intercept, the slope, and the curve slope as latent variables, the latent second growth curve model was constructed for the quality of life and the acceptance of disability. The robust maximum likelihood estimation (MLR) method was used to estimate the mean, the variance, and the covariance, so as to analyze the discharge level, the growth rate, the acceleration, and the correlation among them. Taking the acceptance of disability, the gender, the cause of burn, the severity of burn, the existence of complications, the payment way, and the education level as covariates, the latent second growth curve model was constructed for the quality of life. The MLR method was used to estimate the influence of covariates on the discharge level, the growth rate, and the acceleration of the quality of life. Results: At discharge and 1, 3, and 6 months after discharge, the quality of life scores of patients were (102±36), (111±36), (118±37), and (122±37) points respectively, and the acceptance of disability scores were (73±17), (75±17), (77±17), and (78±18) points respectively. The estimated mean intercept of the quality of life and the acceptance of disability were 101.680 and 72.993 respectively at discharge, both of which showed a curve increasing trend in 1, 3, and 6 months after discharge (estimated mean slope=11.024, 3.086, t=15.376, 7.476, P<0.01), and the increasing rate (acceleration) gradually slowed down (estimated mean curve slope=-1.393, -0.426, t=-13.339, -4.776, P<0.01). There were significant individual differences in the discharge level and the acceleration of quality of life of patients (estimated intercept variance=1 174.527, t=9.332; estimated curve slope variance=2.379, t=6.402; P<0.01). There were significant individual differences in the discharge level, the growth rate, and the acceleration of patients' acceptance of disability (estimated intercept variance=267.017, t=9.262; estimated slope variance=32.264, t=2.356; estimated curve slope variance=0.882, t=2.939; P<0.05 or P<0.01). There was no significant correlation among the discharge level, the growth rate, and the acceleration of the quality of life and those of the acceptance of disability of patients (estimated intercept and slope=37.273, -1.457, t=0.859, -0.131; estimated intercept and curve slope=-6.712, -0.573, t=-1.089, -0.248; estimated slope and curve slope=-5.494, -5.988, t=-0.930, -2.512; P>0.05). Among the time-constant covariates, only the severity of burn and the presence of complications had a significant impact on the quality of life of patients at discharge (estimated intercept=-10.721, 5.522, t=-6.229, 1.977, P<0.05 or P<0.01). At discharge and 1, 3, and 6 months after discharge, the level of acceptance of disability had a positive impact on the quality of life of patients (standardized regression coefficient=0.616, 0.669, 0.681, 0.678, t=18.874, 21.660, 22.824, 22.123, P<0.01). Conclusions: The initial levels of quality of life and acceptance of disability of burn patients in the rehabilitation treatment stage are relatively low, both with a curve increasing trend over time, and the increasing rate gradually slows down. Patients with complications and serious burns have poor quality of life at discharge, while the acceptance of disability has a positive impact on the quality of life.

Association between Daily Life Difficulties and Acceptance of Disability in Cancer Survivors after Total Laryngectomy: a Cross-Sectional Survey.

OBJECTIVE: This study aimed to clarify the relationships between the acceptance of disability and daily life difficulties in patients after total laryngectomy. METHODS: An anonymous questionnaire was mailed to 135 patients who were participating in a self-help group after laryngectomy. The questionnaire included items on personal attributes, daily life difficulties, and acceptance of disability according to the Nottingham Adjustment Scale - Japanese Laryngectomy version (NAS-J-L). Multiple regression analysis was conducted using the NAS-J-L acceptance of disability subscale score as the dependent variable and daily life difficulties as the independent variables. RESULTS: Among the 57 respondents, 43 who provided valid answers were included in the analysis (41 men and 2 women; mean age = 67.5 ± 10.6 years). Acceptance of disability was significantly associated with difficulties in defecation (ß = -0.409, P < 0.01) and breathing (ß = -0.356, P < 0.05). CONCLUSIONS: Our findings suggested that difficulties in defecation and breathing due to airway alterations influence acceptance of disability after laryngectomy. Therefore, nurses should carefully assess daily life difficulties and patient's ability to perform self-care activities such as defecating and breathing to promote acceptance of disability and facilitate adaptation to daily life after total laryngectomy.

Changes in quality of life and acceptance of disability of burn patients in rehabilitation treatment stage and the influencing factors / 中华烧伤杂志

Objective@#To explore the development trajectories of quality of life and acceptance of disability of burn patients in the rehabilitation treatment stage and the influencing factors.@*Methods@#Totally 207 burn patients, including 157 males and 50 females, aged (40±13) years, who were in the rehabilitation treatment stage were selected by convenient sampling method from October 2016 to July 2017 in the Department of Burns of Fujian Medical University Union Hospital for this longitudinal study. At discharge and 1, 3, and 6 months after discharge, the patient′s quality of life and acceptance of disability were scored using the Burn Specific Health Scale-Brief and Chinese Version of Acceptance of Disability Scale-Revised respectively. Taking the intercept, the slope, and the curve slope as latent variables, the latent second growth curve model was constructed for the quality of life and the acceptance of disability. The robust maximum likelihood estimation (MLR) method was used to estimate the mean, the variance, and the covariance, so as to analyze the discharge level, the growth rate, the acceleration, and the correlation among them. Taking the acceptance of disability, the gender, the cause of burn, the severity of burn, the existence of complications, the payment way, and the education level as covariates, the latent second growth curve model was constructed for the quality of life. The MLR method was used to estimate the influence of covariates on the discharge level, the growth rate, and the acceleration of the quality of life.@*Results@#At discharge and 1, 3, and 6 months after discharge, the quality of life scores of patients were (102±36), (111±36), (118±37), and (122±37) points respectively, and the acceptance of disability scores were (73±17), (75±17), (77±17), and (78±18) points respectively. The estimated mean intercept of the quality of life and the acceptance of disability were 101.680 and 72.993 respectively at discharge, both of which showed a curve increasing trend in 1, 3, and 6 months after discharge (estimated mean slope=11.024, 3.086, t=15.376, 7.476, P<0.01), and the increasing rate (acceleration) gradually slowed down (estimated mean curve slope=-1.393, -0.426, t=-13.339, -4.776, P<0.01). There were significant individual differences in the discharge level and the acceleration of quality of life of patients (estimated intercept variance=1 174.527, t=9.332; estimated curve slope variance=2.379, t=6.402; P<0.01). There were significant individual differences in the discharge level, the growth rate, and the acceleration of patients′ acceptance of disability (estimated intercept variance=267.017, t=9.262; estimated slope variance=32.264, t=2.356; estimated curve slope variance=0.882, t=2.939; P<0.05 or P<0.01). There was no significant correlation among the discharge level, the growth rate, and the acceleration of the quality of life and those of the acceptance of disability of patients (estimated intercept and slope=37.273, -1.457, t=0.859, -0.131; estimated intercept and curve slope=-6.712, -0.573, t=-1.089, -0.248; estimated slope and curve slope=-5.494, -5.988, t=-0.930, -2.512; P>0.05). Among the time-constant covariates, only the severity of burn and the presence of complications had a significant impact on the quality of life of patients at discharge (estimated intercept=-10.721, 5.522, t=-6.229, 1.977, P<0.05 or P<0.01). At discharge and 1, 3, and 6 months after discharge, the level of acceptance of disability had a positive impact on the quality of life of patients (standardized regression coefficient=0.616, 0.669, 0.681, 0.678, t=18.874, 21.660, 22.824, 22.123, P<0.01).@*Conclusions@#The initial levels of quality of life and acceptance of disability of burn patients in the rehabilitation treatment stage are relatively low, both with a curve increasing trend over time, and the increasing rate gradually slows down. Patients with complications and serious burns have poor quality of life at discharge, while the acceptance of disability has a positive impact on the quality of life.

Meaning and potential of interview data in depiction of life stories: interviews of three mothers caring for children with severe disabilities.

[Purpose] This study aimed to review the meaning and potential of interview data for life story depiction. [Participants and Methods] The participants were three mothers who appeared to have positively accepted their daily lives while raising children with severe disabilities. Semi-structured interviews of these mothers were performed. By reference to Trajectory Equifinality Model, noteworthy experiences were extracted for individual cases from the complete records of the interviews. [Results] After the narration of their life stories, the mothers reached the following points: "Strange sense of satisfaction with living with this child," "Both the child and I are happy," and "The presence of this child allowed us to save our marriage." [Conclusion] When one talks about oneself, the past is arranged in a form that explains the present, omitting or ignoring past experiences that are not related to the present. In other words, the present condition is not the point that the mothers has reached through the narration of their life stories, but the life story has been created to explain the present condition. This means that the life story will continue to change with each new context. This is the conclusion of this study with regard to the meaning and potential of interview data.

[Current status of acceptance of disability and hope level in burn patients and the correlation].

Objective: To investigate current status of acceptance of disability and hope level in burn patients and the correlation. Methods: Totally 216 hospitalized burn patients conforming to the study criteria were admitted to Department of Burns of Fujian Medical University Union Hospital from September 2016 to May 2017. Self-made General Information Questionnaire, Acceptance of Disability Scale-Revised and Herth Hope Index score were adopted to investigate condition of acceptance of disability and hope level of burn patients with different general information and to record the score, score of acceptance of disability and the dimensions, score of hope level and the dimensions of 216 patients. Correlation between scores of acceptance of disability and hope level and their dimensions was analyzed. Data were processed with t test, one-way analysis of variance, and Pearson correlation analysis. Results: (1) Scores of acceptance of disability and hope level of patients with different age, gender, and relationship status were close (t=-1.299, -0.249, -1.142, -0.315, F=1.168, 2.362, P>0.05). There were statistically significant differences in score of acceptance of disability and hope level of patients with different burn sequela, inhalation injury, education level, population category, home address, burn degree, and burn depth (t=9.581, 7.854, -8.385, -7.972, F=2.989, 2.958, 7.759, 4.928, 8.099, 8.489, 44.942, 32.071, 8.221, 5.570, P<0.05 or P<0.01). (2) Score of acceptance of disability of patients was (70.4±19.0) points, which was in medium level. Among 4 dimensions of acceptance of disability of patients, dimension of expansion of values scope had the highest score [(22.1±6.0) points], and it was followed by dimension of transformation from comparison value to fixed value [(20.1±5.9) points] and dimension of tolerance for disability's influence [(18.9±6.3) points], and dimension of subordination to body shape had the lowest score [(9.3±2.8) points]. (3) Score of hope level of patients was (31.2±7.8) points, which was in medium level. Among 3 dimensions of hope level, dimension of keeping close relationship with other people had the highest score [(10.8±2.6) points], and it was followed by dimension of taking positive action [(10.6±2.5) points], and dimension of positive attitude to reality and future had the lowest score [(9.9±3.1) points]. (4) There were significantly positive correlations between scores of acceptance of disability and its dimensions and hope level and its dimensions of patients (with r values from 0.522 to 0.884, P<0.01). Conclusions: Burn patients with different general information have different scores of acceptance of disability and hope level. Acceptance of disability and hope level of patients with burns need to be improved, and there is significantly positive correlation between acceptance of disability and hope level.

Current status of acceptance of disability and hope level in burn patients and the correlation / 中华烧伤杂志

Objective@#To investigate current status of acceptance of disability and hope level in burn patients and the correlation.@*Methods@#Totally 216 hospitalized burn patients conforming to the study criteria were admitted to Department of Burns of Fujian Medical University Union Hospital from September 2016 to May 2017. Self-made General Information Questionnaire, Acceptance of Disability Scale-Revised and Herth Hope Index score were adopted to investigate condition of acceptance of disability and hope level of burn patients with different general information and to record the score, score of acceptance of disability and the dimensions, score of hope level and the dimensions of 216 patients. Correlation between scores of acceptance of disability and hope level and their dimensions was analyzed. Data were processed with t test, one-way analysis of variance, and Pearson correlation analysis.@*Results@#(1) Scores of acceptance of disability and hope level of patients with different age, gender, and relationship status were close (t=-1.299, -0.249, -1.142, -0.315, F=1.168, 2.362, P>0.05). There were statistically significant differences in score of acceptance of disability and hope level of patients with different burn sequela, inhalation injury, education level, population category, home address, burn degree, and burn depth (t=9.581, 7.854, -8.385, -7.972, F=2.989, 2.958, 7.759, 4.928, 8.099, 8.489, 44.942, 32.071, 8.221, 5.570, P<0.05 or P<0.01). (2) Score of acceptance of disability of patients was (70.4±19.0) points, which was in medium level. Among 4 dimensions of acceptance of disability of patients, dimension of expansion of values scope had the highest score [(22.1±6.0) points], and it was followed by dimension of transformation from comparison value to fixed value [(20.1±5.9) points] and dimension of tolerance for disability′s influence [(18.9±6.3) points], and dimension of subordination to body shape had the lowest score [(9.3±2.8) points]. (3) Score of hope level of patients was (31.2±7.8) points, which was in medium level. Among 3 dimensions of hope level, dimension of keeping close relationship with other people had the highest score [(10.8±2.6) points], and it was followed by dimension of taking positive action [(10.6±2.5) points], and dimension of positive attitude to reality and future had the lowest score [(9.9±3.1) points]. (4) There were significantly positive correlations between scores of acceptance of disability and its dimensions and hope level and its dimensions of patients (with r values from 0.522 to 0.884, P<0.01).@*Conclusions@#Burn patients with different general information have different scores of acceptance of disability and hope level. Acceptance of disability and hope level of patients with burns need to be improved, and there is significantly positive correlation between acceptance of disability and hope level.

Acceptance of disability and related factors in patients with ischemic stroke / 中国心理卫生杂志

Objective:To investigate the acceptance of disability for ischemic stroke patients and its related factors, in order to provide a theoretical basis on rehabilitation intervention in ischemic stroke patients with mental disability. Methods: A total of 180 patients with ischemic stroke were recruited. The Adaptation of Disability Scale-Revised (ADS-R), Medical Outcomes Study Social Support Survey (MOS-SSS), Herth Hope Inder (HHI) and Patient Health Questionnaire-9 (PHQ-9) were used to evaluate the patients. Results: The mean score of acceptance of disability was (88.2 ± 14.3) in ischemic patients. Multiple stepwise regressions indicated that the religion, education, MOS-SSS scores and HHI scores were positively associated with ADS-R scores(b'=0.33, 0.21, 0.30, 0.15). The medical insurance, disability(MRS) and PHQ-9 scores were negatively associated with ADS-R scores(b'=-0.16, -1.53, -0.43). Conclusion: The acceptance of disability in patients with ischemic stroke may be at a low level. The religion, education, medical insurance, disability, social support, hope level and depression may be related to the adaptation of disability.

Relationship between social anxiety and acceptance of disability in breast cancer patients with mastectomy / 中国实用护理杂志

Objective To explore the relationship between social anxiety and acceptance of disability in breast cancer patients with mastectomy. Methods Totally 325 patients with breast cancer were investigated with general information questionnaire, Interaction Anxiety Scale and Acceptance of Disability Scale.Results The total score of Interaction Anxiety Scale was(40.01±9.38)points.The total score of Acceptance of Disability Scale was (78.02 ± 11.61) points. One-way ANOVA showed that age, education level, marital status, economic level, whether the spouse care about the appearance or not, therapy types affected social anxiety significantly(t/F=-4.696-35.694,all P<0.01).Significantly negative correlation was found between social anxiety and acceptance of disability (r =-0.469--0.371, P<0.01). Multiple regression analysis showed that acceptance of disability,age,whether the spouse care about the appearance or not, therapy types were influencing factors of social anxiety. Conclusions Nurses and doctors should explore effective psychological intervention mode to rebuild the patient′s self-confidence and return to normal social interaction in order to improve the acceptance of disability.

Factors influencing acceptance of disability among stroke patients in Tianjin, China:A cross-sectional study.

BACKGROUND: Stroke has become the leading cause of acquired disability worldwide. Psychological maladjustment and related reactions for stroke disability has subsequently revealed a negative impact on stroke rehabilitation process. Acceptance of disability (AOD) is widely confirmed as a critical factor for psychosocial regulation and disability acceptance. OBJECTIVE: This study aims to investigate acceptance of disability and its influencing factors among stroke patients in China. METHODS: A total of 220 hospitalized stroke patients were investigated using questionnaire on demographics and disease characters, Adaptation Of Disability Scale-Revised, and other psychological instruments: Medical Coping Modes Questionnaire (MCMQ), Functional Activities Questionnaire (FAQ), Self-Rating Depression Scale (SDS), and Perceived Social Support Scale (PSSS). RESULTS: The mean score of AOD is 74.15 (range 32∼128), which reflected a moderate level of disability acceptance among stroke patients in China. Statistical analysis showed that confrontation, the understanding of stroke, self-rating depression, ability of functional activities and family support were major factors affecting acceptance of disability among disabled stroke patients, which explained 49.6% of the total variance. CONCLUSIONS: In clinical practice, professionals should identify patients with low levels of disability acceptance and explore effective psychological intervention model on the theoretical foundation of different dimensions in AOD theory and related predictors.

Psychosocial adjustment of Israeli veterans with disabilities: Does employment status matter?

BACKGROUND: Since its establishment in 1948, the state of Israel has been deeply committed to reintegrating veterans with disabilities into mainstream society. Prominently, the Israeli Ministry of Defence's rehabilitation division provides veterans with disabilities with a wide array of benefits and services aimed at restoring their physical and psychosocial functioning, especially in the workplace. The focus on employment is motivated by a prevailing assumption among professionals that successful adjustment to disability is contingent on an individual's ability to reacquire normative occupational function. To date, however, this widely accepted wisdom has not been empirically scrutinized. OBJECTIVE: To empirically explore whether employment status is associated to psychological, social, and behavioural adjustment attributes. METHODS: One hundred and one employed veterans were compared to 111 non-employed veterans in respect to their self-reported levels of hope, acceptance of disability, social networks size and social participation patterns. RESULTS: Employed veterans reported significantly higher levels psychological adjustment as manifested in elevated hope and acceptance of disability and lighter social network than their non-employed counterparts. However no differences were found between employed and non-employed veterans with respect to their social participation patterns. CONCLUSIONS: The value of these findings, as well as wider implications for rehabilitation professionals and policy makers, is discussed.