A Study of the Social Security Work Incentives and Their Relation to Perceived Barriers to Work Among Persons With Psychiatric Disability.

Objective: To study use and awareness of the Social Security Work Incentives (SSWIs) and to obtain empirical data on barriers to returning to work. Study Design: Using parallel surveys and multiple sampling and recruitment strategies, the authors administered a brief survey about the SSWIs. Participants: Persons with a psychiatric disability (n=539), service providers (n=120), and family members (n=174). Results: All groups registered the greatest concern about the loss of health insurance; this and other concerns were perceived as serious barriers to returning to work. There were differences in the perceptions of the 3 groups about the importance of disincentives to work and differences among consumers by demographic characteristics. Conclusions: Consumers, family members, and providers of services need more information about the work incentives, particularly if the goals of the new Ticket to Work legislation are to be realized. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

International Classification of Functioning, Disability and Health: An Introduction for Rehabilitation Psychologists.

The International Classification of Functioning, Disability and Health (ICF) represents a new way for rehabilitation psychologists and other health care providers to classify health and functioning. The ICF classifies functioning and disability through the constructs of Body Functions and Structures and Activities and Participation and addresses contextual influences through Environmental and Personal Factors. The ICF and its companion classification, the International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, provide a complementary, broad, and meaningful picture of the health of an individual or of entire populations. Research and clinical implementation efforts suggest that the ICF is a useful and meaningful public health tool. The development of the ICF and its universe and scope of application are reviewed. Critical concepts are defined, the structure of the ICF is illustrated, and clinical-research utility are featured in light of the ethical considerations for responsible use by rehabilitation psychologists. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

State and Professional Affairs: Implications of Social Legislation.

It appears inevitable that the efforts of many of our membership will be devoted during the coming months and years to responding to the demands and challenges of Federal legislation having a bearing on human welfare and the behavioral sciences. Let us consider one piece of legislation as an example. Here, we explore the new Social Security Amendments, passed into law in July of 1965, which not only provide a system of health insurance for the aged--better known as Medicare--but also include many other features of significance in the social welfare field. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Development and Psychometric Properties of the Disability Application Appraisal Inventory.

This article describes the development and psychometric properties of an inventory to assess cognitive appraisal of the Department of Veterans Affairs (VA) disability application process, the Disability Application Appraisal Inventory (DAAI). Participants were 439 veterans seeking disability status for posttraumatic stress disorder through the VA and subgroups from that sample. The 3 DAAI scales assess (a) understanding of the disability application process (Knowledge scale) (b) expectations specific to the process (Negative Expectations scale) and (c) investment in obtaining disability status (Importance scale). The scales are internally consistent and largely uncorrelated. Test-retest correlations are adequate for the Negative Expectations and Importance scales. Evidence of factorial and construct validity is presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Introduction to the Special Section on the International Classification of Functioning, Disability and Health: Implications for Rehabilitation Psychology.

This introduction to the special section of Rehabilitation Psychology on the International Classification of Functioning, Disability and Health (ICF) previews how implications for rehabilitation psychology are explored through 4 articles, each designed to build on the presentation and discussion of the prior piece: an overview of the ICF classification system; a review of contemporary applications of the ICF to clinical, government, and research uses; an update on clinical implementation efforts and related conceptual issues; and a specific application of the ICF to assistive technology service provision. The special section presents the ICF as a compelling development in the classification of functioning and health in health care service provision and, in particular, rehabilitation psychology practice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Operationalizing the International Classification of Functioning, Disability and Health in Clinical Settings.

Functional status may be a better indicator of health care needs and outcomes than diagnosis. Appropriate use of the International Classification of Functioning, Disability and Health (ICF) in health service settings can provide a standardized way for clinicians to communicate complex clinical assessments to other professionals, administrators, and payers. The American Psychological Association is working with the World Health Organization to develop a Procedural Manual and Guide for a Standardized Application of the ICF for use by multidisciplinary health professionals. The Procedural Manual includes operational definitions of concepts, examples of each code, and assessment information relevant to each qualifier. The purpose of the Procedural Manual is to provide health professionals with the guidance necessary for reliable, valid, and clinically useful classification. This article discusses a range of issues and problems in the application of individual ICF codes in the context of health care and offers some potential solutions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The psychosocial impact of Hurricane Katrina on persons with disabilities and independent living center staff living on the American Gulf Coast.

Objectives: To determine the impact of Hurricane Katrina on the psychosocial health of people with disabilities and on the ability of people with disabilities in the affected area to live independently. Participants: Transcribed conversations were analyzed for 56 survivors of Hurricane Katrina on the American Gulf Coast, all of whom were persons with disabilities or persons working with them. Method: Semi-structured interviews were conducted either individually or in focus groups with participants. Qualitative analysis was undertaken using hermeneutic techniques. Results: Six major themes emerged: faith, incredulousness, blaming others or oneself, family adaptation and resiliency, and work and professional responsibility. Conclusions: The resiliency of persons with disabilities to adapt to disasters can be better understood through factors such as these, providing an effective barometer of social capital that can help societies prepare for future disasters among those most vulnerable. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comparability of the Social Skills Rating System to the Social Skills Improvement System: Content and psychometric comparisons across elementary and secondary age levels.

This study compared the Social Skills Rating System (SSRS; Gresham & Elliott, 1990) with the revision of the SSRS, now called the Social Skills Improvement System-Rating Scales (SSIS-RS; Gresham & Elliott, 2008), across three raters (teacher, parent, and student) for elementary- and secondary-aged students. A detailed comparison of these two instruments' comparability has not been previously reported and was considered important because of the frequent use of the SSRS in many externally funded research studies and school districts across the country. Comparisons between the two instruments focused on key reliability and validity estimates across the rating scales for three raters (teacher, parent, and student) using forms for elementary- and secondary-aged students. As hypothesized, the two instruments had high internal consistency estimates and moderately high validity indices for total scores for both social skills and problem behavior scales. The reliability comparisons revealed the SSIS-RS was superior to the SSRS with regard to internal consistency estimates. The validity estimates revealed expected convergent relationships with the strongest relationships consistently found among the various common subscales across all forms of the two instruments. The authors concluded that the SSIS-RS offers researchers and practitioners assessing social behavior of children and youth a broader conceptualization of key social behaviors and psychometrically superior assessment results when using the SSIS-RS over the SSRS. Future research on the SSIS-RS is also identified and contextualized within a multitiered intervention system. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Psychometric properties of the French and English versions of the Social Phobia Inventory.

The Social Phobia Inventory (SPIN; Connor et al., 2000) is a self-report measure assessing fear, avoidance, and physiological symptoms associated with social anxiety. To date, the psychometric properties of this English-language measure have been examined primarily in individuals with social phobia. This study examined the psychometric properties of the English SPIN and a newly developed French version of the SPIN in nonclinical groups of undergraduate students. The SPIN, along with several other questionnaires, was completed by 202 English-speaking and 222 French-speaking participants in their respective languages from three different universities. A subset of participants completed the questionnaire a second time approximately one month later to assess test-retest reliability. The SPIN total score exhibited excellent internal consistency and test-retest reliability, as well as strong convergent and divergent validity in both English and French. A revised confirmatory factor analysis suggested the three-factor model of the SPIN was a good fit in French and English; however, the psychometric properties of the fear, avoidance, and physiology subscales were not as strong as those of the total score of the SPIN. The excellent psychometric properties of the English and French SPIN total score support the use of this measure not only in clinical populations, but now also in a nonclinical student sample. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Using the ICF and psychological models of behavior to predict mobility limitations.

Objective: To test the ability of a model that integrates the theory of planned behavior (TPB) into the International Classification of Functioning, Disability and Health (ICF), to predict walking limitations in adults awaiting hip or knee replacement surgery. Study Design and Participants: Cross-sectional structural equation modeling study of activity limitations in 190 adults. Method: A postal questionnaire measuring TPB, ICF, and walking limitations. Results: The integrated model accounted for more variance in activity limitations (57%) than did either TPB or ICF alone. Control beliefs (TPB) significantly mediated the relationship between impairment (ICF) and activity limitations. Conclusions: The integrated model provides an interdisciplinary, theoretical framework that identifies intervention targets to effect reductions in disability without the need for concomitant reductions in impairment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Perceived social isolation makes me sad: 5-year cross-lagged analyses of loneliness and depressive symptomatology in the Chicago Health, Aging, and Social Relations Study.

We present evidence from a 5-year longitudinal study for the prospective associations between loneliness and depressive symptoms in a population-based, ethnically diverse sample of 229 men and women who were 50–68 years old at study onset. Cross-lagged panel models were used in which the criterion variables were loneliness and depressive symptoms, considered simultaneously. We used variations on this model to evaluate the possible effects of gender, ethnicity, education, physical functioning, medications, social network size, neuroticism, stressful life events, perceived stress, and social support on the observed associations between loneliness and depressive symptoms. Cross-lagged analyses indicated that loneliness predicted subsequent changes in depressive symptomatology, but not vice versa, and that this temporal association was not attributable to demographic variables, objective social isolation, dispositional negativity, stress, or social support. The importance of distinguishing between loneliness and depressive symptoms and the implications for loneliness and depressive symptomatology in older adults are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The reliability and validity of the Perceived Stigmatization Questionnaire (PSQ) and the Social Comfort Questionnaire (SCQ) among an adult burn survivor sample.

In this study, 361 adult burn survivors completed the Perceived Stigmatization Questionnaire (PSQ), the Social Comfort Questionnaire (SCQ), and other measures. Both the PSQ and SCQ had good internal consistency indices. Factor analysis of the PSQ yielded 3 factors (absence of friendly behavior, confused/staring behavior, and hostile behavior). The SCQ had 1 factor. Conjoint factor analysis with measures of related constructs (body esteem, body-esteem importance, depression, social support) suggested that PSQ and SCQ measure distinct constructs. Correlations with the related psychosocial constructs and burn characteristics suggested the PSQ and SCQ have good convergent and discriminant validity. Limitations of the study are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Perceived social support among college students: Three studies of the psychometric characteristics and counseling uses of the Social Support Inventory": Correction to Brown, Brady, Lent, Wolfert, and Hall.

Reports an error in "Perceived social support among college students: Three studies of the psychometric characteristics and counseling uses of the Social Support Inventory" by Steven D. Brown, Theresa Brady, Robert W. Lent, Jenny Wolfert and Sheila Hall (Journal of Counseling Psychology, 1987[Jul], Vol 34[3], 337-354). In Table 5, the reliable change (RC) values for Clients 1-7 on the UCLA Loneliness Scale and the College Student Satisfaction Scale were incorrect. The corrected values are presented in the erratum. In addition, a note should be added to Table 5 that reads: "Posttreatment scores used in the calculation of RC are means obtained from the sum of posttreatment and follow-up scores." (The following abstract of the original article appeared in record 1987-32914-001.) Perceived social support has been shown to relate to psychological distress and well-being. However, measurement of the construct has been limited by a failure to embed perceived support in a body of psychological theory that would suggest how perceived support is produced and modified. In three studies we assessed the psychometric characteristics and counseling uses of a theory-derived measure of perceived social support, the Social Support Inventory (SSI). Results of the first study indicated that the SSI possessed excellent internal consistency reliability and concurrent validity, and it performed in theoretically predicted ways in a series of construct validity analyses. Results of the second study suggested that the SSI may not be influenced by mood state or demand characteristics. The third study concerned a counseling intervention developed from the SSI's theoretical base. Reported outcomes are from the first 7 consecutive college student clients exposed to the intervention for difficulties in their social transition to college. We also describe the person-environment fit theory from which the SSI was derived and discuss future conceptual and research needs on the theory, instrument, and intervention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)