Hope predicts positive functional role outcomes in acute rehabilitation populations.

Kathleen Bechtold Kortte · Jennifer E. Stevenson · Megan M. Hosey · Renan C. Castillo · Stephen T. Wegener

141 citations0/0 files storedRehabilitation Psychology

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Optimism, Hope, and Well-being Stroke Rehabilitation and Recovery Medical Practices and Rehabilitation

Abstract

PURPOSE/OBJECTIVE: The purpose of this study was to examine the association between facilitating psychological variables and functional rehabilitation outcomes following acute medical rehabilitation. RESEARCH METHOD/DESIGN: Using a longitudinal design and correlational and regression analyses, we studied 174 adults who were participating in inpatient rehabilitation for acute spinal cord dysfunction, stroke, amputation, or orthopedic surgery recovery. All participants completed the Hope Scale, Positive and Negative Affect Schedule, and Functional Independence Measure (FIM) during the first days of their inpatient stay, and then were contacted 3 months after discharge to complete the Craig Hospital Assessment and Reporting Technique (CHART) and FIM. RESULTS: Hope accounted for a statistically significant amount of the variance in the prediction of functional role participation at 3 months postdischarge (as measured by the CHART) above and beyond the variance accounted for by demographic and severity variables. In contrast, positive affect was not found to contribute to the prediction of functional role participation, and neither hope nor positive affect contributed to the prediction of functional skill level (FIM). CONCLUSIONS/IMPLICATIONS: The results indicate that positive psychological variables present during the rehabilitation stay, such as hopefulness, may contribute to the prediction of functional outcomes after discharge in rehabilitation populations. These findings suggest that incorporating interventions that enhance hope and build on the individual's psychological strengths may be useful to improve participation outcomes following acute medical rehabilitation.

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References

1988Development and validation of brief measures of positive and negative affect: The PANAS scales.2001Handbook of Positive Psychology 2004Loss, Trauma, and Human Resilience: Have We Underestimated the Human Capacity to Thrive After Extremely Aversive Events?1989Hopelessness depression: A theory-based subtype of depression.2003Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being in daily life.1991The will and the ways: Development and validation of an individual-differences measure of hope.2001Positive Psychology, Positive Prevention, and Positive Therapy 2006Hope Therapy in a Community Sample: A Pilot Investigation

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2020Disparities in Health Care for Black Patients in Physical Medicine and Rehabilitation in the United States: A Narrative Review 2020A Systematic Review of Interventions for Hope/Hopelessness in Older Adults 2014Positive psychology in rehabilitation medicine: A brief report 2015Examining well-being, anxiety, and self-deception in university students 2017

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