An Examination of the Sport Commitment Model for Athletes With Physical Disabilities.

Sport commitment describes a psychological attachment to a sport that influences one's desire or resolve to continue involvement in it. Studying antecedents believed to influence long term commitment to sport among athletes with a disability will help ensure that participants gain those psychosocial and health outcomes from sport participation that benefit quality of life. Our purposes in this study were: (i) to examine the Sport Commitment Model (SCM) in terms of the magnitude of the contribution of antecedent factors (i.e., enjoyment, personal investment, involvement opportunities, social constraints, involvement alternatives) to sport commitment of athletes with disabilities; and (ii) to examine the model structure (i.e., original SCM, mediation, and direct/indirect model) that best reflects an understanding of the sport commitment antecedents for these athletes. A total of 157 adult athletes (M age = 34.87, SD = 11.78) with physical disabilities from both team and individual sports across the United States, Europe, and Asia completed the Sport Commitment Questionnaire. Data analyses indicated that sport involvement opportunities, followed by personal investment, were the strongest predictors of these athletes' sport commitments (R2 = .66). Based on the principle of parsimony, the original structural equation model (χ2 (215) = 384.95; RMSEA = .07; CFI = .95; SRMR = .06) was deemed better for understanding the mechanism of sport commitment than the mediation or direct/indirect models. We address implications of applying the SCM to athletes with disabilities, and we offer suggestions for future research.

Urban-Rural Disparities in the Association Between Home- and Community-Based Service Utilization and Levels of Disability Among Chinese Older Adults With Disabilities.

Home- and community-based services (HCBS) are optimal ways to deal with disability problems among older adults. This study aims to analyze urban-rural disparities in the relationship between HCBS utilization and levels of disability among Chinese older adults with disabilities, so as to meet the long-term care needs of them. In applying the Andersen Behavioral Model, bivariate analysis and multivariate regression models were employed using data from 843 older adults with disabilities from the 2018 China Longitudinal Aging Social Survey (CLASS). After adjusting covariates, disability levels among Chinese older adults with disabilities were significantly correlated with HCBS utilization in urban areas but not in rural areas. The urban-rural disparities may be due to the low utilization of HCBS in rural areas (only 11.2%) among older adults with disabilities compared with their urban counterparts (22.7%).

Care stressors and perceived stress among family caregivers of Chinese older adults with disabilities: The mediation effect of resilience.

OBJECTIVES: Guided by the Stress Process Model, this study examined the mediating effect of resilience on the relationship between care stressors and perceived caregiving stress. METHODS: Data were based on 234 older adults with disabilities and their caregivers from 6 urban districts and 6 rural counties from Jinan, China. Descriptive analysis, analysis of variance, ordinary least squares regression, and mediation analysis were performed. RESULTS: Perceived stress among family caregivers of Chinese older adults with disabilities was affected by the physical and mental health of both themselves and the care recipients, as well as care intensity and financial difficulties. Resilience played a partial mediating role in the associations among three stressors (i.e. older adults' disability levels, number of chronic diseases, and caregivers' self-reported mental) and perceived caregiving stress. CONCLUSIONS: Enhanced resilience aids caregivers' adaptation to their roles, suggesting the need for societal, spiritual, emotional, and behavioral resilience training.

Cross-cultural adaptation and validation of the positive and negative social exchange scale in older adults with disabilities in China.

PURPOSE: This study translated the Positive and Negative Social Exchange (PANSE) scale into Chinese, examined its psychometric characteristics, and explored its feasibility for use among older adults with disabilities from China. MATERIALS AND METHODS: A two-stage study procedure was employed. In the first stage, the English version of the PANSE scale was translated and cross-culturally adapted. In the second stage, the reliability and validity of the scale were assessed based on item-total correlation, internal consistency, test-retest reliability, content validity, structural validity, concurrent criterion validity, and known group validity. RESULTS: A total of 357 older adults with disabilities participated in the survey. The Chinese version of the PANSE scale consisted of two parts, the Positive Social Exchange Scale and the Negative Social Exchange Scale. Exploratory factor analysis extracted six communal factors. The cumulative contribution of the two parts of the scale was 69.90% and 77.88%, respectively. The item-total correlation was 0.353 to 0.802, the internal consistency of the PANSE was 0.653 to 0.886. The PANSE demonstrated good content validity and it was correlated with the SSRS scale. CONCLUSION: The Chinese version of the PANSE is a valid and reliable instrument for assessing social exchange in Chinese older adults with disabilities.Implication for rehabilitationDespite the growing number of older adults with disabilities being a concern in China, the lack of tools to measure the type of social support limits research related to the health status of these people.This study cross-culturally adapted, translated into Chinese and validated the Positive and Negative Social Exchange (PANSE) scale as the measurement tool to be used in the cultural context of China.The two subscales of PANSE were validated in the Chinese population of older adults with disabilities.The PANSE scale measures social exchange among older adults with disabilities in China, which can guide the development of interventions to address issues in the social exchange of these people.

Family function, anxiety and depression in adults with disabilities: a network analysis.

Background: The prevalence of family dysfunction, anxiety and depression is high in people with disabilities due to long-term activity constraints and social difficulties. Recently, although studies have attempted to provide guidance for family therapy by focusing on the relationship between family function and negative emotions, the specific effects of improved family function during family therapy on alleviation of anxiety and depressive symptoms have been obscured. Thus, this study attempted to elucidate the impact of specific family functioning on specific symptoms of anxiety and depression through network analysis. Methods: Family APGAR Index Questionnaire (APGAR), Generalized Anxiety Scale (GAD-7), and Patient Health Questionnaire Depression Scale (PHQ-9) were used to survey 897 adults with disabilities in Sichuan Province. Meanwhile, network analysis for studying the relationship between anxiety, depression and family functioning among the disabled via R software. Results: The network analysis showed that (1) Nodes PHQ4 ("Energy"), APGAR3 ("Growth"), GAD1 ("Nervousness") and GAD4 ("Relaxing Trouble") were central nodes in the network model; (2) Bridge nodes linking family function, anxiety and depressive symptoms in the sample were PHQ9 ("Suicide ideation"), PHQ6 ("Worthlessness"), GAD1 ("Nervousness") and GAD5 ("Restlessness"); (3) The node APGAR5 ("Resolve") directly connects the bridge symptoms PHQ9 ("Suicide ideation") and PHQ8 ("Motor"). Conclusion: This study suggests that therapists could target the resolve of family members during family therapy to reduce suicidal ideation and enhance the level of activity of people with disabilities, thereby improving the network of anxiety and depression symptoms and alleviating negative emotions of people with disabilities.

Using an App-Based Token Economy to Increase Engagement in Daily Living and Vocational Tasks with Adults with Developmental Disabilities.

The token economy is an evidence-based practice that improves outcomes across populations, settings, and behaviors. Nonetheless, their complex nature frequently leads to ineffective implementation. In addition, little is known about the extent to which token economies are effective for increasing engagement in adults with disabilities. Therefore, we conducted a multiple probe across participants to evaluate the effectiveness of a token economy using an app (i.e., Class Dojo) to increase engagement with daily living and vocational tasks in adults with disabilities. All participants increased their engagement with tasks following the introduction of the intervention and maintained higher than baseline levels of engagement up to 6 weeks after the intervention ended. Staff members completed an anonymous survey to indicate their perception of the feasibility and effectiveness of the intervention. Social validity results indicated that some staff members found the intervention effective, but time-consuming and challenging.

Instrumental support primarily provided by adult children and trajectories of depressive symptoms among older adults with disabilities in rural China.

OBJECTIVES: This study aimed to examine the trajectories of depressive symptoms over a 5-year period in a sample of community-dwelling older adults with disabilities in rural China, and the association between duration of instrumental support primarily provided by adult children and the trajectories of depressive symptoms. METHODS: Data were drawn from three waves of the China Health and Retirement Longitudinal Study (2011-2015). The sample included 1,466 older adults living in rural areas aged 60 and over who had at least one child in all three waves. Duration of instrumental support provided by adult children was measured by the number of waves that older adults received instrumental support primarily from any adult children in the data collection. Growth mixture modelling was used to identify the trajectory classes of depressive symptoms among these older adults, and logistic regression was used to examine the association between duration of instrumental support primarily provided by adult children and the trajectory classes of depressive symptoms. RESULTS: This study identified two distinct trajectories of depressive symptoms among the respondents: high but decreasing levels of symptoms and persistently low levels of symptoms. Respondents who received a longer duration of instrumental support primarily from adult children were more likely to have high but decreasing symptoms after controlling for other covariates. CONCLUSION: The findings have important implications for promoting the mental health of older adults with disabilities in rural China. There are still very limited long-term care services and programs are available for older adults, particularly in rural China. It is critical to develop these services at both community and institutional levels to meet the care needs of older adults and their families.

Age Differences in Determinants of Self-Rated Health among Recipients of Publicly Funded Home-and-Community-Based Services.

This research examined determinants of self-rated health (SRH) of publicly funded home-and-community-based services (HCBS) recipients and tested if the effects of determinants differ between older recipients and younger recipients with disabilities. Using Minnesota's data of 2015-2016 National Core Indicators - Aging and Disabilities survey (n = 3,426), this study revealed that functional status and community inclusion had both direct and indirect effects on SRH, with negative mood as a mediator. Community inclusion had a more pronounced effect on SRH in younger recipients than in older recipients. HCBS should address psychosocial needs and be tailored for recipients of different age groups.

Lived Experiences of Newly Admitted to Long-Term Care Facilities among Older Adults with Disabilities in Taiwan.

This study aimed to explore the lived experiences of Taiwanese older adults with disabilities newly admitted to long-term care facilities (LTCFs). A descriptive phenomenological method was used. Colaizzi's method analysis of 15 participant interviews revealed six themes: "living here is a last resort", "I don't like it but still have to live here", "my needs are not understood", "looking forward to emotional support", "practicing the way of survival", and "trying to make myself better". The older adults were admitted to the LTCF as they or their family members could not take care of themselves due to their disability. Participants explained their new life in the LTCF was like a prison, it was not easy for their needs to be understood. They used self-adjustment and established relationships with staff in the LTCF in order to live a stable life. They lived their lives with silence and alertness to practice the way of survival. They strived to make themselves better through rehabilitation, taking good care of their bodies, and finding their focus and value of life. It is important to pay attention to the care needs as well as life adjustment problems for newly older adults with disabilities in order to assist them in opening up new life experiences in LTCFs.

Prevalence and Associated Risk Factors of Hypertension in Adults with Disabilities: A Cross-Sectional Study in Shanghai, China.

BACKGROUND: Although hypertension is highly prevalent in China, epidemiologic data of hypertension among people with disabilities remain largely unknown. This study aims to examine the prevalence and associated risk factors of hypertension in patients with disabilities. METHODS: A cross-sectional study was carried out among 7348 adults with disabilities from February to December 2018 in Shanghai, and patient data from physical, imageological and routine blood examinations were collected and analyzed. Logistic regression models were performed to determine the associated risk factors of hypertension in adults with disabilities. RESULTS: Among the 7348 disabled patients, the prevalence of hypertension, rate of receiving treatment, and blood pressure control were 42.5%, 85.0% and 46.0%, respectively. Increases in the levels of age, physical disability, body mass index (BMI), fasting plasma glucose (FBG), total triglyceride (TG), hyperuricemia (hyper-UA), serum urea (SU), and estimated creatinine clearance (eCrCl <80 µmol/L) were independently correlated with hypertension. CONCLUSION: Patients with physical disabilities have a significantly higher prevalence of hypertension compared to the normal population. Patients with intellectual or mental disabilities have lower rates of blood pressure control compared to other types of disabilities. Assessment of associated risk factors highlights an increased likelihood of potential renal dysfunction among hypertensive disabled patients.

Research on Participation of Physical Activities and Influential Factors for Adults with Disabilities Using Logistic Regression Model / 中国康复理论与实践

Objective:To investigate and analyze the status and related factors of participation in physical activities for adults with disabilities (AWDs). Methods:A total of 2 302 833 AWDs in 2019 were included. Multiple response was used to analyze the status of participation and logistic regression was used to analyze the related factors. Results:The participative rate of AWDs was low (7.0%), in which, males (7.3%) were higher than females, AWDs aged 18 to 59 years (7.6%) were higher than other ages, AWDs with agricultural household (7.1%), speech disabilities (7.7%), and mild disability (8.6%) were the largest groups. For the reasons for not participating in physical activities, AWDs with agricultural household reported no suitable programs (14.4%), places and facilities (12.3%), which were higher than that with city household. The genders (B = 0.048, P < 0.001), ages (B = 0.178, P < 0.001), household registrations (B = 0.078, P < 0.001) related with participation of physical activities. However, types (Bvision= 0.055, P < 0.01; Bhearing= 0.133, P < 0.001; Bspeech= 0.282, P < 0.001; Bintelligence = -0.159, P < 0.001; Bpsychosis= -0.062, P < 0.01) and severity of disability were more significant (P < 0.001). AWDs with extremely severe disability reported 0.571 times of participation of physical activities than that with mild disability (B = -0.561, OR = 0.571), and AWDs with severe disability reported 0.659 times of that with mild visual disability (B = -0.417, OR = 0.659). Conclusion:The participation rate of AWDs in physical activities is low. Implement physical activities programs would be tailored to the unmet needs of physical activities as AWDs had functioning oriented unmet needs. It proposed to develop individualized and structured physical activities services to promote the participation of disabilities in physical activities.

Unmet Needs and Services of Rehabilitation for Adults with Disabilities / 中国康复理论与实践

Objective:To explore the status of disability, characteristics of unmet needs and services of rehabilitation and their related factors for adults with disabilities (AWDs). Methods:A total of 2 315 498 AWDs were sampled from the provincial level administration data (2019). Multiple response analysis was used to analysis the disability status of AWDs, characteristics of unmet needs and received services of rehabilitation, and related factors were explored with Logistic regression. Results:The distribution of disabilities for AWDs from high to low were physical disabilities (62.2%), visual disabilities (9.9%), intellectual disabilities (8.4%), mental disorders (7.3%), hearing disabilities (6.9%), multiple disabilities (2.8%) and speech disabilities (2.5%). The reporting rate of unmet needs of rehabilitation for AWDs from high to low were assistive devices (49.0%), medicine (33.3%), nursing care (27.7%), functional training (20.2%) and surgery (1.9%). The reporting rate of received service for AWDs from high to low were assistive devices (44.1%), nursing care (26.6%), medicine (25.9%), functional training (22.2%) and surgery (1.3%). The logistic regression model shown that types and severities of disabilities had significant effects on unmet needs and received services of rehabilitation for AWDs (P < 0.001). Conclusion:The reporting of unmet needs for AWDs had been influenced by their functioning and disability. There were gaps between unmet needs and received services. It proposed to develop precise and individualized reporting of unmet needs and service programs for AWDs.

Correlates of current caregiving among siblings of adults with intellectual and developmental disabilities.

BACKGROUND: As individuals with intellectual and developmental disabilities (IDD) grow older, siblings are likely to become caregivers for their brothers and sisters with IDD. Thus, it is important to identify the correlates of sibling caregiving to facilitate transitions to caregiving roles. METHOD: This study involved the secondary analysis of a national data set of 429 adult siblings of individuals with IDD. RESULTS: Current sibling caregiving was positively correlated with sibling relationship quality, sibling advocacy and future planning, maladaptive behaviours of individuals with IDD, and family size. Current sibling caregiving was negatively correlated with parent caregiving abilities and functional abilities of individuals with IDD. Further, among siblings who provided care, the level and nature of sibling caregiving were negatively correlated with parent caregiving abilities. CONCLUSIONS: The results identify the correlates of current caregiving among siblings of individuals with IDD. More research is needed to understand current sibling caregiving.

Association between Socio-economic Status and Rehabilitation Service Utilization for Adults with Different Disabilities / 中国康复理论与实践

Objective:To analyze the relationship between socio-economic status and utilization of rehabilitation services for adults with different disabilities. Methods:Adults with single disability were selected from the Second China National Sample Survey on Disability. Their education level and per capita household income were used as socio-economic index, controlled with sex, age group, residence, disabled level and marriage. Results:The prevalence of rehabilitation service utilization was 2.98% to 15.97%, and it was more in urban people than in rural ones. Education level trended to be a positive factor to utilization of rehabilitation service, but different with the types of disabilities. Per capita household income was mixed for the utilization of rehabilitation service, which was positive for some disabilities, negative for some ones, and no significant for others. Conclusion:The utilization of rehabilitation services needs to improve for adults with disabilities. Policies can be made targeting to the people with different disabilities.

The nutritional status of adult female patients with disabilities in Kuwait.

OBJECTIVES: Adults with disabilities are at a higher risk of malnutrition than are their non-disabled counterparts owing to feeding problems and associated medical conditions. We evaluated the prevalence of malnutrition in a group of institutionalized women and investigated any feeding difficulties and nutrition-related medical problems. METHODS: This study used two versions of the Mini Nutritional Assessment-Short Form (MNA-SF) to screen malnutrition: the MNA-SF1 which uses the body mass index, and the MNA-SF2 which uses the calf circumference. Data were collected from 53 women with intellectual and physical disabilities in a cross-sectional survey of residents of the Kuwait Rehabilitation Centre. RESULTS: Of all participants, 63.5% were found to be overweight or obese, while 11.5% were underweight. Using the MNA-SF1, 57.7% were found to be at risk of malnourishment while 11.5% were malnourished. More patients were identified to be at risk of malnutrition or to be actually malnourished using the MNA-SF2 (59.6% and 23.1%, respectively). Reported feeding problems included difficulties in maintaining a sitting position, manipulating food on a plate, conveying food to the mouth, and in swallowing. The presence of infections worsened the prognoses of malnourished women regardless of their weight status. CONCLUSIONS: Our findings suggest that MNA-SF2 is a more sensitive tool for identifying malnourishment than MNA-SF1. Obesity can obscure the identification of malnourished patients if clinicians rely solely on the MNA-SF1, which uses the body mass index.

Autism Spectrum Disorders: Challenges and Opportunities for Transition to Adulthood.

Improved outcomes for individuals with autism spectrum disorder (ASD) have opened a range of potential pathways during the transition to adulthood. These include attending college, entering the labor force, and achieving a degree of independent living. Less cognitively able individuals may be eligible for state benefits and may enter supported employment programs. Those attending college require careful support and planning. Practitioners need to be familiar with the unique needs of young adults with ASD. Further research should attempt to define the priorities of individuals and families with ASD making this transition and clarify the value of existing supports and interventions.

Toward a successful vocational rehabilitation in adults with disabilities: Does residential arrangement matter?

The objective of this study was to assess whether successful vocational rehabilitation (that is, obtaining employment) among people with disabilities was affected by residential arrangement. Five groups of residential placement were considered: individuals living in a private residence, community or group residential, correctional and rehabilitation facilities, nursing home/mental health facilities, and homeless/shelter/other type of residential arrangement. The study involved a total of 46,570 vocational rehabilitation consumers aged 18 to 65 at referral in a Midwestern state. Statistical modeling was performed using quasibinomial logistic regression. It was found that compared to individuals living in private residences, those in correctional or rehabilitation facilities were at increased odds of successful rehabilitation, whereas those living in homeless/shelter/other residential arrangement and those living in nursing homes/mental health facilities were in significantly decreased odds of being rehabilitated. Individuals living in community or group residential, however, had no statistical difference in vocational rehabilitation outcomes compared to individuals living in private residences. The implications for rehabilitation research and practice are discussed.

Adultos com deficiência na psicologia: desafios para uma investigação psicológica politicamente consciente / Adults with disabilities in psychology: challenges for a politically conscious psychological investigation / Adultos con discapacidad en la psicología: desafíos para una investigación psicológica políticamente consciente / Adultes ayant une déficience en psychologie: défis pour une recherche psychologique politiquement conscient

Este trabalho objetiva investigar como os adultos com deficiência vêm sendo abordados pela psicologia do desenvolvimento adulto. Parte de análise sobre as concepções de desenvolvimento humano que embasam a área e considera algumas de suas principais linhas de pesquisa. Revisa literatura na psicologia e disciplinas afins em que adultos com deficiência são incluídos nos delineamentos de pesquisa e analisa a presença de temas transversais como exclusão social, pobreza e violência. Conclui refletindo criticamente sobre a importância de uma produção acadêmica alinhada com as concepções de uma psicologia política comprometida com a transformação social, em que pesquisadores reconheçam os pressupostos ideológico-políticos que embasam suas escolhas teóricometodológicas, visando um compromisso ético com mudanças sociais tendentes à efetiva inclusão das pessoas com deficiência.(AU)

This paper aims to investigate how adults with disabilities are being addressed by adult development psychology. It begins with an analysis of the conceptions of human development that underlies the area and considers some of its main lines of research. It reviews literature in psychology and related disciplines in which adults with disabilities are included in research designs and analyzes the presence of cross-cutting themes such as social exclusion, poverty and violence. It is concluded by critically reflecting about the importance of an academic production aligned with the conceptions of a political psychology committed to social transformation, in which researchers recognize ideological and political assumptions that underpin their theoretical and methodological choices, aiming an ethical commitment to social change leading to the effective inclusion of people with disabilities.(AU)

Este estudio tiene como objetivo investigar cómo los adultos con discapacidad están siendo abordados por la psicología del desarrollo adulto. Parte del análisis de las concepciones de desarrollo humano que subyacen a la área y considera algunas de sus principales líneas de investigación. Revisa la literatura en psicología y disciplinas afines en las que los adultos con discapacidad están incluidos en los delineamientos de investigación y analiza la presencia de temas transversales tales como la exclusión social, la pobreza y la violencia. Concluye reflexionando críticamente sobre la importancia de una producción académica alignada con las concepciones de una psicología política comprometida con la transformación social, en la que los investigadores reconoscan los presupuestos ideológicos y políticos que sustentan sus opciones teóricas y metodológicas, mirando a un compromiso ético com cambios sociales tendentes a la inclusión efectiva de las personas con discapacidad.(AU)

Ce travail vise à étudier comment les adultes handicapés sont pris en compte par la psychologie du développement de l'adulte. Il commence avec l'analyse sur les conceptions du développement humain qui sous-tendentla psychologie du développemet de l'adulte et avec des considérations sur les principaux axes de recherche. Révise la littérature en psychologie et disciplines connexes où les adultes handicapés sont inclus dans les plans de recherche et analyse la présence de thèmes transversaux tels que l'exclusion sociale, la pauvreté et la violence. Il conclut avec une réflexion critique sur l'importance d'une production académique en conformité avec les conceptions d'une psychologie politique engagée à la transformation sociale, dans laquelle les chercheurs puissent reconnaître les présupposés idéologiques et politiques qui sont à la base de ses choix théoriques e méthodologiques, cherchant un engagement éthique aux changements sociaux concernant à l'inclusion effective des personnes handicapées.(AU)

Adultos com deficiência na psicologia: desafios para uma investigação psicológica politicamente consciente / Adults with disabilities in psychology: challenges for a politically conscious psychological investigation / Adultos con discapacidad en la psicología: desafíos para una investigación psicológica políticamente consciente / Adultes ayant une déficience en psychologie: défis pour une recherche psychologique politiquement conscient

Este trabalho objetiva investigar como os adultos com deficiência vêm sendo abordados pela psicologia do desenvolvimento adulto. Parte de análise sobre as concepções de desenvolvimento humano que embasam a área e considera algumas de suas principais linhas de pesquisa. Revisa literatura na psicologia e disciplinas afins em que adultos com deficiência são incluídos nos delineamentos de pesquisa e analisa a presença de temas transversais como exclusão social, pobreza e violência. Conclui refletindo criticamente sobre a importância de uma produção acadêmica alinhada com as concepções de uma psicologia política comprometida com a transformação social, em que pesquisadores reconheçam os pressupostos ideológico-políticos que embasam suas escolhas teóricometodológicas, visando um compromisso ético com mudanças sociais tendentes à efetiva inclusão das pessoas com deficiência.

This paper aims to investigate how adults with disabilities are being addressed by adult development psychology. It begins with an analysis of the conceptions of human development that underlies the area and considers some of its main lines of research. It reviews literature in psychology and related disciplines in which adults with disabilities are included in research designs and analyzes the presence of cross-cutting themes such as social exclusion, poverty and violence. It is concluded by critically reflecting about the importance of an academic production aligned with the conceptions of a political psychology committed to social transformation, in which researchers recognize ideological and political assumptions that underpin their theoretical and methodological choices, aiming an ethical commitment to social change leading to the effective inclusion of people with disabilities.

Este estudio tiene como objetivo investigar cómo los adultos con discapacidad están siendo abordados por la psicología del desarrollo adulto. Parte del análisis de las concepciones de desarrollo humano que subyacen a la área y considera algunas de sus principales líneas de investigación. Revisa la literatura en psicología y disciplinas afines en las que los adultos con discapacidad están incluidos en los delineamientos de investigación y analiza la presencia de temas transversales tales como la exclusión social, la pobreza y la violencia. Concluye reflexionando críticamente sobre la importancia de una producción académica alignada con las concepciones de una psicología política comprometida con la transformación social, en la que los investigadores reconoscan los presupuestos ideológicos y políticos que sustentan sus opciones teóricas y metodológicas, mirando a un compromiso ético com cambios sociales tendentes a la inclusión efectiva de las personas con discapacidad.

Ce travail vise à étudier comment les adultes handicapés sont pris en compte par la psychologie du développement de l'adulte. Il commence avec l'analyse sur les conceptions du développement humain qui sous-tendentla psychologie du développemet de l'adulte et avec des considérations sur les principaux axes de recherche. Révise la littérature en psychologie et disciplines connexes où les adultes handicapés sont inclus dans les plans de recherche et analyse la présence de thèmes transversaux tels que l'exclusion sociale, la pauvreté et la violence. Il conclut avec une réflexion critique sur l'importance d'une production académique en conformité avec les conceptions d'une psychologie politique engagée à la transformation sociale, dans laquelle les chercheurs puissent reconnaître les présupposés idéologiques et politiques qui sont à la base de ses choix théoriques e méthodologiques, cherchant un engagement éthique aux changements sociaux concernant à l'inclusion effective des personnes handicapées.

Family Function and Self-esteem among Young and Middle-aged Adults with Physical Disabilities / 성인간호학회지

PURPOSE: This study examined family function and self-esteem among young and middle-aged adults with physical disabilities. METHODS: The subjects of this study consisted of 116 adults with physical disabilities. Data were collected from 4 Community rehabilitation centers in C area from October to November 2008. All subjects were questioned about family function and self-esteem by the APGAR scale and the Rosenberg Self-esteem Scale. SPSS/WIN 12.0 was used for descriptive analysis, t-test, one-way ANOVA, and Pearson correlation. RESULTS: Subjects had a moderate level of family function (5.31) and self-esteem (28.13). There were significant differences of family function according to age, monthly income, economic status, and disability site. There were significant differences in self-esteem according to age, gender, monthly income, and economic status. The level of family function and income were related to self-esteem. CONCLUSION: These findings suggest that there is a necessity to improve family function and self-esteem among young and middle-aged adults with physical disabilities. Nursing interventions should take into account the role of family function in promoting self-esteem in people with physical disabilities.