Huston Toby, Gassaway Julie, Wilson Catherine, Gordon Samuel, Koval Jill, Schwebel Andrea
Craig Hospital, Englewood, CO, USA.
J Spinal Cord Med. 2011;34(2):196-204. doi: 10.1179/107902611X12971826988219.
Rehabilitation psychologists are integral members of spinal cord injury (SCI) rehabilitation teams.
To describe specific information regarding types and intensity of treatments delivered by rehabilitation psychologists to patients with various levels of SCI.
Utilizing a taxonomy of psychological interventions as a framework, rehabilitation psychologists documented time spent on specific psychology interventions for each interaction they had with 600 patients with traumatic SCI at 6 inpatient SCI rehabilitation centers. Associations of patient and injury characteristics with time spent on various psychological interventions were examined using ordinary least squares stepwise regression models.
Psychologists focus the majority of the time they spend with patients with SCI on psychotherapeutic interventions of processing emotions, emotional adjustment, and family coping, while educational efforts focus mostly on coping and adjusting to the new injury. There was wide variation in the amount of time spent on psychotherapeutic and psychoeducational interventions; patient, injury, and clinician characteristics explained little of the variation in time spent.
Variations observed in psychological treatment delivery mirror real-world human complexity and clinical experience; they are not explained well by patient and injury characteristics and set the stage for future analyses to associate treatments with outcomes.
康复心理学家是脊髓损伤（SCI）康复团队的重要成员。
描述康复心理学家为不同损伤程度的脊髓损伤患者提供的治疗类型及强度的具体信息。
以心理干预分类法为框架，康复心理学家记录了他们在6个住院脊髓损伤康复中心与600例创伤性脊髓损伤患者每次互动时，在特定心理干预上花费的时间。使用普通最小二乘逐步回归模型检验患者及损伤特征与在各种心理干预上花费时间的相关性。
心理学家与脊髓损伤患者相处的大部分时间都集中在处理情绪、情绪调整和家庭应对等心理治疗干预上，而教育工作主要集中在应对和适应新损伤方面。在心理治疗和心理教育干预上花费的时间差异很大；患者、损伤及临床医生特征对花费时间的差异解释甚少。
心理治疗实施过程中观察到的差异反映了现实世界中的人类复杂性和临床经验；患者和损伤特征并不能很好地解释这些差异，这为未来将治疗与结果相关联的分析奠定了基础。
