Jennifer Schuster

An Analysis of Trends for People with MR, Cerebral Palsy, and Epilepsy Receiving Services from State VR Agencies: Ten Years of Progress.

This article presents the results of a secondary analysis of the RSA-911 database from the Rehabilitation Services Administration. All successful vocational rehabilitation (VR) closures for individuals with mental retardation, cerebral palsy, and epilepsy for five data points between 1985 and 1995 were investigated. Trends in the use of competitive employment versus sheltered workshops and employment outcomes (hours and earnings) are examined. The use of supported employment in the VR system and its outcomes are also discussed. An additional analysis of the impact of the 1992 Rehabilitation Act amendments is included. Findings include increased incidence of competitive employment and supported employment services but a decrease in real earnings.

Religious coping and psychological distress in military veteran cancer survivors.

Research on the relationship between religious coping and psychological well-being in cancer survivors is limited. Forty-eight veteran cancer survivors completed measures of psychological distress, posttraumatic growth, and positive and negative religious coping. Negative religious coping was associated with greater distress and growth. Positive religious coping was associated with greater growth. Gender, race, and religious affiliation were significant predictors of positive and negative religious coping. Veteran cancer survivors who utilize negative religious coping may benefit from referral to clergy or a mental health professional. Assessment of religious coping may be particularly important for female, non-White, and Christian cancer survivors.

Distress and Resilience After Cancer in Veterans

Combat exposure and posttraumatic stress have the potential to affect distress in response to cancer, a common late-life stressor. Models of posttraumatic growth suggest that distress can produce varying avenues for resilience. A primarily male, veteran sample completed interviews regarding how combat exposure and posttraumatic stress relate to distress and growth in cancer survivors. While combat alone did not predict greater distress, combat veterans with current combat-related posttraumatic stress symptoms reported the greatest distress following cancer. These same veterans showed cancer-related growth. This is the first large-scale study examining the relationships among combat, posttraumatic stress, and emotional health following cancer. This article not subject to U.S. copyright law.

Religiosity and Spirituality in Military Veteran Cancer Survivors: A Qualitative Perspective

Religiosity/spirituality (R/S) is often involved in coping with cancer. Qualitative research effectively captures the individuality of R/S constructs. Fourteen military veteran cancer survivors participated in focus groups. R/S questions included “How have your religious/spiritual beliefs affected how you cope with your cancer” and “How have your religious/spiritual beliefs changed as a result of your experience with cancer?” Five primary themes emerged: impact of cancer on R/S, meaning-making, prayer, religious/spiritual role of others, and facing death. Consistency and individuality characterized the role of R/S in cancer survivorship across themes. Implications for future research are discussed.

Long-term effects of coping with extreme stress: Longitudinal study of Vietnam-era repatriated prisoners of war†

Captivity stressors and coping strategies were assessed shortly after the repatriation of Vietnam-era prisoners of war, and physical and mental health were assessed almost three decades later. Given research on coping goodness-of-fit, specifically the extent to which coping effects depend on situational controllability, we proposed that endorsement of the usefulness of avoidance-based strategies in captivity would be predictive of better later-life health. Findings indicated that approach-based and avoidance-based coping both moderated the link between physical torture and later physical health functional status, whereas approach-based coping moderated the link between injuries at capture and later mental health. Specifically, greater endorsement of avoidance-based coping was associated with better long-term physical health for prisoners who experienced the most physical torture. Lower endorsement of approach-based coping was associated with better long-term mental health for prisoners who reported the most injuries at the time of capture.