Mind set and Effort in Restoration of Life Roles in Post-traumatic Conditions
Higher levels of negative cognition and emotions, and indications of poor effort will have poorer outcomes in contrast to those who are able to mobilize their “resources” at the beginning of treatment.Over 100 individuals who suffered motor vehicle traumas or industrial accidents were examined at the onset and the end of psychological treatment. Salmon Rehabilitation Checklist was used to identify priority of the social roles along with Resourcefulness for Recovery Inventory-Revised. As an outcome measure the Rehabilitation Survey of problems and Coping was used to assess self-reported changes in the level of disability and improvement in coping. Effort measures included Test of Memory Malingering, Computerized Assessment of Response Bias and Psycho-assistant.Binary logistic regression revealed that better coping and lower social disability were strongly associated with an initial focus on personal resourcefulness and indications of adequate effort.In conclusion,it is essential in order to maximize psycho-social outcomes in recovery from trauma that both resourcefulness and effort be initially assessed and addressed in treatment.