Digital Commons Network^™

Mediating Role Of Self-Efficacy In The Association Between Fatigue And Depressive Symptoms In Females With Rheumatoid Arthritis, I-Yu Hsiao, Hanoch Livneh, Chieh-Tsung Yen, Ming-Chi Lu, Wei-Jen Chen, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background and Objectives: Extant research on the relationship between fatigue and depression in people with rheumatic diseases portrays a divergent picture. While caring for persons with this medical condition, one issue that represents individual confidence in carrying out specific tasks, namely self-efficacy level, has attracted significant attention. Yet, the information regarding whether self-efficacy may pose a clue linking these two major symptoms is still unknown. The aim of this study, therefore, is to examine whether self-efficacy mediates the association between fatigue and depressive symptoms among persons with rheumatoid arthritis (RA). Materials and Method: A cross-sectional study of 224 …

The Combined Treatment Of Chinese Herbal Medicines Is Correlated With A Lower Risk Of Rheumatoid Arthritis In Patients With Depression: Evidence From A Population-Based Patient–Control Study, Chieh-Tsung Yen, Hanoch Livneh, Hui-Ju Huang, Ming-Chi Lu, Ming-Chi Lu, Wei-Jen Chen, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background: Major depression places psychological strain on the individual that may increase the risk of developing rheumatoid arthritis (RA). Though the use of Chinese herbal medicines (CHMs) is widespread in clinical practice, its effect on the prevention of RA incidents is still unknown. This study aimed to evaluate the association between CHMs use by patients with depression and their subsequent risk of being diagnosed with RA.

Integrating Rehabilitation Services Into Routine Care Of Rheumatoid Arthritis May Reduce The Inflammatory Response: A Hospital-Based Follow-Up Study In Taiwan, Hui-Ju Huang, Wei-Jen Chen, Hanoch Livneh, Hua-Lung Huang, Ming-Chi Lu, Tzung-Yi Tsai, Multiple Additional Authors

Counselor Education Faculty Publications and Presentations

Background and Objectives:

For persons with rheumatoid arthritis (RA), the accompanying systemic inflammatory conditions often insidiously damage extra-glandular organs, causing poor outcomes. Despite evidence manifesting the application of rehabilitation services (RSs), the association between RSs use and changes in the inflammatory response among persons with RA has not yet been established. With that in mind, this study aimed to evaluate changes in C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) before and after long-term RSs use.

Materials and Methods:

For this two-group pre and posttest study, medical data of 4505 persons with RA aged 20–70 years between 2012 and 2017 …

An Exploration Of Self-Efficacy And Its Associated Factors Among Rheumatoid Arthritis Patients In Taiwan, I-Yu Hsiao, Hanoch Livneh, Wei-Jen Chen, Ming-Chi Lu, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Self-efficacy is an important ingredient in successful disease management, especially in patients with chronic conditions such as rheumatoid arthritis (RA). However, the information on self-efficacy and its influencing factors among RA patients is scarce. This study investigated the level of self-efficacy and its pertinent predictors among RA patients in Taiwan. This cross-sectional study recruited patients with RA from a hospital in Taiwan between January and October 2023. A structured questionnaire was used to collect data on respondents’ demographic and job characteristics and included a Chinese version of the Arthritis Self-Efficacy Scale (ASES). Multiple linear stepwise regression analysis was employed to …

Decreased Risk Of Osteoporosis Incident In Subjects Receiving Chinese Herbal Medicine For Sjögren Syndrome Treatment: A Retrospective Cohort Study With A Nested Case-Control Analysis, Chieh-Tsung Yen, Hanoch Livneh, Hua-Lung Huang, Ming-Chi Lu, Wei-Jen Chen, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Sjögren syndrome (SS) is a long-lasting inflammatory autoimmune disease that may cause diverse manifestations, particularly osteoporosis. Though usage of Chinese herbal medicine (CHM) can safely manage autoimmune disease and treatment-related symptoms, the relation between CHM use and osteoporosis risk in SS persons is not yet recognized. With that in mind, this population-level nested case-control study aimed to compare the risk of osteoporosis with and without CHM use. Potential subjects aged 20–70 years, diagnosed with SS between 2001 and 2010, were retrieved from a national health claims database. Those diagnosed with osteoporosis after SS were identified and randomly matched to those …

Does The Nurse-Led Case Management Benefit Rheumatoid Arthritis Patients In Reducing Distressing Symptoms And C-Reactive Protein: A 2-Year Follow-Up Study In Taiwan, Wei-Chiao Chang, Hanoch Livneh, Hua-Lung Huang, Hsin-Hua Li, Ming-Chi Lu, Miao-Chiu Lin, Wei-Jen Chen, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background: Rheumatoid arthritis (RA) is a chronic disease and may worsen over time. Today, nurse-led case management (NLCM) has been recommended to improve clinical outcomes for chronic disease patients, yet little is known regarding its impact on pain, fatigue, and C-reactive protein (CRP) among RA patients. We aimed to explore this issue among such groups via a two-group pre- and post-test approach.

Methods: All subjects were recruited from one hospital in Taiwan from January 2017 to June 2018 and assigned to either a 6-month NLCM program in addition to usual care or to a control group that received usual care …

Effect Of Company-Driven Disability Diversity Initiatives: A Multi-Case Study Across Industries, Brian N. Phillips, Teresa A. Granger, Chase Ochrach, Kathryn A. Thomas, Antonio Reyes, Rachel F. Kesselmayer, Catherine A. Anderson, Katherine B. Friedman, Multiple Additional Authors

Counselor Education Faculty Publications and Presentations

OBJECTIVE: In this article, we share insights emerging from case studies conducted across seven companies.We illustrate the motives, processes, and outcomes of these initiatives. METHODS: This study is built on the previously published case studies conducted across seven companies. We applied elements of consensual qualitative research (CQR) for the data collection and analyses before performing an in-depth qualitative content analysis using the data coded for each company, looking for commonalities and differences. RESULTS: Although practices differed, all companies experienced noted benefits. Committed leadership and complementary company values facilitated successful outcomes for initiatives. The strength or salience of disability-inclusive actions and …

A Call To Action For Disability And Rehabilitation Research Using A Discrit And Disability Justice Framework, Toni Saia, Rana Yaghmaian, Rachel Cuesta, Carlyn Mueller, Roxanna N. Pebdani

Counselor Education Faculty Publications and Presentations

Purpose: Disability and ableism exist within a societal context that does not ignore the many facets of a person’s identity, however often our disability research does not recognize how experiences vary based on the intersecting identities individuals hold. This article utilizes Intersectionality, Dis/ability Critical Race Studies (DisCrit), and Disability Justice to identify ways for rehabilitation researchers to adapt their research practices for maximum inclusivity and representation.

Materials and Methods: Using these three frameworks, we have developed a call to action including recommendations for rehabilitation researchers to consider as they design and implement research projects.

Results: Incorporating these frameworks provides an …

Relationship Between Chinese Herbal Medicine Use And Risk Of Sjögren’S Syndrome In Patients With Rheumatoid Arthritis: A Retrospective, Population-Based, Nested Case-Control Study, Hou-Hsun Liao, Hanoch Livneh, Miao-Chiu Lin, Ming-Chi Lu, Ning-Sheng Lai, Hung-Rong Yen, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background and Objectives: Sjögren’s Syndrome (SS) is a common extra-articular feature among subjects with rheumatoid arthritis (RA). While Chinese herbal medicine (CHM) has been used to treat symptoms of RA for many years, few studies have examined its efficacy in guarding against the SS onset. This study aimed to compare risk of SS for RA patients with and without use of CHM. Materials and Methods: Data obtained for this nested case-control study were retrieved from Taiwanese nationwide insurance database from 2000–2013. Cases with SS claims were defined and matched to two randomly selected controls without SS from the recruited RA …

Decreased Risk Of Low Back Pain During Pregnancy Associated With The Use Of Orthopedic Manual Therapy: A Nested Case-Control Study, Wei-Chiao Chang, Hanoch Livneh, Chieh-Tsung Yen, Min-Chih Hsieh, Ming-Chi Lu, Wei-Jen Chen, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background: Recent evidence suggests that the use of orthopedic manual therapy (OMT) may lessen the subsequent risk of low back pain (LBP), but this association has not been examined among pregnant women who are at higher risk of LBP. This study aims to determine whether the addition of OMT to conventional LBP treatment before pregnancy could decrease the subsequent risk of LBP during pregnancy.

Methods: From Taiwan's National Health Insurance Research Database, we identified 68,960 women, 20–55 years of age, with first pregnancy between 2001 and 2012. We then performed a nested case-control study in which 3,846 women with newly …

Parecoxib Reduced Postsurgical Pain And Facilitated Movement More Than Patient Controlled Analgesia, Szu-Ching Chiu, Hanoch Livneh, Jin-Cheng Chen, Chia-Ming Chang, Honda Hsu, Tsay-I Chiang, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background: Postoperative pain management is an imperative issue for patients undergoing lumbar spinal fusion surgery. Delayed pain relief is associated with poor clinical outcomes. This study compared the effects of intravenously administered patient-controlled analgesia (PCA) with intravenous parecoxib, both commonly used methods for analgesic pain control after surgery.

Methods: A non-randomized study was used to recruit 68 patients who were scheduled to receive lumbar spinal fusion surgery at a hospital in Taiwan from April through December of 2020. The group treated with parecoxib received an initial perioperative dose of parecoxib 40 mg during a 30-min period and then postoperative intravenous …

A Comparison Of The Risk Of Fracture In Rheumatoid Arthritis Patients With And Without Receiving Chinese Herbal Medicine, Hou-Hsun Liao, Hanoch Livneh, Yu-Jung Chung, Ching-Hsing Lin, Ning-Sheng Lai, Hung-Rong Yen, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Objective: Patients with rheumatoid arthritis (RA) often suffer from bone complications due to persistent joint inflammation, especially incident fracture. Nowadays, Chinese herbal medicines (CHMs) have provided safe and effective therapy for treating skeletal conditions, but it is unclear whether CHMs can prevent fracture onset among RA individuals. This study aimed to determine the association between the use of CHMs and the risk of fracture among them.

Methods: This retrospective, population-based study retrieved administrative health data from the Taiwan National Health Insurance (NHI) database to identify patients with newly diagnosed RA between 2000 and 2009. Of the 6178 incident …

Adding Pay-For-Performance Program To Routine Care Was Related To A Lower Risk Of Depression Among Type 2 Diabetes Patients In Taiwan, Wei-Cheng Lian, Hanoch Livneh, Hui-Ju Huang, Ming-Chi Lu, How-Ran Guo, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background: Patients with type 2 diabetes (T2DM) often experience depression during treatment, negatively influencing their treatment compliance and clinical outcomes. Recently, the pay-for-performance (P4P) program for chronic diseases, with high-cost and high-risk feature, such as T2DM, has been implemented and has been operational for several years. Nevertheless, its effect on the risk of developing depression among T2DM cases is unknown. This study aims to explore the association of P4P use with the subsequent risk of developing depression among these patients.

Methods: This cohort study used a nationwide health insurance database to identify patients 20–70 years of age newly diagnosed with …

The Relationship Of Acupuncture Use To The Endometriosis Risk In Females With Rheumatoid Arthritis: Real-World Evidence From Population-Based Health Claims, Hanoch Livneh, Wei-Jen Chen, Chien-Hui Hsu, Ying-To Hu, Ning-Sheng Lai, How-Ran Guo, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Objectives: Women affected by rheumatoid arthritis (RA) have a higher risk of endometriosis, an estrogen-dependent, chronic inflammatory disease. Though acupuncture has long been a safe and effective therapy for treating inflammatory conditions, it is unclear whether it could prevent the onset of endometriosis. This study aims to determine the effect of acupuncture on the subsequent risk of endometriosis in female RA patients.

Methods: Between 1998 and 2010, female subjects with RA were recruited from a nationwide database (5,736 patients; age ≥20 years). Enrolled patients included 2,407 acupuncture users and 2,407 nonusers randomly selected using propensity scores. The occurrence of endometriosis …

Use Of Chinese Herbal Medicines Is Related To A Reduction In Depression Risk Among Patients With Insomnia: A Matched Cohort Study, Yun-Wen Chiao, Hanoch Livneh, How-Ran Guo, Wei-Jen Chen, Ming-Chi Lu, Miao-Chiu Lin, Chia-Chou Yeh, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Objective: Subjects with insomnia have a higher risk of depression, thus possibly making them live with serious health conditions. To date, information regarding the effect of Chinese herbal medicines (CHMs), a commonly used complementary and alternative medicine, on depression risk among people with insomnia is still unknown. This study aimed to investigate the effect of CHMs on the risk of depression among individuals with insomnia.

Methods: This cohort study used a national health insurance database to identify 68,573 subjects newly diagnosed with insomnia, aged 20–70 years, who received treatment between 1998 and 2010. Using propensity score matching, we …

Reduced Stroke Risk Among Patients With Atrial Fibrillation Receiving Chinese Herbal Medicines Treatment: Analysis Of Domestic Data In Taiwan, Li‐Cheng Zheng, Hanoch Livneh, Wei‐Jen Chen, Miao‐Chiu Lin

Counselor Education Faculty Publications and Presentations

Background and objectives: Patients with atrial fibrillation (AF) reportedly have a much higher risk of death due to stroke. Faced with this heavy burden, it remains unclear if the Chinese herbal medicines (CHMs), the most common form complementary and alternative medicine, can lower the risk of stroke for them. This study aimed to evaluate the association of CHMs use with stroke risk among them. Materials and Methods: From a nationwide database, 11,456 AF patients aged ≧ 20 years between 1998 and 2007 were identified. Afterwards, we enrolled 2670 CHMs users and randomly selected 2670 non-CHMs users using the propensity score …

Association Of Use Of Rehabilitation Services With Development Of Dementia Among Patients With Rheumatoid Arthritis: Analysis Of Domestic Data In Taiwan, Ming-Chi Lu, Hanoch Livneh, Chieh-Tsung Yen, Hua-Lung Huang, Miao-Chiu Lin, Shu-Wen Yen, Ning-Sheng Lai, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Objectives: Rheumatoid arthritis (RA) was found to trigger the higher risk of dementia. Limited information, however, is available on whether the use of rehabilitation services (RS), an integral part of healthcare programs, can lessen dementia risk for RA subjects. The aim of this study was to determine the relationship of RS use to the development of dementia in RA patients.

Methods: We identified 2,927 newly diagnosed patients with RA, 20–70 years of age between 1998 and 2007, from a national health insurance database. 965 patients from this sample received RS, and 1,962 patients were designated as a control group (non-RS …

The Use Of Generic Avoidant Coping Scales For Psychosocial Adaptation To Chronic Illness And Disability: A Systematic Review, Hanoch Livneh

Counselor Education Faculty Publications and Presentations

This systematic review examined the validity of generic coping-with-stress measures in the relationships between avoidance-type coping and psychosocial adaptation to chronic illness and disability. Major data bases were searched for studies on the association between avoidance-type coping and psychosocial adaptation to chronic illness and disability. Findings indicated that reliance upon avoidance-type coping is linked to reports of poorer psychosocial adaptation. The veracity of these findings must be treated cautiously owing to conceptual, structural, psychometric, and other issues. Users of generic coping measures should consider these concerns prior to empirically investigating the link between generic avoidance-type coping measures and psychosocial adaptation …

Exploring The Career Satisfaction Of Counselor Educators, Regina R. Moro, Rebecca Scherer

Counselor Education Faculty Publications and Presentations

In this article, the authors report counselor educators’ career satisfaction through a descriptive analysis. Seventy-five counselor educators from all across the United States completed an online demographic questionnaire and four self-report instruments related to career satisfaction in general, work environment, and mentorship experiences. The results indicate that counselor educators report satisfaction with most aspects of the job, but report dissatisfaction with pay/promotion and mentorship. This is important for consideration for current and future counselor educators, due to the amount of time and cost associated with obtaining a doctoral degree. The researchers discuss and suggest future research recommendations.

Addictions Content Published In Counseling Journals: A 10-Year Content Analysis To Inform Research And Practice, Edward Wahesh, S. Elizabeth Likis-Werle, Regina R. Moro

Counselor Education Faculty Publications and Presentations

This content analysis includes 210 articles that focused on addictions topics published between January 2005 and December 2014 in the journals of the National Board for Certified Counselors (NBCC), Chi Sigma Iota (CSI), the American Counseling Association (ACA), and ACA member divisions. Results include the types of addictions content and behaviors studied as well as the populations and data analytic techniques used in the addictions research articles. Whereas most articles discussed addictions counseling techniques, addictions issues among non-clinical populations, and professional practice issues, fewer articles addressed clients in treatment, utilized clinical populations, or analyzed intervention outcomes. Implications for addictive behaviors …

Psychosocial Adaptation To Disability Within The Context Of Positive Psychology: Philosophical Aspects And Historical Roots, Hanoch Livneh, Erin Martz

Counselor Education Faculty Publications and Presentations

Purpose: The purpose of this article is to review the conceptual and clinical similarities that exist between the principles of positive psychology and those underlying rehabilitation counseling and psychology, occupational rehabilitation, and those espoused by the field of psychosocial adaptation to chronic illness and disability (CID). Methods: Three themes were selected for review. These included the historical contributions of early scholars in the area of psychosocial adaptation to CID that later were indirectly infused into mainstream positive psychology; state and trait constructs that constitute much of the infrastructure of positive psychology and psychosocial adaptation to CID; and, finally, the …

Intersection Of Career Counseling And Psychosocial Adjustment To Disability For Adults With Acquired Disabilities, Tina M. Anctil Peterman

Counselor Education Faculty Publications and Presentations

This program shares a theoretical and practical approach to career counseling with adults with acquired disabilities. Practitioners must possess a working knowledge of the adjustment to disability process as it relates to the client's career transition. Participants will learn how career interventions can facilitate the client's adjustment to their disability.

A Career Counseling Model For Working With Adults With Disabilities Through Vocational Rehabilitation, Tina M. Anctil Peterman

Counselor Education Faculty Publications and Presentations

Participants will learn how to develop contracts with Vocational Rehabilitation to provide career counseling services to individuals with disabilities, including a four-session career counseling model. Practitioners will increase their knowledge and skills needed to work with the diverse range of people with disabilities in the United States.

The Concept Of Time In Rehabilitation And Psychosocial Adaptation To Chronic Illness And Disability: Parts I And Ii, Hanoch Livneh

Counselor Education Faculty Publications and Presentations

Human fascination with the concept of time can be traced to antiquity. Time has been viewed as fundamental to all human experience, and efforts to understand its nature, structure, and relationship to the human experience have generated a burgeoning body of literature, over the past two millennia, among philosophers, astronomers, physicists, and more recently psychologists. Yet, the field of rehabilitation counseling has been rather silent on the role of time and especially its place in understanding psychosocial adaptation to chronic illnesses and disabilities. In the first part of this article, the author seeks to (a) provide a brief review of …

Establishing Reliability And Validity Of The Chinese Version Of The Jefferson Scale Of Empathy, Hanoch Livneh, Jung-Feng Cheng, Yu-Min Lai

Counselor Education Faculty Publications and Presentations

[Article in Chinese]

Background: Empathy is an important concept and necessary skill for health care providers. Many studies have adopted the Jefferson Scale of Empathy - Health care Providers Version (JSE-HP) to collect data used to measure healthcare provider empathy. However, this scale has not been used to assess healthcare providers in Taiwan. Purpose: Study purposes were to: (a) translate the JSE-HP into Chinese, (b) examine validity and reliability of the translated scale, and (c) use the scale to measure empathyin a sample of Taiwan healthcare providers.

Methods: Researchers used a backward translation approach to translate the JSE-HP …

Foster Care & Disability, Tina M. Anctil Peterman, Clayton Rees

Counselor Education Faculty Publications and Presentations

The presentation explores the education instability of children in foster care

Psychosocial Responses To Spinal Cord Injury As Predictors Of Pressure Sores, Hanoch Livneh, Samuel T. Gontkovsky, Dobrivoje S. Stokic, Erin Martz

Counselor Education Faculty Publications and Presentations

Pressure sores are a preventable, but common, secondary complication of a spinal cord injury (SCI). Research is limited concerning the influence of psychological factors in the development of pressure sores. The purpose of our ex post facto study was to examine the role that emotional responses and coping strategies play in moderating the relationships between demographic and SCI-related medical variables and the frequency and severity of pressure sores. Ninety-five individuals, who sustained a sudden-onset SCI, completed a self-report questionnaire sent to the population of patients that received post-injury rehabilitation services at a rehabilitation center in the southern U.S. Multiple regression …

Self-Management And Social Skills Training For Persons With Developmental Disabilities: Tools For The Rehabilitation Counselor To Facilitate Success In Community Settings: A Literature Review, Tina M. Anctil Peterman, Charles Edmund Degeneffe

Counselor Education Faculty Publications and Presentations

People with developmental disabilities often display deficiencies in self-management and social skills in community based settings. Difficulties with self-management and social skills tend to pose particular difficulties for performing valued adult roles. Tools from behavior therapy have the potential to assist rehabilitation counselors in their work with consumers with developmental disabilities to overcome the negative impacts of functional limitations on expressing behaviors needed for success in community-based settings. This article presents a review of the behavior therapy literature regarding self-management and social skills training techniques rehabilitation counselors can use in their work with consumers with developmental disabilities in areas including …

Locus Of Control Orientation And Acceptance Of Disability, Hanoch Livneh, Erin Martz, Joseph Turpin

Counselor Education Faculty Publications and Presentations

The purpose of this study was to determine if differences existed in acceptance of disability scores between individuals with internal locus of control and external locus of control orientations. Ninety-seven out of 200 randomly-chosen participants with disabilities from a southern California community college completed the Reactions to Impairment and Disability Inventory (RIDI), Rotter's I-E Locus of Control Scale, and a demographic profile sheet. Acceptance of disability was defined as both acknowledgment and adjustment to a disability. Adjustment scores were found to be higher among those with an internal locus of control orientation but only among participants with mental/psychiatric disabilities. Also, …

Psychosocial Adaptation To Spinal Cord Injury: The Role Of Coping Strategies, Hanoch Livneh

Counselor Education Faculty Publications and Presentations

Reviews the literature on the role played by coping efforts in fostering psychosocial adaptation to spinal cord injury. Following an introductory discussion of coping in general, and coping with chronic illnesses and disabilities more specifically, the review focuses on the research literature (1980?1999) regarding coping with spinal cord injuries. The paper continues with a summary of findings based on over 30 empirical studies focusing on coping with this disability. Among the prominent findings are the following: (1) More successful psychosocial adaptation is generally associated with higher levels of ego strength and internal locus of control and (2) better adaptation is …