Date of Award

Summer 2016

Document Type


Degree Name

Doctor of Psychology (PsyD)



Committee Director

Michael L. Stutts (Eastern Virginia Medical School)

Committee Member

Desideria S. Hacker (Norfolk State University)

Committee Member

Serina Neumann (Eastern Virginia Medical School)

Committee Member

Barbara Winstead

Committee Member

David Powell (Hampton Veterans Affairs Hospital)


Differences in emotional adjustment were examined as predictors of medical rehabilitation gains within an inpatient setting. Specifically, the International Positive Affect and Negative Affect Schedule Short Form (I-PANAS-SF), along with the Functional Independence Measure (FIM), were administered to adult patients during their inpatient medical rehabilitation hospitalizations. The I-PANAS-SF was used to examine if trait affect plays a significant role in rehabilitative treatment, as well as final outcomes (i.e. total number of days spent in rehabilitative treatment, and amount of measurable cognitive and physical improvement). Previous research has demonstrated significant correlations between emotional constructs such as trait affect and medical outcomes. However, this study also aimed to demonstrate that those results could be replicated using an exceptionally brief, low-cost, non-invasive measure such as the well-validated, language-stable I-PANAS-SF. Results of this study did not find higher Trait Positive Affect (TPA) and lower Trait Negative Affect (TNA) to be significantly associated with greater gains in FIM scores, and found that higher levels of TPA were predictive of longer rehabilitation stays. Additionally, significant differences were found based on demographic of age and race, with older age having a correlation with shorter lengths of stay, and with Caucasian race being correlated to greater levels of independence at time of discharge.


The VIRGINIA CONSORTIUM PROGRAM IN CLINICAL PSYCHOLOGY is a joint program of Eastern Virginia Medical School, Norfolk State University, and Old Dominion University.


In Copyright. URI: This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s).