OBJECTIVES To investigate the psychometric properties and utility of the Appraisals of DisAbility Primary and Secondary Scale-Short Form (ADAPSS-sf), a measure of cognitive appraisals, among adults with pediatric-onset SCI. To examine the relation of the ADAPSS-sf to demographics, injury characteristics, and secondary health and psychosocial outcomes. STUDY DESIGN A structured telephone interview was conducted to obtain measures of ADAPSS-sf, pain, sleep, secondary health complications, and psychosocial functioning. SETTING Community in United States and Canada. PARTICIPANTS Individuals who sustained an SCI at 18 years of age or younger (N = 115) were initially interviewed at age 19 years or older and followed annually. RESULTS Study findings support sound psychometrics of the ADAPSS-sf. The measure demonstrated strong test-retest reliability and internal consistency. There were no differences on ADAPSS-sf scores in relation to current age, gender, race, etiology, injury severity, or injury level. Individuals who sustained SCI at an older age were more likely to endorse negative appraisals of their injury. Results suggest that higher negative SCI-related appraisals were related to higher mental health difficulties. Negative SCI-related appraisals were associated with sleep difficulties, pressure injuries, pain, distress from pain, and poor overall subjective ratings of health. CONCLUSIONS This study confirms the use of the ADAPSS-sf in a pediatric-onset SCI adult population by demonstrating its good internal validity, test-retest reliability, convergent and face validity, and brevity. Moreover, the current study revealed that such appraisals are associated with both psychosocial and secondary health outcomes, further supporting the ADAPSS-sf as a valuable tool for clinicians and researchers.

中文翻译：

---

残疾评估小学和中学量表-简短形式（ADAPSS-sf）在小儿发作性脊髓损伤的个体中的使用。

目的调查患有小儿发作性SCI的成年人的主要和次要残疾量表-简称表（ADAPSS-sf）的心理计量学特性和效用，这是一种认知评估方法。检验ADAPSS-sf与人口统计学，伤害特征以及继发性健康和社会心理结果的关系。研究设计进行了结构化的电话访谈，以获取ADAPSS-sf，疼痛，睡眠，继发性健康并发症和社会心理功能的测量指标。美国和加拿大的SETTING社区。参与者年龄在18岁或以下（N = 115）的SCI患者最初在19岁或19岁以上接受面试，然后每年进行随访。结果研究结果支持ADAPSS-sf的合理心理计量学。该措施证明了强大的重测可靠性和内部一致性。ADAPSS-sf评分与当前年龄，性别，种族，病因，伤害严重程度或伤害水平无差异。年龄较大时持续遭受SCI的个体更有可能赞同对其伤害的负面评估。结果表明，较高的阴性SCI相关评估与较高的心理健康困难有关。与SCI相关的阴性评估与睡眠困难，压力伤害，疼痛，痛苦困扰以及整体健康状况的主观评价不佳有关。结论本研究通过证明ADAPSS-sf具有良好的内部效度，重测信度，收敛性和面部效度以及简洁性，证实了ADAPSS-sf在儿科SCI成年人群中的应用。而且，