J. Douglas Salmon, Jr and Marek J. Celinski
The conceptual underpinnings of the R-SOPAC and its relationship to the measurement of coping, and by extension to the concepts of resilience and resourcefulness, have been reviewed in a companion chapter in this text. That other chapter also presented a summary of the psychometric characteristics of the instrument that were developed based on the initial physical rehabilitation study population. This chapter will focus on the evidentiary support for the instrument as a proxy for broad health outcomes in comparing: (i) a clinical population spectrum ranging from “Adaptive Copers” through to those demonstrating poorest resilience and resourcefulness, termed “Distressed-Diffuse Symptoms”; (ii) unemployed adults versus employed and versus clinical populations; and (iii) a DSM-IV diagnosed psychopathology continuum ranging from “no diagnosis” through to Adjustments Disorders, to Major Depression and Somatoform (Pain) Disorders. In addition to aggregate data analysis, a case study shall be presented of an individual with significant mental health diagnoses utilizing comprehensive health outcomes measurements. The case study demonstrates the importance of mental health professionals considering the more ubiquitous impacts of DSM-IV diagnosed conditions on both physical and cognitive functioning, with significant implications for occupational disability assessment and an overall psychosocial adjustment.