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1
Chau, Cecilia, Córdova Hugo Morales et Espinoza Micaela Wetzell. « Coping style and performance status in a group of oncological inpatients ». Pontificia Universidad Católica del Perú, 2002. http://repositorio.pucp.edu.pe/index/handle/123456789/102502.
Texte intégralRésumé :
The associations between coping styles, measured by COPE Test, dispositional version (Carver,Scheier and Weintraub, 1989), and Health Status inferred through a performance status, measured by Karnofsky's Index of Behavioral Performance are examined. The study focuses upon 28 oncological in patients. Positive moderate Pearson's correlations were found between these two variables in this correlational-descriptive study. These were interpreted in the following sense: the larger use of the style, the less health status among the scales suppression of competent activities, procrastination of coping, instrumental social support, focusing and releasing of emotions and behavioral disengagement. The active coping scale presented a negative correlationwith regard to Performance Status as a health measure.Se estudian las asociaciones entre estilos de afrontamiento medidos a través del Test de Estimación del Afrontamiento COPE-versión disposicional (Carver, Scheier y Weintraub. 1989) y Estado de Salud inferido a través del Estatus Performance, medido a través del Índice de EjecuciónConductual de Karnofsky, en un grupo de 28 pacientes oncológicos hospitalizados de ambos sexos. La investigación alcanza el nivel descriptivo-correlacional, y se encontraron asociaciones entre ambas variables expresadas en correlaciones Pearson positivas y moderadas interpretadas en el siguiente sentido: a mayor empleo del estilo, menor estatus de salud entre las escalas supresión de actividades competentes, postergación del afrontamiento, apoyo social instrumental, enfocar y liberar emociones y desentendimiento conductual. La escala afrontamiento activo, presentó una correlación negativa respecto al Estatus Performance como medida de salud.
2
Upton, Norman. « Caregiver coping in dementing illness ». Thesis, Anglia Ruskin University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.369151.
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Hamilton-West, Kate. « Coping with stress and illness ». Thesis, University of Kent, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.274368.
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Eldred, Kerry T. « Coping with Chronic Illness : Do Strategies Differ by Illness Type ? » UNF Digital Commons, 2011. http://digitalcommons.unf.edu/etd/125.
Texte intégralRésumé :
While coping varies with individuals and is a product of complex, interrelated factors, the primary interest of this study was determining how coping behaviors manifest according to these chronic illness types: those of known pathology (e.g., asthma, osteoarthritis, lupus) and those that lack a clear, structural pathology (i.e., functional somatic syndromes and medically unexplained symptoms). Data for this study were gathered from a series of four comprehensive online surveys, which included measures of coping (Brief COPE), pain and health outcomes (SF-36), negative affect (I-PANAS-SF) and depression (PHQ- 8). The analyzed sample was comprised of 148 participants (119 Female, 28 Male and 1 Not Answered) with a mean age of 43.34 (SD = 13.69), all of whom experienced at least three months of chronic physical symptoms. Based on diagnosis, the participants were grouped into that of conventional disease (CD), functional somatic syndromes (FSS) or medically unexplained symptoms (MUS). Even while controlling for significant covariates (e.g., depression, negative affect, pain perception), multivariate analyses revealed no significant differences in coping strategies by illness group, Wilks’s Lambda = .96, F(4, 222) = 1.05, p = .38.
The results suggest that the use of coping strategies does not differ by illness type, but can be predicted by other, health-related factors, notably stress, β = -.21, t(120) = -2.09, p = .04; symptoms, β = .32, t(120) = 2.82, p = .01; personal control, β = .19, t(120) = 2.16, p = .03, and negative affect, β = .34, t(121) = 2.81, p = .01. It appears that patient experience with chronic illness can be more informative regarding appropriate treatments and therapeutic interventions than just illness type itself.
5
Pretzlik, Ursula. « Children coping with a serious illness ». Thesis, University College London (University of London), 1996. http://discovery.ucl.ac.uk/10019084/.
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A solid empirical base is needed to expand our understanding of coping in children who are seriously ill. The six studies reported were designed to describe the ways seriously ill children cope with their illness and treatment, and to explore factors (both individual and familial) which influence their coping. The choice of instniments and design were influenced by the Lazanis and Folkman transactional model of stress and coping (1984), especially their concept of coping. In the first study the Kidcope Checklist (Spirito et at, 1988) was adapted to a younger British sample by adjusting the language and by producing a colour coded response sheet. Validity and test-retest reliability were established. In the five hospital based studies 53 children (7-16 years) and their parents took part. All the children had leukaemia or aplastic anaemia. Children's coping was examined in detail by applying a variety of research methods, which included observation during a medical procedure (Observation Scale of Behavioural Distress and coping behaviour), a questionnaire about children's perception of competence and selfworth (Self Perception Profile for Children) and a semi-structured interview about their coping strategies (Kidcope). Parental coping and the social environment of the family were studied through Coping Health Inventory for Parents and the Family Environment Scale. Results show that the children's coping was significantly related to the context of the problem (everyday-life difficulty, illness related and medical treatment) but much less to the individual differences (sex, age, experience with the illness and self esteem). Children who rated themselves at interview as more distressed during the blood test were observed to show more distress behaviour; this validated the distress assessment of Kideope. Children who were observed taking an active interest in the blood test displayed less distress behaviour and had higher self esteem than children who showed no interest in the procedure. Results from parents and the family are discussed with reference to the children's self reported and observed coping. Some relationships were found between parents' coping with their child's illness, the social climate of the family and the children's way of coping. The findings contribute to our understanding of children's coping processes and help to bridge the gap between theory and research.
6
Wallymahmed, Akhtar H. « Illness perception, coping and adjustment to diabetes ». Thesis, Liverpool John Moores University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.438848.
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Karnad, Madhu. « Gender differences in coping with chronic illness ». [Johnson City, Tenn. : East Tennessee State University], 2001. http://etd-submit.etsu.edu/etd/theses/available/etd-0327101-184147/unrestricted/KarnadL%5F0501.pdf.
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Cartwright, Tina Jane. « Representations of illness : patient satisfaction, adherence and coping ». Thesis, Oxford Brookes University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.325470.
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Steddy, Sharon. « Illness representations, coping and psychological morbidity in infertility ». Thesis, University of Leicester, 2003. http://hdl.handle.net/2381/31182.
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This study uses a cross sectional survey design to explore the illness representations, coping strategies and levels of psychological morbidity of patients planning IVF treatments. The aim was to develop a theoretical understanding, within the framework of the self-regulation model, of the factors which predict anxiety and depression in this group. Fifty patients completed a demographic questionnaire, the Illness Perception Questionnaire, the COPE and the Hospital Anxiety and Depression Scale. Chance, stress and age were the most commonly endorsed causal factors. Those without a diagnosis were more likely than those with one to think that chance had caused their infertility, but there was no difference between groups in belief in psychological causes. The coping style of this group of patients was characterised by planning and active coping within the ethos of acceptance. Overall, they used adaptive strategies significantly more than maladaptive, and this pattern did not differ between men and women. As a group, these patients' anxiety and depression scores did not fall into the clinically significant range and there were no significant differences in distress scores between groups. The relationships between illness perceptions, coping and distress were examined. Stepwise multiple regressions revealed that both illness perceptions and coping strategies predicted anxiety and depression. An adapted version of the self regulation model shows that belief in psychological cause for infertility, lack of coherence, and high levels of emotionalism and emotional lability were associated with use of maladaptive coping strategies; and increased anxiety and depression. Theoretical and clinical implications of the research are presented, along with a critique of the research; and ideas for future research are discussed.
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Johnson, Richard Stephen. « Physical illness and depression in older adults ». Thesis, University of Southampton, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.299409.
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de, Cavalho Raiana. « Agency, participation, and cancer stories on Instagram : A narrative analysis of the Networked Oncological Causers in Brazil ». Kent State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=kent1574249134299928.
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Rutter, Claire. « Illness representation, coping and outcome in irritable bowel syndrome ». Thesis, University of Kent, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.246600.
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Adair-Stantiall, Alethea. « Illness representations, coping and psychosocial outcome in chronic pain ». Thesis, University of Southampton, 2010. https://eprints.soton.ac.uk/172759/.
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Research has recognised the importance of understanding the chronic pain experience using a biopsychosocial model. This approach acknowledges the impact of cognitive factors on psychosocial adjustment to chronic pain. This literature review explores the difficulties encountered by individuals adapting to a life with pain. It evaluates the evidence pertaining to the idea that beliefs about illness and coping strategies affect psychosocial outcome in chronic pain. The review considers the role of cognitive factors in self-regulating illness using the Common-Sense Model of Illness Representations (CSM). An evaluation of this model as it applies to chronic conditions is provided. Reviewing the literature reveals that despite numerous studies examining the CSM in chronic illness, there is a paucity of research applying it specifically to chronic pain. This review highlights the potential usefulness of exploring the CSM in this population in order to consider both the empirical value of the CSM and gain further knowledge regarding useful psychotherapeutic interventions in chronic pain. On this basis, the present study sought to investigate the CSM in a sample of adults with chronic pain. A significant relationship between a number of illness representations (beliefs about illness) and psychosocial outcomes was found. A subset of these met criteria for mediation. The findings imply that particular illness representations (identity, consequences and emotional representation) are associated with the coping strategy catastrophising, which in turn is associated with an increased tendency for depression, anxiety and reduced quality of life. Due to the cross-sectional design, causal inferences cannot be made. However, the findings imply partial support for the CSM in a chronic pain population. Directions for future research are highlighted, as well as implications for psychotherapeutic interventions which could help reduce unhelpful beliefs and maladaptive coping strategies.
14
YANGARBER-HICKS, NATALIA ISAACOVNA. « RELIGIOUS COPING STYLES AND RECOVERY FROM SERIOUS MENTAL ILLNESS ». University of Cincinnati / OhioLINK, 2002. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1021898649.
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McGough, Marnique. « Creative coping : a description of experiences of families coping with chronic illness in a child ». Texas A&M University, 2003. http://hdl.handle.net/1969.1/3914.
Texte intégralRésumé :
Chronic illness impacts numerous families in the United States. Children
are increasingly among those affected by a chronic illness. The families undergo
trials and experiences that tax their coping skills and require extensive coping
strategies.
This research project explored how families cope with chronic illness in
one of the children in the family. The objective of the research project was to use
the method of case study to examine the everyday lives, perceptions, and coping
strategies of the family members as they deal with the realities of the effects of a
childÂs illness on a daily basis. Three families were studied using the case study
format. Through interviews, observations, and investigation of data, the
researcher gathered pertinent information about the participants lives and
experiences.
Emergent themes were identified from the facts gathered. These themes
included information and suggestions that various participants offered. Included
among the emergent themes were the following titles: alarming environment,
redefined realities, relational requests, valuable individual, coping concoctions, as well as awareness and advocacy. The studyÂs emergent themes were divided
into numerous subcategories. The multiple realities that the family members face
is evidenced in the number of issues and themes that emerged from the study.
This research project gives additional insight into the reality of the lives of
families experiencing chronic illness in one of the children. Suggestions and
observations by the participants could be useful for family, friends, medical
professionals, educational systems, and support groups that interact with families
facing similar trials. The descriptive style of the study lends itself to the vicarious
interaction of the reader to the circumstances of the participants. This format
allows the reader to transfer knowledge to his or her own experiences. The study
could further be useful by offering detail to the existing knowledge base, in
addition to aiding in the development of theory.
16
Pontefract, Amanda. « Differentiating coping patterns for illness-related and other types of stressors in adolescents with chronic illness ». Thesis, University of Ottawa (Canada), 2003. http://hdl.handle.net/10393/29063.
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The aim of this study was to investigate the personal stressors and patterns of coping in adolescents living with a chronic illness. Primary objectives were to: (1) identify salient stressors and to determine the relation between cognitive appraisals and the degree to which a stressor is perceived as illness-related or typical of adolescence; (2) assess differences in coping strategies used for illness-related and other types of stressors; (3) investigate if gender or age influences the frequency, cognitive appraisals or types of stressors reported, or the nature and the overall number of coping strategies reported. A secondary objective was to assess the extent to which health-related quality of life is related to stressors, coping strategies and coping in general.
In the current study, 193 chronically ill adolescents listed up to 20 personal stressors and rated the frequency, control over the cause, perceived impact, control over the outcome, and the extent to which each stressor was related to the chronic illness, and typical of adolescence. Adolescents reported coping strategies (Kidcope) for one self-identified illness related and one non-illness related stressor and for two stressors standardized for the entire sample. Participants also completed a global measure of adolescent coping (A-COPE) and a health-related quality of life measure (Rand 36-item Health Survey).
Results showed that the most frequently identified stressors were similar to those reported for healthy adolescents. Moreover, stressors were rated as more typical of adolescence than they were illness-related. Although perceived control over the cause was negatively related to stressor impact for self-identified stressors, neither controllability ratings nor impact were significantly correlated with illness or typical ratings. Considerable consistency in coping was found across self-identified stressors only. Females employed more social support and emotional regulation than did males. Although the number of stressors and the perceived impact of stressors increased with age, consistent age differences in coping were not obtained. Poorer general health perception was associated with greater impact for illness stressors. Perceived controllability over the outcome was associated with increased approach coping for both self-generated and standard stressors. Study limitations, suggestions for future research, and clinical implications are discussed.
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Hanchanchaikul, Chanokporn. « Family coping during adult critical illness : development and psychometric validation of the coping questionnaire for the Thai families / ». Thesis, Connect to this title online ; UW restricted, 1999. http://hdl.handle.net/1773/7239.
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Bradley, Kathryn Mary. « Illness perceptions and panic-fear in coping with difficult asthma ». Thesis, University of Leicester, 2012. http://hdl.handle.net/2381/11042.
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Difficult Asthma is a complex diagnosis relating to poor asthma control, but less related to severe clinical pathology. It is associated with medication non-adherence, poor psychosocial outcomes and high usage of health services. A number of psychological variables have been linked with the diagnosis. The systematic review examined the qualitative literature concerning patients’ experiences of self-managing asthma. A meta-ethnographic approach was used in order to add a layer of interpretive synthesis to the reciprocal translation of studies. A number of overarching themes were identified; Establishing Normality explored patients’ striving to achieve a balance between asthma symptoms, medication and quality of life. Beliefs about Medication identified common distrust of conventional medicine and the strategies used to find alternative ways to cope. Therapeutic Relationship gave voice to the frustrations of patients at being expected to self-manage asthma in a context of poor communication, unidirectional consultations and lack of access to quality information. Lack of policy implementation concerning shared models of care are considered. The empirical study extended the theme of patients managing asthma according to subjective beliefs. The self regulation model was used as a framework to understand the illness perceptions of adults attending a Difficult Asthma Clinic. The intention was to move discussion towards an understanding of illness perceptions as clusters or schemata of beliefs rather than individual dimensions. Four distinct clusters were established in this population based on their illness perceptions; these groups significantly varied on experiences of panic during asthma attacks and the strategies they used to cope with asthma, as well as clinical features such as age at diagnosis. Lung function did not differ between groups, suggesting there may be several potential routes to Difficult Asthma. The potential for tailored psychological interventions, care pathways and future research are discussed within a framework of mutual responsibility for disease management.
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Moreland, Jessica Elizabeth Natanya. « Illness representations, acceptance, coping and psychological distress in chronic tinnitus ». Thesis, University of Leicester, 2007. http://hdl.handle.net/2381/9098.
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Tinnitus is a prevalent condition which is associated with significant distress and disability in a substantial proportion of the population. The variance in distress is not adequately explained by audiological characteristics of the symptom and it has been widely accepted that other variables are influential in determining the relationship between the stimulus and distress. A review of the literature highlights significant relationships between many psychosocial variables and tinnitus severity (impact on life). However, conclusions based on existing research are limited due to methodological weaknesses and widespread neglect of coherent theoretical foundations. The review identifies a need for further research with comprehensive theoretical underpinning to provide a greater understanding of adaptation to chronic tinnitus. One theoretical framework which has been applied extensively to explore the process of adaptation to chronic conditions is Leventhal's Self Regulation Model (SRM). This model has not yet been applied to the study of chronic tinnitus with sufficient methodological rigour to draw firm conclusions on its utility for this patient group. Existing research on tinnitus suggests that coping efforts (integral to the SRM) are often associated with increased distress with the notable exception of strategies indicative of acceptance. Recent research into chronic pain has indicated a role for acceptance in predicting adaptation, however it has not been investigated in the context of tinnitus to date. Therefore, research was undertaken to investigate the relationships between cognitive illness representations, coping, acceptance and psychological distress in patients with chronic tinnitus. The findings suggest that cognitive illness representations predict variance in psychological distress and that coping and acceptance variables enhance the explanatory power of the models. The clinical implications of the findings and the limitations of the study are discussed. Finally, an account of the process of undertaking the research and reflections on this experience is presented.
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Phillips, Mark W. « Spiritual dimensions coping with chronic illness such as multiple sclerosis / ». Theological Research Exchange Network (TREN), 2000. http://www.tren.com.
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Downing, Nancy Ruth. « Couples' illness representation and coping procedures in prodromal Huntington disease ». Diss., University of Iowa, 2010. https://ir.uiowa.edu/etd/2693.
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Huntington disease (HD) is a degenerative neurological disease that typically onsets in midlife. It leads to progressively severe impairment in cognitive, behavioral, and motor function and premature death. Persons who test positive for the HD gene expansion know they will develop the disease. Research indicates changes are detectable several years before onset. Thus, HD has a long prodromal period (prHD). While researchers are aware of changes, little is known whether persons with prHD or their companions notice changes, or how they make sense of and cope with them. Leventhal and colleagues developed the Common Sense Model of Illness Representation (CSM) to describe how people make sense of illness. According to the CSM, people notice somatic changes, form illness representations, select coping procedures and evaluate them, and reappraise illness representations in an iterative process. The CSM has been used to explore illness representations in a variety of illnesses, including diagnosed HD. The authors of the model state it is also applicable in anticipated illness but this assertion has not been adequately tested.
The purpose of this thesis was to use the CSM to explore and describe illness representations in persons with prHD and their companions. The results of this exploration are presented in three papers. The first paper, presented in Chapter 2, was a preliminary study based on interview data from 8 persons and 7 companions. Results of this analysis indicated persons with prHD and companions noticed and made attributions for changes, suggesting they formed illness representations. However, they were unsure whether some changes were related to HD. Results were considered preliminary because participants were not directly asked to make attributions. Data were also limited to changes in work function and the sample size was small. In the next two papers, 23 couples were interviewed. The purpose of the second paper, presented in Chapter 3, was to explore illness representations in persons with prHD and their companions and evaluate the usefulness of the CSM in anticipated illness using prHD as a model. Results supported preliminary findings: Participants noticed changes, made attributions, used coping strategies and evaluated them. Again, they unsure whether some changes were related to HD. Other elements of the CSM were partially supported by the data. The third paper, presented in Chapter 4, used quantitative and qualitative methods to explore coping in persons with prHD and companions. Participants were asked open-ended questions about how they coped with changes and were also verbally administered the Brief COPE scale. Both quantitative and qualitative data showed participants used active coping, acceptance, planning, and social support. Participants rarely used denial or substance abuse. Persons with prHD used more coping strategies than companions. Three major themes from the qualitative interview were identified: trying to fix it, can't fix it, and not broken yet. Qualitative interviews revealed some coping strategies that the Brief COPE did not measure. Findings from these papers may inform interventions to help people with prHD and companions cope with changes. Persons with prHD and companions might benefit from knowing what changes might be related to HD in order to cope more effectively.
22
Spinks, Helen E. « Illness perceptions, depression and coping in people with multiple sclerosis ». Thesis, University of Southampton, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.288412.
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Kelsey, Sarah Megan. « Stress and Coping Related to Medical Illness : Implications for Child Development ». Thesis, The University of Arizona, 2011. http://hdl.handle.net/10150/144551.
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Earll, Mary Louise. « Coping with chronic neurological illness : an analysis using self-regulation theory ». Thesis, University College London (University of London), 1994. http://discovery.ucl.ac.uk/1317876/.
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Self-regulation theory was used to examine how people cope with the diagnosis and management of chronic neurological illness. Three studies are reported, all of which examined the three main elements of self-regulation theory as outlined by Leventhal et al (1984), people's representations of their condition, the actions they took to manage and their evaluation of those efforts, and the outcome as assessed by their feelings about themselves, their emotional wellbeing and severity of disability. A longitudinal study examined 20 people at three stages, before coming into hospital for tests and investigations for multiple sclerosis, 6 weeks and 6 months later. This study provided some support for representations as being important in guiding coping. However, both representations and people's own evaluations of their coping efforts were more predictive of outcome. The second, cross-sectional study compared people being investigated for three differing chronic diseases; the previous 20 people being investigated for multiple sclerosis, 11 and 22 people being investigated for motor neurone disease and liver disease respectively. Results showed that how people represented their condition, and not the diagnosis, was related to outcome. The third study was pseudo-longitudinal and examined people at different times since the diagnosis of multiple sclerosis. People at six months (n=20 from first study), 2 years (n=19), and over 7 years (n=25) from diagnosis were included. This study again highlighted the relationship between representations and outcome; perceiving more symptoms and adverse consequences being associated with poorer outcomes of all types. Coping was also associated with outcome, in particular, more social supports and greater satisfaction with that support being associated with higher Self Esteem, better emotional wellbeing and less severe disability. It is concluded that self-regulation theory is a useful framework within which to understand how people cope with chronic neurological illness, in chronic illnesses with no cure or effective palliative treatments people's representation of their condition and evaluation of their coping efforts predicted outcome. The low level of psychological distress found in all studies suggests that while no particular coping actions are associated with better outcomes, it may be that taking some kind of action, rather than taking no action, in a situation where there is nothing the medical profession can do is sufficiently motivating to minimise depression.
25
Benn, Lisa. « Psychological recovery following coronary angioplasty : illness cognitions, coping and well-being ». Thesis, University of Leicester, 2006. http://hdl.handle.net/2381/7936.
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Aim: To investigate the nature of psychological adjustment following angioplasty and to assess the relative contributions of illness cognitions and coping in the context of the Self-Regulation Model (Leventhal, Meyer & Nerenz, 1980). Design: A longitudinal, prospective within-groups, multi-factorial study. Method: 120 participants were recruited from an opportunity sample of patients approached during admission to the Manchester Heart Centre for angioplasty. Questionnaires addressing illness beliefs, coping and psychological outcomes were presented at two time points; during admission and three months post-procedure. Results: Analysis revealed that angioplasty is followed by clinically and statistically significant psychological gains. Perceptions of the illness as serious, and having a cyclical time-course, together with a general difficulty in making sense of the illness, were associated with increased anxiety at the time of treatment, and in most cases also at three months. Higher levels of emotional representation were also strongly associated with anxiety and quality of life outcomes at both time points. Problem-focused and maladaptive coping also showed associations with psychological outcome at treatment and at three months. Illness beliefs were demonstrated to significantly predict psychological well-being, explaining a substantial proportion of variance, with emotional representation the strongest independent predictor. Coping was not found to mediate the relationship between illness beliefs, and psychological distress and quality of life. Conclusion: This research has demonstrated the utility of illness beliefs, and to an extent the Self Regulation Model in predicting psychological outcome in angioplasty. Cognitive factors may therefore serve as useful clinical indicators to help identity those patients at greatest risk of impaired recovery, which in the future may enable targeting with further support, and evidence permitting, psychological interventions. [Abstract taken from Section B: Research Report (Option 1)]
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Sirois, Fuschia M., Danielle S. Molnar et Jameson K. Hirsch. « Self-Compassion, Stress, and Coping in the Context of Chronic Illness ». Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/682.
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A recent review suggested that self-compassion promotes use of adaptive rather than maladaptive coping. Less is known about how self-compassion is linked to stress and coping in the context of a chronic stressor. Across two primarily female chronic illness samples, inflammatory bowel disease (N = 155) and arthritis (N = 164), a model linking self-compassion to lower stress through coping styles and coping efficacy was tested. Path analyses revealed significant indirect effects for adaptive coping styles (active, positive reframing, and acceptance), and negatively for maladaptive coping styles (behavioral disengagement and self-blame) in both samples. Findings suggest that the relative balance of adaptive and maladaptive coping strategies used by self-compassionate people is associated with better coping outcomes in the context of chronic illness.
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Sirois, Fuschia M., Jameson K. Hirsch et Danielle S. Molnar. « Self-Compassion, Stress, and coping in the Context of Chronic Illness ». Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/616.
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Watters, Camilla M. « Illness representations, coping and outcome in prostate disease : an exploratory study ». Thesis, University of Leicester, 2000. http://hdl.handle.net/2381/31302.
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The aims of the study were, to investigate and compare the illness representations of men with prostate cancer or benign prostatic hyperplasia (BPH) and to explore their relationship to coping and outcome. The study employed a correlational cross-sectional design. Seventeen men with prostate cancer and nineteen men with BPH completed the Illness Perception Questionnaire (IPQ), COPE short-form and three outcome measures. There were no significant differences between the two groups on any of the measures. With regard to illness representations, both groups saw their condition as chronic, caused by chance, with few consequences and with little chance of cure/control. Perception of a strong illness identity, in the cancer group, was associated with higher levels of depression and symptom score. In the BPH group, identify was associated with a greater perceived intrusiveness of the condition and with less satisfaction. A belief in greater consequences was also related to a perception of greater intrusiveness, by men with BPH. Coping strategies demonstrated only one significant relationship with outcome in each group, with behavioural disengagement and denial being associated with a higher symptom score in the cancer and BPH groups respectively. Regression analyses indicated that overall the illness representation dimensions of identity and consequences were stronger predictors of outcome than coping. Thus these dimensions of illness representations seem to play a role in outcome for both prostate cancer and BPH. The clinical and theoretical implications of these findings are discussed. Limitations of the present study are acknowledge and ideas for future research are presented.
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Ho, Kwok-hung Eric, et 何國雄。. « Coping with Rheumatoid Arthritis : a study of illness appraisal and the influence of coping strategies onpsychological adjustment ». Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31220897.
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Henderson, Caroline J. « Illness is in the mind : the schematic nature of illness representations and coping in the common sense model ». Thesis, University of Essex, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.438259.
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Bell, Emily A. « The Relationship Between Illness Representations, Avoidant Coping, and Health Outcomes in People with Ongoing Symptoms of Chronic Illness ». UNF Digital Commons, 2015. http://digitalcommons.unf.edu/etd/572.
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Illness representations play an important role in the way people with chronic illness manage symptoms and view their overall health. Those suffering from functional somatic syndromes as well as conventional diagnoses seek information and meaning about their health threats in order to make appraisals concerning health outcomes. The primary interest of this study was to determine whether illness representations predict coping strategies which in turn influence general health outcomes. Data was collected from a series of four online surveys that measured an individual’s illness representations (IPQ-R), coping responses (Brief COPE), and health outcomes (RAND-36). The sample included 204 participants (169 females and 30 males) all of whom experienced chronic illness symptoms and were classified as having a functional somatic syndrome (FSS) or conventional diagnosis (CD). As hypothesized, illness perceptions predicted avoidant coping strategies as well as general health. Specifically, illness beliefs of greater consequences and lower coherence were associated with greater reported use of self-blame, behavioral disengagement, and denial. Furthermore, these avoidant coping strategies were associated with poorer health. Self-blame emerged as a coping strategy most associated with illness representations and general health. Although a meditational model was proposed, self-blame did not mediate the relationship between illness consequence and general health.These findings suggest that viewing an illness as having more consequences is associated with more avoidant coping and has a negative impact on the overall general health in those suffering with chronic illness.
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Weston, Christine Anne. « Psychosocial adjustment in children and adolescents with chronic illness ». Thesis, University of Southampton, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.327607.
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Hart, Patricia Lynn. « Illness Representations, Emotional Distress, Coping Strategies, and Coping Efficacy as Predictors of Patient Outcomes for Type 2 Diabetes ». Digital Archive @ GSU, 2006. http://digitalarchive.gsu.edu/nursing_diss/2.
Texte intégralRésumé :
Diabetes mellitus affects 20.8 million Americans in the United States and is the fifth leading cause of death in the United States. Acute and chronic disease-related complications can have a devastating effect on the life of individuals with Type 2 diabetes. Reduction in acute and chronic complications can be best achieved by individuals’ adhering to appropriate lifestyle changes and maintaining tight glycemic control through a process of self-regulation. Self-regulation treatment decisions and lifestyle behavioral changes can be influenced by physiological and psychosocial factors. The purpose of this study was to examine the relationship between illness representations, emotional distress, coping strategies, and coping efficacy as predictors of outcomes (self-care behavior and A1c levels) in individuals with type 2 diabetes. A descriptive, correlational design was used to examine the relationship between illness representations, emotional distress, coping strategies, and coping efficacy as predictors of outcomes for self-care behavior and metabolic control in individuals with Type 2 diabetes as it relates to diabetes management. A convenience sample of 119 men (46.2%) and women (53.8%) between the ages of 22 and 93 years of age living in two urban cities located in a southeastern state with documented type 2 diabetes were recruited. Participants were recruited from four endocrinology offices, one internal medicine office, two medical clinics, and three diabetes education centers. The majority of the participants were caucasian (74.8%). Inclusion criteria were that participants a) had been diagnosed with type 2 diabetes for at least 1 year or more, (b) were able to read and write in English, (c) were 18 years of age or older, and (d) had an A1c level drawn within the past 30 days. Questionnaire booklets were mailed to participants. Participants’ A1c levels were obtained from their medical records. Data were analyzed with descriptive and inferential statistics including frequencies, percentages, means, standard deviations, bivariate correlations, multiple linear regressions, and hierarchical multiple linear regressions. Participants perceived their diabetes to be a chronic, moderately cyclical condition with negative consequences and with moderate amounts of symptomatology that greatly influenced their emotional status. Hierarchical multiple linear regression analysis revealed that coping efficacy uniquely accounted for 9% of the variance in self-care behavior. Perceptions of higher coping efficacy were associated with higher beliefs of personal control and treatment control, a greater understanding of diabetes, engagement in higher levels of self-care behavior, and lower A1c levels. In addition, hierarchical multiple linear regression analysis revealed illness representations, particularly timeline cyclical, accounted for 12% of the variance in A1c levels. Perceptions of a more cyclical disease course were predicted of higher A1c levels. Interestingly, a perception of diabetes being a less chronic illness was associated with higher self-care behavior. This study affirms the importance of how illness representations and coping efficacy influence self-care behavior and A1c levels. The findings from this study have important implications for nursing practice in the areas of assessment, diabetes management, coping skills training, behavior modification, motivational interviewing, and diabetes education. Further research is needed to expand the knowledge base and develop targeted interventions related to illness representations, especially timeline cyclical, and coping efficacy in the diabetes population.
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Ho, Kwok-hung Eric. « Coping with Rheumatoid Arthritis : a study of illness appraisal and the influence of coping strategies on psychological adjustment / ». Hong Kong : University of Hong Kong, 1999. http://sunzi.lib.hku.hk/hkuto/record.jsp?B2089773X.
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Chu, Siu-man. « The role of religion in coping with mental disorder ». Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B43895256.
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Boeving, Charmayne Alexandra. « Adjustment to Childhood Chronic Illness : Prediction of Psychological Adjustment with an Investigation into Spiritual Coping ». Thesis, Virginia Tech, 2000. http://hdl.handle.net/10919/36257.
Texte intégralRésumé :
Childhood chronic illness is replete with stressors that affect children's functioning across physical, social, emotional, and psychological domains. In this project, efforts were directed toward the identification and assessment of spirituality as a potential addition to the approach-avoidance paradigm of coping response. Twenty-two children diagnosed with either cancer or sickle cell disease were interviewed, along with their mothers, regarding psychosocial adjustment and typical approaches to coping with stressors. Children completed depression, anxiety, and quality of life questionnaires. Child participants were also asked to rate how often they utilized specific spiritual and general coping strategies in the month prior to the assessment. Mothers completed measures of depression and spiritual well-being, as well as parent proxy reports on their children's quality of life and use of spiritual coping. A factor analysis of the spiritual coping measure designed for use in the study (the Spiritual Coping Module) indicated strong support for the theoretically driven factors of religious and existential coping. Children's use of coping did not significantly account for heightened quality of life, nor for the presence of depressive and anxious symptomatology. However, maternal spiritual well-being accounted for 52.5% of the variance in self-reported maternal depression. Results are discussed in the context of improving children's adjustment to chronic illness through increased understanding of the child's and family's pattern of coping responses.Master of Science
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Cassaretto, Mónica, et Rosario Paredes. « Coping with chronic illness : A study with end-stage renal disease patients ». Pontificia Universidad Católica del Perú, 2012. http://repositorio.pucp.edu.pe/index/handle/123456789/101675.
Texte intégralRésumé :
This study identifies coping styles and strategies used by 40 end-stage renal disease patients over 20 years old who receive treatment in a general hospital in Peru. The instruments applied were a personal sociodemographic questionnaire and the Coping Inventory (Carver, Scheier & Weintraub, 1989). Results showed that emotion focused coping were most frequently used followed by problem focused coping. Planning, acceptance and positive reinterpretation-growth coping strategies were more frequently used by these patients, whereas mental disengagement, suppression of competing activities and behavioral disengagement were the less frequently used coping strategies. Other differences between coping styles and strategies and sociodemographic and medical variables were analyzed.Esta investigación identifica y describe los principales estilos y estrategias de afrontamiento utilizados por un grupo de pacientes diagnosticados con insuficiencia renal crónica terminal. Participaron 40 pacientes mayores de 20 años, aceptados al programa de transplante de riñón del hospital de seguro social. Se utilizaron una encuesta personal y el Inventario sobre Estilos y Estrategias de Afrontamiento (Carver, Scheier & Weintraub, 1989). Los hallazgos indicaron que los estilos enfocados en la emoción fueron utilizados en mayor frecuencia por los participantes, seguidos por los estilos enfocados en el problema. Entre las estrategias de mayor uso se encontraron la planificación, la aceptación y la reinterpretación positiva-crecimiento, mientras que las estrategias de menor uso fueron desentendimiento conductual, supresión de actividades competentes y desentendimiento cognitivo. Se analizaron las posibles diferencias entre los estilos y estrategias de afrontamiento de acuerdo a las condiciones sociodemográficas y médicas de los participantes.
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Deggelman, Elissa Lampe. « Coping and Quality of Life for Siblings of Children with Chronic Illness ». Kent State University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=kent1309541030.
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Arran, Natalie. « Illness perceptions, coping styles and psychological distress in adults with Huntington's disease ». Thesis, Lancaster University, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.586927.
Texte intégralRésumé :
Research studies exploring outcomes in people with Huntington's disease (HD) suggest that distress is common in this group. Nonetheless, there is little research investigating psychological factors which contribute to distress in people with HD. The present thesis therefore considers aspects relating to the psychological outcomes of anxiety and depression for people with HD, using the self-regulation model (SRM) as a biopsychosocial framework to develop understanding of the individuals' experience. Section one comprises a narrative review which advocates for the use of the SRM for this population and considers research studies in support of this argument. The review considers each of the illness perceptions in light of psychological distress and further explores the role of coping in this process. Moreover, suggestions are made in relation to further research which would enhance the applicability of the SRM for researchers and clinicians. In section two, a research paper reports the findings of a quantitative study which used hierarchical multiple regression to explore the relationship between the domains of the SRM and psychological distress in 87 adults with a diagnosis ofHD. The findings of this study indicate that illness perceptions relating to the SRM reflect distinct and meaningful constructs for people with a diagnosis of HD. Furthermore, the Illness Perceptions Questionnaire-Revised (IPQ-R) demonstrated satisfactory internal consistency and test-retest reliability when adapted for HD. The findings are discussed in relation to existing research and clinical implications are proposed. Interventions such as acceptance and commitment therapy and solution-focused interventions are considered as useful approaches for people with HD. Moreover, the current study provides further evidence for a collaborative approach to the treatment ofHD. The final section, section 3, contains a further discussion of the findings, as well as personal reflections and recommendations for future research.
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Hemphill, Rachel C. « Illness beliefs, gender, and disease management among couples coping with type 2 diabetes ». Kent State University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=kent1285009166.
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Homewood, Helen. « An investigation of the relationship between levels of uncertainty, illness representations, coping strategies, psychological and physical functioning in chronic illness ». Thesis, University of East Anglia, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.368283.
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Objectives: Theoretical models have helped conceptualise how individuals appraise and make sense of chronic illness and its psychological impact. Little attention has been given to the impact of uncertainty on this process. The objective was to investigate the relationship between levels of uncertainty, illness representations, coping, psychological and physical functioning in two chronic illnesses. The Self-Regulatory Model (SRM, Leventhal, Meyer & Nerenz, 1980) was used as a theoretical framework. Design: A cross-sectional design was used. It was hypothesised that a clear medical diagnosis would reduce levels of uncertainty and increase illness representations regarding control of symptoms. It was also hypothesised that high levels of uncertainty would independently predict increased psychological distress. Method: Patients suffering from chronic spinal pain and rheumatoid arthritis were recruited from local clinical departments. The levels of uncertainty, illness representations, coping strategies, mood and physical functioning of 85 participants were assessed using standardised questionnaires. Results: Chronic pain patients were found to have greater levels of uncertainty and psychological distress than rheumatoid arthritis patients. Rheumatoid arthritis patients had stronger beliefs about control of their condition. Uncertainty was not found to be a significant independent predictor of anxiety or depression. However, there appeared to be a degree of overlap between the variables of uncertainty and control beliefs. Conclusions: The findings highlight a complex relationship between the aspects of the SRM and uncertainty, with many components impacting on each other. Although levels of uncertainty were not found to be predictive of psychological distress, it is an area that warrants further investigation in order to understand how patients manage uncertainty. Within a clinical setting, issues of uncertainty should be addressed at all levels of care, maximising the patient's control beliefs, reducing the impact of uncertainty on their cognitive, emotional and physical functioning.
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Petrowski, Catherine Elizabeth. « Conflict or Solidarity : Understanding Sibling Relationships in Families Coping with Parental Mental Illness ». Bowling Green State University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1593641304847799.
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Hothersall, Amy J. « Illness beliefs, coping and psychological outcome in people with chronic obstructive pulmonary disease ». Thesis, Lancaster University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.485023.
Texte intégralRésumé :
The term chronic obstructive pulmonary disease (COPD) refers to lung disease characterized by airflow obstruction; it therefore limits exercise tolerance, interferes with basic activities of daily living and often impairs quality oflife. It is described as a neglected medical and social problem and is the only leading cause of death that is increasing in prevalence. This thesis includes a review of literature which examines the psychologic~ - .,, effects ofCOPD on individuals, in rel~tion to depression, anxiety and quality of life. The review also examines how coping and illness beliefs can contribute to our understanding of adjustment to COPD. The difficulties in comparing a diverse body ofliterature and the need for further research in this area are higWighted. The research paper extended the use of the Illness Perception Questionnaire- Revised to a COPD population and detennmed the influence illness beliefs and coping had on the psychological outcome of people with COPD. Questionnaires were completed by 79 people with a primary diagnosis of COPD. Hierarchical multiple regr.ession analyses were conducted. Predictor variables included demographic and disease related variables, coping and illness beliefs. Anxiety, depression, quality of life and positive affect were taken to constitute a comprehensive measure of psychological outcome. The results revealed that illness beliefs and coping strategies were significant predictors over and above demographic and disease related variables. In particular, the main predictors were found to be identity, treatment control, emotional representations and behavioural disengagement. Hence, illness beliefs and coping strategies can have significant implications for the psychological outcome in people with COPD. Ideas for further research and clinical implications are discussed.
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Waltier, Helen. « Partners in pain : investigating the relationship between illness perceptions, psychosocial adjustment and coping in chronic pain partners ». Thesis, Open University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.269852.
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Gray, Claire Helen. « Living with rheumatoid arthritis : The role of coping, control and knowledge ». Thesis, Bangor University, 1999. https://research.bangor.ac.uk/portal/en/theses/living-with-rheumatoid-arthritis--the-coping-control-and-knowledge(318f4184-5a1d-4991-a7f3-25868b5dfc57).html.
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This study was designed to investigate psychological factors involved in the adjustment to Rheumatoid Arthritis (RA). In particular, the study examined perceptions of control over daily symptoms, knowledge of RA and the use of coping strategies, and looked at how these factors related to emotional adjustment, clinical disease activity and subjective physical functioning in RA outpatients. The study also aimed to determine aspects of RA which patients perceived as most stressful. The main study was cross-sectional and designed in two parts. The first part was a quantitative design in which 50 participants completed questionnaires to assess perceptions of RA stressors; health locus of control beliefs over RA symptoms; levels of RA-related knowledge; coping strategies used; emotional adjustment and physical functioning. An objective measure of disease activity was also taken. The second part was a qualitative design consisting of semi-structured interviews with 14 participants, exploring perceptions of stress, control, knowledge, coping and adjustment. Quantitative data were statistically analysed and compared with previous research findings. Qualitative data were transcribed into predefined themes and compared with the quantitative data. Results showed that participants consistently rated fatigue and disability as the most stressful aspects of RA. Participants reported more symptoms of anxiety than depression and used a wide range of coping strategies. Quantitative data suggested that participants perceived high levels of chance control over their daily RA symptoms, however, qualitative findings did not support this view. Participants knew most about RA-related issues that were directly relevant to them. Significant associations were found between coping strategies and psychological outcome, particularly for positive affect. Associations were also found between maladaptive coping and positive physical adjustment and between adaptive coping and negative physical adjustment. Adaptive coping strategies were associated with `internal' and `doctor' locus of control and increased knowledge. Few associations were found between outcome and either control or knowledge. Regression analyses found coping strategies to account for some of the variance in outcome variables, particularly positive affect. The implications for clinical practice were considered. Methodological limitations of the study and implications for future research were also discussed.
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FOWLER, CHRISTOPHER L. « ILLNESS REPRESENTATIONS, COPING, AND QUALITY OF LIFE IN PATIENTS WITH HEPATITIS C UNDERGOING ANTIVIRAL THERAPY ». University of Cincinnati / OhioLINK, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1178120919.
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Blasko, Lynda Shane. « Coping Resources and Emotional Neglect among Individuals with a Sibling with a Mental Illness ». Digital Archive @ GSU, 2008. http://digitalarchive.gsu.edu/cps_diss/19.
Texte intégralRésumé :
The experience of having a sibling with a mental illness affects well siblings in a myriad of ways (Marsh, 1998). In the present paper the term well siblings refers to those individuals who have a sibling with a mental illness but who do not have a mental illness themselves. They face unique stressors due to disruptions in the sibling relationship and in the family (Corrigan & Miller, 2004). The stressors commonly experienced by well siblings include stigma, objective and subjective burden, intense and conflicting emotions, disruptions in family of origin, interpersonal and intrapersonal difficulties, difficulties with the mental health system, and over reliance on maladaptive stress coping resources (Greenberg, Kim, & Greenley, 1997; Lukens, Thorning, & Lohrer, 2004; Marsh, 1998; Marsh & Dickens, 1997b; Riebschleger, 1991). Research describing disruptions in family of origin suggests that well siblings also are experiencing emotional neglect (Lukens et al.; Marsh; Marsh & Dickens). This paper presents a synthesis of literature on the stressors well siblings experience and their attempts at coping with stress. For this study, 133 participants completed 3 instruments: (a) demographics questionnaire, (b) the Coping Resources Inventory for Stress (Matheny, Curlette, Aycock, Pugh, & Taylor, 1987), a measure of perceived stress coping resources, and (c), the Childhood Trauma Questionnaire (Bernstein & Fink, 1998), which includes an emotional neglect scale. Participants with siblings with a mental illness were compared with participants whose siblings do not have a mental illness. Results indicate significant relationships between well siblings and emotional neglect and between emotional neglect and effective stress coping. However no significant relationship was observed between well siblings and effective stress coping. Therefore, having a sibling with a mental illness seems a risk factor for emotional neglect, but is not itself a risk factor for poor stress coping. The present study suggests that it is emotional neglect which is a risk factor for poor stress coping. The clinical implications of these results are discussed as well as the research implications and limitations of the study.
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Fergusson-White, Christy A. J. « Self-regulation in multiple sclerosis : the role of illness cognitions and coping in adjustment ». Thesis, University of Stirling, 2008. http://hdl.handle.net/1893/471.
Texte intégralRésumé :
Multiple Sclerosis (MS) is a chronic neurological condition, which affects around 2.5 million people worldwide. At a time when there is yet no recognised cure, it is imperative that MS patients learn to cope and adjust well to living with the illness. However, research has found high rates of psychological distress associated with MS (Minden & Schiffer, 1991). This highlights the need for research to investigate the psychological factors, which make MS patients vulnerable to psychological distress. One popular social cognition model called the Self-Regulation Model (Leventhal et al., 1980) has been found to successfully predict adjustment in a range of chronic illnesses. However, previous research applying the SRM to understand adjustment to MS has been limited. The current research therefore represented the first attempt to successfully apply the full SRM to an MS population prospectively. The present thesis is comprised of three studies and employed a mixed quantitative and qualitative research design method. Studies 1 (N=103) and 3 (N=150) were both quantitative studies, which applied an extended SRM model to clinical samples of MS patients and assessed indices of psychological distress over time. Study 2 (N=15) however was a qualitative study, designed to investigate MS patients experiences of living with the condition. By combining both quantitative and qualitative methods, the findings provided a fuller understanding of the psychological factors underlying successful adjustment to MS. Overall the findings provided some support for the utility of the extended SRM in predicting adjustment to MS and highlighted the importance of positive mind states and acceptance for successful adjustment to the condition. The findings also had a number of clinical implications, which are also discussed.
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Whitmarsh, Anya. « An investigation of illness perceptions, mood and coping in predicting attendance at cardiac rehabilitation ». Thesis, University of East Anglia, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.327201.
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Timberlake, Natalie. « Ethnic differences in illness representations, coping and adjustment in people with coronary heart disease ». Thesis, Open University, 1999. http://oro.open.ac.uk/54374/.
Texte intégralRésumé :
Background and Aims: There have been few studies examining ethnic differences in people's illness representations. The aim of this research was to explore the relationship between ethnicity and illness representations, coping, perceived health status and psychological adjustment in participants with coronary heart disease (CHD).Furthermore, within a Punjabi group, it aimed to explore the relationship between these variables and acculturation, as well as the relationship between illness representations, coping and adjustment. Design and Participants: The study was cross-sectional employing a between and within group design incorporating comparative and correlational analyses. The sample included 47 Punjabi participants and 44 Caucasian participants with diagnosed CHD,recruited from a cardiology clinic and a Gurdwara (Sikh temple). Measures: Variables were measured using a range of quantitative questionnaires, which were translated into Punjabi. Results: Ethnic differences were found in participants' illness representations and in particular causal beliefs. Only one coping strategy was significantly different between the two groups and there were no differences on perceived health status measures or in anxiety levels. However, the Punjabi group were significantly more depressed. Within the Punjabi group,acculturation was found to be associated with illness representations, coping and physical functioning. Illness representations were associated with adjustment measures, however there were few associations between illness representations and coping, and between coping and adjustment. Overall, ethnicity did not account for any of the variance in perceived physical functioning or anxiety levels, but accounted for 11 percent of the variance in depression levels. Illness representations were more important than ethnicity and coping in accounting for the variance in perceived physical functioning and psychological adjustment. Implications The results are discussed in terms of the self-regulatory model and future research is suggested. Clinical implications for the undertaking of culturally sensitive work with Punjabi clients with CHD, are discussed.