Comparative Study of the Effects of a Cognitive-Behavioral Intervention and Coping Style on Angiogram Patients' Levels of Stress and Self-Efficacy
Croce, Kathleen Mary
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https://hdl.handle.net/2142/68794
Description
Title
Comparative Study of the Effects of a Cognitive-Behavioral Intervention and Coping Style on Angiogram Patients' Levels of Stress and Self-Efficacy
Author(s)
Croce, Kathleen Mary
Issue Date
1982
Department of Study
Education
Discipline
Education
Degree Granting Institution
University of Illinois at Urbana-Champaign
Degree Name
Ph.D.
Degree Level
Dissertation
Keyword(s)
Education, Educational Psychology
Abstract
The present study attempted to examine the comparative effectiveness between a cognitive-behavioral treatment, patterned after stress-innoculation (Meichenbaum & Turk, 1976; Turk, 1975), and control groups on observed and self-reported levels of anxiety with both male and female patients who experienced an invasive medical procedure for the first time. The experimental control and examination of the effect of coping style, patient education through sensory/procedural information, and initial patient experience undergoing angiography on stress and self-efficacy contributed to methodological considerations for empirical work in this area. Sixty male and female patients were stratified into two coping style groups (repressors and sensitizers), and randomly assigned to one of three treatment groups: cognitive-behavioral, attention placebo, and hospital conditions control. Several dependent measures were employed and clustered into variables groups. A repeated measures multivariate (Finn, 1971) and univariate (SAS) analyses were employed for this design with equal cell frequencies to test the effects of the various treatment modes, coping style, and time. Results failed to support the efficacy of brief skills training for the attenuation of stress of angiogram patients. However, research findings supported the expectation tht sensitizer patients would evidence higher levels of stress and observed maladjustment when compared to repressor patients, and sensitizers in the cognitive-behavioral group would also give higher ratings of credibility of treatment for improvement. Discussion addresses interpretations and methodological constraints possibly accounting for ineffectiveness of intervention in promoting behavioral adjustment, decreased stress levels, and alterations in cognitive patterns related to patients' experience of angiography. Future investigations need to analyze the relative effects of various components involved in the stress innoculation process, such as the role of models, graduated performance tasks, imagery, practice in vivo, and selective reinforcement.
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