Konstrukt bolesti i psihološki aspekti prevladavanja kod pacijenata sa infarktom miokarda
Докторанд
Panić, Damjana R.Ментор
Hadži Pešić, MarinaЧланови комисије
Pavlović, MilanKlikovac, Tamara
Метаподаци
Приказ свих података о дисертацијиСажетак
The main aim of the research was to empirically assess the integrative model
of the relationships between the illness representation, cognitive, emotional,
and behavioral coping, and functionality of patients who had suffered from a
myocardial infarction (MI). The changes in the examined constructs and their
mutual relationships through measurements at three stages were also tracked
(immediately after the MI, 1.5–2 months later, and 3–4 months later). The
research included a sample of 114 patients, hospitalized after experiencing an
MI for the first time (M = 54.90, SD = 11.23, 78.1% males). The second and
third stage included 67 (response rate 58.77%) and 49 participants (response
rate 42.98% compared to the first stage), respectively. The following
measures were used: Illness Perception Questionnaire-Revised, IPQ-R;
Cognitive Emotion Regulation Questionnaire, CERQ-36; Serbian adaptation
of the PANAS; Stendal Adherence with Medication Score – SAMS; Adapted
Illness Intrusiveness Rating...s, and a Questionnaire designed for this study. The
data were collected from the Cardiovascular Diseases Clinic, University
Clinical Center Niš, and from the Institute for Cardiovascular Diseases
Dedinje. The results showed that the illness representation demonstrated
significant direct and/or indirect effects for all of the investigated aspects of
coping and functionality after an MI. Some of these relationships were
temporally stable, while others appeared as dynamic, owing to changes in the
investigated constructs over time. Cognitive coping appeared as a mediator in
the relationship between the illness representation and various health-relevant
outcomes – emotional, behavioral, and functional. The hypothesized serial or
parallel mediation of the cognitive, emotional, and behavioral coping in the
relationship between illness representation and patient functionality after an
MI could not be confirmed. These relationships were more complex than
expected, and they exhibited temporal dynamics. The results were interpreted
in line with the common-sense model and compared with findings from
previous research.