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Affective distress moderates the rel...

Held, Rachel Forster.

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Affective distress moderates the relationship between treatment beliefs and adherence in chronic illness patients.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Affective distress moderates the relationship between treatment beliefs and adherence in chronic illness patients./
Author:	Held, Rachel Forster.
Description:	47 p.
Notes:	Source: Dissertation Abstracts International, Volume: 72-05, Section: B, page: 3096.
Contained By:	Dissertation Abstracts International72-05B.
Subject:	Psychology, Behavioral. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3444899
ISBN:	9781124530628

Affective distress moderates the relationship between treatment beliefs and adherence in chronic illness patients.
Held, Rachel Forster.

Affective distress moderates the relationship between treatment beliefs and adherence in chronic illness patients. - 47 p.

Source: Dissertation Abstracts International, Volume: 72-05, Section: B, page: 3096.

Thesis (Ph.D.)--Rutgers The State University of New Jersey - New Brunswick, 2011.

In chronic illness patients, nonadherence to prescribed medical regimens is common. Many factors can contribute to nonadherence, including depressive symptoms and patient perceptions of treatment. Having fewer depressive symptoms often predicts better adherence, as do three types of treatment perceptions: stronger belief in one's ability to adhere to treatment, stronger belief that the treatment will be effective, and greater concerns about the treatment. However, these predictors are rarely examined together, and individually they often predict only a small amount of variance in adherence.

ISBN: 9781124530628Subjects--Topical Terms:

1017677
Psychology, Behavioral.

Affective distress moderates the relationship between treatment beliefs and adherence in chronic illness patients.
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020 $a 9781124530628
035 $a (UMI)AAI3444899
035 $a AAI3444899
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100 1 $a Held, Rachel Forster. $3 1685171
245 1 0 $a Affective distress moderates the relationship between treatment beliefs and adherence in chronic illness patients.
300 $a 47 p.
500 $a Source: Dissertation Abstracts International, Volume: 72-05, Section: B, page: 3096.
500 $a Adviser: Howard Leventhal.
502 $a Thesis (Ph.D.)--Rutgers The State University of New Jersey - New Brunswick, 2011.
520 $a In chronic illness patients, nonadherence to prescribed medical regimens is common. Many factors can contribute to nonadherence, including depressive symptoms and patient perceptions of treatment. Having fewer depressive symptoms often predicts better adherence, as do three types of treatment perceptions: stronger belief in one's ability to adhere to treatment, stronger belief that the treatment will be effective, and greater concerns about the treatment. However, these predictors are rarely examined together, and individually they often predict only a small amount of variance in adherence.
520 $a The current study investigates treatment perceptions and affective distress as predictors of adherence in a sample of 102 primary care patients. Participants had newly prescribed treatments for problems related to a chronic condition. Interview data was collected after doctor visits and one month later. It was hypothesized that the three treatment variables---believing treatment would be easy to do, having concerns about the treatment, and believing it would be effective---would predict adherence to medical regimens. It was also hypothesized that affective distress, as measured by the mental health (MH) subscale of the SF-12, would moderate the effects of treatment perception. Patients with poor MH scores were expected to show better adherence only if they believed the treatment would be effective and easy to do, and they had few treatment-related concerns.
520 $a Believing treatment would be effective predicted adherence, and having concerns about treatment approached significance, while perceived ease of treatment did not. Moderation was seen for one of the three expected interactions; belief in the treatment's ability to control the problem predicted adherence for patients with low but not high MH scores. A possible explanation is that patients with fewer depressive symptoms may be more hopeful and motivated to try treatments, even if they are less sure the treatments will be effective. Findings support the importance of doctors addressing patients' confidence in treatment effectiveness, and of screening for depression not only to address depressive symptoms themselves but also to determine which patients may require more discussion of prescribed treatments.
590 $a School code: 0190.
650 4 $a Psychology, Behavioral. $3 1017677
650 4 $a Health Sciences, Medicine and Surgery. $3 1017756
650 4 $a Psychology, Clinical. $3 524864
690 $a 0384
690 $a 0564
690 $a 0622
710 2 $a Rutgers The State University of New Jersey - New Brunswick. $b Graduate School - New Brunswick. $3 1019196
773 0 $t Dissertation Abstracts International $g 72-05B.
790 1 0 $a Leventhal, Howard, $e advisor
790 $a 0190
791 $a Ph.D.
792 $a 2011
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3444899