Psychological Determinants in the Covalescence of Accident Patients

Frey, Dieter; Rogner, O.; Schüller, Margit; Körte, Cäcilie; Havemann, D

doi:10.1207/s15324834basp0604_3

Cited by 21 publications

(16 citation statements)

References 23 publications

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“…Expectations in¯uence the perception and evaluation of illness, patients' help-seeking behaviour, the course of the diagnostic process, the degree to which ingredients or treatments are considered effective (placebo effect), and even doctors' prescribing behaviour 9±11 . Most notable for the present research, however, is the fact that expectations are related to health outcomesÐas already demonstrated in patients undergoing coronary bypass surgery 12 , breast cancer patients 13,14 and accident victims 15 .…”

Section: Introductionmentioning

confidence: 82%

Expectations and quality of life of cancer patients undergoing radiotherapy

Koller¹,

Lorenz²,

Wagner³

et al. 2000

J R Soc Med

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Expectations, real or false, affect the way patients respond to their illnesses. We assessed therapy-related expectations in relation to global quality of life in 55 cancer patients before and after radiotherapy. Factor analysis indicated that therapy-related expectations come into three broad categories--pain/emotional control, healing and tumour/symptom control. 35 patients expected 'healing' even though curative treatment was intended in only 19 and all patients had been fully informed. The expectation of healing was associated with high quality of life, and the same was true of perception of healing after radiotherapy. In the group as a whole, quality of life was little altered by radiotherapy, but it became substantially worse in those patients who had expected healing but perceived that this had failed, even though physician-assessed Karnofsky status did not change. These findings indicate that the expectation of healing, in cancer patients, is a component of a good global quality of life, whereas more limited expectations (pain control, tumour control) relate to lower quality of life. Patients' expectations deserve further study as a novel approach to improving care.

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Section: Introductionmentioning

confidence: 82%

Expectations and quality of life of cancer patients undergoing radiotherapy

Koller¹,

Lorenz²,

Wagner³

et al. 2000

J R Soc Med

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“…The extent to which these kinds of attributions are related to recovery remains unclear at the present time, although studies in areas of the health literature, for example, have found this approach to be conductive to positive behaviour changes (e.g. Taylor et al, 1984;Frey and Rogner, 1987). It should be noted that the focus of the patients' increased acceptance of responsibility for recovery was primarily on Anonymous Fellowshiprelated activities and principles, and did not cover such general practical behaviours as 'establishing a routine', and 'staying away from drinkers'.…”

Section: Discussionmentioning

confidence: 98%

“…A number of studies concerning various health problems suggest benefits in the adoption of a compensatory-type approach relative to other Attribution of responsibility for solution to the individual models (e.g. Frey and Rogner, 1987, in relation to speed of physical recovery in victims of road and other accidents, and Taylor, Lichtman and Wood, 1984, in adjustment to breast cancer). It is interesting to note that Brickman and his colleagues described AA as a form of the 'Enlightenment' model, although it has also been seen as a 'Moral' model by Sholette (1986), Cahalan (1988) describes it as a 'Medical' model and Beckman (1980), although not employing the term, a 'Compensatory model'.…”

Section: Social Psychological Models Of Therapeutic Changementioning

confidence: 99%

The Minnesota model in the treatment of addictions: A social psychological assessment of changes in beliefs and attributions

Morojele

Stephenson

1992

Community & Applied Soc Psy

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Changes in beliefs and attitudes that accompany Minnesota Model (MM) treatment are examined in terms of Brickman et al.'s Compensatory Model of coping, and Ajzen's theory of planned behaviour. Questionnaires were completed both on intake and at discharge, by 61 patients who successfully completed treatment at a residential MM facility. The questionnaires measured the patients' attributions of responsibility for the cause of, and for recovery from, their addictions, and their beliefs about outcomes, normative pressures and personal control with respect to their abstinence. It is shown that between intake and discharge there is a marked reduction in the patients' feelings of personal responsibility for their addiction, whilst their sense of personal control over their recovery increases significantly. In general, the patients' evaluations of recovery were more favourable on discharge than on intake, although little change was observed in the overall level of perceived normative pressure, or in the importance of taking a range of practical steps to facilitate recovery. When viewed in relation to Brickman et al. and Ajzen's models, these findings place the MM in a favourable light. The results of this study are considered in relation to changes that might be expected among patients undergoing other forms of treatment.

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“…Expectations influence the perception and evaluation of illness, patients' help-seeking behaviour, the course of the diagnostic process, the degree to which ingredients or treatments are considered effective (placebo effect) and even doctor's prescribing behaviour 326,342,343 Expectations are related to health outcomes [344][345][346][347] Expectations can contain both realistic and unrealistic elements 348 Before radiotherapy: expectation most commonly expressed was that of healing (58%); the least popular item was 'prevent pain increase' (15%) Three independent factors accounted for 59% of the variance: pain/emotional control, healing and tumour/ symptom control…”

Section: A: Lead Applicantmentioning

confidence: 99%

The measurement of patients’ expectations for health care: a review and psychometric testing of a measure of patients’ expectations.

Bowling

Rowe²,

Lambert³

et al. 2012

Health Technol Assess

250

251

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Psychological Determinants in the Covalescence of Accident Patients

Cited by 21 publications

References 23 publications

Expectations and quality of life of cancer patients undergoing radiotherapy

Expectations and quality of life of cancer patients undergoing radiotherapy

The Minnesota model in the treatment of addictions: A social psychological assessment of changes in beliefs and attributions

The measurement of patients’ expectations for health care: a review and psychometric testing of a measure of patients’ expectations.

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