Applicability of Cognitive Adaptation Theory to Predicting Adjustment to Heart Disease After Coronary Angioplasty

The purpose of this study was to determine whether cognitive adaptation theory (i.e., cognitively responding to challenges to world assumptions) would predict positive adjustment to heart disease in the face of a recurrent event. Men and women who were treated for a coronary event with percutaneous...

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Veröffentlicht in:Health psychology 1999-11, Vol.18 (6), p.561-569
1. Verfasser: Helgeson, Vicki S
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description The purpose of this study was to determine whether cognitive adaptation theory (i.e., cognitively responding to challenges to world assumptions) would predict positive adjustment to heart disease in the face of a recurrent event. Men and women who were treated for a coronary event with percutaneous transluminal coronary angioplasty ( N = 278) were interviewed in the hospital and then 6 months later. Indicators of cognitive adaptation theory (self-esteem, optimism, mastery) and adjustment were assessed. In general, cognitive adaptation indicators predicted positive adjustment, sometimes showing stronger relations for those who faced a recurrent event. In addition, patients' cognitions were robust over time, meaning that they were not affected by recurrent events. Patients' beliefs about the angioplasty decision, however, showed differential relations to adjustment, depending on whether they sustained a recurrence.
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subjects Adaptation, Psychological
Adjustment
Adult
Aged
Angioplasty, Balloon, Coronary - psychology
Cardiovascular Disorders
Cognition
Cognitive adaptation
Cognitive Processes
Female
Heart diseases
Heart Diseases - psychology
Human
Humans
Inpatient
Internal External Locus of Control
Internal-External Control
Male
Middle Aged
Optimism
Patients
Predictive Value of Tests
Predictors
Psychiatric Status Rating Scales
Recurrence
Self-Esteem
Theories
Treatment
title Applicability of Cognitive Adaptation Theory to Predicting Adjustment to Heart Disease After Coronary Angioplasty
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