The Experts below are selected from a list of 321 Experts worldwide ranked by ideXlab platform
Debra K. Moser - One of the best experts on this subject based on the ideXlab platform.
-
The relationship of marital quality and Psychosocial Adjustment to heart disease
The Journal of cardiovascular nursing, 1994Co-Authors: Mary-lynn Brecht, Kathleen Dracup, Debra K. Moser, Barbara RiegelAbstract:Psychosocial Adjustment to heart disease is variable. Some patients recover from a myocardial infarction or cardiac surgery quickly, return to work and leisure activities, and experience little emotional distress. Others suffer significant problems in Psychosocial adaptation. We proposed and tested a theoretical model of Adjustment that included the quality of the marital relationship, dysphoria, chronologic age, and time from the cardiac event (myocardial infarction or surgery) to identify the role that these variables play in Adjustment. The study was conducted in 198 men diagnosed with coronary heart disease using the following instruments: the Spanier Dyadic Adjustment Scale, the Multiple Affect Adjective Checklist, and the Psychosocial Adjustment to Illness Scale. Data were collected on entry into the study and 3 months later to identify the stability of the relationships over time. The theoretical model was supported. Findings demonstrated that positive Psychosocial Adjustment to illness is influenced both by the quality of the patient's marriage and dysphoria. The spouse appears to influence Psychosocial Adjustment in an indirect manner by influencing the patient's experience of emotional distress or dysphoria. Nurses can enhance Psychosocial Adjustment to coronary heart disease by helping patients and spouses focus on ways to improve the quality of their marriage and by suggesting strategies to improve marital communication and decrease fear and misconceptions related to the illness.
-
Predictors of Psychosocial Adjustment in systemic sclerosis
Arthritis and rheumatism, 1993Co-Authors: Debra K. Moser, Philip J. Clements, Mary-lynn Brecht, Steven R. WeinerAbstract:Objective. To determine predictors of Psychosocial Adjustment in patients with systemic sclerosis (SSc). Methods. We surveyed 94 patients with SSc. Age, sex, education level, marital status, work status, income, support group attendance, length of time since diagnosis, functional status, social support, illness-related uncertainty, and hardiness were examined as potential predictors of Psychosocial Adjustment. The reliability and validity of the instruments used to measure these variables have been established. Results. Only education level, functional ability, illness-related uncertainty, hardiness, and social support were predictive of Psychosocial Adjustment. Education level and functional ability explained 14% of the variance in Psychosocial Adjustment, while illness-related uncertainty, hardiness, and social support increased the explained variance to 38%. Conclusion. Although patients with relatively poorer Psychosocial Adjustment to illness have lower formal education levels and more functional disability, the majority of the explained variance in Psychosocial Adjustment is ascribable to illness-related uncertainty, low level of hardiness, and less satisfaction with social support.
Christopher Bever - One of the best experts on this subject based on the ideXlab platform.
-
Psychosocial Adjustment to Multiple Sclerosis
International Journal of MS Care, 2004Co-Authors: Cynthia Sullivan, Jeffrey Wilken, Bernard M. Rabin, Marilyn Demorest, Christopher BeverAbstract:Research has suggested that successful adaptation to multiple sclerosis (MS) and its psychological sequelae is affected by a variety of factors, but many questions remain unanswered. This study examined the extent to which certain factors contribute to successful Psychosocial Adjustment. Subjects were 100 MS outpatients from several MS centers and neurology clinics in the Washington, D.C. metropolitan area. Analysis showed that the following variables contributed significantly to Psychosocial Adjustment: disease status (i.e., remission versus exacerbation), medication, cognitive disability, and perceived uncertainty. Coping style, social support, and perceived level of physical disability did not contribute significantly to Adjustment. The findings suggest that efforts should be made to reduce patients' perceptions of uncertainty regarding their MS and that cognitive functioning be assessed and appropriately accommodated in treatment.
Steven R. Weiner - One of the best experts on this subject based on the ideXlab platform.
-
Predictors of Psychosocial Adjustment in systemic sclerosis
Arthritis and rheumatism, 1993Co-Authors: Debra K. Moser, Philip J. Clements, Mary-lynn Brecht, Steven R. WeinerAbstract:Objective. To determine predictors of Psychosocial Adjustment in patients with systemic sclerosis (SSc). Methods. We surveyed 94 patients with SSc. Age, sex, education level, marital status, work status, income, support group attendance, length of time since diagnosis, functional status, social support, illness-related uncertainty, and hardiness were examined as potential predictors of Psychosocial Adjustment. The reliability and validity of the instruments used to measure these variables have been established. Results. Only education level, functional ability, illness-related uncertainty, hardiness, and social support were predictive of Psychosocial Adjustment. Education level and functional ability explained 14% of the variance in Psychosocial Adjustment, while illness-related uncertainty, hardiness, and social support increased the explained variance to 38%. Conclusion. Although patients with relatively poorer Psychosocial Adjustment to illness have lower formal education levels and more functional disability, the majority of the explained variance in Psychosocial Adjustment is ascribable to illness-related uncertainty, low level of hardiness, and less satisfaction with social support.
Mary-lynn Brecht - One of the best experts on this subject based on the ideXlab platform.
-
The relationship of marital quality and Psychosocial Adjustment to heart disease
The Journal of cardiovascular nursing, 1994Co-Authors: Mary-lynn Brecht, Kathleen Dracup, Debra K. Moser, Barbara RiegelAbstract:Psychosocial Adjustment to heart disease is variable. Some patients recover from a myocardial infarction or cardiac surgery quickly, return to work and leisure activities, and experience little emotional distress. Others suffer significant problems in Psychosocial adaptation. We proposed and tested a theoretical model of Adjustment that included the quality of the marital relationship, dysphoria, chronologic age, and time from the cardiac event (myocardial infarction or surgery) to identify the role that these variables play in Adjustment. The study was conducted in 198 men diagnosed with coronary heart disease using the following instruments: the Spanier Dyadic Adjustment Scale, the Multiple Affect Adjective Checklist, and the Psychosocial Adjustment to Illness Scale. Data were collected on entry into the study and 3 months later to identify the stability of the relationships over time. The theoretical model was supported. Findings demonstrated that positive Psychosocial Adjustment to illness is influenced both by the quality of the patient's marriage and dysphoria. The spouse appears to influence Psychosocial Adjustment in an indirect manner by influencing the patient's experience of emotional distress or dysphoria. Nurses can enhance Psychosocial Adjustment to coronary heart disease by helping patients and spouses focus on ways to improve the quality of their marriage and by suggesting strategies to improve marital communication and decrease fear and misconceptions related to the illness.
-
Predictors of Psychosocial Adjustment in systemic sclerosis
Arthritis and rheumatism, 1993Co-Authors: Debra K. Moser, Philip J. Clements, Mary-lynn Brecht, Steven R. WeinerAbstract:Objective. To determine predictors of Psychosocial Adjustment in patients with systemic sclerosis (SSc). Methods. We surveyed 94 patients with SSc. Age, sex, education level, marital status, work status, income, support group attendance, length of time since diagnosis, functional status, social support, illness-related uncertainty, and hardiness were examined as potential predictors of Psychosocial Adjustment. The reliability and validity of the instruments used to measure these variables have been established. Results. Only education level, functional ability, illness-related uncertainty, hardiness, and social support were predictive of Psychosocial Adjustment. Education level and functional ability explained 14% of the variance in Psychosocial Adjustment, while illness-related uncertainty, hardiness, and social support increased the explained variance to 38%. Conclusion. Although patients with relatively poorer Psychosocial Adjustment to illness have lower formal education levels and more functional disability, the majority of the explained variance in Psychosocial Adjustment is ascribable to illness-related uncertainty, low level of hardiness, and less satisfaction with social support.
Cynthia Sullivan - One of the best experts on this subject based on the ideXlab platform.
-
Psychosocial Adjustment to Multiple Sclerosis
International Journal of MS Care, 2004Co-Authors: Cynthia Sullivan, Jeffrey Wilken, Bernard M. Rabin, Marilyn Demorest, Christopher BeverAbstract:Research has suggested that successful adaptation to multiple sclerosis (MS) and its psychological sequelae is affected by a variety of factors, but many questions remain unanswered. This study examined the extent to which certain factors contribute to successful Psychosocial Adjustment. Subjects were 100 MS outpatients from several MS centers and neurology clinics in the Washington, D.C. metropolitan area. Analysis showed that the following variables contributed significantly to Psychosocial Adjustment: disease status (i.e., remission versus exacerbation), medication, cognitive disability, and perceived uncertainty. Coping style, social support, and perceived level of physical disability did not contribute significantly to Adjustment. The findings suggest that efforts should be made to reduce patients' perceptions of uncertainty regarding their MS and that cognitive functioning be assessed and appropriately accommodated in treatment.
