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Table of Contents

1 Theory wb00482_.gif (1392 Byte)

1.1 Introduction

1.1.1 Coping with Losses Due to Serious Illness
1.1.2 Psychological Factors in Recovery from Serious Illness

1.2 Social and Personal Resources of Coping with
Stressful Events

1.2.1 Optimism
1.2.2 Locus of Control
1.2.3 Self-Efficacy
1.2.4 Social Support

1.3 Coping Behaviours
1.4 Patients and Spouses
1.5 Research Questions

2 Method wb00482_.gif (1392 Byte)

2.1 Sample Description

2.1.1 Composition of the Cross-Sectional Sample of Social
Network Members
2.1.2 Description of Characteristics of the Cross-Sectional
Subsample of Social Network Members
2.1.3 Differences between the Patient Sample and the
Subsample of Relatives

2.2 Study, Design and Procedure
2.3 Instrumentation

2.3.1 Measures for Patients

2.3.1.1 Trier Coping with Illness Scales
2.3.1.2 Coping with Everyday Problems
2.3.1.3 Munich List of Quality of Life Dimensions
2.3.1.4 Impact of Physical Condition on Everyday Functioning
2.3.1.5 Health Locus of Control Scale

2.3.2 Instruments Used for Both Patients and Their Relatives

2.3.2.1 Profile of Mood States (POMS)
2.3.2.2 List of Physical Symptoms
2.3.2.3 Self Regulation Competence (SRC)
2.3.2.4 Social Support Scale (SSS)
2.3.2.5 Measures of Traits

2.3.2.5.1 Perceived Self-Efficacy
2.3.2.5.2 Optimism
2.3.2.5.3 Loneliness
2.3.2.5.4 Anger

2.3.2.6 Quality of Life

2.3.3 Stability Coefficients for the Major Instruments

2.3.3.1 Stability Coefficients for Patients’ Scales
2.3.4.2 Stability Coefficients for Relatives’ Scales

3 Results Part One, Cross-sectional  wb00482_.gif (1392 Byte)

3.1 Differences between the Patient Sample and the Subsample of Relatives at Time 1

3.2 Cross-Sectional Associations between Patients’ and Relatives’ Characteristics on Major Variables at Time 1

3.3 Differences between Patients Living Alone or With a Partner

3.4 Differences between Patients and Relatives in Statistical Interactions between Gender and Group Membership (Patient vs. Relative)

3 Results Part Two, Longitudinal  wb00482_.gif (1392 Byte)

3.5 Predicting Patients' Recovery by Antecedent Relatives' Variables

3.5.1 Associations between Relatives' Variables at Time 1 and Patients' Recovery
Items at Time 2
3.5.2 Associations between Relatives' Variables and Patients' Profile of Mood States
(POMS) and Patients' Worries Related to Heart Disease
3.5.3 Associations between Relatives' Variables and Patients' Physical Symptoms
and further Indicators of Recovery
3.5.4 Impact of Intimate Relationship on Recovery Items

3.6 Identifying a Parsimonious Set of Dependent Patient Variables at Time 3

3.7 Regressions of Patients’ Variables at All Three Points in Time on a Set of Relatives’ Variables

3.7.1 Predicting the Three Patients’ Quality of Life Factors at Time 3 by Relatives’ Variables at Time 1

    3.7.1.1 Competence-Related Quality of Life
    3.7.1.2 Health-Related Quality of Life
    3.7.1.3 Quality of Social Life

3.7.2 Multiple Associations between Patients’ Major Variables at Time 1 and a Set
of Relatives’ Variables at Time 1
3.7.3 Predicting Patients’ Major Variables at Time 2 by a Set of Relatives’
Variables at Time 1
3.7.4 Predicting Patients’ Major Variables at Time 3 by a Set of Relatives’
Variables at Time 1
3.7.5 Multiple Associations between Patients’ Everyday Functioning, and
Self- Efficacy Beliefs about Activities, and Healthy Nutrition at Time 1, and a Set of Relatives’ Variables at Time 1
3.7.6 Predicting Patients’ Recovery Items at Time 2 by a Set of Relatives’
Variables at Time 1
3.7.7 Predicting Patients’ Plans, and Stress Factors at Time 2 by a Set of Relatives’
Variables at Time 1
3.7.8 Predicting Patients’ Weight Problems at Time 3 by a Set of Relatives’
Variables at Time 1
3.7.9 Further Elaboration of the Profile of Mood States (POMS)

3.8 Prediction of Patients’ Time 3 Quality of Life by Relatives’ Factors at Time 1

3.8.1 Reduction of 15 Relatives’ Variables into Three Factors

    3.8.2.1 Prediction of Patients’ Competence-Related Quality of Life
    3.8.2.2 Prediction of Patients’ Health-Related Quality of Life
    3.8.2.3 Prediction of Patients’ Quality of Social Life
    3.8.2.4 Further Examination of Patients’ Quality of Life Factors

3 Results Part Three, Social Support  wb00482_.gif (1392 Byte)

3.9 Findings on Social Support

3.9.1 Adjustment in Patients and Relatives
3.9.2 Associations between Social Support and Major Variables

    3.9.2.1 Profile of Mood States (POMS)
    3.9.2.2 Self Regulation Competence (SRC), Self-Efficacy, Optimism, Loneliness, Quality of Life, and Physical Symptoms
    3.9.2.3 Coping with Everyday Problems
    3.9.2.4 Health Locus of Control
    3.9.2.5 Recovery Items
    3.9.2.6 Cross-sectional Results for Quality of Life Factors

3.9.3 Associations between Relatives’ Social Support and Major Variables

    3.9.3.1 Profile of Mood States (POMS)
    3.9.3.2 Self Regulation Competence (SRC) and Self-Efficacy
    3.9.3.3 Loneliness, Optimism, Physical Symptoms, and Quality of Life

3.9.4 Patients’ Adjustment and Relatives Social Support
3.9.5 Patients’ Support and Relatives’ Adjustment both at Time 1 and Time 3

    3.9.5.1 Relatives’ Time 1 Variables with Patients’ Support at both Points in Time
    3.9.5.2 Relatives’ Time 3 Variables with Patients’ Support at both Points in Time
    3.9.5.3 Summary

        3.9.5.3.1 Patients’ Perception of Support
        3.9.5.3.2 Relatives’ Perception of Support

3.9.6 Regression Analyses of Patients’ Perceived Social Support at Time 1 and Time 3

   3.9.6.1 Regression of Patients’ Support at Time 1 on Relatives’ Variables at Time 1
   3.9.6.2 Regression of Patients’ Support at Time 3 on Relatives’ Variables at Time 1
   3.9.6.3 Regression of Patients’ support Time 3 and Relatives’ Variables Time 3
   3.9.6.5 Summary

3.9.7 Correlates of Changes in Emotions

    3.9.7.1 Patients’ Social Support and Relatives’ Profile of Mood States (POMS) Difference Scores: How is Patients’ Support Related to Changes in Their Spouses’ Emotions?
    3.9.7.2 Relatives’ Social Support and Patients’ Profile of Mood States (POMS) Difference
    Scores: How is Relatives’ Support Related to Changes in Patients’ Emotions?
    3.9.7.3 How Emotionally Disturbing is the Readjustment Phase for Patients and Their      Spouses: An Analysis of the Profile of Mood States (POMS) Stability

3.9.8 Examining the Congruence of High or Low Support within both Patient and Spouse Samples: A Four-Cell Design

    3.9.8.1 Relatives 3
    3.9.8.2 Patients
    3.9.8.3 Results for Discriminant Analyses

3.9.9 Distribution of Gender within the Four Groups of Support

4 Discussion wb00482_.gif (1392 Byte)

5 References wb00482_.gif (1392 Byte)

Appendix wb00482_.gif (1392 Byte)

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© by Gerdamarie Schmitz