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Interpersonal expectations and psych...

Thompson, Shawn Norvell.

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Interpersonal expectations and psychosocial adjustment to chronic illness: Reducing discrepancies among persons with rheumatoid arthritis.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Interpersonal expectations and psychosocial adjustment to chronic illness: Reducing discrepancies among persons with rheumatoid arthritis./
作者:	Thompson, Shawn Norvell.
面頁冊數:	87 p.
附註:	Adviser: Ronald Friend.
Contained By:	Dissertation Abstracts International63-10B.
標題:	Psychology, Physiological. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3067559
ISBN:	9780493869766

Interpersonal expectations and psychosocial adjustment to chronic illness: Reducing discrepancies among persons with rheumatoid arthritis.
Thompson, Shawn Norvell.

Interpersonal expectations and psychosocial adjustment to chronic illness: Reducing discrepancies among persons with rheumatoid arthritis. - 87 p.

Adviser: Ronald Friend.

Thesis (Ph.D.)--State University of New York at Stony Brook, 2002.

Although several research studies suggest that the quality and quantity of social relationships promote psychological and physical health, little is known with regard to how interpersonal expectations impact psychosocial adjustment within the context of a chronic illness. This research sought to investigate the relationship between interpersonal expectations and psychosocial adjustment in a sample of patients with rheumatoid arthritis (RA). The first study used a correlational method to explore the extent to which RA patients felt that they were unable to meet the expectations of their spouses with regard to the illness. The second study, a randomized experimental intervention, examined the causal relationship between patient expectations and adjustment. In Study One, it was hypothesized that significant relationships would exist between patient expectations and various indices of adjustment. Further, Study Two explored whether reductions in discrepant interpersonal expectations were associated with improvements in adjustment for RA patients.

ISBN: 9780493869766Subjects--Topical Terms:

1017869
Psychology, Physiological.

Interpersonal expectations and psychosocial adjustment to chronic illness: Reducing discrepancies among persons with rheumatoid arthritis.
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100 1 $a Thompson, Shawn Norvell. $3 1288316
245 1 0 $a Interpersonal expectations and psychosocial adjustment to chronic illness: Reducing discrepancies among persons with rheumatoid arthritis.
300 $a 87 p.
500 $a Adviser: Ronald Friend.
500 $a Source: Dissertation Abstracts International, Volume: 63-10, Section: B, page: 4968.
502 $a Thesis (Ph.D.)--State University of New York at Stony Brook, 2002.
520 $a Although several research studies suggest that the quality and quantity of social relationships promote psychological and physical health, little is known with regard to how interpersonal expectations impact psychosocial adjustment within the context of a chronic illness. This research sought to investigate the relationship between interpersonal expectations and psychosocial adjustment in a sample of patients with rheumatoid arthritis (RA). The first study used a correlational method to explore the extent to which RA patients felt that they were unable to meet the expectations of their spouses with regard to the illness. The second study, a randomized experimental intervention, examined the causal relationship between patient expectations and adjustment. In Study One, it was hypothesized that significant relationships would exist between patient expectations and various indices of adjustment. Further, Study Two explored whether reductions in discrepant interpersonal expectations were associated with improvements in adjustment for RA patients.
520 $a Thirty-nine women with rheumatoid arthritis and their spouses agreed to participate in Study One. Patients completed measures of interpersonal expectations, positive and problematic support, relationship quality, and perceived criticism. Psychosocial adjustment measures---functional status, depression, and quality of life---were also assessed. Spouses reported the actual demands that they placed on patients and their perceptions of the patient's functional abilities.
520 $a The results of Study One indicated a significant relationship between interpersonal expectations and adjustment; patients who felt unable to meet spouse demands were more likely to report lower levels of adjustment. Patient expectations predicted psychosocial adjustment even when statistically controlling for measures of disease severity, relationship quality, social interactions, and personality characteristics. Patient expectations were also significantly related to spouse demands; the more patients felt unable to meet the demands of spouses, the more likely were spouses to report greater demands.
520 $a Study Two presented a brief intervention in which 34 patients and spouses who participated in Study One were randomly assigned to either a Discrepancy Reduction condition, an Arthritis Video-Information condition, or a waiting-list Control group. Although patients in the Discrepancy Reduction and Video-Information conditions reported fewer overall discrepancies compared to patients in the Control condition, between-group analyses suggested that the intervention was not effective in reducing discrepant expectations over time. With regard to psychosocial outcomes, a 3 x 2 ANCOVA yielded significant differences for adjusted mean scores among the three experimental conditions when functional status and quality of life were indices of adjustment. Post-hoc analyses showed that only patients in the Video-Information condition reported significantly better functional status and quality of life ratings compared to patients in the Control condition.
520 $a The convergence of Study One findings with those reported in studies of other chronically ill populations confirms the viability of the interpersonal expectations model. Further, the findings of Study Two suggest critical methodological issues that should be addressed with regard to the interpersonal expectations model when designing and implementing psychosocial interventions for patients and spouses with rheumatoid arthritis.
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