chapter 14 Flashcards
people who are sick face many challenges and go through ‘stages’
- uncertainty
- disorder –> stress
- trying to recover –> active coping
- recovery of well-being –> new emotional equilibrum based on acceptance of the disease and its consequences
not everyone goes through every phase and it is criticisezd because it categorizes patients and entails cetrain expectations. It is a good starting point, but should in practice be taken with a grain of salt.
crisis theory
illness is a crisis, people experience changes in their identity, loction, role and changes in social support.
what are the three processes that become active in the event of a disease?
- cognitive appraisal
- adaptive tasks: coping with symptoms, maintaining control over the disease, communication with professionals…
- coping skills: appraisal focused, problem focused, or emotion focused.
time x strategy interaction
different strategies are applied in different phases of the disease process
Post Traumatic Growth (PTG)
caused b initally difficulties with a disease and even rumination
- predicted by younger age, self-efficacy, social support and optimism
- only moderately associated with post-traumatic symtpoms. Relationship between these is not entirely clear
what are the six domains of quality of life?
- physical health
- psychological health
- level of independence
- social relationships
- relationship to the environment
- spirituality, religion and personal beliefs
You can find out all of this with the WHOQOL-100
what was overemphasized in previous research as an important influence on QoL?
physical limitations
well being in two ways
- subjective well being in the presence of positive affect and lack of negative affect (hedonic - well being is pleasure) –> related to mental health domains of QoL but not the physical domains.
- well being through personal growth, actualization and values, contributions are very important (eudemonic)
hedonic
well being is pleasure
eudemonic
contributions are very important, well being through personal growth, actualization and values
is social support a long term cause of QoL>
not really, they coincide in the short term. so it helps
When is avoidant coping positive?
if you are not in control of the situation, but acceptance or positive reinterpretation is positive for Qol.
who is more eudemonic? collectivist or individualists?
the studies about this are very divided
theory of cognitive adaptation of ilness
event appraisal, appraisal of goals disturbance, outcome expectancies, appraisals of resources and coping processes influence QoL. Goals may influence QoL through the meaning they give to the illness
Q-short
you must sort different domains from least to most important for your QoL young people like to be independent, while older people value family ties more.
