Partners' attachment styles and overprotective support as predictors of patient outcomes in cardiac rehabilitation
| Autor: | Shea E O'Bertos, Christopher Shields, Lauren P Matheson, Diane Holmberg |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Context (language use) PsycINFO Anxiety 03 medical and health sciences Heart disorder Moderated mediation Surveys and Questionnaires Adaptation Psychological Attachment theory medicine Humans Spouses Exercise Aged Self-efficacy Rehabilitation Cardiac Rehabilitation Attendance Social Support Middle Aged Object Attachment Self Efficacy Psychiatry and Mental health Clinical Psychology Female Self Report 0305 other medical science Psychology Clinical psychology |
| Zdroj: | Rehabilitation psychology. 65(3) |
| ISSN: | 1939-1544 |
| Popis: | Objective This study investigates whether the adult attachment styles of support partners in a cardiac rehabilitation context predict their use of overprotective support strategies, and whether such overprotection in turn predicts lower self-efficacy and poorer program attendance in cardiac rehabilitation patients. Research method Participants were 69 partner-patient dyads, mostly older adults (mean age = 65 years) in long-term relationships (M = 35 years). During the first week of a 10-week cardiac rehabilitation program in a midsized rural hospital, participants completed self-report questionnaires that were used to assess partners' attachment styles and levels of overprotection, as well as patients' health-related self-efficacy. Attendance at each session of the program was then tracked by cardiac rehabilitation staff members. Results A moderated mediation model using bootstrapping showed that when partners were insecurely attached (high in both attachment avoidance and attachment anxiety), a mediational model held, such that more insecure partner attachment predicted more extensive use of overprotective support strategies, which in turn predicted lower patient self-efficacy for exercise and less-frequent program attendance. Implications Implications for training support partners in more-effective support strategies are discussed. (PsycInfo Database Record (c) 2020 APA, all rights reserved). |
| Databáze: | OpenAIRE |
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