Premium
Health risk behaviour change and adaptation in cardiac patients
Author(s) -
Irvine Jane,
Ritvo Paul
Publication year - 1998
Publication title -
clinical psychology and psychotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.315
H-Index - 76
eISSN - 1099-0879
pISSN - 1063-3995
DOI - 10.1002/(sici)1099-0879(199806)5:2<86::aid-cpp157>3.0.co;2-1
Subject(s) - emergency department , library science , citation , psychology , media studies , medicine , sociology , psychiatry , computer science
Integrating much from the health belief model, the precaution–adoption model, self‐efficacy theory, expectancy theory, and the trans‐theoretical model of behaviour change, a cognitive‐behavioural model for assessment and intervention in cardiac patients is presented in which health risk appraisal is seen as the central construct. Specifically, we hypothesize that people's beliefs regarding the seriousness of their health risk, the modifiability of their health risk, and their confidence in the risk‐reduction methods and in their ability to employ these methods, will influence their adoption of and adherence to health risk‐reduction behaviours as well as influencing their psychological adjustment. Furthermore, attentional processes such as ruminative states or avoidance are seen to play a pivotal role in facilitating or impeding cognitive appraisal processes and behaviour change. Dispositional expectancy styles (e.g. optimism versus pessimism) are seen to shape beliefs regarding the modifiability of health risk via their effects on appraisals of self‐efficacy and appraisals of the effectiveness of risk‐reduction methods. Finally, clinical scenarios are presented to illustrate the utility of the model in guiding assessment and intervention in patients with medical problems. © 1998 John Wiley & Sons, Ltd.