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Title: Emotions, attributions, intentions, and coping : an integrated model and its application to adaptation following a first-time myocardial infarction
Author: Lowe, R. P.
Awarding Body: University of Wales Swansea
Current Institution: Swansea University
Date of Award: 1998
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Drawing on Ajzen's Theory of Planned Behaviour and Lazarus's model of emotions and coping, this thesis presents an integration of models of coping, emotions, attributions and intention formation in an attempt to provide a more comprehensive understanding of the adaptive process. The combined model proposes that during an encounter an assessment is made for implications for well-being. Emotions arising from this assessment act as motivating states. Causal beliefs form the focus of initial attempts to deal with the encounter. Associated goals are attempted through the use of a range of coping strategies. This integrated model was tested on 74 first-time myocardial infarction patients who were assessed at three time-points across the first six months of adjustment. Results showed that attributions, coping, and emotional and medical outcomes were generally stable over time, although there was a significant increase in the performance of health-protective behaviour. The most prominent causal beliefs were related to stress, smoking, work issues, being overweight and cholesterol levels. Although attributions were poor predictors of subsequent coping and outcomes, behavioural self-blame was predictive of intention to change lifestyle. The coping results highlighted the use of both problem- and emotion-focused approaches: acceptance, positive reinterpretation, planning, active coping, and use of social support being the most frequently reported coping strategies. Problem-focused coping were predictive of changes in health-protective behaviour in line with expectations. Associations between appraisals, attributions, intentions, coping and outcomes were largely consistent with predictions from the combined model. Overall, the study generally confirmed the utility of the combined theoretical approach.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available