Affect, Thought and Self‐Protective Health Behavior: The Case of Worry and Cancer Screening

McCaul, Kevin D.; Mullens, Amy B.

doi:10.1002/9780470753552.ch6

Cited by 75 publications

(70 citation statements)

References 85 publications

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“…Worry about Care for Child with DBMD was measured using three items purposively designed to assess amount, frequency, and intensity of DBMD-specific care worry (developed as suggested by McCaul and Goetz). 26 Cronbach's alpha was 0.89. Perceived Positive Impact was measured with one item purposively developed for the study ('How much of a positive effect does your child's condition have on your entire family?…”

Section: Methodsmentioning

confidence: 96%

Mothers’ psychological adaptation to Duchenne/Becker muscular dystrophy

et al. 2015

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Duchenne and Becker muscular dystrophy (DBMD) cause significant emotional and care-related burden on caregivers, but no studies have evaluated predictors of positive caregiver outcomes, including disorder-specific psychological adaptation. Using a community-engaged approach focused on supporting mothers in positive aspects of caregiving, this prospective study aims to assess (i) the association between child's baseline functional status and mothers' illness perceptions, resilience, and coping selfefficacy; and (ii) predictors of mothers' psychological adaptation to caring for a child with DBMD. Biological mothers with at least one living child with DBMD completed a baseline survey (n = 205) with 1-year (n = 147) and 2-year (n = 144) follow-up surveys. Worse child's baseline function was associated not only with increased caregiver burden and reduced maternal resilience, but also with perception of positive disease impact on the family. At two follow-ups, increased psychological adaptation to DBMD was predicted by resilience (β = 0.264, P = 0.001) and perceived positive impact (β = 0.310, Po0.001), controlling for mother's age (β = − 0.305, Po0.001) and income (β = − 0.088, P = 0.245). Child's functional status and caregiver burden of DBMD did not predict DBMD-specific adaptation. Though clinicians caring for families with DBMD should anticipate increased caregiver burden as the disorder progresses, interventions focused on caregiver burden are not expected to influence mothers' psychosocial adaptation. Efforts to improve mothers' well-being should focus on fostering mothers' resilience and enhancing perceptions of positive disease impact (benefit finding). Results suggest that psychosocial interventions can highlight strengths and well-being rather than burden and deficit.

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Section: Methodsmentioning

confidence: 96%

Mothers’ psychological adaptation to Duchenne/Becker muscular dystrophy

et al. 2015

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“…In their conceptual review, McCaul & Mullens (2003) were reluctant to parallel worry with an emotional episode like fear. They construed worry as being closer to a core affect in the sense that it is constantly present, carrying with it negative feelings.…”

Section: Discussionmentioning

confidence: 99%

“…Although it is acknowledged that worry might have a cognitive "flavour", this concept has predominantly been operationalized in current literature in terms of affect-laden images which are commonly negative and uncontrollable (Finney Rutten, Blake, Hesse, Augustson, & Evans, 2011). Studies have shown that risk perception (or perceived vulnerability) and worry independently predicted various indicators of screening behaviours (e.g McCaul & Mullens, 2003; see also overview by Hall et al, 2009). …”

mentioning

confidence: 99%

"Fuelling" Cognitive Judgments: Worry as a Mediator Between Risk Perceptions and Intentions to Quit Smoking

Kovač¹,

Rise²

2012

PsycEXTRA Dataset

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The aim of the present study was to assess the importance of cognitive and affective risk perceptions along with measures of self-prediction of future smoking status and confidence in one's ability to quit on intentions to quit smoking. Additionally, the purpose was to explore the mediating effect of worry on the relation between risk perception and quitting smoking intentions. The data consist of 415 participants defined as daily and "sometimes" smokers who were interviewed by telephone. The results showed significant direct effects of risk perception, worry, confidence, and self-prediction of future smoking status on intentions to quit smoking. Furthermore, the results showed a significant mediating effect of worry on the relation between risk perception and quitting intentions. The results are discussed in relation to the general role of cognitive and affective processes in influencing behavioural decisions. The implications and limitations of the present analysis are also discussed.

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“…Force est par ailleurs de constater que le processus perceptivocognitif qui amène à se soucier excessivement du cancer présente de troublantes similitudes avec celui qui régente l'intensité des manifestations anxieuses et leurs fluctuations [29]. Il diffère en revanche sensiblement du processus de jugement qui sous-tend l'évaluation des risques oncologiques encourus [15,16], dans la mesure où ce dernier conditionne de manière indépendante le degré d'adhésion au dépistage du cancer [30], notamment colorectal [36].…”

Section: Essai De Synthèse Et De Modélisationunclassified