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Interactive effects of focused fears and avoidant coping on anxiety in patients with implantable cardioverter defibrillators
Descriptive
TitleInfo
Title
Interactive effects of focused fears and avoidant coping on anxiety in patients with implantable cardioverter defibrillators
Name
(type = personal)
NamePart
(type = family)
Betensky
NamePart
(type = given)
Julia D.
NamePart
(type = date)
1982-
DisplayForm
Julia Betensky
Role
RoleTerm
(authority = RULIB)
author
Name
(type = personal)
NamePart
(type = family)
Contrada
NamePart
(type = given)
Richard J
DisplayForm
Richard J Contrada
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
chair
Name
(type = personal)
NamePart
(type = family)
Mohlman
NamePart
(type = given)
Jan
DisplayForm
Jan Mohlman
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
internal member
Name
(type = personal)
NamePart
(type = family)
McCarthy
NamePart
(type = given)
Danielle
DisplayForm
Danielle McCarthy
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
internal member
Name
(type = personal)
NamePart
(type = family)
Leventhal
NamePart
(type = given)
Elaine
DisplayForm
Elaine Leventhal
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
outside member
Name
(type = corporate)
NamePart
Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
(type = corporate)
NamePart
Graduate School - New Brunswick
Role
RoleTerm
(authority = RULIB)
school
TypeOfResource
Text
Genre
(authority = marcgt)
theses
OriginInfo
DateCreated
(qualifier = exact)
2012
DateOther
(qualifier = exact);
(type = degree)
2012-10
Place
PlaceTerm
(type = code)
xx
Language
LanguageTerm
(authority = ISO639-2b);
(type = code)
eng
Abstract
(type = abstract)
The implantable cardioverter defibrillator (ICD) has become the standard treatment for patients at risk for sudden cardiac death. When it detects a life-threatening arrhythmia the ICD delivers a shock to normalize cardiac activity. While medically effective, up to 88% of patients who receive an ICD experience some form of anxiety symptoms. Potentially relevant factors that have been implicated in the development and maintenance of anxiety include fear of anxiety (i.e., anxiety sensitivity; AS), fear of pain (FP), and fear of being shocked (i.e., shock anxiety; SA) as well as avoidant coping (i.e., attempts to regulate fear and prevent anxiety by reducing the probability of exposure). The purpose of this longitudinal study was to test a cognitive-behavioral model in which effects of specific fears on anxiety severity in ICD patients are magnified by avoidant coping behavior. Forty-two ICD recipients completed the Anxiety Sensitivity Index, the Florida Shock Anxiety Scale, the Pain Anxiety Symptoms Scale, an Avoidant Coping Scale, and the Beck Anxiety Inventory, at the time of an electrophysiology visit and at a 12-week follow up. As hypothesized, there was a significant interaction between AS and avoidant coping, as well as between FP and avoidant coping, such that avoidant coping strengthened associations linking higher baseline AS and FP to increased 12-week anxiety severity. A significant interaction between SA and avoidant coping was not of the predicted form. Overall, these findings help to clarify the role of specific fears and avoidant coping in the maintenance of anxiety and may facilitate the tailoring of nonpharmacologic interventions designed to controvert the exacerbation of anxiety among ICD patients.
Subject
(authority = RUETD)
Topic
Psychology
RelatedItem
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TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier
(type = RULIB)
ETD
Identifier
ETD_1129
PhysicalDescription
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(authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
viii, 73 p. : ill.
Note
(type = degree)
Ph.D.
Note
(type = bibliography)
Includes bibliographical references
Note
(type = vita)
Includes vita
Note
(type = statement of responsibility)
by Julia D. Betensky
Subject
(authority = ETD-LCSH)
Topic
Implantable cardioverter-defibrillators
Subject
(authority = ETD-LCSH)
Topic
Heart--Diseases--Patients--Psychology
Subject
(authority = ETD-LCSH)
Topic
Anxiety sensitivity
Identifier
(type = hdl)
http://hdl.rutgers.edu/1782.1/rucore10001600001.ETD.000066612
RelatedItem
(type = host)
TitleInfo
Title
Graduate School - New Brunswick Electronic Theses and Dissertations
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rucore19991600001
Location
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(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier
(type = doi)
doi:10.7282/T31G0K1Q
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
RightsDeclaration
(ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder
(type = personal)
Name
FamilyName
Betensky
GivenName
Julia
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = start)
2011-06-06 07:16:58
AssociatedEntity
Name
Julia Betensky
Role
Copyright holder
Affiliation
Rutgers University. Graduate School - New Brunswick
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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578560
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windows xp
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application/pdf
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application/x-tar
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583680
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