Campus Units

Psychology

Document Type

Article

Publication Version

Accepted Manuscript

Publication Date

2-1-2015

Journal or Book Title

Psychology & Health

Volume

30

Issue

2

First Page

218

Last Page

232

DOI

10.1080/08870446.2014.964237

Abstract

Cognitive beliefs and affective responses to illness and treatment are known to independently predict health behaviours. The purpose of the current study is to assess the relative importance of four psychological domains – specifically, affective illness, cognitive illness, affective treatment and cognitive treatment – for predicting stroke and transient ischemic attack (TIA) survivors’ adherence to stroke prevention medications as well as their objective, categorised stroke risk. We assessed these domains among stroke/TIA survivors (n = 600), and conducted correlation and regression analyses with concurrent and prospective outcomes to determine the relative importance of each cognitive and affective domain for adherence and stroke risk. As hypothesised, patients’ affective treatment responses explained the greatest unique variance in baseline and six-month adherence reports (8 and 5%, respectively, of the variance in adherence, compared to 1–3% explained by other domains). Counter to hypotheses, patients’ cognitive illness beliefs explained the greatest unique variance in baseline and six-month objective categorised stroke risk (3 and 2%, respectively, compared to 0–1% explained by other domains). Results indicate that domain type (i.e. cognitive and affective) and domain referent (illness and treatment) may be differentially important for providers to assess when treating patients for stroke/TIA. More research is required to further distinguish between these domains and their relative importance for stroke prevention.

Comments

Published in final edited form as: Psychol Health. 2015 February ; 30(2): 218–232. doi:10.1080/08870446.2014.964237.

Copyright Owner

Taylor & Francis

Language

en

File Format

application/pdf

Published Version

Share

COinS