dc.contributor.author |
Reynolds, Lisa |
en |
dc.contributor.author |
Bissett, Ian |
en |
dc.contributor.author |
Porter, David |
en |
dc.contributor.author |
Consedine, Nathan |
en |
dc.date.accessioned |
2017-03-13T03:53:40Z |
en |
dc.date.issued |
2016-12 |
en |
dc.identifier.citation |
Annals of Behavioral Medicine 50(6):935-945 Dec 2016 |
en |
dc.identifier.issn |
0883-6612 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/32162 |
en |
dc.description.abstract |
Background Chemotherapy can be physically and psychologically demanding. Avoidance and withdrawal are common among patients coping with these demands. Purpose This report compares established emotional predictors of avoidance during chemotherapy (embarrassment; distress) with an emotion (disgust) that has been unstudied in this context. Methods This report outlines secondary analyses of an RCT where 68 cancer patients undergoing chemotherapy were randomized to mindfulness or relaxation interventions. Self-reported baseline disgust (DS-R), embarrassment (SES-SF), and distress (Distress Thermometer) were used to prospectively predict multiple classes of avoidance post-intervention and at 3 months follow-up. Measures assessed social avoidance, cognitive and emotional avoidance (IES Avoidance), as well as information seeking and treatment adherence (General Adherence Scale). Results Repeated-measures ANOVAs evaluated possible longitudinal changes in disgust and forward entry regression models contrasted the ability of the affective variables to predict avoidance. Although disgust did not change over time or vary between groups, greater disgust predicted greater social, cognitive, and emotional avoidance, as well as greater information seeking. Social avoidance was predicted by trait embarrassment and distress predicted non-adherence. Conclusions This report represents the first investigation of disgust’s ability to prospectively predict avoidance in people undergoing chemotherapy. Compared to embarrassment and distress, disgust was a more consistent predictor across avoidance domains and its predictive ability was evident across a longer period of time. Findings highlight disgust’s role as an indicator of likely avoidance in this health context. Early identification of cancer patients at risk of deleterious avoidance may enable timely interventions and has important clinical implications (ACTRN12613000238774). |
en |
dc.publisher |
Springer Verlag (Germany) |
en |
dc.relation.ispartofseries |
Annals of Behavioral Medicine |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.title |
The ‘ick’ factor matters: Disgust prospectively predicts avoidance in chemotherapy patients |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1007/s12160-016-9820-x |
en |
pubs.issue |
6 |
en |
pubs.begin-page |
935 |
en |
pubs.volume |
50 |
en |
dc.rights.holder |
Copyright: Springer Verlag (Germany) |
en |
dc.identifier.pmid |
27411331 |
en |
pubs.end-page |
945 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Article |
en |
pubs.elements-id |
516939 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Psychological Medicine Dept |
en |
pubs.org-id |
Surgery Department |
en |
dc.identifier.eissn |
1532-4796 |
en |
pubs.record-created-at-source-date |
2016-01-15 |
en |
pubs.online-publication-date |
2016-07-13 |
en |
pubs.dimensions-id |
27411331 |
en |