Applications of the monitoring process model to coping with severe long-term medical threats. NLM AIDSLINE Important note: Information in this article was accurate in 1996. The state of the art may have changed since the publication date.

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Applications of the monitoring process model to coping with severe long-term medical threats.

Health Psychol. 1996 May;15(3):216-25. Unique Identifier : AIDSLINE MED/96336127
Miller SM; Rodoletz M; Mangan CE; Schroeder CM; Sedlacek TV; Division of Population Science, Fox Chase Cancer Center,; Philadelphia, Pennsylvania 19107, USA. sm.miller@fccc.edu

Abstract: Guided by the monitoring process model (MPM), the authors explored the illness responses of 2 samples: high monitors (who are cognitively vigilant to and amplify threat-related cues) and low monitors (who avoid them and blunt their impact). Both samples-101 women with human papillomavirus-related precancerous cervical dysplasia and 75 HIV-infected gay men-were undergoing long-term medical follow-up and management. Structural equation analysis showed an adequate fit of the MPM to the data within each sample, supporting the model's heuristic value: High monitors experienced greater disease-related intrusive ideation, which triggered greater avoidant ideation to forestall panic, particularly in the more threatened HIV-positive sample. However, efforts to avoid disturbing intrusive thoughts were ineffective, requiring increasingly extreme defensive strategies (i.e., denial and mental and behavioral disengagement).
Keywords: *Adaptation, Psychological Adult Chronic Disease *Denial (Psychology) Female Human HIV Infections/*PSYCHOLOGY Male Middle Age *Papillomavirus, Human Papovaviridae Infections/*PSYCHOLOGY Support, Non-U.S. Gov't Support, U.S. Gov't, P.H.S. Tumor Virus Infections/*PSYCHOLOGY JOURNAL ARTICLEKWDadaptation,psychologicaladultchronicdiseaseKWDdenial(psychology)femalehumanhivinfections/KWDpsychologymalemiddleageKWDpapillomavirus,humanpapovaviridaeinfections/KWDpsychologysupport,non-uKWDsKWDgov'tsupport,uKWDsKWDgov't,pKWDhKWDsKWDtumorvirusinfections/KWDpsychologyjournalarticle
961130
M96B1833

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