Resources, coping with stress, positive emotions and health. Introduction.

The aim of this study was to validate the Polish adaptation of the Treatment Self-Regulation Questionnaire, which measures the degree of self-determination in risk behaviour changes. The study comprised 219 patients, beginning to undergo treatment. The Global Motivation Scale was used to test a convergent validity. The confirmatory factor analysis did not support the theoretical four-factor model, thus an exploratory analysis was conducted to determine an optimal model across risk behaviours. The adopted two-factor model matched original TSRQ subscales: autonomous motivation (...) and external regulation. The internal consistency of factors ranging from.78 to.89. Structural equation modeling revealed the impact of global motivation on contextual motivation, limited to the equivalent type of regulation. The action aimed at supporting patient’s autonomy should consider the particular behaviour and the global motivation as a resource in disease. (shrink)

The aim of the study was to confirm the mediation effects of the task-specific self-efficacy on the relationship between the general self-efficacy and intention and planning considering treatment. The study comprised 265 subjects, of which 165 were post-mastectomy women and 100 patients hospitalized due to acute coronary syndrome. The variables were assessed using the Generalized Self-Efficacy Scale and tools developed to examine the context of treatment. The data were analyzed using the bootstrapping procedure. The results confirmed the indirect effects of (...) task-specific self-efficacy, both in women making a decision to undergo breast reconstruction, and in patients after ACS formulating intention to change risk behaviours. As smoking was considered to be a moderator in the post-ACS group, the obtained associations were observed only among the patients declaring quitting smoking. In view of the fact that taskspecific self-efficacy is susceptible to context, it is useful to assess it in order to increase treatment effectiveness. (shrink)

Cognitive and behavioral predictors in the process of smoking cessation during pregnancy: Testing for discontinuity patterns in the Transtheoretical Model The aim of the study was to assess predictive power of cognitive variables and health-promoting behaviors for the process of smoking cessation described in terms of the Transtheoretical Model. Participants in the study were 150 women, in uncomplicated pregnancy. Cigarette smokers constituted 29.3% of the sample, while the rest had previously quitted smoking. Beliefs and expectations were measured by means of (...) scales developed by the author, while health-related behaviors were assessed using the Health Behavior Inventory by Z. Juczyński, supplemented with pregnancy-specific behaviors. TTM discontinuity patterns were tested in the study using polynomial-based orthogonal contrasts. Statistically significant linear trends were found for expectations concerning the infant's health state and the course of delivery, for beliefs about the effect of maternal smoking on infant health, as well as for pregnancy health behaviors. The obtained results were confirmed by hierarchical regression analysis, with smoking cessation explained to a larger extent by cognitive factors than by health-related behaviors. This may suggest that the TTM is a "pseudo-stage" model, and a general change of the variables under study is of greater importance for the process of smoking cessation than focusing on the TTM stages. (shrink)

The aim of the study was to determine the role of self-efficacy, outcome expectancies, and risk perception in formulating the intention to undergo breast reconstruction in 178 women after total mastectomy. The social-cognitive variables were measured in the context of breast reconstruction, while depression was assessed using the Beck Depression Inventory. The structural equation modeling revealed that among the predictors there were only two that accounted for the intention to undergo breast reconstruction, i.e. self-efficacy and outcome expectancies. Subsequent analyses of (...) the related moderators, i.e. depression, age, and duration of the disease indicated a good fit to the data. Nevertheless, in subgroups with poorer resources the direct effects of self-efficacy on intention were less noticeable or non-existent. The results suggest that self-efficacy may play the regulating role in making a breast reconstruction decision if individual resources are taken into account. (shrink)