Evaluation of a model of adjustment to an iatrogenic hepatitis C virus infection

B Coughlan, J Sheehan, Brendan Bunting, A Carr, J Crowe

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective. The aim of this study was to evaluate a model of adjustment to an iatrogenic hepatitis C(HCV) infection in a cohort of women. Participants. Eighty-three women diagnosed with an iatrogenic HCV infection were recruited; 49 women had chronic infection (PCR positive) and the remaining 34 women were considered to have a self-limiting HCV infection (PCR negative). Measures. The Hepatitis C Survey Questionnaire (HCSQ; Coughlan, Sheehan, Carr & Crowe, unpublished) and the General Health Questionnaire (GHQ30; Goldberg & Williams, 1988) were used in this study. Results. Structural equation modelling (SEM) was carried out to evaluate and modify a recursive path model using Moos and Schaefer's (1984) model of coping with illness as the basis for developing a multivariate model of adjustment to an iatrogenic HCV infection. The final model fit, chi(2) (30) = 21.9 p =.86, CFI = 1.00, RMSEA = 0.000, was judged to be theoretically acceptable, indicating that positive illness appraisal, ability to work and negative behaviour as a consequence of feelings of anger and blame are directly related to adjustment. Conclusion. This model has provided support for the following general relationships, namely that, adjustment to an iatrogenic HCV infection is related to: (1) illness and social factors; (2) cognitive appraisals; (3) adaptive tasks; and (4) coping skills thus emphasizing the need to develop a biopsychosocial model of treatment.
LanguageEnglish
Pages347-363
JournalBritish Journal of Health Psychology
Volume9
Issue numberPart 3
Publication statusPublished - Sep 2004

Fingerprint

Social Adjustment
Virus Diseases
Hepacivirus
Infection
Hepatitis C
Polymerase Chain Reaction
Aptitude
Psychological Adaptation
Anger
Emotions
Health

Cite this

Coughlan, B ; Sheehan, J ; Bunting, Brendan ; Carr, A ; Crowe, J. / Evaluation of a model of adjustment to an iatrogenic hepatitis C virus infection. In: British Journal of Health Psychology. 2004 ; Vol. 9, No. Part 3. pp. 347-363.
@article{7fb78078b65e4479a54368724b294066,
title = "Evaluation of a model of adjustment to an iatrogenic hepatitis C virus infection",
abstract = "Objective. The aim of this study was to evaluate a model of adjustment to an iatrogenic hepatitis C(HCV) infection in a cohort of women. Participants. Eighty-three women diagnosed with an iatrogenic HCV infection were recruited; 49 women had chronic infection (PCR positive) and the remaining 34 women were considered to have a self-limiting HCV infection (PCR negative). Measures. The Hepatitis C Survey Questionnaire (HCSQ; Coughlan, Sheehan, Carr & Crowe, unpublished) and the General Health Questionnaire (GHQ30; Goldberg & Williams, 1988) were used in this study. Results. Structural equation modelling (SEM) was carried out to evaluate and modify a recursive path model using Moos and Schaefer's (1984) model of coping with illness as the basis for developing a multivariate model of adjustment to an iatrogenic HCV infection. The final model fit, chi(2) (30) = 21.9 p =.86, CFI = 1.00, RMSEA = 0.000, was judged to be theoretically acceptable, indicating that positive illness appraisal, ability to work and negative behaviour as a consequence of feelings of anger and blame are directly related to adjustment. Conclusion. This model has provided support for the following general relationships, namely that, adjustment to an iatrogenic HCV infection is related to: (1) illness and social factors; (2) cognitive appraisals; (3) adaptive tasks; and (4) coping skills thus emphasizing the need to develop a biopsychosocial model of treatment.",
author = "B Coughlan and J Sheehan and Brendan Bunting and A Carr and J Crowe",
year = "2004",
month = "9",
language = "English",
volume = "9",
pages = "347--363",
journal = "British Journal of Health Psychology",
issn = "1359-107X",
number = "Part 3",

}

Coughlan, B, Sheehan, J, Bunting, B, Carr, A & Crowe, J 2004, 'Evaluation of a model of adjustment to an iatrogenic hepatitis C virus infection', British Journal of Health Psychology, vol. 9, no. Part 3, pp. 347-363.

Evaluation of a model of adjustment to an iatrogenic hepatitis C virus infection. / Coughlan, B; Sheehan, J; Bunting, Brendan; Carr, A; Crowe, J.

In: British Journal of Health Psychology, Vol. 9, No. Part 3, 09.2004, p. 347-363.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Evaluation of a model of adjustment to an iatrogenic hepatitis C virus infection

AU - Coughlan, B

AU - Sheehan, J

AU - Bunting, Brendan

AU - Carr, A

AU - Crowe, J

PY - 2004/9

Y1 - 2004/9

N2 - Objective. The aim of this study was to evaluate a model of adjustment to an iatrogenic hepatitis C(HCV) infection in a cohort of women. Participants. Eighty-three women diagnosed with an iatrogenic HCV infection were recruited; 49 women had chronic infection (PCR positive) and the remaining 34 women were considered to have a self-limiting HCV infection (PCR negative). Measures. The Hepatitis C Survey Questionnaire (HCSQ; Coughlan, Sheehan, Carr & Crowe, unpublished) and the General Health Questionnaire (GHQ30; Goldberg & Williams, 1988) were used in this study. Results. Structural equation modelling (SEM) was carried out to evaluate and modify a recursive path model using Moos and Schaefer's (1984) model of coping with illness as the basis for developing a multivariate model of adjustment to an iatrogenic HCV infection. The final model fit, chi(2) (30) = 21.9 p =.86, CFI = 1.00, RMSEA = 0.000, was judged to be theoretically acceptable, indicating that positive illness appraisal, ability to work and negative behaviour as a consequence of feelings of anger and blame are directly related to adjustment. Conclusion. This model has provided support for the following general relationships, namely that, adjustment to an iatrogenic HCV infection is related to: (1) illness and social factors; (2) cognitive appraisals; (3) adaptive tasks; and (4) coping skills thus emphasizing the need to develop a biopsychosocial model of treatment.

AB - Objective. The aim of this study was to evaluate a model of adjustment to an iatrogenic hepatitis C(HCV) infection in a cohort of women. Participants. Eighty-three women diagnosed with an iatrogenic HCV infection were recruited; 49 women had chronic infection (PCR positive) and the remaining 34 women were considered to have a self-limiting HCV infection (PCR negative). Measures. The Hepatitis C Survey Questionnaire (HCSQ; Coughlan, Sheehan, Carr & Crowe, unpublished) and the General Health Questionnaire (GHQ30; Goldberg & Williams, 1988) were used in this study. Results. Structural equation modelling (SEM) was carried out to evaluate and modify a recursive path model using Moos and Schaefer's (1984) model of coping with illness as the basis for developing a multivariate model of adjustment to an iatrogenic HCV infection. The final model fit, chi(2) (30) = 21.9 p =.86, CFI = 1.00, RMSEA = 0.000, was judged to be theoretically acceptable, indicating that positive illness appraisal, ability to work and negative behaviour as a consequence of feelings of anger and blame are directly related to adjustment. Conclusion. This model has provided support for the following general relationships, namely that, adjustment to an iatrogenic HCV infection is related to: (1) illness and social factors; (2) cognitive appraisals; (3) adaptive tasks; and (4) coping skills thus emphasizing the need to develop a biopsychosocial model of treatment.

M3 - Article

VL - 9

SP - 347

EP - 363

JO - British Journal of Health Psychology

T2 - British Journal of Health Psychology

JF - British Journal of Health Psychology

SN - 1359-107X

IS - Part 3

ER -