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Angst en depressie in relatie tot doelmanagement strategieën bij reumapatiënten Is het zinvol angst en depressie als één construct te analyseren?

Top, Erna (2011) Angst en depressie in relatie tot doelmanagement strategieën bij reumapatiënten Is het zinvol angst en depressie als één construct te analyseren?

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Abstract:Usually, anxiety and depression are analyzed as two different constructs. However, there is also evidence that there exists one underlying construct: psychological distress. In this study, the question ‘is it useful to analyze anxiety and depression in rheumatic patients as one construct’? is being answered. This was examined in relation to four goalmanagement strategies: goal disengagement, goal reengagement, assimilative coping and accommodative coping. The relationship between the four goalmanagement strategies and anxiety and depression was also examined. The study was conducted among 199 rheumatoid patients from eighteen years of age, treated at the Medical Spectrum Twente. The degree of anxiety and depression is measured with the HADS, the use of goal disengagement en goal reengagement is measured with the GAS and the use of assimilative coping and accommodative coping is measured with the tenflex. All Cronbach’s alpha’s were high, except the Cronbach’s alpha of the goal disengagement scale. To measure the number of underlying constructs of the HADS, an exploratory factor analysis was done. This analysis gave evidence for a three factor model with the following factors: distress, anxiety and depression. This result was consistent with the first hypothesis. Next, a regression analysis is done to discover how the goalmanagement strategies are related to the three factors. Because goal disengagement had no significant relationship, hypothesis two was rejected. Hypothesis three was partly rejected, because goal reengagement was significantly associated with distress, but not with depression and anxiety. Both assimilative coping as accommodative coping were negatively associated with depression, but had no significant relationship with anxiety and distress. This means that the use of goal reengagement will decrease distress and the use of both assimilative and accommodative coping will decrease depression symptoms. In a follow-up study could be explored what the reasons of this relationships are, so that the supervisors of rheumatic patients know how they can stimulate goalmanagement strategies in the best way. The main limitation of this study is the use of exploratory factor analysis instead of confirmatory factor analysis. Due to lack of time, this could not be prevented.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
Link to this item:http://purl.utwente.nl/essays/60953
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