TY - JOUR
T1 - Cognitive-behavioral and patient education interventions in cardiac catheterization procedures
T2 - The Palo Alto medical psychology project
AU - Kendall, P. C.
AU - Williams, L.
AU - Pechacek, T. F.
AU - Graham, L. E.
AU - Shisslak, Catherine M
AU - Herzoff, N.
PY - 1979
Y1 - 1979
N2 - The invasive medical procedures of cardiac catheterization were conceptualized as a crisis. Two interventions; a cognitive-behavioral treatment and a patient education treatment; were compared with an attention placebo intervention control group and a current hospital conditions control group. Patient self-reported state anxiety was assessed at preintervention, postintervention, and retrospectively with regard to the actual catheterization procedure. Professional (physician and technician) blind ratings of the patient's adjustment during catheterization were also taken. In addition, a self-statement inventory pertaining to the process of catheterization was administered retrospectively. Results of both sets of adjustment ratings indicated that the intervention groups were significantly more adjusted than each of the controls and that the cognitive-behavioral treatment was the superior intervention. State-anxiety analyses suggested that although both the interventions and the attention placebo control reduced postintervention subjective anxiety, only the two interventions produced levels of recalled (during the catheterization) state anxiety that were significantly lower than controls. Negative self-statements were related to poorer adjustment ratings. The findings support the utility of cognitive-behavioral crisis interventions.
AB - The invasive medical procedures of cardiac catheterization were conceptualized as a crisis. Two interventions; a cognitive-behavioral treatment and a patient education treatment; were compared with an attention placebo intervention control group and a current hospital conditions control group. Patient self-reported state anxiety was assessed at preintervention, postintervention, and retrospectively with regard to the actual catheterization procedure. Professional (physician and technician) blind ratings of the patient's adjustment during catheterization were also taken. In addition, a self-statement inventory pertaining to the process of catheterization was administered retrospectively. Results of both sets of adjustment ratings indicated that the intervention groups were significantly more adjusted than each of the controls and that the cognitive-behavioral treatment was the superior intervention. State-anxiety analyses suggested that although both the interventions and the attention placebo control reduced postintervention subjective anxiety, only the two interventions produced levels of recalled (during the catheterization) state anxiety that were significantly lower than controls. Negative self-statements were related to poorer adjustment ratings. The findings support the utility of cognitive-behavioral crisis interventions.
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U2 - 10.1037//0022-006X.47.1.49
DO - 10.1037//0022-006X.47.1.49
M3 - Article
C2 - 429666
VL - 47
SP - 49
EP - 58
JO - Journal of Consulting and Clinical Psychology
JF - Journal of Consulting and Clinical Psychology
SN - 0022-006X
IS - 1
ER -