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Effects of self-efficacy and perceived social support on recovery-related behaviors after coronary artery bypass graft surgery

  • Empirical Research
  • Published:
Annals of Behavioral Medicine

Abstract

This study investigated the extent to which measures of perceived internal and external resources, operationalized as self-efficacy and social support respectively, contribute to the prediction of participation in important recovery behaviors following coronary artery bypass graft surgery. Self-efficacy ratings obtained preoperatively related to the ability to rest and tolerate pain without the use of medications contributed significantly to the prediction of pain and sleep medication use postoperatively, after controlling for important demographic, medical, and surgical variables. Patients’ reports of staff and significant-other interactions regarding adherence to cued productive coughing and ambulation accountedfor significant proportions of the variance in these recovery behaviors. Results support models of recovery from surgery that emphasize the important roles of self-efficacy and social interaction.

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References

  1. Blakeslee S: Study hints of harm in heart operations.The New York Times. February 20, 1990:C1, C3.

    Google Scholar 

  2. Magni G, Unger HP, Valfre C, et al: Psychosocial outcome one year after heart surgery: A prospective study.Archives of Internal Medicine. 1987,147:473–477.

    Article  PubMed  CAS  Google Scholar 

  3. Jenkins CD, Stanton BA, Savageau JA, Denlinger P, Klein MD: Coronary artery bypass surgery: Physical, psychological, social, and economic outcomes six months later.Journal of the American Medical Association. 1983,250:782–788.

    Article  PubMed  CAS  Google Scholar 

  4. Heller SS, Frank KA, Kornfeld DS, Malm JR, Bowman Jr. FO: Psychological outcome following open-heart surgery.Archives of Internal Medicine. 1974,134:908–914.

    Article  PubMed  CAS  Google Scholar 

  5. Bandura A: Self-efficacy: Toward a unifying theory of behavior change.Psychological Review. 1977,84:191–215.

    Article  PubMed  CAS  Google Scholar 

  6. Bandura A: Self-efficacy mechanism in human agency.American Psychologist. 1982,37:122–147.

    Article  Google Scholar 

  7. Bandura A:Social Foundations of Thought and Action. Englewood Cliffs, NJ: Prentice-Hall, 1986.

    Google Scholar 

  8. O’Leary A: Self-efficacy and health.Behavior Research and Therapy. 1985,23:437–451.

    Article  CAS  Google Scholar 

  9. Stretcher VJ, DeVellis BM, Becker MH, Rosenstock IM: The role of self-efficacy in achieving health behavior change.Health Education Quarterly. 1986,13:73–92.

    Google Scholar 

  10. Bandura A, Adams NE, Hardy AB, Howells GH: Tests of the generality of self-efficacy theory.Cognitive Therapy and Research. 1980,4:39–66.

    Article  Google Scholar 

  11. Bandura A, Schunk DH: Cultivating competence, self-efficacy, and intrinsic interest through proximal self-motivation.Journal of Personality and Social Psychology. 1981,41:586–598.

    Article  Google Scholar 

  12. Betz NE, Hackett G: The relationship of career-related self-efficacy expectation to perceived career options in college men and women.Journal of Counseling Psychology. 1981,28:399–410.

    Article  Google Scholar 

  13. Davies FW, Yates BT: Self-efficacy expectancies versus outcome expectancies as determinants of performance deficits and depressive affect.Cognitive Therapy and Research. 1982,6:23–36.

    Article  Google Scholar 

  14. Barling J, Abel M: Self-efficacy beliefs and tennis performance.Cognitive Therapy and Research. 1983,53:406–414.

    Google Scholar 

  15. O’Leary A: Self-efficacy and health: Behavior and stress—Physiological mediation.Cognitive Therapy and Research. 1992,16: 229–245.

    Article  Google Scholar 

  16. McKusick L, Coates TJ, Morin SF, Pollack MA, Hoff C: Longitudinal predictors of unprotected anal intercourse among gay men in San Francisco: The AIDS behavioral research project.American Journal of Public Health. 1990,80:978–983.

    Article  PubMed  CAS  Google Scholar 

  17. Ekstrand M, Coates TJ: Maintenance of safer sexual behaviors and predictors of risky sex: The San Francisco men’s health study.American Journal of Public Health. 1990,80:973–977.

    PubMed  CAS  Google Scholar 

  18. Kelly JA, St Lawrence JS, Hood HV, Brasfield TL: Behavioral intervention to reduce AIDS risk activities.Journal of Consulting and Clinical Psychology. 1989,57:60–67.

    Article  PubMed  CAS  Google Scholar 

  19. DiClemente CC, Prochaska JD, Gilbertini M: Self-efficacy and the stages of self-change of smoking.Cognitive Therapy and Research. 1985,9:181–200.

    Article  Google Scholar 

  20. Bandura A, Taylor CB, Williams SL, Mefford IN, Barchos JD: Catecholamine secretion as a function of perceived self-efficacy.Journal of Consulting and Clinical Psychology. 1985,53:406–414.

    Article  PubMed  CAS  Google Scholar 

  21. DiClemente CC: Self-efficacy and smoking cessation maintenance: A preliminary report.Cognitive Therapy and Research. 1981,5: 175–187.

    Article  Google Scholar 

  22. Kaplan RM, Atkins CJ, Reinsch S: Specific efficacy expectations mediate exercise compliance in patients with COPD.Health Psychology. 1984,3:223–242.

    Article  PubMed  CAS  Google Scholar 

  23. Taylor CB, Bandura A, Ewart CK, Miller NH, DeBusk RH: Exercise testing to enhance wives’ confidence in their husbands’ cardiac capability soon after clinically uncomplicated acute myocardial infarction.American Journal of Cardiology. 1985,55:635–638.

    Article  PubMed  CAS  Google Scholar 

  24. Broadhead WE, Kaplan BH, Sherman AJ, et al: The epidemiologic evidence for a relationship between social support and health.American Journal of Epidemiology. 1983,777:521–537.

    Google Scholar 

  25. Cohen S, Syme SL: Issues in the study and application of social support. In Cohen S, Syme L (eds),Social Support and Health. New York: Academic Press, 1986, 3–22.

    Google Scholar 

  26. Turner RJ, Frankel BG, Levin DM: Social support: Conceptualization, measurement, and implications for mental health. In Greeley J (ed),Research in Community Mental Health. Greenwich, CT: JA Press, 1983, 67–111.

    Google Scholar 

  27. Heller K: The effects of social support: Prevention and treatment implications. In Goldstein AP, Kanfer FH (eds),Maximizing Treatment Gains: Transfer Enhancement in Psychotherapy. New York: Academic Press, 1979, 353–380.

    Google Scholar 

  28. Flor H, Kerns RD, Turk DC: The role of the spouse in the maintenance of chronic pain.Journal of Psychosomatic Research. 1987,31:251–259.

    Article  PubMed  CAS  Google Scholar 

  29. Peters-Golden, H: Breast cancer: Varied perceptions of social support in the illness experience.Social Science and Medicine. 1982,76:483–491.

    Google Scholar 

  30. Lehman DR, Ellard JH, Wormian CB: Social support for the bereaved: Recipients’ and providers’ perspectives on what is helpful.Journal of Consulting and Clinical Psychology. 1986,54:438–446.

    Article  Google Scholar 

  31. Turner RJ, Frankel BG, Levin DM: Social support: Conceptualization, measurement, and implications for mental health. In Greeley J (ed),Research in Community Mental Health. Greenwich, CT: JA Press, 1983, 67–111.

    Google Scholar 

  32. Coyne JC, DeLongis A: Going beyond social support: The role of social relationships in adaptation.Journal of Consulting and Clinical Psychology. 1986,54:454–460.

    Article  PubMed  CAS  Google Scholar 

  33. Levine M, Perkins DV: Social setting interventions and primary prevention: Comments on the report of the task panel on prevention to the President’s Commission on Mental Health.American Journal of Community Psychology. 1980,8:147–157.

    Article  Google Scholar 

  34. Levy RL: Social support and compliance: A selective review and critique of treatment integrity and outcome measurement.Social Science and Medicine. 1983,17:1329–1338.

    Article  PubMed  CAS  Google Scholar 

  35. Thoits P: Conceptual, methodological, and theoretical problems in studying social support as a buffer against life stress.Journal of Health and Social Behavior. 1982,23:145–159.

    Article  PubMed  CAS  Google Scholar 

  36. Fontana AF, Kerns RD, Rosenberg RL, Colonese KL: Support, stress, and recovery from coronary heart disease: A longitudinal causal model.Health Psychology. 1989,8:175–193.

    Article  PubMed  CAS  Google Scholar 

  37. Kulik JA, Mahler HIM: Social support and recovery from surgery.Health Psychology. 1989,8:221–238.

    Article  PubMed  CAS  Google Scholar 

  38. King KB, Reis HT, Porter CA, Norsen LH: Social support and long-term recovery from coronary artery surgery: Effects on patients and spouses.Health Psychology. 1993,12:56–63.

    Article  PubMed  CAS  Google Scholar 

  39. Russell D, Cutrona CE: The provisions of social relationships and adaptation to stress. Annual Meeting of the American Psychological Association. Anaheim, CA: August 1984.

  40. Cutrona C, Russell D, Rose J: Social support and adaptation to stress by the elderly.Journal of Psychology and Aging. 1986,1: 47–54.

    Article  CAS  Google Scholar 

  41. Weiss R: The provisions of social relationships. In Rubin Z (ed),Doing unto Others. Englewood Cliffs, NJ: Prentice Hall, 1974, 17–26.

    Google Scholar 

  42. Fontana AF, Kems RD, Rosenberg RL, Marcus JL, Colonese KL: Exercise training for cardiac patients: Adherence, fitness, and benefits.Journal of Cardiopulmonary Rehabilitation. 1986,6:4–15.

    Article  Google Scholar 

  43. Ley P: Psychological studies of doctor-patient communication. In Rachman S (ed),Contributions to Medical Psychology (Vol. I). Oxford, UK: Pergamon Press, 1977, 9–42.

    Google Scholar 

  44. Kerns RD, Turk DC, Rudy TE: The West Haven-Yale Multidimensional Pain Inventory (WHYMPI).Pain. 1985,23:345–356.

    Article  PubMed  CAS  Google Scholar 

  45. National Institutes of Health: Integrated approach to the management of pain.Connecticut Medicine. 1986,50:677–682.

    Google Scholar 

  46. Sarason IG, Sarason BR: Experimentally provided social support.Journalof Personality and Social Psychology. 1985,50:1222–1225.

    Article  Google Scholar 

  47. Scheier MF, Carver CS: Optimism, coping, and health: Assessment and implications of generalized outcome expectancies.Health Psychology. 1985,4:219–247.

    Article  PubMed  CAS  Google Scholar 

  48. Flor H, Kerns RD, Turk DC: The role of spouse reinforcement, perceived pain, and activity levels of chronic pain.Journal of Psychosomatic Research. 1987,31:251–259.

    Article  PubMed  CAS  Google Scholar 

  49. Kems RD, Southwick S, Giller EL, et al: The relationship between reports of pain-related social interactions and expressions of pain and affective distress.Behavior Therapy. 1991,22:101–111.

    Article  Google Scholar 

  50. Mumford JS, Schlesinger JH, Glass GV: The effects of psychological intervention on recovery from surgery and heart attacks: An analysis of the literature.American Journal of Public Health. 1982,72:141–151.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Psychology, VA Connecticut Healthcare Systems, 950 Campbell Avenue, 06516, West Haven, CT

    Elsa C. Bastone & Robert D. Kerns

Authors
  1. Elsa C. Bastone
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  2. Robert D. Kerns
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Additional information

The authors wish to thank Roberta Rosenberg for her assistance

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Bastone, E.C., Kerns, R.D. Effects of self-efficacy and perceived social support on recovery-related behaviors after coronary artery bypass graft surgery. ann. behav. med. 17, 324–330 (1995). https://doi.org/10.1007/BF02888597

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  • DOI: https://doi.org/10.1007/BF02888597

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