Social support and chronic wounds: application of the Gottlieb (1983) model
Keeling, Debbie Isobel
Cardiff Metropolitan University
MetadataShow full item record
The social support received by patients with chronic wounds was examined within the framework of an established stress and coping model which relates social support to adaptation variables (occurrence and appraisal of wound-related stressors, coping behaviour and self-esteem). A checklist for the assessment of chronic wound-related stressors was developed from a series of home-based interviews with leg ulcer patients (N=13, m:f=1:12, mean age=83.5yrs), and piloted on patients with either a leg ulcer or diabetes-related foot ulcer (N=25 per wound type, m:f=23:27, mean age=65.9yrs) to assess its psychometric properties. Received social support and adaptation variables were longitudinally assessed using a battery of questionnaires at two time points (Baseline; N=30, m:f=10:20, mean age=67yrs: four months into healing; N=24, m:f=10:14, mean age=66.92yrs). The sample received low levels of social support, the largest proportion of which was emotional in nature. Although there were no significant changes in the amount and types of support received over time, the role of guidance support diminished in contrast to the increasing role of total and tangible support. There was a decrease in the occurrence of stressors (t-test, t=2.62, p=0.018), and an increase in perceived stressfulness of stressors (t-test, t=-3.10, p=0.006) and self-esteem (t-test, t=-8.41, p<0.0001). Support was correlated with the number of stressors experienced (r=0.52, p<0.05), perceived stressfulness of stressors (0.51, p<0.05) and the perceived inability to control (r=0.52, r<0.05). Support was associated with a wider range of approach strategies (e.g. problem solving and guidance support, r=0.53, p<0.01) than avoidance strategies (e.g. emotional discharge and emotional support, 10.48,p<0.05). Support was negatively related to personal self-esteem (e.g. =-0.42, p<0.05). The stress and coping model represents a suitable framework for exploring social support and the adaptation process in this patient group.
Showing items related by title, author, subject and abstract.
Stressors, social support, and tests of the buffering hypothesis: Effects on psychological responses of injured athletes Mitchell, Ian; Evans, Lynne; Rees, Tim; Hardy, Lew (Wiley, 2013)Objective The purpose of this article was to examine the main and stress-buffering effect relationships between social support and psychological responses to injury. Design The article presents two studies, ...
Stress Buffering in Injured Footballers: An Examination in Stressors, Psychological Responses and Social Support Relationships. Dawkins, Sam (Cardiff Metropolitan University, 2014)Objective. The purpose of this article was to examine the stress-buffering effect relationship between social support and psychological responses to injury. Method. The study matched social support types with injury ...
Stressors, social support and psychological responses to sport injury in high- and low-performance standard participants Rees, Tim; Mitchell, Ian; Evans, Lynne; Hardy, Lew (Elsevier, 2010)Objective The purpose of the present study was to examine the main and buffering effect relationships between social support and psychological responses to sport injury with samples of high- and low-performance standard ...