BEHAVIORAL ADAPTATION TO CHRONIC ILLNESS – IS NEUROCOGNITIVE DETERIORATION ALWAYS A THREAT?
Journal Title: Acta Neuropsychologica - Year 2010, Vol 8, Issue 3
Abstract
Compliance is a measure of good adaptation to illness by persons in self-managed health care. Although it is directly connected with treatment effectiveness, compliance can be disturbed by a cognitive decline resulting from the illness itself. The present study was designed to explore the nature of neurocognitive (NC) impairment as a potential threat to behavioral adaptation (BA) to chronic disease. A battery of neuropsychological tests was used along with self-reported measures of health behaviors and medical compliance. Four groups of participants (N=126) were examined, including three clinical groups with chronic illnesses affecting NC resources to various extents. Although differences were found in NC functioning be - tween the groups, there was no group effect in BA. More - over, somewhat surprisingly, analysis revealed a ne gative correlation between NC and BA scores, indicating that participants affected by NC decline were more prone to engage in self-management of their illnesses. The study confirmed NC deficits in vulnerable clinical groups, but the level of BA did not differ between the groups. Nevertheless, participants with lower NC scores seem to reveal better behavioral adaptation.
Authors and Affiliations
Marta Rzadkiewicz
Keywords
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