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Emotional reactions to diagnostic disclosure of cognitive impairment

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2013, Doctor of Psychology (Psy.D.), Xavier University, Psychology.
This research extends that of Carpenter et al. (2008) evaluating emotional reaction to receiving a diagnosis of cognitive impairment, by utilizing Lazarus's theory of emotion to evaluate the roles of the covariate awareness of deficits and cognitive appraisal on emotional reaction. This study included 30 adults, age 65 years or older, undergoing neuropsychological evaluations at a V A hospital and a private geriatric practice. Data was collected at the time of neuropsychological assessment (Time 1) and 18-36 hours following diagnostic disclosure (Time 2). At Time 1, participants' emotions and awareness of deficits were assessed. At Time 2, participants were asked to consider their recent diagnosis when responding to the emotion reaction, cognitive appraisal, and perceived social support measures. Although main effects revealed that participants experienced reductions in anxiety and depression, as well as an increase in feelings of relief, following diagnostic disclosure, these effects became nonsignificant in the presence of the covariate, awareness of deficits. Insufficient correlations between emotion reaction, appraisal, and awareness precluded further analysis of the potential mediating role of awareness between cognitive appraisal and emotional reaction. Clinical implications of the study are discussed.
John Barrett, Ph.D. (Committee Chair)
103 p.

Recommended Citations

Citations

  • Luitjohan, A. (2013). Emotional reactions to diagnostic disclosure of cognitive impairment [Doctoral dissertation, Xavier University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=xavier151135548047244

    APA Style (7th edition)

  • Luitjohan, Amy. Emotional reactions to diagnostic disclosure of cognitive impairment . 2013. Xavier University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=xavier151135548047244.

    MLA Style (8th edition)

  • Luitjohan, Amy. "Emotional reactions to diagnostic disclosure of cognitive impairment ." Doctoral dissertation, Xavier University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=xavier151135548047244

    Chicago Manual of Style (17th edition)