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  PoS   WORD HIS EDU SOC LAW HUM PHIL SCI MED BUS
1  N    PREDISPOSITION 23 50 74 44 26 117 53 77 3
2  J    CODED 36 53 128 19 45 21 81 96 4
3  R    EXTERNALLY 90 75 88 55 35 71 120 72 5
4  N    COMMONALITY 104 96 123 37 79 96 51 20 3
5  J    INTEGRATIVE 66 83 130 22 45 82 183 163 2
6  N    EQUAL 59 25 59 43 36 61 36 20 17
7  J    PRESUMED 78 21 107 59 71 34 73 56 7
8  J    UNSKILLED 154 20 127 64 13 17 18 23 11
9  J    CHILDBEARING 37 14 136 61 9 34 32 42 7
10  R    CENTRALLY 78 22 113 62 62 31 82 65 12
 

specific cognitions, behaviors, and anxiety during confrontations with the physician, dietitian, nurse, and secretary. Another special scale was developed to evaluate compliance with self-care behaviors in diabetes. Cognitive and behavioral coping skills specific to patient-medical team encounters were found to be significant correlates of various compliance variables in the following order: maintenance of positive self-esteem and efficacy during criticism, positive acceptance of criticism, avoidance of conflict by offering compromise solutions, and assertive request for follow-up with a specific doctor. Each was found to be a significant predictor of compliance behaviors. The findings indicate the importance of positive cognitive and assertive coping skills in specific stressful situations involving the patient and medical team. A major problem in the treatment of chronic disease is ensuring patient compliance with the medical regimen. Numerous studies have indicated that the rate of compliance in health care is alarmingly low: approximately one-half of all patients with chronic disease do not comply with health professionals' instructions (Epstein

 
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[ACADEMIC] Health & Social Work (1990)
 



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