Multimodal treatment of women with mitral valve prolapse syndrome

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dc.contributor.advisor Nicholas, Donald R. en_US Nevin, Doris Eileen Jacobs en_US 2011-06-03T19:29:27Z 2011-06-03T19:29:27Z 1997 en_US 1997
dc.identifier LD2489.Z68 1997 .N48 en_US
dc.description.abstract Mitral valve prolapse is the most commonly occurring cardiac condition. It is a benign condition which affects as many as 10% of the population. Some patients have symptomatic mitral valve prolapse. This condition is referred to as mitral valve prolapse syndrome. Symptoms include: chest pain, tachycardia, palpitations, fatigue, dizziness, shortness of breath, headaches, low exercise tolerance, feelings of anxiety, panic attacks, and mood swings. These symptoms adversely effect the patient's quality of life.The purpose of this study was to investigate the response of patients with mitral valve prolapse syndrome to treatment that includes the accepted treatment for panic disorder, and to determine the roles of self-efficacy and of level of spousal support in enhancing the ability of identified patients to cope with mitral valve prolapse syndrome.Thirty-one subjects initially agreed to participate in this study. Of these subjects, fifteen left the study. The leading causes of dropout were lack of spousal support and multiple role stress. The remaining sixteen subjects completed the study. Subjects were randomly divided into three treatment conditions, individual multimodal therapy, couples multimodal therapy, and a waiting list/control group. Treatment consisted of attending a five session psychoeducational program and completing prescribed exercises at home between sessions. The first two sessions examined self-care lifestyle changes that patients could make to alleviate symptoms. The remaining three sessions focused on the over reactiveness of the autonomic nervous system for these patients and the efficacy of learned relaxation procedures. Dependent measures included a Symptom Checklist, Anxiety Sensitivity, Strength and Magnitude of Self-Efficacy and Strength and Magnitude of Interactive Efficacy.Data was analyzed in a two-step process. First, it was analyzed using a multiple single case design format. This was followed by a quantitative analysis of grouped data. In general, the multiple single case design complemented the quantitative analysis. Individual findings in the multiple single case design indicated issues for future research.Participation in treatment was found to aid in decreasing global physical symptoms, decreasing anxiety sensitivity symptoms, and increasing the subject's confidence in her ability to manage her symptoms. The increased level of self-confidence was related significantly to decreasing global physical symptoms. There was a weak, non-statistically significant correlation between increased confidence of self-efficacy and decreased anxiety sensitivity symptoms. Participation in couples multimodal treatment or any treatment was not significantly linked to increased interactive efficacy. Increased interactive efficacy was correlated with increased self-efficacy and decreased global physical symptoms. en_US
dc.description.sponsorship Department of Counseling Psychology and Guidance Services
dc.format.extent xxxv, 413 leaves ; 28 cm. en_US
dc.source Virtual Press en_US
dc.subject.lcsh Mitral valve -- Displacement -- Treatment -- Psychological aspects. en_US
dc.subject.lcsh Self-efficacy. en_US
dc.title Multimodal treatment of women with mitral valve prolapse syndrome en_US Thesis (Ph. D.) en_US
dc.identifier.cardcat-url en_US

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  • Doctoral Dissertations [3134]
    Doctoral dissertations submitted to the Graduate School by Ball State University doctoral candidates in partial fulfillment of degree requirements.

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