Living with colorectal cancer : naturalistic assessment of daily life


Living with colorectal cancer : naturalistic assessment of daily life

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dc.contributor.advisor Rude, Stephanie Sandra
dc.creator Rooney, Stephanie Buell 2010-12-13T20:58:42Z 2010-12-13T20:58:47Z 2010-12-13T20:58:42Z 2010-12-13T20:58:47Z 2010-08 2010-12-13 August 2010
dc.description.abstract Ecological momentary assessment provides a unique way of studying quality of life factors of colorectal cancer patients. It has yet to be used to study the behavioral expression of distress or depression by colorectal cancer patients. The current study utilized the Electronically Activated Recorder (EAR) technology to capture the daily activities and conversations of forty-eight adults with colorectal cancer. The study had two purposes: 1) to test the feasibility of the EAR with colorectal cancer patients; 2) to examine separate (self-report and behavioral) indicators of physical functioning, coping, and social support for their relationship to depression. Study participants wore the EAR, a portable digital recorder, for two consecutive days as the EAR recorded 30 seconds every 12.5 minutes. The EAR digital data were transcribed and analyzed for behavioral and linguistic indicators of physical functioning, coping, and social support. The acoustic data were analyzed using the standardized coding system Social Environment Coding of Sound Inventory (SECSI) and the Linguistic Inquiry and Word Count (LIWC2007) computer program. The results provided preliminary evidence that the EAR operated as a feasible and non-disruptive tool for gathering naturalistic data about colorectal patients’ lives. The EAR data revealed information about both the colorectal patients’ internal emotional world as well as their external world which was characterized by solitary acts of daily living. Study subjects were more likely to accept and receive tangible support from others than directly discuss their cancer with others. Analysis of language found that personal disclosure to others was associated with coping through emotional support while causation words (e.g., because, effect, hence) were significantly related with self-report cognitive scales. Furthermore, the study found that first-person singular pronouns were associated not only with depression, but with appraisal of social support. Lastly, a predictive model was tested to see whether self-reported tangible and emotional support and behavioral coding of emotional support each contributed uniquely to the prediction of depression. Only self-reported tangible support was found to significantly predict depression.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.subject Colorectal cancer
dc.subject Ecological momentary assessment
dc.subject Electrically Activated Recorder (EAR)
dc.subject Depression
dc.title Living with colorectal cancer : naturalistic assessment of daily life 2010-12-13T20:58:48Z
dc.contributor.committeeMember Taylor, Cindy C.
dc.contributor.committeeMember Drum, David
dc.contributor.committeeMember Langer, Shelby
dc.contributor.committeeMember McCarthy, Christopher
dc.contributor.committeeMember Pennebaker, James
dc.description.department Educational Psychology
dc.type.genre thesis
dc.type.material text Educational Psychology Educational Psychology University of Texas at Austin Doctoral Doctor of Philosophy

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