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Miller SM , Rodoletz M , Schoreder CM , Mangan CE , Sedlacek TV
Applications of the monitoring process model to coping with severe long-term medical threats
Health Psychology. 1996 May;15(3) :216-225
PMID: ISI:A1996UL30100009   
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Guided by the monitoring process model (MPM), the authors explored the illness responses of 2 samples: high monitors (who are cognitively vigilant to and amplify threat-related cues) and low monitors (who avoid them and blunt their impact). Both samples-101 women with human papillomavirus-related precancerous cervical dysplasia and 75 HIV-infected gay men- were undergoing long-term medical follow-up and management. Structural equation analysis showed an adequate fit of the MPM to the data within each sample, supporting the model's heuristic value: High monitors experienced greater disease- related intrusive ideation, which triggered greater avoidant ideation to forestall panic, particularly in the more threatened HIV-positive sample. However, efforts to avoid disturbing intrusive thoughts were ineffective, requiring increasingly extreme defensive strategies (i.e., denial and mental and behavioral disengagement).
Times Cited: 29 English Article UL301 HEALTH PSYCHOL