Fatimah Khakwani, Sarwat Sultan, Safia Rashid.
Perceived autonomy support and psychological problems among cardiac patients: interceding role of treatment motivation.
Pak Heart J Jan ;50(3):145-8.

Objective: To investigate the mediating effect of treatment motivation between the relationship of autonomy support and psychological problems among cardiac patients. Methodology: This cross sectional study consisted of cardiac patients recruited from Chaudry Pervaiz Elhai Institute of Cardiology Multan from June 2014 to June 2015. Patients were requested to provide the data on three scales about autonomy support, treatment motivation, and psychological problems;depression, anxiety, and stress. Result: A total of 212 patients were included in the study. Findings from regression analyses demonstrated that autonomy support predicted treatment motivation (B=.120, p>.05) and treatment motivation then predicted depression (B =.028, p>.01) anxiety, (B=.055, p> .05) and stress (B=.037,p> .05) significantly. Treatment motivation mediated the effects of perceived autonomy support on depression, anxiety, and stress (B = 2.73, 3.42, 1.47 respectively). Conclusion: Level of motivation for treatment of cardiac patients mediated the effects of perceived care and attention received from physicians on their levels of depression, anxiety, and stress.

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