Contribution des théories sur l'autorégulation du comportement dans la compréhension des conduites d'observance thérapeutique : cas de l'hypertension artérielle

Abstract : Arterial hypertension represents a major risk for cardiovascular diseases. However, many hypertensive patients do not observe correctly the medical recommendations. To explain the individual differences noted in the therapeutic observance, many social cognitive models sought to identify the determinants of the intention to set up a behavior. However, results revealed that the concept of intention was not sufficient to explain the effective behaviors setting. Recently, new health models integrated behavioral self-regulation views to explain the management of behavior and the translation of intention into action. The aim of this work is to take into account these new models to explain observance behaviors among hypertensive patients. For this purpose, three studies were developed. The objective of the first study is to determine the impact of features of personal goals structure on the psychological distress. The aim of the second study is to explore the impact of features of personal goals structure as well as motivational regulation variables on the progress towards personal health goal. Lastly, the third study was devoted to the problem of the therapeutic observance among hypertensive patients, and attempted to determine which are variables related to the features of personal goals structure and motivational regulation variables likely to explain the individual differences noted in the observance behaviors.
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Laurent Muller. Contribution des théories sur l'autorégulation du comportement dans la compréhension des conduites d'observance thérapeutique : cas de l'hypertension artérielle. Psychologie. Université Paul Verlaine - Metz, 2004. Français. ⟨NNT : 2004METZ004L⟩. ⟨tel-01750112⟩

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