Preference for local or general anesthesia,coping dispositions,learned resourcefulness and coping with surgery

Abstract

People were found to differ in their coping dispositions (as measured with the MBSS, Miller, 1987): those who habitually attend to threatening cues (“monitors”) and those who distract themselves from these cues (“blunters”). However, some people are equally high on both coping dispositions and they were considered to be in a “dispositional conflict”. Furthermore, under certain circumstances people may prefer to act in a way that is inconsistent with their coping disposition; monitors who prefer blunting strategies and blunters who prefer monitoring strategies (labeled here as “disposition-behavior conflict”). Both conflicts were hypothesized to be associated with higher levels of trait anxiety and poorer coping. 59 men scheduled for surgery were assessed as to their coping disposition (monitors or blunters) and their preference for local or general anesthesia, and their learned resourcefulness (selfantrol skills). Monitors who chose general anesthesia (and thus were unable to monitor their own surgery) and blunters who chose local anesthesia (and thus were unable to blunt) were defined as being in a disposition-behavior conflict. Re- and post-surgery measures of anxiety and dysphoria and post-surgery nurses' ratings were used for assessing coping with surgery. Patients who were either high on dispositional conflict or showed a disposition-behavior conflict were higher on trait anxiety and showed poorer post-surgery coping in comparison to patients without such conflicts. Learned resourcefulness was not related to better coping nor to the two conflicts with the exception that patients with a disposition-behavior conflict reported less confidence in their self-control abilities. Overall, preference for local anesthesia predicted better post-surgery coping.