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Journal of Health Psychology
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An Interpretative Phenomenological Analysis of Adaptation to Recurrent Venous Thrombosis and Heritable Thrombophilia

The Importance of Multi-causal Models and Perceptions of Primary and Secondary Control

Tria Moore

Sheffield Hallam University, UK, t.j.moore{at}shu.ac.uk

Paul Norman

University of Sheffield, UK

Peter R. Harris

University of Sheffield, UK

Michael Makris

Sheffield Haemophilia and Thrombosis Centre, UK

Venous thromboembolic disease (VTE) is a serious, life-threatening condition and a major cause of mortality and morbidity. Heritable thrombophilia increases risk of recurrent VTE. The present study employed Interpretative Phenomenological Analysis (IPA) to explore adaptation to recurrent VTE and heritable thrombophilia in six female patients. Three main themes were identified focusing on: (1) patients' multi-causal models of VTE and the maintenance of; (2) primary control; and (3) secondary control as facilitators of adjustment. Overall, genetic testing following recurrent VTE did not have a negative impact on patients. One area of concern, however, related to passing on the susceptibility to children.

Key Words: acceptance • heritable thrombophilia • Interpretative Phenomenological Analysis • primary control • secondary control • venous thrombosis

Journal of Health Psychology, Vol. 13, No. 6, 776-784 (2008)
DOI: 10.1177/1359105308093861
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