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Biopsychosocial Effects Among Coronary Artery Bypass Grafting Patients 56<br />

researcher to assess current supportive behaviors actually enacted in the face <strong>of</strong> CABO<br />

stress vs. past support. Although the five subscales have been confirmed through factor<br />

analysis, it is unclear if modifications made reduced some <strong>of</strong> the reliability.<br />

Another limitation that may have affected the reliability and generalizability <strong>of</strong> the<br />

questionnaires used in the current study may have been the length <strong>of</strong> the items and the<br />

amount <strong>of</strong> time it took to complete these items. There also may have been some<br />

redundancy within the test items. Because the questionnaires were administered only<br />

three months post-CABO surgery some participants may have had some difficulty<br />

concentrating or may have rushed through to answer the six surveys quickly.<br />

Participant Selection Bias<br />

Selection bias was another limitation. Only Pennsylvania residents surrounding a<br />

specific region serviced by one Cardiothorasic surgery center were asked to participate.<br />

Despite the attempt at random selection, it may have not been random. First, participants<br />

who were traveling more than 45 minutes <strong>of</strong>ten refused to volunteer to participate<br />

because <strong>of</strong> the travel involved. Second, some residents did not have the means <strong>of</strong> travel to<br />

be able to volunteer. Thus only a small percentage <strong>of</strong> the large available post-CABO<br />

patients were able to participate.<br />

Sample Bias<br />

The sample was quite homogenous. Individual participants were post­<br />

CABO surgery, from an urban setting representing various ages, ethnicities, educational,

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