Association between illness perception and health-related quality of life in patients with preexisting premature coronary artery disease

Lotfi‐Tokaldany, Masoumeh; Shahmansouri, Nazila; Karimi, Abbas; Sadeghian, Saeed; Saadat, Soheil; Abbasi, Seyed Hesameddin; Jalali, Arash

doi:10.1016/j.jpsychores.2019.03.001

Cited by 20 publications

(17 citation statements)

References 46 publications

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“…It was unclear in our analysis whether poorer physical health at 6 months was influenced by perceptions of necessity and suitability, and physical health at baseline. In addition, we found no real impact of baseline illness perceptions on physical health at 6 months, which contrasts with previous research [7,8,[30][31][32][33][34].…”

Section: Discussioncontrasting

confidence: 99%

Longitudinal study of the relationship between patients’ medication adherence and quality of life outcomes and illness perceptions and beliefs about cardiac rehabilitation

Thomson

Rushworth

Andreis

et al. 2020

BMC Cardiovasc Disord

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Background: Adherence to medication regimens is essential for preventing and reducing adverse outcomes among patients with coronary artery disease (CAD). Greater understanding of the relation between negative illness perceptions, beliefs about cardiac rehabilitation (CR) and medication adherence may help inform future approaches to improving medication adherence and quality of life (QoL) outcomes. The aims of the study are: 1) to compare changes in illness perceptions, beliefs about CR, medication adherence and QoL on entry to a CR programme and 6 months later; 2) to examine associations between patients' illness perceptions and beliefs about CR at baseline and medication adherence and QoL at 6 months. Methods: A longitudinal study of 40 patients with CAD recruited from one CR service in Scotland. Patients completed the Medication Adherence Report Scale, Brief Illness Perception Questionnaire, Beliefs about CR questionnaire and the Short-Form 12 Health Survey. Data were analysed using the Wilcoxon Signed Ranks test, Pearson Product Moment correlation and Bayesian multiple logistic regression. Results: Most patients were men (70%), aged 62.3 mean (SD 7.84) years. Small improvements in 'perceived suitability' of CR at baseline increased the odds of being fully adherent to medication by approximately 60% at 6 months. Being fully adherent at baseline increased the odds of staying so at 6 months by 13.5 times. 'Perceived necessity, concerns for exercise and practical barriers' were negatively associated with reductions in the probability of full medication adherence of 50, 10, and 50%. Small increases in concerns about exercise decreased the odds of better physical health at 6 months by about 50%; and increases in practical barriers decreased the odds of better physical health by about 60%. Patients perceived fewer consequences of their cardiac disease at 6 months. Conclusions: Patients' beliefs on entry to a CR programme are especially important to medication adherence at 6 months. Negative beliefs about CR should be identified early in CR to counteract any negative effects on QoL. Interventions to improve medication adherence and QoL outcomes should focus on improving patients' negative beliefs about CR and increasing understanding of the role of medication adherence in preventing a future cardiac event.

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Section: Discussioncontrasting

confidence: 99%

Longitudinal study of the relationship between patients’ medication adherence and quality of life outcomes and illness perceptions and beliefs about cardiac rehabilitation

Thomson

Rushworth

Andreis

et al. 2020

BMC Cardiovasc Disord

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“…There was an association between illness representation and distress in patients with CHD. Several studies found that a strong illness identity, acute/chronic timeline, cyclical timeline, consequences, and emotional responses in stroke patients were significantly and positively related to anxiety and depression [22,23,48]. The results of this study correspond to those obtained by Nur et al (2018).…”

Section: 3%)supporting

confidence: 84%

“…High levels of anxiety in cardiac patients are often driven by maladaptive beliefs about their heart condition [20], and these misconceptions are frequently targeted during CVPR. Perceptions and misconceptions about illness by patients can determine the choice of coping strategies and affect adherence to treatment and the adoption of healthy behaviours [21][22][23].…”

Section: Introductionmentioning

confidence: 99%

Psycho-Social Factors in Patients with Cardiovascular Disease Attending a Family-Centred Prevention and Rehabilitation Programme: EUROACTION Model in Spain

Buigues

Queralt

Velasco

et al. 2021

Life

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Background: Coronary heart disease (CHD) persists as the leading cause of death worldwide. Cardiovascular prevention and rehabilitation (CVPR) has an interdisciplinary focus, and includes not only in physiological components, but it also addresses psycho-social factors. Methods: The study analysed the Spanish psycho-social data collected during the EUROACTION study. In Spain, two hospitals were randomised in the Valencia community. Coronary patients were prospectively and consecutively identified in both hospitals. The intervention hospital carried out a 16-week CVPR programme, which aimed to assess illness perceptions and establish healthy behaviours in patients and their partners. Results: Illness perceptions were significantly and inversely associated with anxiety and depression. Low levels of anxiety were associated with better self-management of total cholesterol (p = 0.004) and low-density lipoprotein-cholesterol (p = 0.004). There was concordance at one year among patients and partners who participated in the programme related to anxiety (p < 0.001), fruit consumption (p < 0.001), and vegetable consumption (p < 0.001). Conclusions: The EUROACTION study emphasised the importance of assessing psycho-social factors in a CVPR programme and the inclusion of family as support in patients’ changes in behaviour.

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“…Our results for differences in the total scores for the B-IPQ indicate that the caregivers had higher scores than the patients at 6 months. The patients' B-IPQ (total score) at baseline was comparable with those of Blair et al [5], illness perceptions and quality of life [15,25,[55][56][57][58], and whether an illness perception intervention reduces anxiety in spouses of MI patients [11,28]. However, there remains For beliefs about CR (BCR-Q), there were no statistically significant differences between the patients and caregivers for necessity, exercise concerns, practical barriers or perceived suitability.…”

Section: Discussionmentioning

confidence: 56%

“…This finding is contrary to Broadbent et al [28], however, they did not analyse dyadic data using the APIM. Several other studies have examined illness perceptions and quality of life in CAD but only patients' quality of life was assessed [15,26,27,55,58].…”

Section: Discussionmentioning

confidence: 99%

Longitudinal evaluation of the effects of illness perceptions and beliefs about cardiac rehabilitation on quality of life of patients with coronary artery disease and their caregivers

Thomson

Angus

Andreis

et al. 2020

Health Qual Life Outcomes

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Background: Patients' negative illness perceptions and beliefs about cardiac rehabilitation (CR) can influence uptake and adherence to CR. Little is known about the interpartner influence of these antecedent variables on quality of life of patients with coronary artery disease (CAD) and their family caregivers. The aims of the study were: 1) to assess differences in illness perceptions, beliefs about CR and quality of life between patients with CAD and their family caregivers upon entry to a CR programme and at 6 months follow-up; and 2) to examine whether patients' and caregivers' perceptions of the patient's illness and beliefs about CR at baseline predict their own and their partner's quality of life at 6 months. Methods: In this longitudinal study of 40 patient-caregiver dyads from one CR service, patients completed the Brief Illness Perception Questionnaire and Beliefs about Cardiac Rehabilitation Questionnaire at baseline and 6 months; and caregivers completed these questionnaires based on their views about the patient's illness and CR. The Short-Form 12 Health Survey was used to assess patients' and caregivers' perceived health status. Dyadic data were analysed using the Actor-Partner Interdependence Model. Results: Most patients (70%) were men, mean age 62.45 years; and most caregivers (70%) were women, mean age 59.55 years. Caregivers were more concerned about the patient's illness than the patients themselves; although they had similar scores for beliefs about CR. Patients had poorer physical health than caregivers, but their level of mental health was similar. Caregivers' poorer mental health at 6 months was predicted by the patient's perceptions of timeline and illness concern (i.e. partner effects). Patient's and caregiver's illness perceptions and beliefs about CR were associated with their own physical and mental health at 6 months (i.e. actor effects).

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Association between illness perception and health-related quality of life in patients with preexisting premature coronary artery disease

Cited by 20 publications

References 46 publications

Longitudinal study of the relationship between patients’ medication adherence and quality of life outcomes and illness perceptions and beliefs about cardiac rehabilitation

Longitudinal study of the relationship between patients’ medication adherence and quality of life outcomes and illness perceptions and beliefs about cardiac rehabilitation

Psycho-Social Factors in Patients with Cardiovascular Disease Attending a Family-Centred Prevention and Rehabilitation Programme: EUROACTION Model in Spain

Longitudinal evaluation of the effects of illness perceptions and beliefs about cardiac rehabilitation on quality of life of patients with coronary artery disease and their caregivers

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