Drawings Reflect a New Dimension of the Psychological Impact of Long-Term Remission of Cushing's Syndrome

Tiemensma, Jitske; Daskalakis, Nikolaos P.; Veen, Else M. van der; Ramondt, Steven; Richardson, Stephanie K.; Broadbent, Elizabeth; Romijn, Johannes A.; Pereira, Alberto M.; Biermasz, Nienke R.; Kaptein, Adrian A.

doi:10.1210/jc.2012-1235

Cited by 34 publications

(42 citation statements)

References 30 publications

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“…In the hysterectomy group, the score dropped from 5.9 to 2.6. These results are consistent with results from other drawing studies in that the size of the drawn organs is reduced after the upsetting event has taken place [21,[29][30][31][32][33]. The intraclass correlation coefficient between G. S. and L. R. on Drawing 1 and Drawing 2 was 0.82 and 0.66, respectively.…”

Section: Drawings (Figure 3)supporting

confidence: 91%

“…A relatively new method to assess illness perceptions is through patients' drawings of affected organ(s) [21,[28][29][30][31][32][33]. It has the advantage of circumventing possible social desirability issues and provides a unique and value free illustration of a person's illness perceptions [31]. All women were asked to retrospectively draw images of her uterus and pelvic area during the event (Drawing 1) and at the time of returning the questionnaires (Drawing 2).…”

Section: Drawingsmentioning

confidence: 99%

“…Mean scores of drawing 1 and drawing 2 were calculated and compared. This approach to illness perceptions scoring has been described earlier by Tiemensma et al [31,33].…”

Section: Drawingsmentioning

confidence: 99%

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Major obstetric hemorrhage: a follow-up survey on quality of life of women and their partners

Stralen

Ruijten

Kaptein

et al. 2017

Journal of Psychosomatic Obstetrics & Gynecology

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Introduction: A description is given of the quality of life (QOL) of women who were treated with peripartum embolization or hysterectomy for major obstetric hemorrhage (MOH). Methods: Questionnaires assessing QOL, combined with questionnaires and drawings assessing illness perceptions, were used to compare women with MOH to reference groups provided by the questionnaires. Results: Women who experienced MOH have similar scores on QOL questionnaires compared to reference groups. Women treated with arterial embolization scored better than women treated with hysterectomy. Partners of women with MOH scored better on QOL questionnaires than reference groups. Drawings reflect the major emotional impact of MOH. Discussion: MOH does not seem to have a negative effect on QOL 6-8 years after the event, although drawings and verbalizations indicate major emotional impact. More extensive follow-up is advised for early recognition of the need for psychological help. Women after embolization seem to have better QOL compared to women after hysterectomy.

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Section: Drawings (Figure 3)supporting

confidence: 91%

Section: Drawingsmentioning

confidence: 99%

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Major obstetric hemorrhage: a follow-up survey on quality of life of women and their partners

Stralen

Ruijten

Kaptein

et al. 2017

Journal of Psychosomatic Obstetrics & Gynecology

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“…The drawing test has successfully been used in patients after long-term remission of Cushing's syndrome (11), and other chronic conditions such as myocardial infarction (10), heart failure (9), headache (12), postpartum hemorrhage (13), vestibular schwannoma (14), and systemic lupus erythematosus (15). Drawings appeared to reflect a new dimension of the psychological impact of long-term remission of Cushing's syndrome.…”

Section: Introductionmentioning

confidence: 99%

“…Drawings appeared to reflect a new dimension of the psychological impact of long-term remission of Cushing's syndrome. Drawings and scores on an Illness Perception Questionnaire (IPQ) showed marginal correlations (11). The other studies using the drawing test in non-endocrine conditions showed that drawings illustrate the functional and psychological status of the patient.…”

Section: Introductionmentioning

confidence: 99%

Persistent negative illness perceptions despite long-term biochemical control of acromegaly: novel application of the drawing test

Tiemensma¹,

Pereira²,

Romijn³

et al. 2015

European Journal of Endocrinology

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Context and objective: Patients with acromegaly have persistent complaints despite long-term biochemical control. Drawings can be used to assess patients' perceptions about their disease. We aimed to explore the utility of the drawing test and its relation to illness perceptions and quality of life (QoL) in patients after long-term remission of acromegaly. Design: A cross-sectional study was conducted to evaluate the utility of the drawing test. Methods: A total of 50 patients after long-term remission (meanGS.E.M., 16G1.2 years) of acromegaly were included in this study. Patients completed the drawing test (two retrospective drawings of their body perception before acromegaly and during the active phase of acromegaly, and one drawing on the current condition after long-term remission), Illness Perception Questionnaire-Revised, Physical Symptom Checklist, EuroQoL-5D, and AcroQoL. Results: Patients perceived a dramatic change in body size during the active state of the disease compared with the healthy state before the awareness of acromegaly. Patients reported that their body did not completely return to the original proportions after long-term remission. In addition, larger drawings indicated more negative consequences (P!0.05), a higher score on emotional representations (P!0.05), and more perceived symptoms that were attributed to acromegaly (P!0.01). Larger drawings also indicated more impaired QoL, especially disease-specific QoL (all P!0.05). Conclusion: There are strong correlations among the drawing test, illness perceptions, and QoL. The drawing test appears to be a novel and relatively easy tool to assess the perception of patients after long-term remission of acromegaly. The assessment of drawings may enable health care providers to appreciate the perceptions of patients with long-term remission of acromegaly, and enable discussion of symptoms and remission.

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The art of perception: Patients drawing their vestibular schwannoma

et al. 2015

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Drawings Reflect a New Dimension of the Psychological Impact of Long-Term Remission of Cushing's Syndrome

Cited by 34 publications

References 30 publications

Major obstetric hemorrhage: a follow-up survey on quality of life of women and their partners

Major obstetric hemorrhage: a follow-up survey on quality of life of women and their partners

Persistent negative illness perceptions despite long-term biochemical control of acromegaly: novel application of the drawing test

The art of perception: Patients drawing their vestibular schwannoma

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