Illness perception and quality of life of HIV-positive persons: mediation effects of tenacious and flexible goal pursuit

Catunda, Carolina; Seidl, Eliane Maria Fleury; Lemétayer, Fabienne

doi:10.1080/13548506.2016.1146404

Cited by 10 publications

(6 citation statements)

References 27 publications

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“…The previous study had the same results, which showed that diabetic patients' illness perceptions affected their QoL (Mohamed et al, 2016). The present study supported the previous studies regarding the association between illness perception and QoL (Catunda, Seidl, & Lemétayer, 2017;Rahimi, baljani, & Zadgasem, 2012;Rawlings, Brown, & Reuber, 2017). Salemi, Hasemi, and Arefi (2016) also reported that illness perception in BIPQ domains significantly affected the QoL of SF-36 domain scores.…”

Section: Discussionsupporting

confidence: 81%

Illness Perception and Quality of Life in Type 2 Diabetes Mellitus Patients in Lampung, Indonesia

Al-Kayyis¹,

Perwitasari²

2018

GJHS

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Aims: The aim of this study was to determine the correlation between illness perception and QoL in Type 2 Diabetes Mellitus (T2DM) patients. Material and Methods:We used cross-sectional design. The subjects were recruited from the Pringsewu Government Hospital in Lampung, Indonesia, and underwent T2DM treatment from May-July 2016. The subjects have met the inclusion and exclusion criteria. The inclusion criteria were patients age 15-65 with a diagnosis of T2DM with complications for more than 3 months prior and who consented to participate in the study. Participants used the self-reported questionnaire BIPQ (Brief Illness Perception Questionnaire) to measure illness perception and the SF-36 (Short Form-36) questionnaire to measure QoL. Statistical analysis used in this study were Pearson correlation and multivariate linear regression to test between illness perception and quality of life (QoL) domains. The correlation between variable were statistically significant if p value < 0.05. Results:The domain of treatment management had the highest score among all BIPQ domains (mean: 8.55; SD: 1.99). Emotional well-being had the highest scores among the SF-36 domains (mean: 72.69; SD: 17.33). The energy domain in QoL was significantly predicted by consequence, personal management, and identity in the BIPQ illness perception components (p <0.0001). Moreover, the role limitation component was significantly predicted by emotional response, coherence and random blood glucose levels (p <0.0001). Conclusions:This study significantly showed weak positive correlations between illness perception and QoL in T2DM patients. An education strategy aimed at changing these negative emotional responses to improve patients' role limitations due to emotional function should be considered.

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Section: Discussionsupporting

confidence: 81%

Illness Perception and Quality of Life in Type 2 Diabetes Mellitus Patients in Lampung, Indonesia

Al-Kayyis¹,

Perwitasari²

2018

GJHS

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“…Several studies on different chronic illnesses have confirmed the mediating role of coping strategies in the relationship between illness representations and outcomes, such as mood, quality of life, and patients’ satisfaction (Diefenebach and Leventhal, 1996; Leventhal et al, 2001; Rutter and Rutter, 2002; Hagger and Orbell, 2003; Llewellyn et al, 2007; Gould et al, 2010; Catunda et al, 2016). However, some studies have suggested that illness representations are also directly associated with outcomes regardless of coping strategies, and that illness representations are more strongly associated with outcomes than coping strategies (e.g., Moss-Morris et al, 1996; Scharloo et al, 1998).…”

Section: Introductionmentioning

confidence: 98%

Illness Representations of HIV Positive Patients Are Associated with Virologic Success

et al. 2016

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Introduction: It is important for HIV positive patients to be engaged in their care and be adherent to treatment in order to reduce disease progression and mortality. Studies found that illness representations influence adherence through the mediating role of coping behaviors. However, no study has ever tested if patient engagement to the visits mediate the relationship between illness perceptions and adherence. This study aimed to explore illness representations of HIV positive patients and test the hypothesis that illness representations predict adherence through the mediating role of a component of behavioral engagement.Methods: HIV-positive patients treated with highly active antiretroviral therapy (HAART) for at least one year and presenting to a check-up visit were eligible to participate in the study. Patients completed the Illness Perception Questionnaire-Revised. Behavioral engagement was measured based on the patients’ clinical attendance to the check-up visits; adherence to HAART was measured by viral load. Undetectable viral load or HIV-RNA < 40 copies/ml were considered indexes of virologic success.Results: A total of 161 patients participated in the study. Most of them coherently attributed the experienced symptoms to HIV/HAART; perceived their condition as chronic, stable, coherent, judged the therapy as effective, and attributed their disease to the HIV virus and to their behavior or bad luck. The majority of patients (80.1%) regularly attended check-up visits and 88.5% of them reached virologic success. The mediation model did not show good fit indexes. However, a significant direct effect of two independent variables on virologic success was found. Specifically, the perception that the disease does not have serious consequences on patient’s life and the prevalence of negative emotions toward HIV were associated with virologic success. On the contrary, the patient’s perception that the disease has serious consequences on his/her life and the prevalence of positive emotions were associated with virologic failure. This model showed good fit indexes (CFI = 1; TLI = 1; RMSEA = 0.00; and WRMSR = 0.309).Discussion: Results do not support the mediating role of behavioral engagement in the relationship between illness representations and adherence. As perception of serious consequences coupled with positive emotions are directly associated with virologic failure, clinicians should take them into account to promote treatment adherence.

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“…A body of work shows that goal adjustment predicts high levels of well-being in general and in the face of age-related developmental losses [ 5 , 6 ]. More precisely, FGA correlates positively with health perception, positive affect, life satisfaction, sense of control, positive self-evaluation, and low depression in old age [ 8 , 12 , 21 – 25 ]. In addition, FGA has been found to dampen the effects of age on depression [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Longitudinal Patterns of Stability and Change in Tenacious Goal Pursuit and Flexible Goal Adjustment among Older People over a 9-Year Period

Martinent

Bailly

Ferrand

et al. 2017

BioMed Research International

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Using the dual-process model of assimilative-tenacity (TGP) and accommodative-flexibility (FGA), the study aims to identify trajectories of TGP and FGA over five time points within a 9-year period, explore the relationships between the trajectories of TGP and FGA, and explore if participants from distinct TGP and FGA trajectories differed in indicators of well-being and depression. Latent class growth analysis was used in a five-wave longitudinal design among an older population of 747 participants over 65 years. Results highlight (1) emergence of four trajectories for flexibility (low and increasing, moderate and increasing, moderately high and stable, and high and stable trajectories) and three trajectories for tenacity (low and stable, moderate and stable, and high and decreasing trajectories), (2) that older people belonging to particular trajectories of FGA are not more likely to belong to particular trajectories of TGP, and (3) that participants from the high and decreasing TGP and high or moderately high and stable FGA trajectories were characterized by high score of perceived health, satisfaction with life, and self-esteem and low score of depression moods. These results highlight that the heterogeneity in longitudinal TGP and FGA scores throughout the life span needs to be accounted for in future research.

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Illness perception and quality of life of HIV-positive persons: mediation effects of tenacious and flexible goal pursuit

Cited by 10 publications

References 27 publications

Illness Perception and Quality of Life in Type 2 Diabetes Mellitus Patients in Lampung, Indonesia

Illness Perception and Quality of Life in Type 2 Diabetes Mellitus Patients in Lampung, Indonesia

Illness Representations of HIV Positive Patients Are Associated with Virologic Success

Longitudinal Patterns of Stability and Change in Tenacious Goal Pursuit and Flexible Goal Adjustment among Older People over a 9-Year Period

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