The dynamics of illness perceptions: Testing assumptions of Leventhal's common‐sense model in a pulmonary rehabilitation setting

Fischer, Maarten J.; Scharloo, Margreet; Abbink, Jannie J.; Hul, Alex J van ’t; Ranst, Dirk van; Rudolphus, Arjan; Weinman, John; Rabe, Klaus F.; Kaptein, Ad A.

doi:10.1348/135910710x492693

Cited by 53 publications

(52 citation statements)

References 43 publications

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“…The questionnaire was developed to assess the components of the illness representation of Leventhal's Self-Regulatory Model and is frequently used to study illness perceptions in chronic conditions (13)(14)(15)(16)(17). The IPQ-R is divided into three sections.…”

Section: Methodsmentioning

confidence: 99%

Negative illness perceptions are associated with impaired quality of life in patients after long-term remission of Cushing's syndrome

Tiemensma¹,

Kaptein²,

Pereira³

et al. 2011

European Journal of Endocrinology

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Objective: Illness perceptions pertain to the pattern of beliefs patients develop about their illness. Illness perceptions are determinants of quality of life (QoL). Factors contributing to persisting impaired QoL after Cushing's syndrome (CS) remain largely unknown. Therefore, the objective of this study was to explore illness perceptions, as potentially modifiable psychological factors, in relation to QoL in patients with long-term remission of CS. Design: Cross-sectional study. Methods: We included patients with long-term remission of CS (nZ52). Illness perceptions were evaluated using the Illness Perception Questionnaire (IPQ)-Revised, and QoL was measured using the physical symptom checklist, EuroQoL-5D (EQ-5D), and the CushingQoL. Reference data were derived from recent studies and included patients with vestibular schwannoma (nZ80), acute (nZ35) or chronic (nZ63) pain, and chronic obstructive pulmonary disease (COPD; nZ171). Results: Illness perceptions showed a strong correlation with QoL. Patients with CS scored distinctively more negative on the IPQ compared with patients with vestibular schwannoma and patients with acute pain, and also reported more illness-related complaints (all P!0.01). There were also some differences in illness perceptions between patients with CS and patients with chronic pain and patients with COPD, but there was no distinct pattern. Conclusions: Patients after long-term remission of CS report more negative illness perceptions compared with patients with other acute or chronic conditions. Further research is needed to assess whether QoL in CS can be improved by addressing these illness perceptions, for example, by a self-management intervention program.

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Section: Methodsmentioning

confidence: 99%

Negative illness perceptions are associated with impaired quality of life in patients after long-term remission of Cushing's syndrome

Tiemensma¹,

Kaptein²,

Pereira³

et al. 2011

European Journal of Endocrinology

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“…The IPQ was developed to provide a quantitative assessment of the components of illness representations. It has been used to study illness adaptation in a wide range of conditions 11,14,16,17 .…”

Section: Revised Illness Perception Questionnaire (Ipq-r)mentioning

confidence: 99%

“…Illness perceptions encompass the patient's own understanding and beliefs about their illness, its effects, causes and progression. Illness perceptions have been found to predict recovery from a range of conditions, such as myocardial infarction 11,12 or surgery 13,14 and also seem to influence how patients cope with chronic conditions, such as diabetes 15,16 , chronic lung disease 17 or arthritis [18][19][20] .…”

Section: Introductionmentioning

confidence: 99%

Effects of psychological distress and perceptions of illness on recovery from total knee replacement

Hanusch

O’Connor

Ions

et al. 2014

The Bone & Joint Journal

114

105

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This cohort study investigated the influence of psychological factors, including perception of illness, anxiety and depression on recovery and functional outcome after total knee replacement surgery.A total of 100 patients (55 male; 45 female) with a mean age of 71 (42 to 92) who underwent a primary total knee replacement for osteoarthritis were recruited into this study. In all 97 participants completed the six week and 87 the one year follow-up questionnaires. Pre-operatively patients completed the revised Illness PerceptionQuestionnaire (IPQ-r), Hospital Anxiety and Depression Scale (HADS) and Recovery Locus of Control Scale (RLOC). Function was assessed preoperatively, at six weeks and one year using Oxford Knee Score (OKS) and range of motion (ROM).The results showed that pre-operative function had the biggest impact on post-operative outcome for ROM and OKS. In addition questionnaire variables and depression had an impact on OKS at 6 weeks. Depression and anxiety were also associated with higher (worse) knee score at one year but did not influence the ROM at either six weeks or one year.Recovery from total knee replacement can be difficult to predict. This study has identified psychological factors that play an important role in recovery from surgery and functional outcome. These factors should be taken into account when considering patients for total knee replacement.

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“…Further, people's illness representation will often integrate with their overall "lay" beliefs about illness and how they typically organize and interpret existing information enabling them to make sense of their symptoms and guide their response (McAndrew et al, 2008). The perceived association between the severity of the outcome and illness representation has been supported empirically by studies on a number of illnesses (Fischer et al, 2010;Hagger & Orbell, 2003;Lacroix, Martin, Avendano, & Goldstein, 1991;Meyer, Leventhal, & Gutmann, 1985;Scharloo et al, 2007;Stockford, Turner, & Cooper, 2007). Thus, the cognitive process of correctly labeling experienced (observed) warning symptoms as a stroke and seeking appropriate and timely health care is increased with stroke knowledge, whick is the focus of this research.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Women and Stroke Knowledge: Influence of Age, Race, Residence Location, and Marital Status

Ennen

Beamon

2012

Health Care for Women International

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Worldwide, stroke is the second leading cause of death and leading cause of disability. Women experience over half of all strokes, 60% of stroke-related deaths, and a death rate of 11% versus 8.4% for men. To understand the delay in stroke recognition and treatment, a convenience sample of 97 midlife women living in southeast North Carolina completed the Stroke Recognition Questionnaire. Rural women, younger women (<49 years old), and participants with incomes under $35,601 had higher stroke symptom and risk factor knowledge scores. Educational interventions should target women over the age of 50, and should distinguish between symptoms of stroke versus heart attack.

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The dynamics of illness perceptions: Testing assumptions of Leventhal's common‐sense model in a pulmonary rehabilitation setting

Cited by 53 publications

References 43 publications

Negative illness perceptions are associated with impaired quality of life in patients after long-term remission of Cushing's syndrome

Negative illness perceptions are associated with impaired quality of life in patients after long-term remission of Cushing's syndrome

Effects of psychological distress and perceptions of illness on recovery from total knee replacement

Women and Stroke Knowledge: Influence of Age, Race, Residence Location, and Marital Status

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