The Illness Behavior Questionnaire as an aid to clinical assessment

Pilowsky, I.; Spence, Neil; Cobb, Justin; Katsikitis, Mary

doi:10.1016/0163-8343(84)90070-7

Cited by 65 publications

(27 citation statements)

References 11 publications

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“…Illness behavior and social support were recorded by standard psychometric instruments. Coping with disease was evaluated with the Illness Behavior Questionnaire (IBQ) [24]. IBQ is a 62-item instrument with a summary score ranging from zero to 35.…”

Section: Methodsmentioning

confidence: 99%

Predictors of Fatigue Severity in Early Systemic Sclerosis: A Prospective Longitudinal Study of the GENISOS Cohort

et al. 2011

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ObjectivesLongitudinal studies examining the baseline predictors of fatigue in SSc have not been reported. Our objectives were to examine the course of fatigue severity over time and to identify baseline clinical, demographic, and psychosocial predictors of sequentially obtained fatigue scores in early SSc. We also examined baseline predictors of change in fatigue severity over time.MethodsWe analyzed 1090 longitudinal Fatigue Severity Scale (FSS) scores belonging to 256 patients who were enrolled in the Genetics versus Environment in Scleroderma Outcomes Study (GENISOS). Predictive significance of baseline variables for sequentially obtained FSS scores was examined with generalized linear mixed models. Predictors of change in FSS over time were examined by adding an interaction term between the baseline variable and time-in-study to the model.ResultsThe patients' mean age was 48.6 years, 47% were Caucasians, and 59% had diffuse cutaneous involvement. The mean disease duration at enrollment was 2.5 years. The FSS was obtained at enrollment and follow-up visits (mean follow-up time = 3.8 years). Average baseline FSS score was 4.7(±0.96). The FSS was relatively stable and did not show a consistent trend for change over time (p = 0.221). In a multivariable model of objective clinical variables, higher Medsger Gastrointestinal (p = 0.006) and Joint (p = 0.024) Severity Indices, and anti-U1-RNP antibodies (p = 0.024) were independent predictors of higher FSS. In the final model, ineffective coping skills captured by higher Illness Behavior Questionnaire scores (p<0.001), higher self-reported pain (p = 0.006), and higher Medsger Gastrointestinal Severity Index (p = 0.009) at enrollment were independent predictors of higher longitudinal FSS scores. Baseline DLco % predicted was the only independent variable that significantly predicted a change in FSS scores over time (p = 0.013), with lower DLco levels predicting an increase in FSS over time.ConclusionsThis study identified potentially modifiable clinical and psychological factors that predict longitudinal fatigue severity in early SSc.

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Section: Methodsmentioning

confidence: 99%

Predictors of Fatigue Severity in Early Systemic Sclerosis: A Prospective Longitudinal Study of the GENISOS Cohort

et al. 2011

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“…There are several screening tools for HA; the "Hypochondriasis Yale-Brown Obsessive-Compulsive Scale" [13], "Illness Behavior Questionnaire" [14], the "Illness Attitude Scale" [15], "Health Anxiety Questionnaire" [16], "The Reassurance Questionnaire" [17], "The Somatosensory Amplification Scale" [18], the "Health Anxiety Inventory" [19], and the "Whiteley Index" (WI) [20]. The latter screening tool, WI, was introduced by Pilowsky in the 1960s [20] as a 14-item selfreport measure (originally dichotomous items (true/false)) to screen for hypochondriasis.…”

Section: Introductionmentioning

confidence: 99%

Confirmatory factor analysis and item response theory analysis of the Whiteley Index. Results from a large population based study in Norway. The Hordaland Health Study (HUSK)

Veddegjærde

Sivertsen

Wilhelmsen

et al. 2014

Journal of Psychosomatic Research

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“…Seven scales arc derived from the IBQ: (1) general hypochondriasis, which is a measure of anxious concern about one's health; (2) disease conviction, which indicates preoccupation with symptoms and affirmation of the presence of the disease; (3) psycho logical vs. somatic perception of illness, which evaluates the tendency to attribute physical condition to psychological determinants; (4) af fective inhibition, which measures reluctance or inability to express emotions to others; (5) dysphoria, which indicates the level of anxiety and depression; (6) denial, which assesses the tendency to deny vital problems and/or attribute them to the disease; (7) irritability, which measures the level of anger in interpersonal relationships. Two sec ond-order factors, disease affirmation (combining scores on disease conviction and psychologic vs. somatic perception of illness) and affective state (combining scores on hypochondriasis, dysphoria and irritability) are also derived from the IBQ [26].…”

Section: Instrumentsmentioning

confidence: 99%

Psychiatric and Psychosocial Concomitants of Abnormal Illness Behaviour in Patients with Cancer

Grassi

Rosti

1996

Psychother Psychosom

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Background: Previous studies of medically ill patients suggest that abnormal illness behaviour (i.e. high hypochondriasis, disease conviction, dysphoria and irritability) is associated with depressive symptoms. The present study was carried out in order to examine more in detail the role of psychiatric and psychosocial variables in moulding abnormal illness behaviour in patients with cancer. Methods: Two-hundred and one newly diagnosed cancer patients were submitted to a semistructured interview to assess past and current psychiatric disorders (DSM-III-R) and social support. Self-report questionnaires were also given in order to evaluate psychological stress symptoms (Symptom Check List-90-R – SCL-90-R), external locus of control (ELC) and illness behaviour (Illness Behaviour Questionnaire – IBQ). Results: A pattern of abnormal illness behaviour was shown in patients with a life-time history of psychiatric disorders (n = 33) and in those with a current DSM-III-R diagnosis (n = 101). IBQ dimensions were associated with SCL-90-R, ELC and low social support. The patients’ tendency to deny life events other than cancer was related both to the progression of the illness and to their receiving chemotherapy. Conclusions: The study confirms the association between psychological disorders and abnormal illness behaviour and points out a role for personality variables (external locus of control) and low social support in favouring maladaptive responses to cancer.

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The Illness Behavior Questionnaire as an aid to clinical assessment

Cited by 65 publications

References 11 publications

Predictors of Fatigue Severity in Early Systemic Sclerosis: A Prospective Longitudinal Study of the GENISOS Cohort

Predictors of Fatigue Severity in Early Systemic Sclerosis: A Prospective Longitudinal Study of the GENISOS Cohort

Confirmatory factor analysis and item response theory analysis of the Whiteley Index. Results from a large population based study in Norway. The Hordaland Health Study (HUSK)

Psychiatric and Psychosocial Concomitants of Abnormal Illness Behaviour in Patients with Cancer

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