Adherence in adults with sickle cell disease: Using illness perception to understand the low adherence rate

IF 1.3 4区心理学 Q3 PSYCHOLOGY, APPLIED European Review of Applied Psychology-Revue Europeenne De Psychologie Appliquee Pub Date : 2024-02-23 DOI:10.1016/j.erap.2023.100940

Damien Oudin Doglioni , Maryline Couette , Stéphanie Forté , Vincent Chabasseur , Frédéric Galactéros , Marie-Claire Gay

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Abstract

Introduction

Sickle cell disease (SCD) is the most common monogenic disease, and is characterised by extreme pain episodes. Despite available efficacious treatments, adherence rates are low leading to high hospitalisation rate.

Objective

Explore the relationship between hydroxyurea adherence among adults with SDC and illness perceptions.

Method

We performed a cross-sectional study among 211 adults with SCD and assessed illness perception, their adherence and their cognitions about their treatment.

Results

The adherence rate was very low, and patients reported misconceptions regarding SCD. The factor analysis of the illness perception dimensions revealed a two-factor model, accounting for 66.5% of the total variance. Based on the factor analysis, three clusters of participants were identified corresponding to three types of perceptions of SCD and different levels of adherence.

Conclusion

The combination of a low capacity to adapt to their illness (factor 1) with a strong negative experience of their health condition (factor 2) seems negatively link to the therapeutic adherence of adults with SCD.

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镰状细胞病成人患者的依从性：利用疾病认知了解低依从率

导言镰状细胞病（SCD）是最常见的单基因疾病，以剧烈疼痛为特征。方法我们对 211 名成人 SCD 患者进行了横断面研究，评估了他们的疾病认知、治疗依从性和对治疗的认知。结果患者的依从性非常低，而且他们对 SCD 存在误解。对疾病认知维度的因子分析显示出一个双因子模型，占总方差的 66.5%。结论适应疾病的能力低（因子 1）与对健康状况的强烈负面体验（因子 2）似乎与成人 SCD 患者坚持治疗的程度呈负相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Review of Applied Psychology-Revue Europeenne De Psychologie Appliquee PSYCHOLOGY, APPLIED-

CiteScore

2.20

自引率

20.00%

发文量

期刊介绍： The aim of the Revue européenne de Psychologie appliquée / European Review of Applied Psychology is to promote high-quality applications of psychology to all areas of specialization, and to foster exchange among researchers and professionals. Its policy is to attract a wide range of contributions, including empirical research, overviews of target issues, case studies, descriptions of instruments for research and diagnosis, and theoretical work related to applied psychology. In all cases, authors will refer to published and verificable facts, whether established in the study being reported or in earlier publications.