A Systematic Review of Relationships Between Illness Identity and Health-Related Outcomes in Individuals with Chronic Illnesses.

IF 1.6 3区心理学 Q3 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology in Medical Settings Pub Date : 2024-03-01 Epub Date: 2023-09-26 DOI:10.1007/s10880-023-09973-1

Caitlin E Shneider, Abigail S Robbertz, Lindsey L Cohen

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Abstract

The aim of the current systematic review is to examine relationships among illness identity and illness-specific variables, adherence, and health-related outcomes. Studies were included if they (a) presented quantitative data on illness identity's relationship with adherence or health-related outcomes, (b) included chronic medical illness samples, (c) were peer-reviewed, and (d) were available in English. PubMed and EBSCOhost were searched. Quality was evaluated using the EPHPP Tool. Twelve papers were included. Moderate evidence supports the relationship between engulfment, enrichment, and illness complexity. Moderate evidence supports relationships between multiple identities and adherence as well as with various health-related outcomes. There is somewhat consistent evidence for associations between engulfment and negative health-related outcomes. It may be important to inform healthcare providers of possible identity challenges that patients face and their associations with adherence and health-related outcomes. Routine illness identity screening may allow for identification of individuals who would benefit from increased support.

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慢性病患者疾病特征与健康相关结果之间关系的系统综述。

当前系统综述的目的是检查疾病特征和疾病特异性变量、依从性和健康相关结果之间的关系。如果研究（a）提供了疾病身份与依从性或健康相关结果关系的定量数据，（b）包括慢性疾病样本，（c）经过同行评审，（d）有英文版本，则纳入研究。检索PubMed和EBSCOhost。使用EPHPP工具评估质量。包括12篇论文。适度的证据支持吞噬、富集和疾病复杂性之间的关系。适度的证据支持多种身份和依从性之间的关系，以及与各种健康相关的结果。有一些一致的证据表明，吞噬和负面的健康相关结果之间存在关联。告知医疗保健提供者患者可能面临的身份挑战及其与依从性和健康相关结果的关系可能很重要。常规疾病身份筛查可以识别哪些人将从增加的支持中受益。

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

Journal of Clinical Psychology in Medical Settings PSYCHOLOGY, CLINICAL-

CiteScore

4.00

自引率

4.50%

发文量

期刊介绍： Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.