Illness Perception and Its Changes During Six Months After Cardiac Rehabilitation

IF 1.3 4区 心理学 Q3 PSYCHOLOGY, CLINICAL European Journal of Health Psychology Pub Date : 2019-07-01 DOI:10.1027/2512-8442/a000034
Justė Lukoševičiūtė, K. Šmigelskas
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引用次数: 2

Abstract

Abstract. Illness perception is a concept that reflects patients' emotional and cognitive representations of disease. This study assessed the illness perception change during 6 months in 195 patients (33% women and 67% men) with acute coronary syndrome, taking into account the biological, psychological, and social factors. At baseline, more threatening illness perception was observed in women, persons aged 65 years or more, with poorer functional capacity (New York Heart Association [NYHA] class III or IV) and comorbidities ( p < .05). Type D personality was the only independent factor related to more threatening illness perception (βs = 0.207, p = .006). At follow-up it was found that only self-reported cardiovascular impairment plays the role in illness perception change (βs = 0.544, p < .001): patients without impairment reported decreasing threats of illness, while the ones with it had a similar perception of threat like at baseline. Other biological, psychological, and social factors were partly associated with illness perception after an acute cardiac event but not with perception change after 6 months.
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心脏康复后6个月疾病感知及其变化
摘要疾病感知是一个反映患者对疾病的情感和认知表征的概念。本研究评估了195例急性冠状动脉综合征患者(女性33%,男性67%)在6个月内的疾病认知变化,并考虑了生理、心理和社会因素。在基线时,女性、65岁或以上、功能能力较差(纽约心脏协会[NYHA] III或IV级)和合共病中观察到更多的威胁性疾病感知(p < 0.05)。D型人格是唯一与威胁性疾病知觉相关的独立因素(βs = 0.207, p = 0.006)。随访发现,只有自我报告的心血管损伤在疾病感知变化中起作用(βs = 0.544, p < .001):无损伤的患者报告疾病威胁减少,而有损伤的患者对疾病威胁的感知与基线相似。其他生物、心理和社会因素与急性心脏事件后的疾病感知部分相关,但与6个月后的感知变化无关。
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CiteScore
3.00
自引率
0.00%
发文量
29
期刊介绍: Die "Zeitschrift für Gesundheitspsychologie" wurde gegründet, um dem raschen Anwachsen gesundheitspsychologischer Forschung sowie deren Relevanz für verschiedene Anwendungsfelder gerecht zu werden. Gesundheitspsychologie versteht sich als wissenschaftlicher Beitrag der Psychologie zur Förderung und Erhaltung von Gesundheit, zur Verhütung und Behandlung von Krankheiten, zur Bestimmung von Risikoverhaltensweisen, zur Diagnose und Ursachenbestimmung von gesundheitlichen Störungen sowie zur Verbessung des Systems gesundheitlicher Vorsorge.
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