Secondary prevention of coronary heart disease: Patient beliefs and health-related behaviour

被引:150
作者
Byrne, M [1 ]
Walsh, J
Murphy, AW
机构
[1] Natl Univ Ireland Univ Coll Galway, Dept Psychol, Galway, Ireland
[2] Natl Univ Ireland Univ Coll Galway, Dept Gen Practice, Galway, Ireland
关键词
coronary heart disease; health-related behaviour; illness perceptions; primary care; secondary prevention; self-regulatory model;
D O I
10.1016/j.jpsychores.2004.11.010
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: Coronary heart disease (CHD) is a leading cause of illness and death in Western society. The present study was designed to evaluate the utility of illness perceptions and medication beliefs in predicting secondary preventive behaviour among patients with CHD. An extended version of Leventhal's self-regulatory model (SRM) was used as a theoretical framework for this study [Leventhal H, Nerenz DR, Steele DJ. Illness perceptions and coping with health threat. In: Baum A, Taylor SE, Singer JE, editors. Handbook of psychology and health, Volume IV: social psychological aspects of health. Hillsdale (NJ): Erlbaum,1984. pp. 21952; Home R, Weinman J. Self-regulation and self-management in asthma: exploring the role of illness perceptions and treatment beliefs in explaining non-adherence to preventer medication. Psychol Health 2002;17(l):17-32]. Method: Medical and demographic data were gathered from the medical charts of 1611 patients with established C14D from 35 randomly selected general practices. Self-report data about patients' lifestyles (diet, exercise, smoking, alcohol consumption and medication adherence) and information on illness and medication beliefs were provided from postal questionnaire (1084 patients responded; 69% response rate). The relationship between patients' beliefs and their secondary preventive behaviour was examined using regression analyses. Results: Illness perceptions appeared to be only weak predictors of smoking, exercise, diet, alcohol consumption and medication adherence, accounting for about 2% of the variance in these behaviours. Medication beliefs were moderately related to medication adherence, accounting for about 7% of the variance in scores. A strong belief in the necessity of one's medication and a lower level of concern about one's medication were associated with higher levels of adherence. Conclusions: An illness perception approach did not prove helpful in predicting secondary preventive behaviour among this group of patients. However, beliefs about medications appear to be reasonable predictive of medication adherence. (c) 2005 Elsevier Inc. All rights reserved.
引用
收藏
页码:403 / 415
页数:13
相关论文
共 46 条
  • [1] Secondary prevention in coronary heart disease: baseline survey of provision in general practice
    Campbell, NC
    Thain, J
    Deans, HG
    Ritchie, LD
    Rawles, JM
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 1998, 316 (7142): : 1430 - 1434
  • [2] Secondary prevention in coronary heart disease: a randomised trial of nurse led clinics in primary care
    Campbell, NC
    Ritchie, LD
    Thain, J
    Deans, HG
    Rawles, JM
    Squair, JL
    [J]. HEART, 1998, 80 (05) : 447 - 452
  • [3] Why patients do not attend cardiac rehabilitation: role of intentions and illness beliefs
    Cooper, A
    Lloyd, G
    Weinman, J
    Jackson, G
    [J]. HEART, 1999, 82 (02) : 234 - 236
  • [4] RANDOMIZED CONTROLLED TRIAL OF HEALTH PROMOTION IN GENERAL-PRACTICE FOR PATIENTS AT HIGH CARDIOVASCULAR RISK
    CUPPLES, ME
    MCKNIGHT, A
    [J]. BRITISH MEDICAL JOURNAL, 1994, 309 (6960) : 993 - 996
  • [5] Illness perceptions and mood in chronic fatigue syndrome
    Edwards, R
    Suresh, R
    Lynch, S
    Clarkson, P
    Stanley, P
    [J]. JOURNAL OF PSYCHOSOMATIC RESEARCH, 2001, 50 (02) : 65 - 68
  • [6] Effect of postal prompts to patients and general practitioners on the quality of primary care after a coronary event (POST): randomised controlled trial
    Feder, G
    Griffiths, C
    Eldridge, S
    Spence, M
    [J]. BRITISH MEDICAL JOURNAL, 1999, 318 (7197) : 1522 - 1526
  • [7] Pathological worrying, illness perceptions and disease severity in patients with psoriasis
    Fortune, DG
    Richards, HL
    Main, CJ
    Griffiths, CEM
    [J]. BRITISH JOURNAL OF HEALTH PSYCHOLOGY, 2000, 5 : 71 - 82
  • [8] Personal-model beliefs and social-environmental barriers related to diabetes self-management
    Glasgow, RE
    Hampson, SE
    Strycker, LA
    Ruggiero, L
    [J]. DIABETES CARE, 1997, 20 (04) : 556 - 561
  • [9] GODIN G, 1985, Canadian Journal of Applied Sport Sciences, V10, P141
  • [10] Illness perceptions and self efficacy beliefs in adolescents and young adults with insulin dependent diabetes mellitus
    Griva, K
    Myers, LB
    Newman, S
    [J]. PSYCHOLOGY & HEALTH, 2000, 15 (06) : 733 - 750