The role of illness perceptions in patients with medical conditions

被引:320
作者
Petrie, Keith J. [1 ]
Jago, Lana A. [1 ]
Devcich, Daniel A. [1 ]
机构
[1] Univ Auckland, Fac Med & Hlth Sci, Dept Psychol Med, Auckland 1, New Zealand
关键词
chronic illness; illness perceptions; medically unexplained symptoms; reassurance;
D O I
10.1097/YCO.0b013e328014a871
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose of review In this article we summarize recent investigations into the influence of illness perceptions on outcomes in patients with medical conditions. Recent findings Developments in assessment include the publishing of a new brief scale to access illness perceptions and the examination of the relationship between patient drawings of their illness and outcomes. Recent studies in primary care highlight the importance of patients' beliefs and emotional responses to their illness as being important in influencing their satisfaction with the consultation, reassurance following negative medical testing and future healthcare use. Recent research shows illness perceptions to have associations with a number of outcomes in chronic illness including self-management behaviours and quality of life. As yet, however, few interventions have been developed designed to change illness perceptions and improve illness outcomes. Emerging areas of research include the application of illness perceptions to mental illness and genetic and risk factor testing. Summary Research on illness perceptions has confirmed that patients' beliefs are associated with important outcomes in a broadening range of illnesses and risk factor testing. New interventions based on this model have the potential to improve patient outcomes but have yet to be widely developed and applied.
引用
收藏
页码:163 / 167
页数:5
相关论文
共 42 条
[1]  
Benyamini Y., 1997, PERCEPTIONS HLTH ILL, P155
[2]   A picture of health - myocardial infarction patients' drawings of their hearts and subsequent disability - A longitudinal study [J].
Broadbent, E ;
Petrie, KJ ;
Ellis, CJ ;
Ying, J ;
Gamble, G .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2004, 57 (06) :583-587
[3]   Changes in patient drawings of the heart identify slow recovery after myocardial infarction [J].
Broadbent, Elizabeth ;
Ellis, Christopher J. ;
Gamble, Greg ;
Petrie, Keith J. .
PSYCHOSOMATIC MEDICINE, 2006, 68 (06) :910-913
[4]   The Brief Illness Perception Questionnaire [J].
Broadbent, Elizabeth ;
Petrie, Keith J. ;
Main, Jodie ;
Weinman, John .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2006, 60 (06) :631-637
[5]   Secondary prevention of coronary heart disease: Patient beliefs and health-related behaviour [J].
Byrne, M ;
Walsh, J ;
Murphy, AW .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2005, 58 (05) :403-415
[6]   Illness perceptions predict reassurance following a negative exercise stress testing result [J].
Donkin, Liesje ;
Ellis, Christopher J. ;
Powell, Rachael ;
Broadbent, Elizabeth ;
Gamble, Greg ;
Petrie, Keith J. .
PSYCHOLOGY & HEALTH, 2006, 21 (04) :421-430
[7]  
FALMER A, 2006, DIABETIC MED, V23, P265
[8]   Perceptions of psychosis, coping, appraisals, and psychological distress in the relatives of patients with schizophrenia: An exploration using self-regulation theory [J].
Fortune, DG ;
Smith, JV ;
Garvey, K .
BRITISH JOURNAL OF CLINICAL PSYCHOLOGY, 2005, 44 :319-331
[9]  
Fowler C, 2006, NEPHROL NURS J, V33, P173
[10]   Do illness perceptions predict attendance at cardiac rehabilitation and equality of life following myocardial infarction? [J].
French, DP ;
Lewin, RJP ;
Watson, N ;
Thompson, DR .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 2005, 59 (05) :315-322