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Göteborgs universitets publikationer

Determinants of illness perceptions in adults with acute or chronic somatic diseases: a systematic review

Författare och institution:
S Arat (-); D De Cock (-); Philip Moons (Institutionen för vårdvetenskap och hälsa); J Vandenberghe (-); R Westhovens (-)
Publicerad i:
Association for Researchers in Psychology and Health. 5-6 February 2015. Ghent, Belgium.,
Konferensbidrag - refereegranskat abstract
Sammanfattning (abstract):
Background: In order to understand and respond to difficulties presented by disease, patients construct their own “common sense” cognitive illness model. This mental construction is assumed to be influenced by characteristics of the particular disease, the individual and collective experience. In this systematic review we aim to provide an overview on the determinants of illness perceptions in patients with acute or chronic somatic conditions. Methods: Five electronic databases (Medline, PsycInfo, Cinahl, Embase, Invert) and a grey literature register (Open Grey) were systematically searched. Subsequently, backward citation tracking of the eligible papers was conducted. Searches were limited to articles in English, Dutch, French and German published between January 1980 and December 2012. Two reviewers independently selected studies for inclusion and assessed the methodological quality with validated checklists. Findings: Thirty-one papers (23 quantitative and 8 qualitative studies) fulfilled the inclusion criteria. The determinants found were culture (n=14), gender (n=5), illness experience (n=5), personality (n=4), depressive symptoms/depression (n=2), age (n=1), disability (n=1), physical functioning (n=1), illness severity (n=1), information source and coping style (n=1). These studies were carried out in different patient populations, settings and countries. All determinants were correlated with illness perceptions except for ‘culture’. Inequalities in educational level explained more the variance in illness perceptions than culture per se. Discussion: This review provides an exhaustive overview of all determinants of illness perceptions currently available in the international literature. Knowledge of these determinants could facilitate comprehension of patients’ illness perceptions, enhances patient-provider communication and can be useful in developing effective interventions to alter dysfunctional illness perceptions.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
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Postens nummer:
Posten skapad:
2015-12-28 15:03
Posten ändrad:
2016-06-20 09:30

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