Development, reliability and validity of the Diabetes Illness Representations Questionnaire: four studies with adolescents

Skinner, Timothy; Howells, Lesley; Greene, S A; Edgar, Kate; McEvilly, Adele; Johansson, Ann-Caroline

doi:10.1046/j.1464-5491.2003.00923.x

Cited by 62 publications

(54 citation statements)

References 17 publications

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“…Most studies report that patients who believe their condition is more controllable have better self-care in the areas of diet, exercise and glucose testing (Glasgow, Hampson, Strycker, & Ruggiero, 1997;Griva et al, 2000;Hampson, Glasgow, & Foster, 1995;Hampson, Glasgow, & Toobert, 1990;Skinner & Hampson, 1998;Skinner & Hampson, 2001;Skinner, Hampson, & Fife-Schaw, 2002;Skinner et al, 2003;Skinner, John, & Hampson, 2000). Fewer studies have reported associations between illness perceptions and medication self-care (Griva et al, 2000;Skinner et al, 2002).…”

Section: Illness Perceptions and Self-carementioning

confidence: 95%

Ethnic differences in illness perceptions, self-efficacy and diabetes self-care

Bean

Cundy

Petrie

2007

Psychology & Health

120

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This study assessed differences between Europeans, South Asians and Pacific Islanders in illness perceptions, self-efficacy, self-care, metabolic control and retinopathy in diabetes. We also evaluated the role of illness perceptions and self-efficacy in diabetes self-care and metabolic control within each group. A total of 86 Europeans, 86 South Asians, and 87 Pacific Islanders with type-2 diabetes completed self-report measures of illness perceptions, self-efficacy and self-care. Metabolic control and retinopathy data were collected from patient records. Results showed that Pacific Islanders and South Asians held shorter illness timeline perceptions compared to Europeans. Relative to both the other groups, Pacific Islanders also had elevated scores on three illness perceptions subscales: consequences, identity and emotional representations. They had lower medication-specific self-efficacy as well as poorer medication self-care, metabolic control and retinopathy. In all three groups, self-efficacy was fairly consistently related to self-care, but not to metabolic control. Illness perceptions were less consistently related to self-care, but were associated with metabolic control.

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Section: Illness Perceptions and Self-carementioning

confidence: 95%

Ethnic differences in illness perceptions, self-efficacy and diabetes self-care

Bean

Cundy

Petrie

2007

Psychology & Health

120

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“…Yet, there is very little research examining the stability or change in illness perceptions in patients with cardiac problems [23]. Moreover, no study has examined longitudinal changes following successful surgical treatment, such as valve replacement.…”

Section: Illness Perceptions In Cardiac Diseasesmentioning

confidence: 97%

Profiling illness perceptions to identify patients at-risk for decline in health status after heart valve replacement

Kohlmann

Rimington

Weinman

2012

Journal of Psychosomatic Research

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“…Perceptions of health threat were assessed using two scales measuring perceived seriousness of and vulnerability for diabetes, after recent studies showing that perceptions of seriousness do not necessarily translate into feelings of personal vulnerability (7,16). The perceived seriousness scale was based on the diabetes illness representations questionnaire (17) and used three items to explore patients' beliefs about the seriousness of diabetes in general. Patients were asked whether they agreed with each statements on a 5-point scale, ranging from strongly disagree to strongly agree, with a score of 3 as neutral.…”

Section: Methodsmentioning

confidence: 99%

Psychological Outcomes of Patients With Screen-Detected Type 2 Diabetes

et al. 2006

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OBJECTIVE -The objective of this study was to investigate how time since diagnosis and treatment intensity influence psychological outcomes in patients with screen-detected type 2 diabetes.RESEARCH DESIGN AND METHODS -A 2 ϫ 2 factorial cross-sectional design was used to examine psychological outcomes in 196 patients with screen-detected diabetes diagnosed 3-33 months previously who were receiving usual care or intensive multifactorial pharmacological treatment. Outcomes included anxiety, depression, diabetes-related distress, perceived seriousness and vulnerability, self-efficacy, and self-care. Multivariate analysis was used to examine variations in outcomes based on time since diagnosis (Ͻ1 vs. 2-3 years) and treatment intensity.RESULTS -Most patients reported little distress, low perceived seriousness and vulnerability, high self-efficacy, and low self-care, but outcomes varied considerably across conditions. Time effects were found for perceived vulnerability, which increases significantly with time since diagnosis. Time ϫ treatment interactions were found for anxiety, diabetes-related distress, and self-efficacy; notably, intensively treated patients showed more distress and less self-efficacy in the 1st year, and usual-care patients reported more distress and less self-efficacy 2-3 years after diagnosis.CONCLUSIONS -Screen-detected patients generally do not experience much difficulty with their condition in the first few years, but early and intensive treatment can influence patients' psychological outcomes, leading to relatively more anxiety and less self-efficacy in the 1st year after diagnosis but not necessarily improving self-care. This suggests that intensive treatments confront patients with their diabetes earlier on whereas milder treatments may delay confrontation. This finding should be taken into account in the development and timing of psychological interventions for patients with newly diagnosed diabetes.

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Development, reliability and validity of the Diabetes Illness Representations Questionnaire: four studies with adolescents

Abstract: The data reported here suggest that the DIRQ has the potential to be a useful tool for clinical assessment and evaluating the impact of psycho-educational and medical interventions.

Cited by 62 publications

References 17 publications

Ethnic differences in illness perceptions, self-efficacy and diabetes self-care

Ethnic differences in illness perceptions, self-efficacy and diabetes self-care

Profiling illness perceptions to identify patients at-risk for decline in health status after heart valve replacement

Psychological Outcomes of Patients With Screen-Detected Type 2 Diabetes

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