Illness perceptions and coping with disease in chronic obstructive pulmonary disease: Effects on health-related quality of life

Vaske, Isabelle; Kenn, Klaus; Keil, Daniel C; Rief, Winfried; Stenzel, Nikola

doi:10.1177/1359105316631197

Cited by 37 publications

(26 citation statements)

References 39 publications

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“…However, most surveys previously conducted also selected COPD patients with a self-reported diagnosis. 5 , 10 , 16 , 17 In addition, self-reporting information about chronic respiratory disease has a very good grade of agreement with information reported in the medical records. 18 Fourth, it could be argued that the questionnaire has not been validated, but all of the surveys of COPD until now reported have used questionnaire developed ad hoc, using many questions similar to those included in the present survey.…”

Section: Discussionmentioning

confidence: 83%

Perception of symptoms and quality of life – comparison of patients’ and physicians’ views in the COPD MIRROR study

Celli¹,

Blasi²,

Gaga³

et al. 2017

COPD

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ObjectivesThe aim of this study was to compare potential differences between the perception that COPD patients have of their disease and the perception that physicians have of how the disease affects their patients.MethodsSurveys in COPD patients and physicians caring for COPD patients were conducted in Spain, Italy, and Germany. Online questionnaires mirrored to explore the same domains, were administered to patients and physicians. Physicians were asked to respond to the questionnaire taking a recently seen patient who represents the majority of COPD patients usually managed, as a reference. Patients with COPD completed a survey containing the same questions offered to the physicians (Medical Investigation of Respiratory COPD Perception [MIRROR] survey). Comparisons between the responses of patients and general practitioners (GPs) and between patients and pulmonologists (PULs) were run separately using the chi-square, Fisher’s exact, or Student’s t-tests.ResultsA total of 334 COPD patients, 333 GPs, and 333 PULs participated in the surveys. The typical perception that PULs have of the COPD patient was that of an older man with more severe disease and less likely to be a smoker, than the included COPD patients. COPD was regarded as a major health problem by patients and physicians, but its impact on overall quality of life among more severe patients was less strongly perceived by physicians than by patients. Instead, physicians paid more attention to domains related to clinical features (cough, phlegm, and dyspnea), while underestimating COPD impact on leisure and social activities. The majority of patients stated not being completely frank with their doctors during visits. Both GPs and PULs seemed to recognize this issue but underestimated its extent.ConclusionTo improve the doctor–patient communication, a more frank reporting by the patients of their symptoms and feelings and an increased awareness of physicians about the impact on nonconventional domains that patients perceive as importantly affected by COPD should be encouraged.

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Section: Discussionmentioning

confidence: 83%

Perception of symptoms and quality of life – comparison of patients’ and physicians’ views in the COPD MIRROR study

Celli¹,

Blasi²,

Gaga³

et al. 2017

COPD

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“…While the intervention is based on the evidence regarding illness perceptions, health outcomes [ 15 , 17 , 20 , 21 ], recent developments concerning patient-centred care [ 41 , 42 ] and was applied in real nursing practice, we could not show benefits in health status and HRQoL in COPD patients.…”

Section: Discussionmentioning

confidence: 96%

The effectiveness of a nurse-led illness perception intervention in COPD patients: a cluster randomised trial in primary care

et al. 2017

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The new COPD-GRIP (Chronic Obstructive Pulmonary Disease – Guidance, Research on Illness Perception) intervention translates evidence regarding illness perceptions and health-related quality of life (HRQoL) into a nurse intervention to guide COPD patients and to improve health outcomes. It describes how to assess and discuss illness perceptions in a structured way. This study aimed to assess the effectiveness of the intervention in primary care.A cluster randomised controlled trial was conducted within 30 general practices and five home-care centres, including 204 COPD patients. 103 patients were randomly assigned to the intervention group and 101 patients to the usual-care group. To assess differences, repeated multilevel linear mixed modelling analyses were used. Primary outcome was change in health status on the Clinical COPD Questionnaire (CCQ) at 9 months. Secondary outcomes were HRQoL, daily activities, health education impact and changes in illness perceptions.There was no significant difference between the groups in the CCQ at 9 months. We found a significant increase in health-directed behaviour at 6 weeks (p=0.024) and in personal control (p=0.005) at 9 months in favour of the intervention group.The COPD-GRIP intervention, practised by nurses, did not improve health status in COPD patients in primary care. However, the intervention has benefits in improving the ability to control the disease and health-related behaviours in the short term. Therefore, taking illness perceptions into account when stimulating healthy behaviours in COPD patients should be considered. Further study on influencing the health status and HRQoL is needed.

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“…Together, these results may suggest that, in cancer patients, the significance and strength of the mediational relations between illness perception and affective symptoms appear to depend on the particular coping strategies examined. This view is supported by studies of people with other serious illnesses, for example, heart disease, stroke, or respiratory infections, in which the mediational role of coping was determined by both the types of coping strategies and illness perceptions . Some authors also indicate that another factor contributing to the ambiguity in findings among illness perception, coping, and affect in cancer patients is the character of emotional representation (ie, how much does your illness affect you emotionally) …”

Section: Introductionmentioning

confidence: 96%

“…This view is supported by studies of people with other serious illnesses, for example, heart disease, stroke, or respiratory infections, in which the mediational role of coping was determined by both the types of coping strategies and illness perceptions. 10,11 Some authors also indicate that another factor contributing to the ambiguity in findings among illness perception, coping, and affect in cancer patients is the character of emotional representation (ie, how much does your illness affect you emotionally). 12 Furthermore, research has revealed that in addition to coping, meaning in life plays an important role among cancer patients.…”

Section: Introductionmentioning

confidence: 99%

Illness perception and affective symptoms in gastrointestinal cancer patients: A moderated mediation analysis of meaning in life and coping

Krok

Telka²,

Zarzycka

2019

Psycho-Oncology

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Objective The character of the mediational relations between illness perception and affective symptoms often depends on the coping strategies used by patients. For example, these relationships may be moderated by meaning in life that plays a buffering role against the negative consequences of cancer. This study examined moderated mediation effects of meaning in life and coping on the relationship between illness perception and affective symptoms in cancer patients. Methods In this cross‐sectional research, 317 gastrointestinal cancer patients who were undergoing chemotherapy, radiotherapy, or combined therapy treatments were examined. They completed measures of illness perception, affective symptoms, meaning in life, and coping. Data were analyzed using SPSS software and the PROCESS macro. Results Illness perception was negatively associated with meaning in life and problem‐ and meaning‐focused coping but was positively associated with affective symptoms: fear, depression, and irritability. Two coping strategies—problem‐ and meaning‐focused—mediated the relationship between illness perception and affective symptoms. Meaning in life turned out to be a moderator of the indirect effects of illness perception on affective symptoms through problem‐ and meaning‐focused coping. Conclusions The relationship of illness perception with affective symptoms is embedded in moderated mediation effects of meaning in life and coping. It implies that emotional adjustment to the illness depends on the interplay between the ways in which cancer patients perceive their illness and the coping strategies used by them.

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Illness perceptions and coping with disease in chronic obstructive pulmonary disease: Effects on health-related quality of life

Cited by 37 publications

References 39 publications

Perception of symptoms and quality of life – comparison of patients’ and physicians’ views in the COPD MIRROR study

Perception of symptoms and quality of life – comparison of patients’ and physicians’ views in the COPD MIRROR study

The effectiveness of a nurse-led illness perception intervention in COPD patients: a cluster randomised trial in primary care

Illness perception and affective symptoms in gastrointestinal cancer patients: A moderated mediation analysis of meaning in life and coping

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Illness perceptions and coping with disease in chronic obstructive pulmonary disease: Effects on health-related quality of life

Cited by 37 publications

References 39 publications

Perception of symptoms and quality of life &ndash; comparison of patients&rsquo; and physicians&rsquo; views in the COPD MIRROR study

Perception of symptoms and quality of life &ndash; comparison of patients&rsquo; and physicians&rsquo; views in the COPD MIRROR study

The effectiveness of a nurse-led illness perception intervention in COPD patients: a cluster randomised trial in primary care

Illness perception and affective symptoms in gastrointestinal cancer patients: A moderated mediation analysis of meaning in life and coping

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Perception of symptoms and quality of life – comparison of patients’ and physicians’ views in the COPD MIRROR study

Perception of symptoms and quality of life – comparison of patients’ and physicians’ views in the COPD MIRROR study