The Role of Perception of Illness

Peterson, Rolf A.; Greenberg, Glen D.

doi:10.1037/e412522005-004

Cited by 11 publications

(13 citation statements)

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“…A series of studies of dialysis patients have employed the Illness Effects Questionnaire (IEQ) to assess HRQOL (16,19,26,27,50). The IEQ is a 20‐item scale designed to evaluate the degree to which a patient's illness interferes with their life (55,56). Both the IEQ and the Satisfaction with Life Scale appear to play a role in the assessment of important patient‐related issues.…”

Section: Which Of the Common Hrqol Instruments Have Been Used In Clinmentioning

confidence: 99%

PSYCHOSOCIAL FACTORS IN PATIENTS WITH CHRONIC KIDNEY DISEASE: Health‐Related Quality of Life in Nephrology Research and Clinical Practice

Unruh

Weisbord

Kimmel

2005

Seminars in Dialysis

104

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Physical, psychosocial, and lifestyle disturbances, along with physical and emotional symptoms, have been shown to impact the health-related quality of life (HRQOL) of those dependent on renal replacement therapy. The value of HRQOL measurement as a tool to improve clinical care has been recognized by patients, clinical investigators, and health care providers. The potential importance of HRQOL assessment lies in the additional information it provides and the impact it has on the clinical decision-making process between a patient and a physician. There remain a multitude of challenges facing renal providers who wish to incorporate HRQOL measurement to improve patient care. These challenges include the clinician's understanding of the conceptual model of HRQOL, the quality of the scientific process that contributed to the current literature on HRQOL, a willingness of the clinician to incorporate HRQOL information into clinical practice, and the logistic difficulties of collecting and applying HRQOL data in a busy practice setting. Arguably, optimizing HRQOL may be the most substantial impact the health care team will have on the person with kidney failure. In order to implement HRQOL assessment at the point of care, providers may consider using computer adaptive testing and scoring algorithms using item response theory, which will allow adequate reliability for interpretation of change among individuals. Moreover, the effective assessment and interpretation of HRQOL will be aided by continued publication of norms, outcomes of randomized controlled trials, and continued experience of investigators and clinicians.

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Section: Which Of the Common Hrqol Instruments Have Been Used In Clinmentioning

confidence: 99%

PSYCHOSOCIAL FACTORS IN PATIENTS WITH CHRONIC KIDNEY DISEASE: Health‐Related Quality of Life in Nephrology Research and Clinical Practice

Unruh

Weisbord

Kimmel

2005

Seminars in Dialysis

104

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“…Depression, lower levels of perceived social support, impaired HRQoL measured by other quality-of-life instruments, and mortality all are correlated with higher IEQ scores, supporting its validity in the hemodialysis population (10,11,26 -28). The reliability of the questionnaire also has been established (10,(27)(28)(29). We chose the IEQ because of its sound psychometric properties, relationship with important outcomes in dialysis patients, and ease of administration.…”

Section: Survey Instrumentsmentioning

confidence: 99%

Prevalence, Severity, and Importance of Physical and Emotional Symptoms in Chronic Hemodialysis Patients

Weisbord

Fried²,

Arnold³

et al. 2005

Journal of the American Society of Nephrology

Self Cite

460

395

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The prevalence, severity, and clinical significance of physical and emotional symptoms in patients who are on maintenance hemodialysis remain incompletely characterized. This study sought to assess symptoms and their relationship to quality of life and depression. The recently developed Dialysis Symptom Index was used to assess the presence and the severity of 30 symptoms. The Illness Effects Questionnaire and Beck Depression Inventory were used to evaluate quality of life and depression, respectively. Correlations among symptom burden, symptom severity, quality of life, and depression were assessed using Spearman correlation coefficient. A total of 162 patients from three dialysis units were enrolled. Mean age was 62 y, 48% were black, 62% were men, and 48% had diabetes. The median number of symptoms was 9.0 (interquartile range 6 to 13). Dry skin, fatigue, itching, and bone/joint pain each were reported by >50% of patients. Seven additional symptoms were reported by >33% of patients. Sixteen individual symptoms were described as being more than "somewhat bothersome." Overall symptom burden and severity each were correlated directly with impaired quality of life and depression. In multivariable analyses adjusting for demographic and clinical variables including depression, associations between symptoms and quality of life remained robust. Physical and emotional symptoms are prevalent, can be severe, and are correlated directly with impaired quality of life and depression in maintenance hemodialysis patients. Incorporating a standard assessment of symptoms into the care provided to maintenance hemodialysis patients may provide a means to improve quality of life in this patient population.

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“…The number of participants in the studies identified was generally small ranging from 50 to 219 participants with CKD. The studies were all cross‐sectional in design and explored the beliefs via validated measures; three of the studies used the Illness Effects Questionnaire (IEQ) (Peterson & Greenberg ); one used the Brief Illness Perceptions Questionnaire (B‐IPQ) (Broadbent et al . ) and one also used the Health Perceptions Questionnaire (HPQ) (Ware ).…”

Section: Resultsmentioning

confidence: 99%

Exploring the relationship between illness perceptions and depression in patients with chronic kidney disease: A systematic literature review

Muscat

Chilcot

Weinman

et al. 2018

Journal of Renal Care

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Sixty-four studies met the criteria for full text review and of these, only four studies met the inclusion criteria following data extraction and quality assessment. Consistent with the common sense model, disease severity was found to be significantly associated with illness perceptions, and both were found to be associated with depression CONCLUSIONS: The results from this review provide further evidence that the illness perceptions and disease severity play a crucial role in the adaption to CKD. This review highlights the lack of research in this area and concludes that more studies are needed to determine the nature and impact of illness perceptions in relation to depression in pre-dialysis CKD.

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The Role of Perception of Illness

Cited by 11 publications

References 0 publications

PSYCHOSOCIAL FACTORS IN PATIENTS WITH CHRONIC KIDNEY DISEASE: Health‐Related Quality of Life in Nephrology Research and Clinical Practice

PSYCHOSOCIAL FACTORS IN PATIENTS WITH CHRONIC KIDNEY DISEASE: Health‐Related Quality of Life in Nephrology Research and Clinical Practice

Prevalence, Severity, and Importance of Physical and Emotional Symptoms in Chronic Hemodialysis Patients

Exploring the relationship between illness perceptions and depression in patients with chronic kidney disease: A systematic literature review

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