Illness Perception and Ability for Physical Activity among Patients with Chronic Diseases
Illness perception refers to patient’evaluation for his/her life with disease. According to the self-regulatory model (Leventhal, Brissette & Leventhal, 2003) the illness perception is subjective and is created by cognitive and emotional components. The unique combination between different parts of illness perception for every patient can predict the patient’s health behaviour including motivation and performing physical activity. The PURPOSE of this study is to examine the main predictors of illness perception and to evaluate the significance of ability for physical activity for construction of illness perceptions. METHODOLOGY: 237 patients with rheumatic arthritis, ankylosing spondylitis, hypertension and diabetes mellitus type 2 have been examined. Optimism and Negative expectancies Inventory (Velitchkov et al., 1993), Multidimensional Health Locus of control Scales (form C) (Wallston et al., 1994), Self Efficacy Chronic Disease Scales (Lorig, et al., 1996), Brief Illness perception Questionnaire (Broadbent, et al., 2006). OWN CONTRIBUTION AND RESULTS: The results of investigation supports the idea that the patients perception of illness controllability depends of health locus of control beliefs and self-efficacy for managing chronic illness. The most important are beliefs that illness depends on patients themselves and their confidence that they have ability at ones disposal to cope with everyday functioning and communicate with doctors. CONCLUSIONS: Self-efficacy for symptom management, Self-efficacy for physical activity and negative expectations are significant and strong predictors of illness perception among patients with chronic diseases and pain.
 Awasthi P, Mishra R. Can Social Support and Control Agency Change Illness Consequences? Evidence from Cervix Cancer Patients. Open J Med Psychol, 2013. 2 (3). pp. 115-123
 Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev. 1977 (84). pp. 191-215
 Bekke-Hansen S., Weinman J., Thastum M., Thygesen K., & Zachariae R. Psycho-social factors are important for the perception of disease in patients with acute coronary disease. Dan Med J, 2014. 61(8): A4885.
 Berglund E., Lytsy P., & Westerling R. The influence of locus of control on self-rated health in context of chronic disease: a structural equation modeling approach in a cross sectional study. BMC Public Health (Internet), 2014 May 2 (cited 2017 September); 14: (492). Available from: https://doi.org/10.1186/1471-2458-14-492
 Berrios-Rivera JP., Street RLJr., Garcia Popa-Lisseanu MG., Kallen MA., Richardson MN , Janssen NM., et al. Trust in physicians and elements of the medical interaction in patients with rheumatoid arthritis and systemic lupus erythematosus. Arthritis Rheum. 2006. 55(3). pp. 385-93
 Bonsaksen T., Lerdal A., & Fagermoen MS. Factors associated with self-efficacy in persons with chronic illness. Scand J Psychol. 2012. 53(4). pp. 333-339
 Broadbent E., Petrie KJ., Main J., & Weinman J. The Brief Illness Perception Questionnaire. J Psychosom Res, 2006; 60. pp. 631-663
 Burke V., Beilin L. J., Cutt H. E., Mansour J., & Mori T. A. Moderators and mediators of behaviour change in a lifestyle program for treated hypertensives: a randomized controlled trial (ADAPT). Health Educ Res. 2008 23(4):583-91.
 Carver CS., Scheier MF, & Segerstrom S. C. Optimism. Clin Psychol Rev. 2010. 30 (7). pp. 879-889
 French D. P., Cooper A., & Weinman J. Illness perceptions predict attendance at cardiac rehabilitation following acute myocardial infarction: a systematic review with meta-analysis. J Psychosom Res. 2006. 61(6). pp. 757-767
 Giardini A., Pierobon A., Majani G., Bernocchi M., Corbellini D., & Febo O. Perception of illness and dispositional optimism in a sample of patients with chronic heart failure], G Ital Med Lav Ergon. 2012 Apr-Jun; 34 (2). B38-44
 Griva K., Myers L. B., & Newman S. Illness perceptions and self-efficacy beliefs in adolescents and young adults with diabetes mellitus. Psychol Health. 2000. (15). pp. 733–750
 Guicciardi M., Lecis R., Anziani C., Corgiolu L., Porru A., Pusceddu M., & Spanu F. Type 2 diabetes mellitus, physical activity, exercise self-efficacy, and body satisfaction. An application of the transtheoretical model in older adults. Health Psychol Behav Med (Internet), 2014 Jul 15 (cited August 2017). 2(1). pp. 748-758. Available from: http://doi.org/10.1080/21642850.2014.924858
 Hagger M. S., & Orbell S. A meta-analytic review of the common-sense model of illness representations. Psychol Health. 2003. (18). pp. 141-184
 Hudson J. L., Bundy C., Coventry P. A., & Dickens C. Exploring the relationship between cognitive illness representations and poor emotional health and their combined association with diabetes self-care. A systematic review with meta-analysis. J Psychosom Res. 2014 Apr; 76(4). Pp. 265-274
 Jackson T., Wang Y., Wang Y., & Fan H. Self-Efficacy and Chronic Pain Outcomes: A Meta-Analytic Review. J Pain. 2014 May 28 (cited 2017 August), 15 (8). pp. 800-814. Available from: https://doi.org/10.1016/j.jpain.2014.05.002
 Jia X., & Jackson T. Pain beliefs and problems in functioning among people with arthritis: a meta-analytic review. J Behav Med. 2016 Oct; 39(5). pp. 735-756
 Karademas E. C., Frokkai E. F., & Tsotra E., Papazachariou R. The relation of optimism to cardiac patients' subjective health through illness representations: Does the level of optimism matter? In: Efklides A., Moraitou D., editors. A positive psychology perspective on quality of life, Dordrecht: Springer; 2013. pp. 175-188.
 Kirk A., MacMillan F., & Webster N. Application of the transtheoretical model to physical activity in older adults with type 2 diabetes and/or cardiovascular disease. Psychol Sport Exerc. 2010; 11 (4). pp. 320-324
 Larkin L., & Kennedy N. Correlates of physical activity in rheumatoid arthritis: a systematic review. J Phys Act Health, 2014. 11(6). pp. 1248-1261
 Lau-Walker M. Predicting self-efficacy using illness perception components: A patient survey. Br J Health Psychol, 2006. 11(4). pp. 643-661
 Leventhal H., Brissette I., & Leventhal E. A. The common-sense model of self regulation of health and illness. In: Cameron LD, Leventhal H, editors. The selfregulation of health and illness behaviour. London: Routledge, 2003. pp. 42-65
 Lorig K., Stewart A., Ritter P., González V., Laurent D., & Lynch J. Outcome Measures for Health Education and other Health Care Interventions. Thousand Oaks CA: Sage Publications. 1996.
 Marks R. Self-efficacy and arthritis disability: An updated synthesis of the evidence base and its relevance to optimal patient care. Health Psychol Open. (Internet), 2014 December 23 (cited 2017 September) 1(1): Available from: http://journals.sagepub.com/doi/10.1177/2055102914564582
 Moss-Morris R., Weinman J., Petrie K. J., Horne R.., Cameron L. D., & Buick D. The revised illness perception questionnaire (IPQ-R). Psychology and Health, 2002 (17). pp. 1–16
 Motl R..W., McAuley E., Snook E. M., & Gliottoni R.C. Physical activity and quality of life in multiple sclerosis: Intermediary roles of disability, fatigue, mood, pain, self-efficacy and social support. Psychol Health Med, 2009. 14 (1). pp. 111-24
 Musumeci G. Effects of exercise on physical limitations and fatigue in rheumatic diseases. World J Orthop., 2015 Nov 18. 6(10).762-790
 Petriček G., Vrcić-Keglević M., Vuletić G., Cerovečki V., Ožvačić Z., & Murgić L. Illness Perception and Cardiovascular Risk Factors in Patients with Type 2 Diabetes: Cross-sectional Questionnaire Study. CMJ. 2009. 50(6). pp. 583-593
 Schüz B., Wurm S., Warner L. M., & Ziegelmann J. P. Self-efficacy and multiple illness representations in older adults: A multilevel approach. Psychol Health, 2012. 27. pp. 13-29
 Sniehotta F. F., Scholz U., & Schwarzer R. Bridging the intention-behaviour gap: Planning, self-efficacy, and action control in the adoption and maintenance of physical exercise. Psychol Health, 2005 (20). pp. 143-160
 Velitckov A., Radoslavova М., & Rasheva М. Metod za izmervane na genaraliziranite ochakvaniq za valentnostta na poluchenite rezultati (optimizam i negativni ochakvaniq). Bylgarsko spisanie po psihologia, 1993. l (3). pp. 85-100
 Vollmann M., Scharloo M., Langguth B., Kalkouskaya N., & Salewski C. Illness representations as mediators of the relationship between dispositional optimism and depression in patients with chronic tinnitus: A cross-sectional study. Psychol Health, 2014 (29). pp. 81–93
 Wallston K., Stein M., & Smith C. Form C of the MHLC scales: A condition- specific measure of locus of control. J Pers Assess, 1994. 63(3). pp. 534-553
 Wallston K. A., & Wallston B. S. Who is responsible for your health: The construct of health locus of control. In: Sanders G., Suls J, editors. Social Psychology of Health and Illness. Hillsdale, N. J: Lawrence Erlbaum & Associates. 1982. pp. 65-95
 Zhang N., Fielding R., Soong I., Chan K. K., Tsang J., Lee V., et al. Illness perceptions among cancer survivors. Support Care Cancer. 2016 Mar; 24(3). pp. 1295-1230
Copyright (c) 2018 LUMEN Proceedings
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Selection and peer-review under responsibility of the Organizing Committee of the conference.
This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 4.0 Unported License, permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited