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Illness perceptions, adjustment to illness, and depression in a palliative care population.

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Illness perceptions, adjustment to illness, and depression in a palliative care population. / Price, A; Goodwin, L; Rayner, L et al.
In: Journal of Pain and Symptom Management, Vol. 43, No. 5, 31.05.2012, p. 819-832.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

Price, A, Goodwin, L, Rayner, L, Shaw, E, Hansford, P, Sykes, N, Monroe, B, Higginson, I, Hotopf, M & Lee, W 2012, 'Illness perceptions, adjustment to illness, and depression in a palliative care population.', Journal of Pain and Symptom Management, vol. 43, no. 5, pp. 819-832. https://doi.org/10.1016/j.jpainsymman.2011.05.013

APA

Price, A., Goodwin, L., Rayner, L., Shaw, E., Hansford, P., Sykes, N., Monroe, B., Higginson, I., Hotopf, M., & Lee, W. (2012). Illness perceptions, adjustment to illness, and depression in a palliative care population. Journal of Pain and Symptom Management, 43(5), 819-832. https://doi.org/10.1016/j.jpainsymman.2011.05.013

Vancouver

Price A, Goodwin L, Rayner L, Shaw E, Hansford P, Sykes N et al. Illness perceptions, adjustment to illness, and depression in a palliative care population. Journal of Pain and Symptom Management. 2012 May 31;43(5):819-832. Epub 2012 Jan 28. doi: 10.1016/j.jpainsymman.2011.05.013

Author

Price, A ; Goodwin, L ; Rayner, L et al. / Illness perceptions, adjustment to illness, and depression in a palliative care population. In: Journal of Pain and Symptom Management. 2012 ; Vol. 43, No. 5. pp. 819-832.

Bibtex

@article{a3e54f8db4674c67a0e63a6fc6647e3e,
title = "Illness perceptions, adjustment to illness, and depression in a palliative care population.",
abstract = "ContextRepresentations of illness have been studied in several populations, but research is limited in palliative care.ObjectivesTo describe illness representations in a population with advanced disease receiving palliative care and to examine the relationship between illness perceptions, adaptive coping, and depression.MethodsA cross-sectional survey of 301 consecutive eligible patients recruited from a palliative care service in south London, U.K. Measures used included the Brief Illness Perception Questionnaire (Brief IPQ), the Mental Adjustment to Cancer (MAC) Scale, and the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire-9.ResultsScores were not normally distributed for most questions on the Brief IPQ. The correlations found between items on the Brief IPQ were understandable in the context of advanced disease. MAC helplessness-hopelessness and fighting spirit were highly correlated with items on the Brief IPQ in opposite directions. The Brief IPQ domains of consequences, identity, concern, personal control, and emotion were associated with depression, a relationship that was not explained by adaptive coping. Seven causal attribution themes were identified: don{\textquoteright}t know, personal responsibility, exposure, pathological process, intrinsic personal factors, chance, fate or luck, and other. Both lung cancer diagnosis and gender were found to be independently associated with personal responsibility attribution. None of the attribution themes were associated with the presence of depression.ConclusionAssessment of illness perceptions in palliative care is likely to yield important information about risk of depression and will help clinicians to personalize management of advanced disease.",
keywords = "Illness perceptions, illness representations, palliative, depression, adjustment, attribution",
author = "A Price and L Goodwin and L Rayner and E Shaw and P Hansford and N Sykes and B Monroe and I Higginson and M Hotopf and W Lee",
year = "2012",
month = may,
day = "31",
doi = "10.1016/j.jpainsymman.2011.05.013",
language = "English",
volume = "43",
pages = "819--832",
journal = "Journal of Pain and Symptom Management",
issn = "0885-3924",
publisher = "Elsevier Inc.",
number = "5",

}

RIS

TY - JOUR

T1 - Illness perceptions, adjustment to illness, and depression in a palliative care population.

AU - Price, A

AU - Goodwin, L

AU - Rayner, L

AU - Shaw, E

AU - Hansford, P

AU - Sykes, N

AU - Monroe, B

AU - Higginson, I

AU - Hotopf, M

AU - Lee, W

PY - 2012/5/31

Y1 - 2012/5/31

N2 - ContextRepresentations of illness have been studied in several populations, but research is limited in palliative care.ObjectivesTo describe illness representations in a population with advanced disease receiving palliative care and to examine the relationship between illness perceptions, adaptive coping, and depression.MethodsA cross-sectional survey of 301 consecutive eligible patients recruited from a palliative care service in south London, U.K. Measures used included the Brief Illness Perception Questionnaire (Brief IPQ), the Mental Adjustment to Cancer (MAC) Scale, and the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire-9.ResultsScores were not normally distributed for most questions on the Brief IPQ. The correlations found between items on the Brief IPQ were understandable in the context of advanced disease. MAC helplessness-hopelessness and fighting spirit were highly correlated with items on the Brief IPQ in opposite directions. The Brief IPQ domains of consequences, identity, concern, personal control, and emotion were associated with depression, a relationship that was not explained by adaptive coping. Seven causal attribution themes were identified: don’t know, personal responsibility, exposure, pathological process, intrinsic personal factors, chance, fate or luck, and other. Both lung cancer diagnosis and gender were found to be independently associated with personal responsibility attribution. None of the attribution themes were associated with the presence of depression.ConclusionAssessment of illness perceptions in palliative care is likely to yield important information about risk of depression and will help clinicians to personalize management of advanced disease.

AB - ContextRepresentations of illness have been studied in several populations, but research is limited in palliative care.ObjectivesTo describe illness representations in a population with advanced disease receiving palliative care and to examine the relationship between illness perceptions, adaptive coping, and depression.MethodsA cross-sectional survey of 301 consecutive eligible patients recruited from a palliative care service in south London, U.K. Measures used included the Brief Illness Perception Questionnaire (Brief IPQ), the Mental Adjustment to Cancer (MAC) Scale, and the Primary Care Evaluation of Mental Disorders Patient Health Questionnaire-9.ResultsScores were not normally distributed for most questions on the Brief IPQ. The correlations found between items on the Brief IPQ were understandable in the context of advanced disease. MAC helplessness-hopelessness and fighting spirit were highly correlated with items on the Brief IPQ in opposite directions. The Brief IPQ domains of consequences, identity, concern, personal control, and emotion were associated with depression, a relationship that was not explained by adaptive coping. Seven causal attribution themes were identified: don’t know, personal responsibility, exposure, pathological process, intrinsic personal factors, chance, fate or luck, and other. Both lung cancer diagnosis and gender were found to be independently associated with personal responsibility attribution. None of the attribution themes were associated with the presence of depression.ConclusionAssessment of illness perceptions in palliative care is likely to yield important information about risk of depression and will help clinicians to personalize management of advanced disease.

KW - Illness perceptions

KW - illness representations

KW - palliative

KW - depression

KW - adjustment

KW - attribution

U2 - 10.1016/j.jpainsymman.2011.05.013

DO - 10.1016/j.jpainsymman.2011.05.013

M3 - Journal article

C2 - 22285286

VL - 43

SP - 819

EP - 832

JO - Journal of Pain and Symptom Management

JF - Journal of Pain and Symptom Management

SN - 0885-3924

IS - 5

ER -