Illness perception, personality and health Flashcards
Illness perception
They experience a series of emotional reactions that the doctor should consider if necessary. The meaning of the disease per se does not seem to be enough as the perception of the disease by the patient turns to be important. With the demands of the disease, coping strategies must be used. This process will lead to the response to the disease.
Factors that influence the perception of the disease
- Patient variables
- Variables of the disease
- Social context
Patient variables
age and previous experiences
Personality
Locus of control (cause of origin of certain events, it can be internal control or external control or due to chance)
Psychological state of the patient at the time of illness.
Variables of the disease
Real severity Appearance and duration Connotations Part of the body that is affected Quality of life
Social context
Family environment and cultural environment and contact with health personnel
Demands imposed by the disease
- Demands related to the disease (change and collaboration)
- Emotional demands such as maintaining a self-image and the emotional balance. New role status. Obbligations and emotional benefits.
Adverse emotional responses
Depression: psychiatric illness in which sadness is one more symptom.
Anxiety disorders: it is not only the symptom of anxiety but a mental disorder.
Nonspecific
Phobias or others: intense non-coherent fear to treatment.
Emotional reaction
Implications for assistance
Changes in emotions and behavior. Emotional responses Expression of emotion Emotional support Informed
Illness representations (cognitive)
Identity: presence or absence of symptoms. Cause Consequence Timeline Cure/control
Identity component
Concerned with patients’ ideas about the label, the nature of their condition (ie associated symptoms) and the links between these.
Causal component
Comprises the patient’s ideas about the likely cause or causes of the illness
Time-line component
Indicates their perceptions of the likely duration of their health problems and these have been categorised as acute/short-lasting, chronic, or cyclical.
Consequence component
Reflects the individual’s beliefs about the illness severity and likely impact on physical, social and psychological functioning.
Cure component
Indicates the extent to which the patient believes their condition is amenable to cure or control.