Illness perceptions, mood and quality of life: A systematic review of coronary heart disease patients
Abstract
Objective To examine published literature investigating the relationship between illness perceptions, mood and quality of life (QoL) in coronary heart disease (CHD) populations.Methods Key databases were systematically searched (CINAHL, Medline, PsycINFO, Scopus and Web of Science) for studies matching the inclusion criteria between November 2011 and February 2012. References of included studies were examined and key authors contacted. Studies were subject to a quality control check.Results 21 studies met the inclusion criteria. A synthesis of the results found that illness perceptions were correlated to and predicted QoL and mood across CHD diagnoses. Specific illness perceptions (control, coherence and timeline) were found to be important for patients that had experienced an unexpected medical event, such as myocardial infarction.Conclusion The results of this study provide support that illness perceptions are related to outcomes across CHD populations and disease progression, however the results do not selectively support one particular model. Recommendations are consistent with cardiac rehabilitation guidelines. Further research should focus on the systemic impact of illness perceptions.
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The mechanisms leading to a persistence of unhelpful illness perceptions and their link with anxiety and depression remain unclear.
“Despite associations between illness perceptions and psychological outcomes [25] including reduced quality of life [25–27], the mechanisms leading to a persistence of unhelpful illness perceptions and their link with anxiety and depression remains unclear.”
From Metacognitive beliefs and their relationship with anxiety and depression in physical illnesses: A systematic review (2020) · cites this paper as [26]
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References 75 · Cited by 112
- Authors
- Foxwell, R., Morley, C., & Frizelle, D.
- Affiliations
- University of Hull (GB)
- Bradford Teaching Hospitals NHS Foundation Trust (GB)
- Corresponding author
- Foxwell, Rachel
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2013-09
- Volume
- 75
- Issue
- 3
- Pages
- 211-222
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2052693050
- Cited by
- 112
- References
- 75
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 6 · 2023: 4 · 2022: 12 · 2021: 9 · 2020: 16 · 2019: 14 · 2018: 12 · 2017: 9 · 2016: 10 · 2015: 9 · 2014: 4
- FWCI
- 1.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
- Keywords
- illness perception, coronary artery disease, mood, quality of life, perceived control, coherence, timeline of events, myocardial infarction, cardiac rehabilitation
- MeSH terms
- Affect, Attitude to Health, Coronary Disease, Humans, Internal-External Control, Perception, Quality of Life
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