Cited by 275Health, psychology, and well-beingCancer survivorship and carePsychosomatic Disorders and Their Treatments

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Illness perceptions and coping in physical health conditions: A meta-analysis

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Dempster, Martin, Howell, Doris, McCorry, Noleen K.·2015·Journal of Psychosomatic Research

DOI 10.1016/j.jpsychores.2015.10.006

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Abstract

Objective There is a considerable body of research linking elements of Leventhal's Common Sense Model (CSM) to emotional well-being/distress outcomes among people with physical illness. The present study aims to consolidate this literature and examine the evidence for the role of coping strategies within this literature.Methods A systematic review was conducted where the outcomes of interest were: depression, anxiety and quality of life. A total of 1050 articles were identified and 31 articles were considered eligible to be included in the review.Results Across a range of illnesses, perceptions of consequences of the illness and emotional representations were consistently the illness perceptions with the strongest relationship with the outcomes. Coping variables tend to be stronger predictors of outcomes than the illness perception variables. The evidence for the mediating effect of coping was inconsistent.Conclusions Illness perceptions and coping have an important role to play in the explanation of distress outcomes across a range of physical health conditions. However, some clarity about the theoretical position of coping in relation to illness perceptions, and further longitudinal work is needed if we are to apply this information to the design of interventions for the improvement of psychological health among people with physical health conditions.

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Background
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Background
IMPACT OF ILLNESS PERCEPTION AND COPING STRATEGIES ON QUALITY OF LIFE AMONG MIGRAINEURS
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Coping and adaptation of adults with cancer: the art of nursing care
Cepeda-Trujillo, L. M., Mosquera-Aguirre, J. M., Rojas-Atehortua, D. Y., & Perdomo-Romero, A. Y. (2022) · Aquichan · doi:10.5294/aqui.2022.22.1.7 · Cited by 3
“The nursing field needs to know how to promote health for its patients, but also how to help them cope with the changing episodes and challenges posed by their disease (7).”
Background
Quality of life, illness perceptions, and parental lived experiences in TANGO2-related metabolic encephalopathy and arrhythmias
Murali, C. N., Lalani, S. R., Azamian, M. S., Miyake, C. Y., & Smith, H. S. (2022) · European Journal of Human Genetics · doi:10.1038/s41431-022-01127-5 · Cited by 7
Representations of depression and schizophrenia in the community: The role of illness and risk perceptions on help-seeking intentions
Neto, D. D., Figueiras, M. J., & Sebastião, R. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.1011195 · Cited by 3
“IPs may influence outcomes on themselves or through other processes such as coping (Dempster et al., 2015) or risk perceptions (Figueiras et al.”
Background
Illness perceptions in pre-operative Parkinson’s disease patients
Meyer, M., Colnat‐Coulbois, S., Frismand, S., Vidailhet, P., Llorca, P., Schwan, R., & Spitz, É. (2023) · Journal of Neural Transmission · doi:10.1007/s00702-023-02629-2 · Cited by 3
Estrategias de afrontamiento en adultos con crisis funcionales disociativas: Una revisión sistemática
Molina, L. G., Wolfzun, C., Sarudiansky, M., Korman, G. P., Consejo Nacional de Investigaciones Científicas y Técnicas, A., Instituto de Investigaciones de la Facultad de Psicología, U. D. B. A., Consejo Nacional de Investigaciones Científicas y Técnicas, A., Instituto de Investigaciones de la Facultad de Psicología, U. D. B. A., Consejo Nacional de Investigaciones Científicas y Técnicas, A., Instituto de Investigaciones de la Facultad de Psicología, U. D. B. A., et al. (2023) · Suma Psicológica · doi:10.14349/sumapsi.2023.v30.n2.1 · Cited by 3
The common sense model in Raynaud’s phenomenon: do illness perceptions account for variance in symptom severity and quality of life?
Broughton, J., Irving, D., & Daniels, J. (2024) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x24000308 · Cited by 3
“A recent meta-analysis across medical conditions found that illness perceptions account for between 25 and 30% of the variance in anxiety, depression and quality of life (Dempster et al ., 2015).”
Influential
Longitudinal Associations Between Illness Perceptions and Glycemic Control in Type 2 Diabetes
Alyami, M. M., Serlachius, A. S., Mokhtar, I., & Broadbent, E. (2021) · International Journal of Behavioral Medicine · doi:10.1007/s12529-021-10024-y · Cited by 4
Reliability and validity of the Turkish version of the problem areas in diabetes (PAID) survey: Results from diabetes MILES – Turkey
Altıkardeş, D. K., Nefs, G., Hacışahinoğulları, H., Smeets, T., & Pouwer, F. (2024) · Primary care diabetes · doi:10.1016/j.pcd.2024.01.001 · Cited by 2
Do Acute Illness Perceptions Moderate the Association of Pre-Collision Welfare Benefits and Later Neck Pain or Disability Following Whiplash Trauma? A Prospective Multicentre Cohort Study
Carstensen, T. B. W., Ravn, S. L., Andersen, T. E., Sæther, S. M. M., Ørnbøl, E., Wellnitz, K. B., Kasch, H., & Frostholm, L. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13237072 · Cited by 2
Psychological self-regulation of rheumatic patients with different types of illness perception
Yaltonsky, V. M., Abrosimov, I. N., & Sirota, N. A. (2025) · V M BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY · doi:10.31363/2313-7053-2025-1-990 · Cited by 2
The effects of Leventhal’s self-regulation model-based educational intervention on stress, anxiety, and depression in women with multiple sclerosis: a randomized educational trial
Hosseini, M., Shamsikhani, S., Jadidi, A., & Rafiei, F. (2025) · Frontiers in Neurology · doi:10.3389/fneur.2025.1521112 · Cited by 2
“A diminished perception of diseases is associated with an increase in negative outcomes, including stress, anxiety, and depression (20).”
Spirituality and Pain among Post-treatment Cancer Patients in Poland: Mediation by Meaning in Life and Pain Coping Strategies
Krok, D., Telka, E., & Moroń, M. (2025) · Journal of Religion and Health · doi:10.1007/s10943-025-02358-8 · Cited by 3
“Coping strategies affect psychological outcomes among people with chronic illness or pain (Dempster et al., 2015); however, preferences for the particular coping strategies differ depending on the various personal factors (e.g., personality, social support; Koleck et al., 2006).”
Management of somatic comorbidities in psychiatric emergencies: Insights from a real-world cohort study.
Westhoff, M. S., Reimers, T., Heck, J., Brod, T., Bleich, S., Groh, A., & Schröder, S. (2025) · Psychiatry Research · doi:10.1016/j.psychres.2025.116630 · Cited by 1
Illness perceptions and compassion are important psychological processes involved in distress in chronic pain: A longitudinal study
Widdrington, H., Cherry, M. G., Herron, K., & Krahé, C. (2025) · Behaviour Research and Therapy · doi:10.1016/j.brat.2025.104922 · Cited by 2
A meta‐analysis of perceived infectability, germ aversion, disgust and outgroup perceptions: Evaluating research on the behavioural immune system
Howard, M. C., Davis, M. M., & Serviss, E. R. (2026) · British Journal of Psychology · doi:10.1111/bjop.70076 · Cited by 2
Comparisons Between Illness and Injury Outcomes: Potential Suppression Effects by Emotional Representations
Heruti, I., Levy, S., Deutscher, D., Gutvirtz, M., Berkovitz, T., & Shiloh, S. (2020) · International Journal of Behavioral Medicine · doi:10.1007/s12529-020-09931-3 · Cited by 2
Illness Representation and Associated Factors among Hypertensive Patients in Central Ethiopia
tsadik, D. G., Berhane, Y., & Worku, A. (2022) · Ethiopian Journal of Health Sciences · doi:10.4314/ejhs.v32i2.10 · Cited by 2
“In all dimension’s subjects were given 5 options which were converted to a 5-point Likert type scale for analysis: Strongly Disagree (1), Disagree (2), Neither Agree nor Disagree (3), Agree (4), and Strongly Agree (5).”
BackgroundMethod
Relationship Between Quality of Life and Health Literacy in Patients with Sickle Cell Disease
Azar, M., Haghighi, S., Maraghi, E., Mohammadnejad, F., & Ashrafizadeh, H. (2022) · Jundishapur Journal of Chronic Disease Care · doi:10.5812/jjcdc-123281 · Cited by 2
“A recent meta-analysis has similarly reported that the perceptions of consequences an illness may have and emotional representations dimensions have the strongest relationships with psychological outcomes, including QOL, across a wide range of illnesses such as cancer, epilepsy, heart failure, rheumatoid arthritis, an…”
Background
Immunoinflammatory rheumatic diseases: the role of the perception of the disease and coping with it in the psychological adaptation of the patient
Abrosimov, I. N., Yaltonsky, V. M., Sirota, N. A., Lisitsyna, T. A., Владимировна, Я. А., & Lila, A. M. (2022) · Modern Rheumatology Journal · doi:10.14412/1996-7012-2022-6-20-25 · Cited by 2
Illness Perception Accorded by Language Assistance in Non-Japanese-Speaking Patients
Wang, Y., Oonishi, A., Kazami, A., Suminaga, R., Den, E., Li, Z. Y., Ono, N., Niyonsaba, F., & Ikeda, A. (2023) · Cureus · doi:10.7759/cureus.50532 · Cited by 2
“Numerous studies [10-13] and meta-analyses [14,15] have demonstrated that illness perception influences patient outcomes, such as treatment adherence and quality of life.”
Background
Do men adapt to lower urinary tract symptoms? An 11-year longitudinal study of male urinary urgency and associated bother
Åkerla, J., Pesonen, J. S., Peltonen, E. J., Huhtala, H., Häkkinen, J., Koskimäki, J. E., Tammela, T. L. J., Auvinen, A. P., & Pöyhönen, A. (2024) · Scandinavian Journal of Urology · doi:10.2340/sju.v59.18289 · Cited by 2
“Selection of co-variables was based on previous literature on potential risk factors of bothersome male LUTS [3, 4, 17, 18] and factors with potential impact on psychosocial coping and general symptom perception [19, 20].”
BackgroundMethod
Effect of anxiety on posttraumatic stress symptoms and fear of recurrence in patients with barest cancer: the mediating role of fatigue
Ghasemzadehbarki, S., Shahgholian, M., & Abdollahi, M. H. (2024) · Journal of Breast Disease · doi:10.61186/ijbd.17.1.41 · Cited by 2
Unveiling the Psychological Consequences of Illness Perception in Pediatric Multiple Sclerosis: A Parent–Child Study
Aloni, R., Asher, G., Ben-Ari, A., & Menascu, S. (2024) · Children · doi:10.3390/children11080929 · Cited by 4
“Traditionally, discussions on illness perceptions have primarily centered on the patient’s perspectives [30].”
Background
Coping strategies in oral and oropharyngeal cancer patients with alcohol dependence
Petrić, D., Rački, V., Peitl, M. V., Zubović, A., Rački, N. G., Rogić, M., Belušić-Gobić, M., & Tovilović, Z. (2020) · The European Journal of Psychiatry · doi:10.1016/j.ejpsy.2020.11.004 · Cited by 2
Coping with Chronic Illness and Medical Stress
Riccio, C. A., Maykel, C., Howell, M., & Bray, M. A. (2018) · Springer eBooks · doi:10.1007/978-3-030-00791-1_19 · Cited by 2
Cognitive Representations of Diabetes and their Role in Metabolic Control and Health: When a Positive View of Illness Protects
Santos-Roig, M. D. L., Ruiz-González, I., Robles‐Ortega, H., & Pérez-Meléndez, C. (2019) · Clínica y Salud · doi:10.5093/clysa2019a10 · Cited by 1
“Moreover, the literature has reported the existence of relationships between illness cognitions and quality of life, disability and fatigue, physical functioning, general health (Broadbent et al., 2011; Dempster et al., 2015; Hoving et al., 2010) and mortality.”
Background
Stressful Situations in Cancer Patients Receiving Chemotherapy and Strategies for Coping with Stress: A Descriptive and Cross-Sectional Study
SERBEST, Z., & Sayar, S. (2023) · Turkiye Klinikleri Journal of Nursing Sciences · doi:10.5336/nurses.2022-95152 · Cited by 1
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Calys-Tagoe, B. N., Brownson, K. E., Nsaful, J., Dedey, F., Tetteh, J., Coleman, N., Laryea, R., & Clegg‐Lamptey, J. (2024) · Ghana Medical Journal · doi:10.4314/gmj.v58i1.3 · Cited by 1
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Uysal, N., & Aşıkoğlu, C. (2025) · Journal of Modern Nursing Practice and Research · doi:10.53964/jmnpr.2025001 · Cited by 1
“The consequences sub-dimension (No: 6, 7, 8, 9, 10, 11) investigates the beliefs about the severity of the illness and its potential impact on physical, social, and psychological functioning.”
Intervention challenges experienced in physiotherapy and occupational therapy with workers’ pain and disability representations: a mixed methods study
Godbout, P., Coutu, M., & Durand, M. (2025) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-025-10272-9 · Cited by 1
Exploring pain perception and depression in vulvodynia: the role of catastrophizing and pain acceptance
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Psychometric Properties of the Turkish Adaptive Coping with Disease Scale in Adult Cancer Patients
Topal, C. A., Gürel, R., Uçgun, T., & Şahin-Kılınç, B. (2025) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2025.151847 · Cited by 1
Illness Perceptions and Emotional Experiences in Heart Failure: Qualitative Insights to Inform Personalized Psychosocial Care
Suarez, L., Hughes, C., Ehlers, S. L., Dunlay, S. M., & Staab, J. P. (2025) · Journal of the Academy of Consultation-Liaison Psychiatry · doi:10.1016/j.jaclp.2025.10.330 · Cited by 1
The role of illness perceptions in epilepsy throughout the lifespan: A systematic review
Rizou, I., Papavasiliou, A. S., van Middendorp, H., & Gucht, V. D. (2025) · European Journal of Paediatric Neurology · doi:10.1016/j.ejpn.2025.10.013 · Cited by 2
Perceived comfort with migraine treatments and control of migraine symptoms: Results from the Headache Assessment via Digital Platform in United States study
Spiegler, K. M., Ezzati, A., Fanning, K. M., Bostic, R. C., Urani, A., Cadiou, F., Lipton, R. B., & Vgontzas, A. (2026) · Headache The Journal of Head and Face Pain · doi:10.1111/head.70165 · Cited by 1
INVESTIGATION OF THE RELATIONSHIP BETWEEN ILLNESS PERCEPTION AND CLINICAL CHARACTERISTICS, COPING, SELF-EFFICACY IN CASES DIAGNOSED WITH BIPOLAR DISORDER
Ünal, G. Ö., Çallıoğlu, G. Ç. A., İŞCAN, G., & Atay, İ. M. (2022) · SDÜ Tıp Fakültesi Dergisi · doi:10.17343/sdutfd.1095287 · Cited by 1
Anxiety/Depression Predominance in Liaison-Psychiatry Users of a South-East Mexico Tertiary Hospital
Gómez-de-Regil, L., Castillo, D. F. E., & Cicero-Ancona, M. (2022) · Healthcare · doi:10.3390/healthcare10071162 · Cited by 1
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A Theoretical Qualitative Investigation Exploring Illness Perceptions and Decision-Making About COVID-19 in an Ethnically Diverse UK-Based Sample
McDonald, S., & Blackie, L. E. R. (2023) · Patient Preference and Adherence · doi:10.2147/ppa.s389660 · Cited by 1
“Illness Perceptions and COVID-19 Research suggests that illness perceptions are key factors influencing behavior relating to illness prevention and management, coping, and recovery.(9,10) The Common Sense Model of Self-Regulation (CSM) is a dominant theoretical model in the study of illness representations or percepti…”
Background
Vécu psychologique de la stomie digestive chez le sujet âgé : évaluation de l’anxiété, de l’image du corps et de la perception de la maladie
Sounga, D., Kpelly, E., Masson, J., Moukouta, C. S., Mauvais, F., Bernoussi, A., & Tsokini, D. (2023) · NPG. Neurologie, psychiatrie, gériatrie/NPG · doi:10.1016/j.npg.2023.02.004 · Cited by 1

Authors: Dempster, M., Howell, D., & McCorry, N. K.
Affiliations: Queen's University Belfast (GB)
University of Toronto (CA)
Marie Curie Hospice (GB)
Corresponding author: Dempster, Martin
ORCID: Dempster, Martin
Howell, Doris
McCorry, Noleen K.
Venue: Journal of Psychosomatic Research
Publisher: Elsevier BV
Published: 2015-12
Volume: 79
Issue: 6
Pages: 506-513
ISSN: 0022-3999 (ISSN-L)
DOI: 10.1016/j.jpsychores.2015.10.006
OpenAlex: W2188189394
Cited by: 275
References: 56
Citations by year: 2026: 19 · 2025: 33 · 2024: 37 · 2023: 31 · 2022: 26 · 2021: 39 · 2020: 22 · 2019: 21 · 2018: 24 · 2017: 16 · 2016: 7
FWCI: 2.82
Type: journal article
Language: en
Open access: green
pure.qub.ac.uk
Licence: cc-by-nc-nd
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Psychosomatic Research (publishedVersion)
PubMed (publishedVersion)
Research Portal (Queen's University Belfast) (submittedVersion, cc-by-nc-nd)
Topics: Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords: illness perception, coping strategies, physical illness, depression, anxiety, quality of life, emotional distress, emotion representation
MeSH terms: Adaptation, Psychological, Anxiety, Depression, Emotions, Health Status, Humans, Judgment, Quality of Life, Stress, Psychological

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Illness perceptions and coping in physical health conditions: A meta-analysis

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