The DOI matches its Crossref record; 56 of the 56 references it cites were found in a registry or an index.
Illness perceptions and coping in physical health conditions: A meta-analysis
Open accessAbstract
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.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The text we found for this paper looks like another document, so the self-check wasn’t run.
Citations
Cites
Eysenck, H. J. (1985) · Behaviour Research and Therapy · doi:10.1016/0005-7967(85)90087-7 · Cited by 32,038
“Stress: appraisal and coping,”
Folkman, S. (2013) · Encyclopedia of Behavioral Medicine · doi:10.1007/978-1-4419-1005-9_215 · Cited by 27,833
Methods of Meta-Analysis: Correcting Error and Bias in Research Findings
Schmidt, F. L., & Hunter, J. E. (2015) · doi:10.4135/9781483398105 · Cited by 5,542
The Brief Illness Perception Questionnaire
Broadbent, E., Petrie, K. J., Main, J., & Weinman, J. (2006) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2005.10.020 · Cited by 3,431
The revised illness perception questionnaire (IPQ-R)
Moss-Morris, R., Weinman, J., Petrie, K., Horne, R., Cameron, L., & Buick, D. (2002) · Psychology & Health · doi:10.1080/08870440290001494 · Cited by 2,949
Methods of Meta-Analysis: Correcting Error and Bias in Research Findings.
Raudenbush, S. W., Hunter, J. E., & Schmidt, F. L. (1991) · Journal of the American Statistical Association · doi:10.2307/2289738 · Cited by 2,368
A Meta-Analytic Review of the Common-Sense Model of Illness Representations
Hagger, M. S., & Orbell, S. (2003) · Psychology & Health · doi:10.1080/088704403100081321 · Cited by 1,607
Weinman, J. A., Petrie, K. J., Moss-Morris, R. E., & Horne, R. (1996) · Psychology and Health · doi:10.1080/08870449608400270 · Cited by 1,557
Egger, M., Jüni, P., Bartlett, C., Holenstein, F., & Sterne, J. (2003) · Health Technology Assessment · doi:10.3310/hta7010 · Cited by 1,181 · cited 1×
“literature is often of lower quality and unlikely to affect the conclusions of a review [17].”
French, D. P., Cooper, A., & Weinman, J. (2006) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2006.07.029 · Cited by 270
Cited by
Sorted by citations
Items 201–273 of 273
Prue-Owens, K., Lindsay, K. G., Graham, H., Ramesh, M., Justus, D., Loy, K., Harding-Isidore, A., Angeles, E., Faulkender, M., Sublett, K., et al. (2023) · Journal of Nursing Measurement · doi:10.1891/jnm-2021-0027 · Cited by 1
Strate, L., Michael, T., & Hammond, M. S. (2023) · COUNS-EDU| The International Journal of Counseling and Education · doi:10.23916/0020230842010 · Cited by 1
“Insecure attachment can result in a negative view of the self, low self-worth, fear of abandonment, and mistrust (Dempster et al., 2015; Wright & Perrone, 2010).”
BackgroundHoch, M. M., MacDonald, J. J., Jorge-Miller, A., McCannel, T. A., Beran, T. M., & Stanton, A. L. (2023) · Annals of Behavioral Medicine · doi:10.1093/abm/kaad057 · Cited by 1
Parkinson’s Disease: Coping Strategies, Cognitive Restructuring and Deep Brain Stimulation
Meyer, M., Montel, S., Colnat‐Coulbois, S., Frismand, S., Llorca, P., Vidailhet, P., Schwan, R., & Spitz, É. (2024) · Journal of Geriatric Psychiatry and Neurology · doi:10.1177/08919887241248831 · Cited by 1
“…results published so far seem contradictory concerning the stability of the coping strategies from preoperative compared to postoperative period, 9,18 as only a few articles are available concerning the coping strategies in the neurosurgical context of PD, inducing a need for further research…”
Shiri, M., Bagherian, R., Maracy, M. R., & Sanei, H. (2019) · Iranian Journal of Psychiatry and Behavioral Sciences · doi:10.5812/ijpbs.86965 · Cited by 1
Bockholt, M., Mehnert, A., & Vehling, S. (2021) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/a-1522-8500 · Cited by 1
Functional (Medically Unexplained) Physical Syndromes/Symptoms: The Cognitive Behavioral Perspective
Karademas, E. C. (2018) · Springer eBooks · doi:10.1007/978-3-319-89360-0_3
STRESS COPING AS A PSYCHOLOGICAL FACTOR FOR CHRONIFICATION OF LOW BACK PAIN
Millere, A., Kalnberza-Ribule, Z., Nulle, A., Deklāva, L., & Millere, I. (2018) · SOCIETY INTEGRATION EDUCATION Proceedings of the International Scientific Conference · doi:10.17770/sie2018vol1.3227
Cognitieve therapie bij ziekteangststoornis en de somatisch-symptoomstoornis
Visser, S., & Reinders, M. (2019) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2021-9_10
Schüz, B. (2021) · Sozialwissenschaftliche Gesundheitsforschung · doi:10.1007/978-3-658-30377-8_4
Anticytokine Treatment of Rheumatoid Arthritis: An Observational Report
Lorkowski, J., Mętrak, R., & Jasiewicz, B. (2021) · Advances in experimental medicine and biology · doi:10.1007/5584_2021_685
Cardiovascular prevention and rehabilitation
Jennings, C. S., Berra, K. A., Hayman, L. L., Gibson, I., Jones, J. R. A., Atrey, A., Thompson, D. R., Ski, C. F., Kerins, M., Conboy, T., et al. (2021) · Oxford University Press eBooks · doi:10.1093/med/9780198849315.003.0011
Marfuah, M., Grestin Sandy, R., & Arifin, M. (2022) · Advances in Social Science, Education and Humanities Research/Advances in social science, education and humanities research · doi:10.2991/assehr.k.220203.033
Lawes-Wickwar, S., McBain, H. B., Hirani, S. P., Hurt, C. S., Dunlop, N., Solly, D., Crampton, B., Newman, S. P., & Ezra, D. G. (2020) · doi:10.21203/rs.3.rs-32007/v1
“A growing body of research has explored patients’ beliefs about a number of long-term conditions [7, 8] and their treatments [9].”
BackgroundSiafaka, V., Προδρόμου, Μ., Katinioti, K., Tafiadis, D., Ziavra, N., Tsekeris, P., & Hyphantis, T. N. (2021) · Archives of Otorhinolaryngology-Head & Neck Surgery · doi:10.24983/scitemed.aohns.2021.00142
Panić, D. (2022) · Facta Universitatis Series Philosophy Sociology Psychology and History · doi:10.22190/fupsph2201009p
“Activation of illness representation implies activation of illness construct content both at the observed/appraised level (abstract and concrete) – cognitive representation, and at the experiential level – emotional representation (e.g., Dempster et al. 2015).”
BackgroundCollaborating With Passion: Remind Me Why It Was Invited?
Meyer, J. P. (2022) · The Open Review · doi:10.47967/tor2022/vol8.16
Gaining Confdence Through Collaboration
Pascual, N. R. (2023) · The Open Review · doi:10.47967/tor2022col/vol8.13a
Embodiment in African Participatory Music Making
Day, N. K. (2022) · The Open Review · doi:10.47967/tor2022/vol8.10
Horwood, M., & Loades, M. E. (2022) · The Open Review · doi:10.47967/tor2022/vol8.11 · Cited by 1
Pulman, S. (2023) · The Open Review · doi:10.47967/tor2022col/vol8.15
Reece, R., & Merchant, S. (2022) · The Open Review · doi:10.47967/tor2022/vol8.06 · Cited by 1
Aigbe, E. O. (2022) · The Open Review · doi:10.47967/tor2022/vol8.12 · Cited by 1
Using ArcGIS StoryMaps to prepare learners for fieldwork
Maddison, J., Marsham, S., & Bevana, R. M. (2022) · The Open Review · doi:10.47967/tor2022/vol8.09
Effects of Attention and Congruence on Judging True and False COVID-19 News Headlines
Lê, P. H., & Blumenthal, J. V. (2022) · The Open Review · doi:10.47967/tor2022/vol8.08
Phd Support Groups: From Sceptic to True Believer
Collett, K. (2022) · The Open Review · doi:10.47967/tor2022/vol8.14
The Collaboration Pyramid – Inspiring Radical innovation That People are More Willing to Adopt
Neild, M. (2023) · The Open Review · doi:10.47967/tor2022col/vol8.17
Zhang, M., Hai, Z., Du, Y., Jiang, M., & Cai, C. (2023) · Research Square · doi:10.21203/rs.3.rs-3610367/v1
Aghaei, M. H., Aghdash, S. A., Ebrahimoghli, R., & Bodaghi, S. (2023) · Iranian Journal of Psychiatry and Clinical Psychology · doi:10.32598/ijpcp.29.2.4573.1
Feliciano, L., Renn, B. N., & Segal, D. L. (2018) · Wiley eBooks · doi:10.1002/9781394258970.ch8
Ali, E. A., Afefy, H. M. E., & Abdallah, Z. A. (2022) · Egyptian Journal of Health Care · doi:10.21608/ejhc.2022.342704
Dorrepaal, D. J., van der Steen, M., de Ridder, M. A. J., Goedegebuure, W. J., & Hokken-Koelega, A. (2024) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgae425
Yang, H. M., Lau, J. T. F., Fong, L. H. N., Cheung, S. F., & Wu, A. M. S. (2024) · Addictive Behaviors · doi:10.1016/j.addbeh.2024.108149
Durazo, A., Katyal, T., Magaña, D., Ling, P. M., & Vijayaraghavan, M. (2024) · Research Square · doi:10.21203/rs.3.rs-5033999/v1
Exploring self-reported causal attributions of long COVID: beyond viral origins
Sirotiak, Z., Adamowicz, J. L., & Thomas, E. B. K. (2024) · Discover Public Health · doi:10.1186/s12982-024-00374-9
“Considering the established impact of illness perceptions on health-related outcomes and quality of life in other clinical samples [11, 12], the perceived causes of illness among individuals with long COVID may affect condition progression and maintenance.”
Duff, A., Dawson, P., Pavilidis, P., & Mawdsley, J. E. D. (2025) · Gastrointestinal Nursing · doi:10.12968/gasn.2024.0043
de Castro, E. K., Lecuona, O. Z., Figueiras, M. J., Quiñones, C., Singh, K. K., Shiloh, S., Schippers, M. C., Kinkead, A., & Rodríguez‐Carvajal, R. (2025) · Scandinavian Journal of Psychology · doi:10.1111/sjop.13098 · Cited by 1
“Concern was also a strong predictor of distress (Dempster et al. 2015).”
Yu, Y., Ng, J. H.-Y., Lau, M. M. C., & Lau, J. T. F. (2025) · BMC Public Health · doi:10.1186/s12889-025-23278-y
Illness perceptions, fear, and COVID-19 protective behaviours: the mediating role of health literacy
Zouli, E., Koulierakis, G., & Tsikouraki, A. (2025) · Global Health Promotion · doi:10.1177/17579759251342822
“Additionally, according to the basic principles of the CSM, emotional perceptions are elicited by the emotions about the illness experienced by the individual (4) and perceptions, in general, have been linked to emotional states such as anxiety (43).”
Xu, J., Liu, Q., Ren, F., Sun, Z., Yang, B. X., Zhang, J., Liu, Y., Chen, B., & Jiang, X. (2025) · Research Square · doi:10.21203/rs.3.rs-7173257/v1
Levy, A. M., Saling, M. M., & Anderson, J. F. I. (2025) · Neuropsychological Rehabilitation · doi:10.1080/09602011.2025.2532479
“Based on Leventhal’s Common Sense Model (Leventhal et al., 1980, 1997), these factors have been shown to be important predictors of outcome across a range of illness and injury populations (Dempster et al., 2015; Hagger & Orbell, 2003; Nahlén Bose et al., 2016; Rutter & Rutter, 2002).”
Ekman, L., Fall, N., Emanuelson, U., & Lind, N. (2025) · Journal of Dairy Science · doi:10.3168/jds.2025-27187 · Cited by 1
Igwesi-Chidobe, C. N., Sorinola, I. O., & Godfrey, E. L. (2021) · Figshare · doi:10.6084/m9.figshare.16590377
Mathieu, A., Reignier, J., Gouge, A. L., Plantefeve, G., Mira, J. P., Argaud, L., Asfar, P., Badie, J., Botoc, N.-V., Bui, H.-N., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26289197
Mathieu, A., Reignier, J., Gouge, A. L., Plantefeve, G., Mira, J. P., Argaud, L., Asfar, P., Badie, J., Botoc, N.-V., Bui, H.-N., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26748770
Mathieu, A., Reignier, J., Gouge, A. L., Plantefeve, G., Mira, J. P., Argaud, L., Asfar, P., Badie, J., Botoc, N.-V., Bui, H.-N., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26748773
Akin‐Odanye, E. O., Ogo, C. N., Sulaiman, F. A., Suleiman, L., Ogunsanya, M. E., & Odedina, F. T. (2021) · Figshare · doi:10.6084/m9.figshare.14633975
Igwesi-Chidobe, C. N., Sorinola, I. O., & Godfrey, E. L. (2021) · Figshare · doi:10.6084/m9.figshare.16590380
Mathieu, A., Reignier, J., Gouge, A. L., Plantefeve, G., Mira, J. P., Argaud, L., Asfar, P., Badie, J., Botoc, N.-V., Bui, H.-N., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26289619
Mathieu, A., Reignier, J., Gouge, A. L., Plantefeve, G., Mira, J. P., Argaud, L., Asfar, P., Badie, J., Botoc, N.-V., Bui, H.-N., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26748776
Svensson, F., Birkner, S., & Exner, C. (2025) · Psychology Health & Medicine · doi:10.1080/13548506.2025.2604281
Spiegler, K. M., Ezzati, A., Fanning, K. M., Bostic, R. C., Urani, A., Cadiou, F., Lipton, R. B., & Vgontzas, A. (2026) · medRxiv · doi:10.64898/2026.01.24.26344649
Algedik, P., & Kocaman, O. (2026) · Cyprus Turkish Journal of Psychiatry and Psychology · doi:10.35365/ctjpp.26.1.11
Bailey, C., Bowden, F., Walker, M., Moss-Morris, R. E., Pick, S., Bradley‐Westguard, A., Poole, N. A., & Nicholson, T. R. (2026) · Psychology and Health · doi:10.1080/08870446.2026.2640346
A grounded theory of illness representation among musicians with embouchure dystonia/syndrome
Zywica, M., Radford, G., Ceasar, R. C., Ackermann, B. J., & Mason, X. L. (2026) · Dystonia · doi:10.3389/dyst.2026.15771
“Illness representations that emphasize severe consequences and emotional salience - especially if unresolved - can lead to maladaptive coping strategies such as behavioral withdrawal and denial, which are strongly associated with negative emotional outcomes [33].”
Yao, Z., Wang, Y., Liu, H., Shi, S., & Zhong, Z. (2026) · Journal of Evaluation in Clinical Practice · doi:10.1111/jep.70476
Ji, H., & Lee, J. Y. (2026) · Asia-Pacific Journal of Oncology Nursing · doi:10.1016/j.apjon.2026.100981
“23 This perspective is also aligned with the Common-Sense Model of Self-Regulation, which proposes that individuals' interpretations of an illness shape their responses to the health threat and, ultimately, their emotional outcomes.”
Junger, A. L., Fonseca, E. S., Sousa, A. L. L., & Batista, S. R. R. (2026) · BMJ Open · doi:10.1136/bmjopen-2026-117387
Ordás, Í., Caballol, B., Giordano, A., Esteve, M., Rodríguez‐Moranta, F., Bravo, R., Trabal, J., Segú, X., Menchén, L., Gutiérrez, A., et al. (2026) · Gastroenterología y Hepatología · doi:10.1016/j.gastrohep.2026.502815
Pan, S.-T., Zheng, P., Tao, Z., Fang, L., Yao, T., & Zheng, Y. (2026) · Journal of Behavioral Medicine · doi:10.1007/s10865-026-00689-9
“For instance, a meta-analysis of 31 studies found strong relationships between illness perceptions of various health problems and emotional health outcomes (e.g., depression and anxiety) (Dempster et al., 2015 ).”
Fan, L., Wang, B., Zhu, K., Jia, P., Jiang, Y., Guo, X., Qiu, Y., Xue, G., & Huang, X. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1869106
Association between coping strategies and benefit finding in adult cancer patients: a meta-analysis
Liao, T., Peng, D., Lim, P. Y., Mujar, N. M. M., Li, G., & Yusuf, A. (2026) · Supportive Care in Cancer · doi:10.1007/s00520-026-10986-3
“Empirical studies [23] suggest that coping styles are associated with individuals’ responses to stressful events and with their psychological and physical well-being.”
Applying the Biopsychosocial Model to Menstrual Health Experiences
Abdullayev, K., Windgassen, S., Wallace, H., & Brown, A. (2026) · Women's Reproductive Health · doi:10.1080/23293691.2026.2703586
Matos‐Pina, I., Moura‐Ramos, M., & Ferreira, C. (2026) · Neurodegenerative Disease Management · doi:10.1080/17582024.2026.2723528
Hu, Y., Huang, H. K., Jiang, L., Gong, Z., Yang, L., Huang, S., Liang, J., Lan, Y., Ouyang, W., Zhao, W., et al. (2026) · Journal of Asthma · doi:10.1080/02770903.2026.2734970
Exploring illness perception classes in the general population: a latent class analysis †
Thidemann, F., Lamm, T. T., Ørnbøl, E., Wellnitz, K. B., & Frostholm, L. (2026) · Psychology and Health · doi:10.1080/08870446.2026.2739471
Lommer, K., Schurr, T. A., Stürz, K., Holzner, B., & Hofer, A. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1829834
“While the perception of illness was initially studied in relation to somatic diseases (Dempster et al., 2015), it has subsequently been investigated in relation to mental health conditions as well (Cannon et al., 2022).”
Alkholy, R., Bee, P., Pedley, R., & Lovell, K. (2026) · PLoS ONE · doi:10.1371/journal.pone.0346995
Metadata
- 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
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2015-12
- Volume
- 79
- Issue
- 6
- Pages
- 506-513
- ISSN
- 0022-3999 (ISSN-L)
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review