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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.
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“In illness perception, the integration of both abstract and concrete health information influences the patient’s cognitive representations and emotional responses and facilitates the assignment of meaning to the disease and illness experience (Dempster et al., 2015).”
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“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.”
Background
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
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