Cognitive representations of diabetes and their role in metabolic control and healthwhen a positive view of illness protects

  1. Macarena De los Santos-Roig
  2. Isabel Ruiz-González
  3. Humbelina Robles-Ortega
  4. Cristino Pérez-Meléndez
Revista:
Clínica y salud: Investigación Empírica en Psicología

ISSN: 1130-5274

Año de publicación: 2019

Volumen: 30

Número: 2

Páginas: 55-62

Tipo: Artículo

DOI: 10.5093/CLYSA2019A10 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Clínica y salud: Investigación Empírica en Psicología

Resumen

RESUMEN Una representación cognitiva de la enfermedad (RCE) positiva se asocia con mejor control metabólico y mayor salud en diabetes. Los objetivos fueron evaluar la RCE con una nueva escala –la ERCE– y predecir el control metabólico, los indicadores de salud y el malestar psicológico en 152 pacientes diabéticos tipo 1. Se administraron la escala ERCE, la MOS SF-36, la PANAS y la HADS. Se recogió también la hemoglobina glicosilada (HbA1c). Mediante un análisis de clusters con las puntuaciones de la ERCE, se crearon dos perfiles (+/-RCE). El análisis de regresión jerárquico mostró que una visión negativa de la diabetes (RCE negativa) se asoció con peor estado de salud. La ERCE demostró garantías psicométricas y evidencias de validez aceptables, que justifican su uso en contextos clínicos. Este instrumento permite a los educadores evaluar la RCE y ajustar el tratamiento, lo que conduce a una asistencia más eficiente para las personas con diabetes en España..

€ Ver financiación

Información de financiación

The starting hypotheses of this study were partially supported by the results. As regards the relationships between components, results agreed with our theoretical and empirical expectations, since moderate estimated intercorrelations were found between ERCE components. Overall, results indicated that having a large number of symptoms (identity) was associated with a high impact of the disease (consequences) as well as the attribution of a large number

Financiadores

Referencias bibliográficas

  • Alonso, J,Prieto, L,Antó, J. M.. (1995). The Spanish version of the SF-36 Health Survey (the SF-36 health questionnaire): An instrument for measuring clinical results. Medicina Clínica (Barc). 104. 771
  • Arran, N,Craufurd, D,Simpson, J.. (2014). Illness perceptions, coping styles and psychological distress in adults with Huntington's disease. Psychology, Health & Medicine. 19. 169
  • Astin, F,Jones, K.. (2006). Changes in patients' illness representations before and after elective percutaneous transluminal coronary angioplasty. Heart & Lung: The Journal of Acute and Critical Care. 35. 293-300
  • Beléndez Vázquez, M,Bermejo Alegría, R. M,García Ayala, M. D.. (2005). Estructura factorial de la versión española del Revised Illness Perception Questionnaire en una muestra de hipertensos [Factor structure of the Spanish version of the IPQ-R in a sample of patients with hypertension]. Psicothema. 17. 318
  • Broadbent, E,Donkin, L,Stroh, J. C.. (2011). Illness and treatment perceptions are associated with adherence to medications, diet, and exercise in diabetic patients. Diabetes Care. 34. 338
  • Broadbent, E,Petrie, K. J,Main, J,Weinman, J. (2006). The brief illness perception questionnaire. Journal of Psychosomatic Research. 60. 631
  • Chilcot, J,Wellsted, D,Farrington, K.. (2011). Illness perceptions predict survival in haemodialysis patients. American Journal of Nephrology. 33. 358
  • Clatworthy, J,Buick, D,Hankins, M,Weinman, J,Horne, R.. (2005). The use and reporting of cluster analysis in health psychology: A review. British Journal of Health Psychology. 10. 329
  • Clatworthy, J,Hanskins, M,Weinman, J,Horne, R.. (2007). Cluster analysis in illness perception research: A Monte Carlo study to identify the most appropriate method. Psychology & Health. 22. 123
  • Cohen, J,Cohen, P,West, S. G,Aiken, L. S.. (2013). Applied multiple regression/correlation analysis for the behavioral sciences. Routledge. London, UK.
  • Crawshaw, J,Rimington, H,Weinman, J,Chilcot, J.. (2015). Illness perception profiles and their association with 10-year survival following cardiac valve replacement. Annals of Behavioral Medicine. 49. 769
  • De las Cuevas Castresana, C,García-Estrada Pérez, A. G,González de Rivera, J. (1995). Hospital anxiety and depression scale y psicopatología afectiva [The Hospital Anxiety and Depression Scale and affective psychopatology]. Anales de Psicología. 11. 126
  • De los Santos-Roig, M.. (2009). Evaluación de la representación de la enfermedad: creación de la Escala para la Representación Cognitiva de la Enfermedad, ERCE [Assessment of illness representations: Development of the Cognitive Representation Scale, ERCE] (doctoral dissertation). Universidad de Granada. Spain.
  • De los Santos-Roig, M,Fernández-Alcántara, M,Guardia-Archilla, T,Rodríguez-Morales, S,Molina, A,Casares, D,Ruiz-González, I.. (2014). Efectos diferenciales de los programas de educación en diabetes según los niveles de HbA1c y la presencia de complicaciones crónicas en el paciente tipo 1 [Differential effects of diabetes education programs according to HbA1C levels and the presence of chronic complications in Type 1 patient]. Anales del Sistema Sanitario de Navarra. 37. 235
  • De los Santos-Roig, M,Pérez-Meléndez, C.. (2013). De la definición semántica a los ítems a través de las tablas de especificaciones: elaboración de la Escala sobre Representación de la Enfermedad, ERCE [From semantic definition to items through specification tables: development of ERCE Scale]. Anales de Psicología. 29. 345
  • De los Santos-Roig, M,Pérez-Meléndez, C. (2014). Análisis de ítems y evidencias de fiabilidad de la Escala sobre Representación Cognitiva de la Enfermedad (ERCE). [Item analysis and reliability evidences of ERCE Scale]. Anales de Psicología. 30. 438
  • Dempster, M,Howell, D,McCorry, N. K.. (2015). Illness perceptions and coping in physical health conditions: A meta-analysis. Journal of Psychosomatic Research. 79. 506
  • Evans, D,Paul, N.. (2009). Illness representations, coping and psychological adjustment to Parkinson's disease. Psychology & Health. 24. 1181
  • French, D.P,Weinman, J.. (2008). Current issues and new directions in Psychology and Health: Assessing illness perceptions: beyond the IPQ. Psychology & Health. 23. 5-9
  • Galli, U,Ettlin, D. A,Palla, S,Ehlert, U,Gaab, J.. (2010). Do illness perceptions predict pain-related disability and mood in chronic orofacial pain patients? A 6-month follow-up study. European Journal of Pain. 14. 550
  • Gois, C. J,Ferro, A. C,Santos, A. L,Sousa, F. P,Ouakinin, S. R,Do Carmo, I,Barbosa, A. F.. (2012). Psychological adjustment to diabetes mellitus: highlighting self-integration and self-regulation. Acta Diabetologica. 49. 33-40
  • Hagger, M. S,Orbell, S.. (2003). A meta-analytic review of the common-sense model of illness representations. Psychology & Health. 18. 141
  • Harvey, J. N,Lawson, V. L.. (2009). The importance of health belief models in determining self-care behaviour in diabetes. Diabetic Medicine. 26. 5-13
  • Hayes, A.. (2013). Introduction to mediation, moderation, and conditional process analysis. A regression-based approach. Guilford. New York, NY.
  • Hoving, J,Van der Meer, M,Volkova, A,Frings-Dresen, M.. (2010). Illness perceptions and work participation: A systematic review. International Archives of Occupational Environmental Health. 83. 595-605
  • Hudson, J. L,Bundy, C,Coventry, P. A,Dickens, C.. (2014). Exploring the relationship between cognitive illness representations and poor emotional health and their combined association with diabetes self-care. A systematic review with meta-analysis. Journal of Psychosomatic Research. 76. 265
  • Knittle, K,Maes, S,De Gucht, V.. (2010). Psychological interventions for rheumatoid arthritis: Examining the role of self-regulation with a systematic review and meta-analysis of randomized controlled trials. Arthritis Care Research. 62. 1460
  • Kohlmann, S,Rimington, H,Weinman, J.. (2012). Profiling illness perceptions to identify patients at-risk for decline in health status after heart valve replacement. Journal of Psychosomatic Research. 72. 427
  • Leventhal, H,Benyamini, Y,Brownlee, S,Diefenbach, M,Leventhal, E. A,Patrick-Miller, L,Robitaille, C.. (1997). Perceptions of health and illness: Current research and applications. Harwood Academic Publishers. Amsterdam, NL.
  • Leventhal, H,Brissette, I,Leventhal, E. A.. (2003). The common-sense model of self-regulation of health and illness. Routledge. London, UK.
  • Lissitz, R. W,Samuelsen, K.. (2007). A suggested change in terminology and emphasis regarding validity and education. Educational Researcher. 36. 437
  • McSharry, J,Moss-Morris, R,Kendrick, T.. (2011). Illness perceptions and glycaemic control in diabetes: A systematic review with meta-analysis. Diabetic Medicine. 28. 1300
  • Medley, A. R,Powell, T,Worthington, A,Chohan, G,Jones, C.. (2010). Brain injury beliefs, self-awareness, and coping: A preliminary cluster analytic study based within the self-regulatory model. Neuropsychological Rehabilitation. 20. 899-921
  • Moss-Morris, R,Weinman, J,Petrie, K,Horne, R,Cameron, L,Buick, D.. (2002). The revised illness perception questionnaire (IPQ-R). Psychology & Health. 17. 1-16
  • Nie, R,Han, Y,Xu, J,Huang, Q,Mao, J.. (2018). Illness perception, risk perception and health promotion self-care behaviors among Chinese patient with type 2 diabetes: A cross-sectional survey. Applied Nursing Research. 39. 89-96
  • Pacheco-Huergo, V,Viladrich, C,Pujol-Ribera, E,Cabezas-Pena, C,Núnez, M,Roura-Olmeda, P.,Núñez, E.. (2012). Percepción en enfermedades crónicas: validación lingüística del Illness Perception Questionnaire Revised y del Brief Illness Perception Questionnaire para la población española [Perception in chronic illnesses: Language validation of the IPQ and BPQ to the Spanish population]. Atención Primaria. 44. 280
  • Petrie, K. J,Weinman, J.. (2012). Patients' perceptions of their illness: The dynamo of volition in health care. Current Directions in Psychological Science. 21. 60
  • Rees, G,Lamoureux, E. L,Xie, J,Sturrock, B. A,Fenwick, E. K.. (2015). Using Rasch analysis to evaluate the validity of the diabetes-specific version of the Illness Perception Questionnaire–Revised. Journal of Health Psychology. 20. 1340
  • Ruiz-González, I,Fernández-Alcántara, M,Guardia-Archilla, T,Rodríguez-Morales, S,Molina, A,Casares, D,De los Santos-Roig, M.. (2016). Long-term effects of an intensive-practical diabetes education program on HbA1c and self-care. Applied Nursing Research. 31. 13
  • Sandín, B,Chorot, P,Lostao, L,Joiner, T. E,Santed, M. A,Valiente, R. M.. (1999). Escalas PANAS de afecto positivo y negativo: validación factorial y convergencia transcultural [PANAS scales of positive and negative affect: Factor validation and transcultural convergence]. Psicothema. 11. 37-51
  • Sireci, S. G.. (2007). On validity theory and test validation. Educational Researcher. 36. 477
  • Skinner, T,Carey, M,Cradock, S,Dallosso, H,Daly, H,Davies, M,… Oliver, L.. (2011). Comparison of illness representations dimensions and illness representation clusters in predicting outcomes in the first year following diagnosis of type 2 diabetes: Results from the DESMOND trial. Psychology & Health. 26. 321
  • Terol-Cantero, M. C,Cabrera-Perona, V,Martín-Aragón, M.. (2015). Revisión de estudios de la Escala de Ansiedad y Depresión Hospitalaria (HAD) en muestras españolas [Review of studies on the HADS in Spanish samples]. Anales de Psicología. 31. 494-503
  • Thongsai, S.. (2015). Do illness perceptions predict the attendance rate at diabetic outpatient clinic?. Global Journal of Health Science. 7. 254
  • van Puffelen, A. L,Heijmans, M. J,Rijken, M,Rutten, G. E,Nijpels, G,Schellevis, F. G.. (2015). Illness perceptions and self-care behaviours in the first years of living with type 2 diabetes; does the presence of complications matter?. Psychology & Health. 30. 1274
  • Vedhara, K,Dawe, K,Miles, J. N,Wetherell, M. A,Cullum, N,Dayan, C.,Day, A.. (2016). Illness beliefs predict mortality in patients with diabetic foot ulcers. PloS one. 11. 0153315
  • Vilagut, G,Ferrer, M,Rajmil, L,Rebollo, P,Permanyer-Miralda, G,Quintana, J. M.,Alonso, J.. (2005). El cuestionario de salud SF-36 español: una década de experiencia y nuevos desarrollos [The Spanish version of the SF-36 Health Survey: A decade of experience and new developments]. Gaceta Sanitaria. 19. 135
  • Ware, J. E,Sherbourne, C. D.. (1992). The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical Care. 30. 473
  • Ware, J. E,Snow, K. K,Kosinski, M,Gandek, B.. (1995). SF-36 health status survey manual. The Health Institute, New England Medical Center. Boston, MA.
  • Watson, D,Clark, L. A,Tellegen, A.. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology. 54. 1063
  • Wisting, L,Bang, L,Natvig, H,Skrivarhaug, T,Dahl-JØrgensen, K,Lask, B,RØ, Ø. (2016). Metabolic control and illness perceptions in adolescents with type 1 diabetes. Journal of Diabetes Research. 501. 1-8
  • Zigmond, A. S,Snaith, R. P.. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica. 67. 361
  • Zoeckler, N,Kenn, K,Kuehl, K,Stenzel, N,Rief, W.. (2014). Illness perceptions predict exercise capacity and psychological well-being after pulmonary rehabilitation in COPD patients. Journal of Psychosomatic Research. 76. 146
Fuente de los datos: Dialnet