THU0437 Illness perception and its correlates in patients with in anca-associated vasculitis – preliminary report
| Autor: | Anna Masiak, Zbigniew Zdrojewski, Dorota Banaszkiewicz, Adam Hajduk, M. Komorniczak, Katarzyna Nowicka-Sauer, B. Grygiel-Górniak |
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| Rok vydání: | 2018 |
| Předmět: |
050103 clinical psychology
education.field_of_study business.industry 05 social sciences Population 050109 social psychology Birmingham Vasculitis Activity Score Irritability medicine.disease medicine Marital status Anxiety 0501 psychology and cognitive sciences medicine.symptom Granulomatosis with polyangiitis education business Microscopic polyangiitis Depression (differential diagnoses) Clinical psychology |
| Zdroj: | THURSDAY, 14 JUNE 2018. |
| DOI: | 10.1136/annrheumdis-2018-eular.6860 |
| Popis: | Background Illness perception (IP) is one of the most important factors related to health related quality of life, psychological and physical functioning and medical adherence.1,2 Objectives To explore illness perception and its relationship with chosen clinical, socio-demographic and psychological variables in patients with granulomatosis with polyangiitis (GPA) and microscopic polyangiitis (MPA). Methods 38 patients (57.9% women; median age 57 years; range 18–85; median disease duration: 11.5, range: 1–248 months) with GPA (28 patients) and MPA (10 patients). Inpatients recruited in 3 clinical centres were asked to complete Brief-Illness Perception Questionnaire (B-IPQ),3 Hospital Anxiety and Depression Scale-Modified (HADS-M) and Multidimensional Fatigue Inventory-20 (MFI-20). Socio-demographic variables included age, sex, education and marital status. Medical files were reviewed to gather data on disease duration and its activity (assessed using Birmingham Vasculitis Activity Score version 3, BVASv3). p≤0.05 was considered significant. Results 63% of patients had active disease as defined by BVASv3. Median total score of B-IPQ was 48.5 points (range 24–64). There were no significant differences in illness perception (B-IPQ total score) between groups according to sex, education and marital status. No significant relationships between IP and age, disease duration and its activity were noted. Significant positive correlations were observed between B-IPQ total score and MFI-20 total score, general, physical and mental fatigue as well as depression, anxiety and irritability (table 1). Conclusions In the studied group illness perception was not related to clinical and socio-demographic factors. More negative illness perception was related to higher levels of fatigue, depression, anxiety and irritability. The results suggest that psychotherapeutic interventions seem vital for improving illness perception in this population. References [1] Hagger MS, Orbell S. A meta-analytic review of the common-sense model of illness representation. Psych Health2003;18:141–84. [2] Morgan C, McBeth J, Cordingley L, et al. The influence of behavioral and psychological factors on medication adherence over time in rheumatoid arthritis patients: a study in the biologics era. Rheumatology2015;54:1780–91. [3] Nowicka-Sauer K, Banaszkiewicz D, Staskiewicz I, et al. Illness perception in Polish patients with chronic diseases: Psychometric properties of the Brief Illness Perception Questionnaire. J Health Psychol2015;21:1739–49. Disclosure of Interest None declared |
| Databáze: | OpenAIRE |
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