Percepciones de la enfermedad y hábitos de vida saludable en personas con enfermedades crónicas
Illness perceptions and healthy life habits in people with chronic disease
DOI:
https://doi.org/10.17081/psico.22.42.3498Palabras clave:
percepciones de la enfermedad, hábitos de vida saludables, enfermedad crónicaResumen
Objetivo: Evaluar las percepciones de la enfermedad que se asocian con hábitos de vida saludable en pacientes con enfermedades crónicas en Medellín y municipios aledaños.
Método: Estudio prospectivo correlacional basado en la aplicación del cuestionario breve de percepciones de la enfermedad (BIPQ), cuestionario de la salud del paciente (PHQ-9), cuestionario de ansiedad generalizada (GAD-7) y un cuestionario de hábitos de vida saludable. Participaron 51 pacientes con diferentes enfermedades crónicas: migraña, cáncer de seno, diabetes, artritis reumatoide, enfermedad cardiovascular e hipertensión arterial primaria. La evaluación de los hábitos de vida saludable se llevó a cabo tres meses después.
Resultados: Se encontró que en promedio los participantes comprenden su enfermedad (M = 8,09, D.T. =2,48), perciben que sus acciones (M = 7,06, D.T. = 2,79) y el tratamiento (M = 7,89, D.T. = 2,69) la controlan y que esta tiene un carácter crónico (M = 7,49, D.T. = 3,16); que hay correlaciones entre los Hábitos de vida saludables (HVS) con la percepción de consecuencias de forma negativa, y la identidad y preocupación emocional de manera positiva (p < 0,05). Además, que una relación lineal entre las consecuencias (Beta= 0,391) y la preocupación emocional por la enfermedad (Beta = 0,311) con los HVS, F (5, 45) = 2,707, p < 0,05. Las proporciones de depresión y ansiedad en la muestra fueron similares a las de la población general.
Conclusiones: La percepción de que una enfermedad tiene consecuencias negativas y la preocupación por esta lleva a la implementación de comportamientos saludables.
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Abegunde, D. O., Mathers, C. D., Adam, T., Ortegon, M., & Strong, K. (2007). The burden and costs of chronic diseases in low-income and middle-income countries. The Lancet, 370(9603), 1929-1938. https://doi.org/10.1016/s0140-6736(07)61696-1
Ahmad, W., Waqas, A., Saleem, H. A., & Naveed, S. (2017). Exploring diet, exercise, chronic illnesses, occupational stressors and mental well-being of healthcare professionals in Punjab, Pakistan. BMC Research Notes, 10(1). https://doi.org/10.1186/s13104-017-3096-5
Alzubaidi, H., Mc-Narmara, K., Kilmartin, G. M., Kilmartin, J. F., & Marriott, J. (2015). The relationships between illness and treatment perceptions with adherence to diabetes self-care: A comparison between Arabic-speaking migrants and Caucasian English-speaking patients. Diabetes research and clinical practice, 110(2), 208-217. https://doi.org/10.1016/j.diabres.2015.08.006
Andela, C. D., Biermasz, N. K., Kaptein, A. A., Pereira, A. M., & Tiemensma, J. (2015). More concerns and stronger beliefs about the necessity of medication in patients with acromegaly are associated with negative illness perceptions and impairment in quality of life. Growth Hormone & IGF Research, 25(5), 219-226. https://doi.org/10.1016/j.ghir.2015.06.008
Atorkey, P., Doku, P. N., Danquah, S. A., Owiredua, C., & Akwei, M. (2017). Illness perceptions and medication adherence in adolescents with sickle cell disease in two selected hospitals in greater accra. IFE Psychologia, 25(2), 180-194. Retrieved from de http://hdl.handle.net/10520/EJC-b3b0a12a1
Becoña, E. & Oblitas, L. A. (2006). Promoción de estilos de vida saludables. En: L. A. Oblitas (coord.), Psicología de la salud y calidad de vida. (pp. 83-109). México: Thomson.
Bennett, P., Gruszczynska, E., & Marke, V. (2015). Dietary and exercise change following acute cardiac syndrome onset: A latent class growth modelling analysis. Journal of health psychology, 21(10), 2347-2356. https://doi.org/10.1177/1359105315576351
Broadbent, E., Ellis, C. J., Thomas, J., Gamble, G., & Petrie, K. J. (2009). Can an illness perception intervention reduce illness anxiety in spouses of myocardial infarction patients? A randomized controlled trial. Journal of psychosomatic research, 67(1). 11-15. https://doi.org/10.1016/j.jpsychores.2008.11.006
Broadbent, E., Petrie, K. J., Main, J., & Weinman, J. (2006). The brief illness perception questionnaire. Journal of psychosomatic research, 60(6), 631-637. https://doi.org/10.1016/j.jpsychores.2005.10.020
Burra, T. A., Chen, E., McIntyre, R. S., Grace, S. L., Robertson- Blackmore, E., & Stewart, D. E. (2007). Predictors of self-reported antidepressant adherence. Behavioral Medicine, 32(4), 127-134. https://doi.org/10.3200/bmed.32.4.127-134
Cohen, S. (2004). Social relationships and health. American Psychologist, 59(8), 676-684. https://doi.org/10.1037/0003-066X.59.8.676
Cooper, A., Lloyd, G., Weinman, J., & Jackson, G. (1999). Why patients do not attend cardiac rehabilitation: role of intentions and illness beliefs. Heart, 82(2), 234-236. https://doi.org/10.1136/hrt.82.2.234
Diefenbach, M. A., & Leventhal, H. (1996). The common-sense model of illness representation: Theoretical and practical considerations. Journal of social distress and the homeless, 5(1), 11-38. https://doi.org/10.1007/BF02090456
Fiorentino, M. T. (2006). Conductas de la salud. En L. A. Oblitas (Ed.), Psicología de la salud y calidad de vida. México: Thompson.
French, D. P., Wade, A. N., & Farmer, A. J. (2013). Predicting self-care behaviours of patients with type 2 diabetes: the importance of beliefs about behaviour, not just beliefs about illness. Journal of psychosomatic research, 74(4), 327-333. https://doi.org/10.1016/j.jpsychores.2012.12.008
Furuyama, F., Koba, S., Yokota, Y., Tsunoda, F., Shoji, M., & Kobayashi, Y. (2018). Effects of Cardiac Rehabilitation on High-Density Lipoprotein-mediated Cholesterol Efflux Capacity and Paraoxonase-1 Activity in Patients with Acute Coronary Syndrome. Journal of Atherosclerosis and Thrombosis, 25(2), 153-169. https://doi.org/10.5551/jat.41095
García-Laguna, D. G., García-Salamanca, G. P., Tapiero-Paipa, Y. T., & Ramos, C. D. M. (2012). Determinantes de los estilos de vida y su implicación en la salud de jóvenes universitarios. Hacia la Promoción de la Salud, 17(2), 169-185. Recuperado de http://www.scielo.org.co/pdf/hpsal/v17n2/v17n2a12.pdf
Goodman, H., Firouzi, A., Banya, W., Lau-Walker, M., & Cowie, M. R. (2013). Illness perception, self-care behaviour and quality of life of heart failure patients: a longitudinal questionnaire survey. International Journal of Nursing Studies, 50(7), 945-953. https://doi.org/10.1016/j.ijnurstu.2012.11.007
Hansdorfer-Korzon, R., Chojnacka-Szaw?owska, G., Landowski, J., Majkowicz, M., Basi?ski, K., Zdun-Ry?ewska, A., & Wasilewko, I. (2016). Relationships of anxiety and depressive symptoms with pain perception in post-mastectomy women. An intragroup analysis. Archives of Clinical Psychiatry (São Paulo), 43(4), 74-78. https://doi.org/10.1590/0101-60830000000088
Heffernan, E., Coulson, N. S., Henshaw, H., Barry, J. G., & Ferguson, M. A. (2016). Understanding the psychosocial experiences of adults with mild-moderate hearing loss: An application of Leventhal’s self regulatory model. International Journal of Audiology, 55. https://doi.org/10.3109/14992027.2015.1117663
Hepgul, N., Pariante, C. M., Baraldi, S., Borsini, A., Bufalino, C., Russell, A., & Mundell, V. (2016). Depression and anxiety in patients receiving interferon-alpha: the role of illness perceptions. Journal of health psychology, 1-10. https://doi.org/10.1177/1359105316658967
Hernández-Zambrano, S. M., Hueso-Montoro, C., Montoya-Juárez, R., Gómez-Urquiza, J. L., & Bonill-Nieves, C. (2016). Metaestudio cualitativo sobre vivencias y gestión del cotidiano en adultos mayores que padecen enfermedades crónicas. Cultura de los cuidados, 20(44), 75-90. https://doi.org/10.14198/cuid.2016.44.07
Hinz, A., Klein, A. M., Brahler, E., Glaesmer, H., Luck, T., Riedel-Heller, S. G., & Hilbert, A. (2017). Psychometric evaluation of the Generalized Anxiety Disorder Screener GAD-7, based on a large German general population sample. Journal of Affective Disorders, 210, 338-344. https://doi.org/10.1016/j.jad.2016.12.012
Hudson, J. L., Bundy, C., Coventry, P. A., & Dickens, C. (2014). Exploring the relationship between cognitive illness representations, poor emotional health, and their combined association with diabetes self-care. A systematic review with meta-analysis. Journal of psychosomatic research, 76(4), 265-274. https://doi.org/10.1016/j.jpsychores.2014.02.004
Jackson, J. L., Gerardo, G. M., Daniels, C. J., & Vannatta, K. (2017). Perceptions of Disease-Related Stress a Key to Better Understanding Patient-Reported Outcomes Among Survivors of Congenital Heart Disease. Journal of Cardiovascular Nursing, 32(6), 587-593. https://doi.org/10.1097/jcn.0000000000000371
Järemo, P., Arman, M., Gredle, B., Larsson, B., & Gottenberg, K. (2017). Illness beliefs among patients with chronic widespread pain-associations with selfreported health status, anxiety and depressive symptoms and impact of pain. BM Psychology, 5(24). https://doi.org/10.1186/s40359-017-0192-1
Krauskopf, K., Federman, A. D., Kale, M. S., Sigel, K. M., Martynenko, M., O’Conor, R., &., Wisnivesky, J. P. (2015). Chronic Obstructive Pulmonary Disease Illness and Medication Beliefs are Associated with Medication Adherence. Journal of Chronic Obstructive Pulmonary Disease, 12(2), 151-164. https://doi.org/10.3109/15412555.2014.922067
Kroenke, K., & Spitzer, R. L. (2002). The PHQ-9: a new depression diagnostic and severity measure. Psychiatric Annals, 32(9), 509-515. https://doi.org/10.3928/0048-5713-20020901-06
Kugbey, N., Asante, K. O., & Adulai, K. (2017). Illness perception, diabetes knowledge and self-care practices among type-2 diabetes patients: a cross-sectional study. BMC Research Notes, 101-7. https://doi:10.1186/s13104-017-2707-5
Lazarus, R. (1999). Stress and Emotion. A New Synthesis. New York: Springer.
Lazarus, R., & Folkman, S. (1986). Estrés y procesos cognitivos. Barcelona: Martínez Roca.
Lemke, M., Kappel, R., McCarter, R., D’Angelo, L., & Tuchman, L. K. (2018). Perceptions of Health Care Transition Care Coordination in Patients With Chronic Illness. Pediatrics, 141(5), 8. https://doi.org/10.1542/peds.2017-3168
Leventhal, H., Halm, E., Horowitz, C., Leventhal, E. A., & Ozakinci, G. (2004). Living with Chronic Illness: A Contextualized, Self-Regulation Approach. In S. Sutton, A.
Baum, & M. Johnston (Eds.), And the SAGE handbook of Health Psychology (pp. 197-240). Londres: SAGE publication. http://dx.doi.org/10.4135/9781848608153.n8
Leventhal, H., Phillips, L.A., & Burns, E. (2016). The common-sense model of self-regulation (CSM): a dynamic framework for understanding illness self-management. Journal of Behavioral Medicine, 39, 935-946. https://doi.org/10.1007/s10865-016-9782-2
MacInnes, J. (2013). Relationships between illness representations, treatment beliefs and the performance of self-care in heart failure: a cross-sectional survey. European Journal of Cardiovascular Nursing, 12(6), 536-543. https://doi.org/10.1177/1474515112473872
Madani, M. S., Salesi, M., & Mohammadi, J. (2018). The Effect of Dimensions of Illness Perceptions on the Variation of Quality of Life in Patients with Coronary Artery Disease. Acta Médica Iránica, 56(3), 189-195. Retrieved from http://acta.tums.ac.ir/index.php/acta/article/view/6432/5067
Mayoral-Cortés, J., Aragonés-Sanz, N., Godoy, P., Sierra-Moros, M., Cano-Portero, R., González-Morán, F., & Pousa-Ortega, A. (2016). Las enfermedades crónicas como prioridad de la vigilancia de la Salud Pública en España. Gaceta Sanitaria, 30(2), 154-157. https://doi.org/10.1016/j.gaceta.2015.12.008
McIntosh, N., Charns, M., Fix, G. M., McDannold, S., Allsup, K., Forman, D. E., & Manning, K. (2017). A Qualitative Study of Participation in Cardiac Rehabilitation Programs in an Integrated Health Care System. Military Medicine, 182(9). https://doi.org/10.7205/MILMED-D-17-00053
Moss-Morris, R., Weinman, J., Petrie, K., Horne, R., Cameron, L., & Buick, D. (2002). The revised illness perception questionnaire (IPQ-R). Psychology and health, 17(1), 1-16. https://doi.org/10.1080/08870440290001494
Na, P. J., Yaramala, S. R., Kim, J. A., Kim, H., Goes, F. S., Zandi, P. P., & Bobo, W. V. (2018). The PHQ-9 Item 9 based screening for suicide risk: a validation study of the Patient Health Questionnaire (PHQ)-9 Item 9 with the Columbia Suicide Severity Rating Scale (C-SSRS). Journal of Affective Disorders, 232, 34-40. https://doi.org/10.1016/j.jad.2018.02.045
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. https://doi.org/10.1016/j.apnr.2017.11.010
Nouwen, A., Urquhart-Law, G., Hussain, S., McGovern, S., & Napier, H. (2009). Comparison of the role of self-efficacy and illness representations in relation to dietary self-care and diabetes distress in adolescents with type 1 diabetes. Psychology and health, 24(9), 1071-1084. https://doi.org/10.1080/08870440802254597
Nowicka-Sauer, K., Hajduk, A., Kujawska-Danecka, H., Banaszkiewicz, D., Smole?ska, ?., Czuszy?ska, Z., & Siebert, J. (2018). Illness perception is significantly determined by depression and anxiety in systemic lupus erythematosus. Lupus, 27(3), 454-460. https://doi.org/10.1177/0961203317751858
Nugent, R. (2008). Chronic Diseases in Developing Countries. Annals of the New York Academy of Sciences, 1136, 70-79. https://doi.org/10.1196/annals.1425.027
Nutt, R., & Ozakinci, G. (2017). Experiences and illness perceptions of working-age cardiac rehabilitation attendees. Journal of Epidemiology and Community Health, 71, A69-A69. https://doi.org/10.1136/jech2017-SSMAbstracts.142
O’Connor, S. M., Jardine, A. G., & Millar, K. (2008). The prediction of self-care behaviors in end-stage renal disease patients using Leventhal’s Self-Regulatory Model. Journal of psychosomatic research, 65(2), 191-200. https://doi.org/10.1016/j.jpsychores.2008.02.008
Oblitas, L. A. (2006). Psicología de la Salud y Calidad de Vida. México: Thompson.
OMS. (2017a). Enfermedades crónicas y promoción de la salud. Retrived from http://www.who.int/chp/chronic_disease_report/part1/es/
OMS. (2017b). Global health estimates 2016 summary tables. http://www.who.int/healthinfo/global_burden_disease/estimates/en/index1.html
OMS. (2018). Enfermedades no transmisibles. http://www.who.int/es/news-room/fact-sheets/detail/noncommunicable-diseases
Ossola, P., Gerra, M. L., De Panfilis, C., Tonna, M., & Marchesi, C. (2018). Anxiety, depression, and cardiac outcomes after a first diagnosis of acute coronary syndrome. Health Psychology, 37(12), 1115-1122. https://doi.org/10.1037/hea0000658
Pino-Ramírez, G., & Solis-Añez, E. (2018). Percepción de enfermedad en personas con trastornos hereditarios del tejido conectivo. Revista Orbis, 13(39), 44-61. Recuperado de http://www.revistaorbis.org.ve/pdf/39/art4.pdf
Platt, I., Green, H. J., Jayasinghe, R., & Morrissey, S. A. (2014). Understanding Adherence in Patients with Coronary Heart Disease: Illness Representations and Readiness to Engage in Healthy Behaviours. Australian Psychologist, 49(2), 127-137. https://doi.org/10.1111/ap.12038
Price, A., Goodwin, L., Rayner, L., Shaw, E., Hansford, P., Sykes, N., & Lee, W. (2012). Illness perceptions, adjustment to illness, and depression in a palliative care population. Journal of pain and symptom management, 43(5), 819-832. https://doi.org/10.1016/j.jpainsymman.2011.05.013
Shim, E. J., Lee, J. W., & Min, Y. H. (2018). Does depression decrease the moderating effect of self?efficacy in the relationship between illness perception and fear of progression in breast cancer? Psycho?oncology, 27(2), 539-547. https://doi.org/10.1002/pon.4532
Somrongthong, R., Hongthong, D., Wongchalee, S., & Wongtongkam, N. (2016). The Influence of Chronic Illness and Lifestyle Behaviors on Quality of Life among Older Thais. Biomed Research International, 1-7. https://doi.org/10.1155/2016/2525941
Spitzer, R. L., Kroenke, K., & Williams, J. B. W. (1999). Validation and utility of a self-report version of PRIME-MD. The Journal of the American Medical Association, 282(18), 1737-1744. https://doi.org/10.1001/jama.282.18.1737
Spitzer, R. L., Kroenke, K., Williams, J. B. W., & Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of internal medicine, 166(10), 1092-1097. https://doi.org/10.1001/archinte.166.10.1092
Stanton, A. L., Revenson, T. A., & Tennen, H. (2007). Health psychology: psychological adjustment to chronic disease. Annu. Rev. Psychol., 58, 565-592. https://doi.org/10.1146/annurev.psych.58.110405.085615
Sunamura, M., Ter Hoeve, N., Van Den Berg-Emons, R. J. G., Geleijnse, M. L., Haverkamp, M., Stam, H. J., Van Domburg, R. T. (2018). Randomised controlled trial of two advanced and extended cardiac rehabilitation programmes. Heart, 104(5), 430-437. https://doi.org/10.1136/heartjnl-2017-311681
Timmers, L., Thong, M., Dekker, F. W., Boeschoten, E. W., Heijmans, M., Rijken, M., & Kaptein, A. (2008). Illness perceptions in dialysis patients and their association with quality of life. Psychology and Health, 23(6), 679-690. https://doi.org/10.1080/14768320701246535
Van Broekhoven, M., de Rooij, B., Pijnenborg, J. M. A., Vos, M. C., Boll, D., Kruitwagen, R., & Ezendam, N. P. M. (2017). Illness perceptions and changes in lifestyle following a gynecological cancer diagnosis: A longitudinal analysis. Gynecologic Oncology, 145(2), 310-318. https://doi.org/10.1016/j.ygyno.2017.02.037
Van Puffelen, A. L., Heijmans, M. J. W. M., Rijken, M., Rutten, G. E. H. M., Nijpels, G., & Schellevis, F. G. (2015). Illness perceptions and self-care behaviours in the first years of living with type two diabetes; does the presence of complications matter? Psychology & health, 30(11), 1274-1287. https://doi.org/10.1080/08870446.2015.1045511
Vedhara, K., Dawe, K., Wetherell, M. A., Miles, J. N. V., Cullum, N., Dayan, C., & Weinman, J. (2014). Illness beliefs predict self-care behaviours in patients with diabetic foot ulcers: A prospective study. Diabetes research and clinical practice, 106(1), 67-72. https://doi.org/10.1016/j.diabres.2014.07.018
Verma, S. K., Luo, N., Subramaniam, M., Sum, C. F., Stahl, D., Liow, P. H., & Chong, S. A. (2010). Impact of depression on health related quality of life in patients with diabetes. Annals of the Academy of Medicine of Singapore, 39(12), 913-917. https://open-access.imh.com.sg/bitstream/123456789/4499/1/Impact%20of%20Depression%20on%20Health%20Related%20Quality%20of%20Life%20in%20Patients%20with%20Diabetes.pdf
Vinaccia-Alpi, S., Quiceno, J. M., Lozano, F., & Romero, S. (2017). Calidad de vida relacionada con la salud, percepción de enfermedad, felicidad y emociones negativas en pacientes con diagnóstico de artritis reumatoide. Acta Colombiana de Psicología, 20(1), 49-59. https://doi.org/10.14718/acp.2017.20.1.4
Watson, D., & Pennebaker, J. W. (1989). Health complaints, stress, and distress: Exploring the central role of negative affectivity. Psychological review, 96(2), 234. https://doi.org/10.1037//0033-295x.96.2.234
Woldetensay, Y. K., Belachew, T., Tesfaye, M., Spielman, K., Biesalski, H. K., Kantelhardt, E. J., & Scherbaum, V. (2018). Validation of the Patient Health Questionnaire (PHQ-9) as a screening tool for depression in pregnant women: Afaan Oromo version. Plos One, 13(2), 15. https://doi.org/10.1371/journal.pone.0191782
Xiankun, C., Wei, J., Xiaoli, L., Stålsby-Lundborg, C., Zehuai, W., Weihui, L., & Lu, W. (2018). Effect of an exercise-based cardiac rehabilitation program “Baduanjin Eight-Silken-Movements with self-efficacy building” for heart failure (BESMILE-HF study): study protocol for a randomized controlled trial. Trials, 19. https://doi.org/10.1186/s13063-018-2531-9
Zelber-Sagi, S., Bord, S., Dror-Lavi, G., Smith, M. L., Towne Jr, S. D., Buch, A., & Shibolet, O. (2017). Role of illness perception and self-efficacy in lifestyle modification among non-alcoholic fatty liver disease patients. World Journal of Gastroenterology, 23(10), 1881-1890. https://doi.org/10.3748/wjg.v23.i10.1881
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