A meta-analytic review of the common-sense model of illness representations.

A meta-analysis of empirical studies (N = 45) adopting Leventhal, Meyer and Nerenz's (1980) Common Sense Model (CSM) of illness representations is presented. The average corrected intercorrelation matrix for the sample of studies showed that the CSM illness cognition dimensions of consequences, cont...

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Publicado en:Psychology & Health Vol. 18; no. 2; pp. 141 - 185
Autores principales: Hagger MS, Orbell S
Formato: research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Apr2003
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2003
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      pub: Taylor & Francis Ltd
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        atl: A meta-analytic review of the common-sense model of illness representations.
      aug:
        au:
          Hagger MS
          Orbell S
        affil: Dept of Psychology, University of Essex, Wivenhoe Park, Colchester, Essex CO4 3SQ; hagger@essex.ac.uk
      sug:
        subj:
          Attitude to Illness
          Cognition
          Coping
          Outcomes (Health Care)
          Psychological Theory
          Construct Validity
          Content Analysis
          Correlation Coefficient
          Discriminant Validity
          Fisher's Exact Test
          Medline
          Meta Analysis
          Post Hoc Analysis
          Research Instruments
          Human
      ab: A meta-analysis of empirical studies (N = 45) adopting Leventhal, Meyer and Nerenz's (1980) Common Sense Model (CSM) of illness representations is presented. The average corrected intercorrelation matrix for the sample of studies showed that the CSM illness cognition dimensions of consequences, control/cure, identity and timeline followed a logical pattern supporting their construct and discriminant validity across illness types. A content analysis classified coping strategies into seven distinctive categories and health outcomes into six categories. Examining the average corrected correlation coefficients across the studies revealed that perceptions of a strong illness identity were significantly and positively related to the use of coping strategies of avoidance and emotion expression. In addition, perceived controllability of the illness was significantly associated with cognitive reappraisal, expressing emotions and problem-focused coping strategies. Perceptions of the illness as highly symptomatic, having a chronic timeline and serious consequences was significantly correlated with avoidance and expressing emotions coping strategies. Further, perceptions that the illness was curable/controllable was significantly and positively related to the adaptive outcomes of psychological well-being, social functioning and vitality and negatively related to psychological distress and disease state. Conversely, illness consequences, timeline and identity exhibited significant, negative relationships with psychological well being, role and social functioning and vitality. The analyses provide evidence for theoretically predictable relations between illness cognitions, coping and outcomes across studies.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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