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Contribution PREDICTORS OF EMOTIONAL ILLNESS PERCEPTION IN PATIENTS WITH CHRONIC DISEASES

Illness perception manages illness behavior. Emotional illness perception refers to psychological distress of patients. 237 patients with rheumatic arthritis, ankylosing spondylitis, hypertension and diabetes mellitus type 2 have been studied. PURPOSE: The purpose of the study is to evaluate the influence of optimism, negative expectations, health locus of control and chronic disease self-efficacy on emotional illness perception. METHODS: Optimism and Negative expectancies Inventory, Multidimensional Health Locus of Control Scales, Brief Illness perception Questionnaire, Chronic Disease Self-efficacy Scales; Statistical methods: Kolmogorov-Smirnov test, Linear regression, ANOVA, Student's t-test, P value of less than 0.05 was regarded as significant. RESULTS: According to the data of the study, negative expectations and self-efficacy to manage symptoms and depression are significant predictors of distress. The negative expectations increase distress during an illness, whereas the self-efficacy reduces distress. Health locus of control and optimism are not significant factors of emotional distress level. High chronic disease self-efficacy is significantly associated with less distress. CONCLUSIONS: Perceived competence to manage physical symptoms and coping with psychological distress are equally important for adaptation to the disease. Negative expectations predict distress in chronic disease, optimism does not.