A meta-analytic review of the common-sense model of illness representations
A meta-analytic review of the common-sense model of illness representations
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DOI：
10.1080/088704403100081321
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发表时间：
2003-04-01
影响因子：
3.3
通讯作者：
Orbell, S
中科院分区：
文献类型：
--
作者：
Hagger, MS;Orbell, S
采用Leventhal，Meyer和Nerenz（1980）的常识模型（CSM）的疾病表征的实证研究（N=45）的荟萃分析。研究样本的平均校正相关矩阵表明，CSM疾病认知维度的后果，控制/治愈，身份和时间轴遵循一个逻辑模式，支持其结构和判别效度的疾病类型。内容分析分为七个不同的类别和健康结果的应对策略分为六类。检查平均校正相关系数的研究表明，一个强大的疾病身份的看法显着和积极相关的回避和情绪表达的应对策略的使用。此外，感知的疾病可控性与认知重评，表达情绪和以问题为中心的应对策略显着相关。将疾病视为高度症状性、具有慢性时间轴和严重后果的感知与回避和表达情绪的应对策略显著相关。此外，认为疾病是可治愈/可控的是显着的，积极的心理健康，社会功能和活力的适应性结果和负相关的心理困扰和疾病状态。相反，疾病后果，时间轴和身份与心理健康，角色和社会功能和活力表现出显着的负相关。这些分析为理论上可预测的疾病认知，应对和跨研究结果之间的关系提供了证据。
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.