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Title: Illness beliefs, coping and psychological outcome in people with chronic obstructive pulmonary disease
Author: Hothersall, Amy J.
ISNI:       0000 0001 3582 1691
Awarding Body: Lancaster University
Current Institution: Lancaster University
Date of Award: 2007
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The term chronic obstructive pulmonary disease (COPD) refers to lung disease characterized by airflow obstruction; it therefore limits exercise tolerance, interferes with basic activities of daily living and often impairs quality oflife. It is described as a neglected medical and social problem and is the only leading cause of death that is increasing in prevalence. This thesis includes a review of literature which examines the psychologic~ - .,, effects ofCOPD on individuals, in rel~tion to depression, anxiety and quality of life. The review also examines how coping and illness beliefs can contribute to our understanding of adjustment to COPD. The difficulties in comparing a diverse body ofliterature and the need for further research in this area are higWighted. The research paper extended the use of the Illness Perception Questionnaire- Revised to a COPD population and detennmed the influence illness beliefs and coping had on the psychological outcome of people with COPD. Questionnaires were completed by 79 people with a primary diagnosis of COPD. Hierarchical multiple regr.ession analyses were conducted. Predictor variables included demographic and disease related variables, coping and illness beliefs. Anxiety, depression, quality of life and positive affect were taken to constitute a comprehensive measure of psychological outcome. The results revealed that illness beliefs and coping strategies were significant predictors over and above demographic and disease related variables. In particular, the main predictors were found to be identity, treatment control, emotional representations and behavioural disengagement. Hence, illness beliefs and coping strategies can have significant implications for the psychological outcome in people with COPD. Ideas for further research and clinical implications are discussed.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available