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Title: Illness cognitions in myocardial infarction patients in Libya
Author: Elhdere, Souada Ahmed
ISNI:       0000 0004 0132 0671
Awarding Body: University of Surrey
Current Institution: University of Surrey
Date of Award: 2011
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This thesis consists of four studies which use quantitative and qualitative methods to explore illness cognition in patients with Myocardial Infarction (MI) in Libya. The first study translated the Revised Illness Perception Questionnaire (IPQ-R) into Arabic and evaluated reliability and validity. The second, cross-cultural study compared Libyan and British MI patients’ illness perceptions. The third study was a randomized control trial to investigate the effectiveness of cognitive-behavioral therapy (CBT) to change Libyan patients’ illness perceptions and improve health outcomes. The final study used a qualitative approach to evaluate patients’ experiences of the intervention. Results from the first study showed that the Arabic version of IPQ-R was a reliable tool to assess illness perceptions. The second study’s findings revealed differences between the British and the Libyan patients for timeline, consequences, personal and treatment control and illness coherence. There were also consistent differences for causal beliefs, with Libyan patients showing greater endorsement of stress, family problems, and personality while British patients offered greater endorsement of heredity and ageing. The RCT demonstrated that CBT can have immediate effects on patients’ illness perceptions regarding timeline, consequences, personal and treatment control. For personal control these differences remained at three and fourteen months follow-up assessment. Although the intervention resulted in improved mood at baseline, this was of limited duration. Similarly the intervention had no effect on health status and overall health behaviour outcomes, although the CBT group reduced the average number of cigarettes smoked per day compared to the control group. The final study’s results highlighted four major themes, namely response to MI, experience of health services, process of treatment, and CBT outcome. Overall, this thesis indicates that although Libyan and British patients have different beliefs about MI, a CBT intervention can be effective to change Libyan illness cognitions post-MI and to improve health outcomes.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available