INVESTIGATION OF THE RELATIONSHIP BETWEEN ILLNESS PERCEPTION AND CLINICAL CHARACTERISTICS, COPING, SELF-EFFICACY IN CASES DIAGNOSED WITH BIPOLAR DISORDER

Year 2022, , 356 - 366, 30.09.2022

Gülin Özdamar Ünal , Gizem Çağla Aktaş , Gökçe İşcan , İnci Atay

https://doi.org/10.17343/sdutfd.1095287

Cited By: 1

Abstract

Objective
Even though the importance of illness perception in
the clinical course of many physical diseases and
certain mental disorders has been well documented,
little is known about illness perception in bipolar
disorder. This study reveals the relationship between
illness perception, coping styles, and self-efficacy in
patients with bipolar disorder. Secondly, to investigate
the effects of these variables on the clinical course.
Material and Method
In this cross-sectional study, we evaluated a cohort
of 157 subjects with bipolar disorder recruited from
March 2021 to September 2021. Illness perception
was measured using the Turkish version of the Brief
Illness Perception Questionnaire. Self-efficacy was
assessed using the Self-Efficacy Scale. Coping was
evaluated using the Ways of Coping Questionnaire.
Results
Of 157 patients who had bipolar disorder ages’ mean
was 42.08±12.92. 84 (53.5%) of these participants
were female, 73 (46.5%) of them were male. Brief
Illness Perception Questionnaire had a negative
correlation between General Self-Efficacy Scale
(p<0.001; r=-0.376); and had a negative correlation
between The Ways of Coping Questionnaire’s
subscales planful problem-solving (r=-0.286;
p<0.001); positive reappraisal (r=-0.337; p<0.001);
escape-avoidance (r=0.216; p=0.020). Linear
regression analysis was performed to predict the Brief
Illness Perception Questionnaire, it was found that
a significant regression model [F (5,151) =13.769;
p<0.001], and 29%, of the variance in the dependent
variable, were explained by the independent variables.
Conclusion
This study demonstrates that illness perceptions are
linked with self-efficacy, coping style, and clinical
characteristics in patients with BD. Interventions that
increase favorable illness perceptions and decrease
negative illness perceptions may improve disease
outcomes.

Keywords

Bipolar disorder, illness perception, coping, self-efficacy, problem-focused coping, emotion-focused coping

BİPOLAR BOZUKLUK TANILI OLGULARDA HASTALIK ALGISININ KLİNİK ÖZELLİKLER, BAŞ ETME VE ÖZYETERLİLİK İLE İLİŞKİSİNİN İNCELENMESİ

Abstract

Amaç
Birçok fiziksel hastalığın ve bazı ruhsal bozuklukların
klinik seyrinde hastalık algısının rolü iyi tanımlanmış
olmasına rağmen, şu ana kadar bipolar bozukluk ile
ilişkili hastalık algısı hakkında çok az şey bilinmektedir.
Bu çalışmada bipolar bozukluk tanısı olan olgularda
hastalık algısı, baş etme tarzları ve öz-yeterlilik
arasındaki ilişkiyi inceleyerek bu değişkenlerin klinik
seyir üzerindeki etkilerini araştırmak amaçlanmıştır.
Gereç ve Yöntem
Bu kesitsel çalışmada, Mart 2021- Eylül 2021 tarihleri
arasında bipolar bozukluğu olan 157 katılımcıdan oluşan
bir kohortu değerlendirdik. Veri toplama araçları
olarak Sosyodemografik Bilgi Formu, Kısa Hastalık
Algısı Ölçeği, Özyeterlilik Ölçeği ve Stresle Başa Çıkma
Tarzları Ölçeği kullanılmıştır.
Bulgular
Olguların yaş ortalaması 42.08±12.92 yıl idi. Bu katılımcıların
84'ü (%53.5) kadın, 73'ü (%46.5) erkekti.
Kısa Hastalık Algısı Ölçeği ile Genel Öz-yeterlilik
Ölçeği arasında negatif korelasyon vardı (r=-0.376;
p<0.001). Stresle Başa Çıkma Tarzları Ölçeğinin planlı
problem çözme (r=-0.286; p<0.001); olumlu yeniden
değerlendirme (r=-0.337; p<0.001); kaçma-kaçınma
(r=0.216; p=0.020) alt boyutları arasında bir ilişki vardı.
Kısa Hastalık Algı Anketini tahmin etmek için lineer
regresyon analizi yapıldı, anlamlı bir regresyon modeli
olduğu bulundu [F (5,151) =13.769; p<0.001] ve bağımlı
değişkenlerdeki varyansın %29’unun bağımsız
değişkenler tarafından açıklandığı gözlendi.
Sonuç
Bu çalışma, BB tanılı hastalarda hastalık algılarının
özyeterlilik, başa çıkma tarzı ve klinik özellikler ile
bağlantılı olduğunu göstermektedir. Olumlu hastalık
algılarını artıran ve olumsuz hastalık algılarını azaltan
müdahaleler, hastalık sonuçları üzerinde iyileştirici bir
etkiye sahip olabilir.

Keywords

Bipolar bozukluk, hastalık algısı, başa çıkma, öz-yeterlilik, problem odaklı başa çıkma, duygu odaklı başa çıkma

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