背景(考古学)
认知
心理学
多级模型
临床心理学
2型糖尿病
感知
2型糖尿病
医学
老年学
精神科
糖尿病
古生物学
机器学习
神经科学
计算机科学
生物
内分泌学
作者
H. Kim,Jennifer H. Lingler,Catherine M. Bender,Steven M. Albert,Susan M. Sereika
标识
DOI:10.1093/geroni/igad027
摘要
Abstract Background and Objectives Type 2 diabetes (T2DM) and mild cognitive impairment (MCI) are common late-life physical and cognitive health conditions. Illness perceptions, an individual’s personal beliefs about the conditions, should be explored in the context of disease characteristics (physical or cognitive). This secondary analysis explored illness perceptions with a priori hypotheses about control (perceived controllability) and coherence (perceived understanding) dimensions among persons with T2DM and MCI, treating each as an exemplar of late-life physical and cognitive health conditions. We also explored whether age, education, and comorbid conditions moderate the relationships between T2DM or MCI condition groups and illness perceptions. Research Design and Methods This cross-sectional, descriptive study examined baseline data collected from 146 T2DM to 90 MCI participants in 2 independent studies. The 9-item Brief Illness Perception Questionnaire was used to identify the similarities and differences in illness perceptions among persons with T2DM and MCI. We performed hierarchical linear regression controlling for identified covariates. Results We found that T2DM and MCI participants had significantly different illness perceptions, including perceptions of personal control (b = −0.943, p = .009), treatment control (b = −1.619, p < .001), and coherence (b = −1.265, p = .001), after controlling for covariates. The results suggest that persons with MCI were likely to believe that their condition is less controllable (through their own strategies or medical treatment) and less understandable compared with their T2DM counterparts. Such associations remained statistically significant when the interactions were added to the models. Discussion and Implications As T2DM and MCI are prevalent late-life conditions, health care professionals should consider individuals’ subjective perceptions about their conditions in the context of disease characteristics when counseling secondary prevention strategies for disease management. Further research on illness perceptions in other conditions is needed to ensure the replicability of our findings.
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