Exploring the impact of illness perceptions, self-efficacy, coping strategies, and psychological distress on quality of life in a post-stroke cohort

Minshall, Catherine, Ski, Chantal, Apputhurai, Pragalathan, Thompson, David, R., Castle, David, J., Jenkins, Zoe and Knowles, Simon, R. (2021) Exploring the impact of illness perceptions, self-efficacy, coping strategies, and psychological distress on quality of life in a post-stroke cohort. Journal of Clinical Psychology in Medical Settings, 28. pp. 174-180. ISSN 1068-9583

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Abstract

This study evaluated the mediating role of self-efficacy, coping, depression and anxiety on the relationship between illness perceptions and quality of life in stroke survivors (n = 72; 32 females; mean [SD] age 65.09 [14.14] years; male mean [SD] age 69.83 [11.81]). Illness perceptions (Brief Illness Perceptions Questionnaire; BIPQ), coping styles (Carver Brief-COPE scale; B-COPE), depression/anxiety (Hospital Anxiety and Depression Scale; HADS), self-efficacy (General Self-Efficacy Scale; GSE) and quality of life (Assessment of quality of life; AQOL-6D) were analysed. Correlation analyses showed illness perception, maladaptive coping, self-efficacy, depression and anxiety to have a significant negative relationship with quality of life. Mediation analyses showed that while maladaptive coping and self-efficacy did not mediate the relationship between illness perception and quality of life, depression and anxiety did. The final model explained 76.74% of the variance in quality of life. Although based on a relatively small sample size, these results provide evidence for the important role of psychosocial factors in quality of life in post-stroke cohorts.

Item Type: Article
Uncontrolled Keywords: anxiety, common sense model, depression, illness perceptions, quality of life, stroke
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Health & Science > Department of Health Studies
Depositing User: David Upson-Dale
Date Deposited: 26 Apr 2021 13:41
Last Modified: 26 Apr 2021 13:41
URI: http://oars.uos.ac.uk/id/eprint/1746

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