ILLNESS PERCEPTION AND PERCEIVED STRESS AS PREDICTORS OF QUALITY OF LIFE AMONG OUTPATIENTS OF FEDERAL NEURO- PSYCHIATRIC HOSPITAL, YABA, LAGOS.
DOI:
https://doi.org/10.47672/ajp.770Keywords:
Illness Perception; Perceived Stress; Psychiatric Outpatients; Quality of Life.Abstract
Purpose: Empirical evidence have shown that psychiatric out-patients often experience difficulties with getting back to normal family and work routines and relapse. This stimulated this study and made it imperative to examine the extent to which illness perception and perceived stress are implicated in fostering successful re-integration of out-patients back into the society, enhance total adherence to intake of prescribed medications, and increase being compliant to attending check-up at due time, among others.
Methodology: The study investigated illness perception and perceived stress as predictors of quality of life among psychiatric patients in Federal Neuro-Psychiatric Hospital Yaba, using predictive design. The research sample consisted of sixty-one (61) out-patients at Federal Neuro-Psychiatric Hospital, Yaba. This comprised of thirty-nine (39; 63.9%) males and twenty two (22; 36.1%) females with mean age of 34.29, S.D 5.60, respectively. The participants were selected by the researcher using purposive sampling technique. They were individually administered the World Health Organization Quality of Life (WHOQOL) - Brief scale, Illness Perception Questionnaire-revised (IPQ-R), and Perceived Stress Scale (PSS). Multiple linear regression statistics was used for testing research hypothesis.
Findings: The result revealed significant positive influence of illness perception on quality of life (R2= .048, R2 (adjusted) = .015; β = .205, p<.05). It further revealed that perceived stress significant predicted quality of life (R2= .048, R2 (adjusted) = .015; β = .061, p<.05). The researcher attributed these findings to the fact that psychiatric out-patients may by virtue of their health conditions might still not come to terms with their re-integration.
Recommendation: As a result of the study findings, psychiatric outpatients should be exposed to programmes and psycho-education capable of promoting positive view of their health. Doing so will result to having positive illness perception leading to improve quality of life, since the two variables shared positive relationship. It also recommends that the process of re-integrating psychiatric outpatients back into the society should be done very well, amidst equipping them with required skills and knowledge they will need in handling the stressors they will face, positively.
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References
Barnes, A. L., Murphy, M. E., Fowler, C. A., &Rempfer, M. V. (2012). Health-related quality of life and overall life satisfaction in people with serious mental illness. Schizophr Res Treatment 24, 51-3.
Broadbent, E., Petrie, K. J., Main, J., &Weinman, J. (2006). The Brief Illness Perception Questionnaire. Journal of Psychosomatic Research, 60, 631-637.
Broadbent, E,Carissa, W., H.K.,John, W., Sam, N., Keith J. P.,(2014).A systematic review and meta-analysis of the Brief Illness Perception Questionnaire. Pages 1361-1385 .
Chan, C.W., (1999). Stress associated with tasks for family caregivers of patients with cancer in Hong Kong. Journal for cancer care Research. Vol.22, 260-265.
Chan,I,. Li, P., Chung, Po, & Yu, (2004).Stress and Health-Related Quality of Life Among HIV-Infected Persons in Hong Kong. AIDS Behav8,119-129.
Donkin, L., Ellis, C. J., & Powell, R. (2006). Illness perceptions predict reassurance following negative exercise testing result. Psychol Health, 21:421-30.
Eriksen, H. R., Olff, M., Murison, R., &Ursin, H. (1999a). The time dimension in stress responses: relevance for survival and health. Psychiatry Res, 85, 39-50.
Haanstra, T. M., Kraamwinkel, N., Eekhout, I., Nijpels, G., de Vet, H. C., &Ostelo, R. W. (2015). Illness perceptions and health outcomes in newly diagnosed diabetes patients. Qual Life Res, 23(1), 154 - 173.
Jaremo, P., Arman, M., Gerdle. B., Larsson, B.,& Gottberg, K. (2017). Illness beliefs among patients with chronic widespread pain - associations with self-reported health status, anxiety and depressive symptoms and impact of pain. BMC Psychology. volume 5: 24.
Joseph, G., Burke, N., Tuason, N., Barker, J., &Pasick, R. (2009). Perceived susceptibility to illness and perceived benefits of preventive care: an exploration of behavioral theory constructs in a transcultural context. Health EducBehav., 36(5Suppl), 71S-90S.
Juczyn, Z. (2006). Health-related quality of life: theory and measurement. Folia Psychologica, 10, 3 - 15.
Kaptein, A. A., Schoones, J. W., Fischer, M. J., Thong, M. S. Y., Kroep, J. R., & van der Hoeven, K. J. M. (2015). Illness perceptions in women with breast cancer"”a systematic literature review. Curr Breast Cancer Rep., 7(3), 117-26.
Keogh, K. M., White, P., Smith, S. M., McGilloway, S., O'Dowd, T., &Gibney, J. (2007). Changing illness perceptions in patients with poorly controlled type 2 diabetes, a randomised controlled trial of a family-based intervention: protocol and pilot study. BMC FamPract., 8,36.
Kukolja, J., Thiel, C. M., Wolf, O.T., & Fink, G. R. (2008). Increased cortisol levels in cognitively challenging situations are beneficial in young but not older subjects. Psychopharmacology, 201, 293-304
Leventhal, H., Meyer, D., &Nerenz, D. (1980). The common sense representation of illness danger. In Rachman, S (ed.), Contributions to medical psychology (vol. 2, pp.17-30). New York: Pergamon Press.
Levine, S., &Ursin, H. (1991). What is stress? In Brown, M.R., Koob, G.F., &Rivier, C. (Eds.), Stress: neurobiology and neuroendocrinology (pp.3-21). New York: Marcel Dekker, Inc.
Lindner, O. C., McCabe, M. G., Radford, J., Mayes, A., Talmi, D., &Wearden, A. (2015). Quality of life following cancer treatment: impact of illness perceptions, distress, fatigue, and cognitive failures. The European Health Psychologist, 17 Suppl, 629.
Mann, T., de Ridder, D., & Fujita, K. (2013). Self-regulation of health behavior: Social
psychological approaches to goal setting and goal striving. Health Psychology, 32(5), 487- 498.
Masthoff, E. D., Trompenaars, F. J., Van Heck, G. L., Hodiamont, P. P., & De Vries, J. (2006).
Quality of life and psychopathology: investigations into their relationship. Aust N Z J
Psychiatry, 40, 333-40.
Moore M.R, Jesen M, Bockow, T.B, Ehde, D.M, Engel, J.M. (2011), "Psychosocial factors and adjustment to chronic pain in persons with physical disabilities: A Systematic review." Arch Phys Med Rehab Vol 92. Pg 146-160.
Morgan, K., Villiers-Tuthill, A., Barker, M., & McGee, H. (2014). The contribution of illness perception to psychological distress in heart failure patients. BMC Psychology, 2(50), 2-9.
Olatunji, B. O., Cisler, J. M., &Tolin, D. F. (2007). Quality of life in the anxiety disorders: a meta-analytic review. ClinPsychol Rev, 27, 572-81.
Palacios, J. E., Khondoker, M. Achilla, E. Tylee, A. Hotopf M. A. (2016). Single, one-off measure of depression and anxiety predicts future symptoms, higher healthcare costs, and lower quality of life in coronary heart disease patients: analysis from a multi-wave, primary care cohort study.
PetriÄek, G. Vrcić-Keglević, M. Vuletić, G. CeroveÄki, V. OžvaÄić, Z. Murgić, L. (2009). Illness perception and cardiovascular risk factors in patients with type 2 diabetes: cross-sectional questionnaire study. Croatian Medical Journal, 50, 583-593.
Philips , David. (2006). Quality of life, concept , policy, Quality and Practice. London:European Journal of Social Quality (Vol. 6, Issue 2)
Quiceno, J. M. &Vinaccia, S. (2010). Percepción de enfermedad: Unaaproximación a partirdel Illness Perception Questionnaire. RevistaPsicologÃadesde el Caribe, 25, 56 -83.
Revicki, D. A. (1989). Health-related quality of life in the evaluation of medical therapy for chronic illness. Journal of Family Practice, 29, 377-392.
Schipper, H. (1999). Quality of life: principles of the clinical paradigm. Journal of Psychology and Oncology, 23(8), 171-185.
Selye, H. (1956). The stress of life. New York: McGraw-Hill Book Company.
Shekhar, S., Mohan, D., Dube, S., Chawlas, P. L., &Sundaram, K. R. (1983). Stressful life events in psychiatric outpatients: a controlled study. Indian Journal of Psychiatry, 25(2), 129"”133.
Sheridan, C. L., &Radmacher, S. A. (1998). Psychologiazdrowia, Institute of Health Psychology of the Polish Psychological Society, Warsaw
Stafford, L., Berk, M., & Jackson, H. J. (2009). Are illness perceptions about coronary artery disease predictive of depression and quality of life outcomes? Journal of Psychosom. Research,66 211-220.
Tang, L., Fritzsche, K., Leonhart, R., Pang, Y., Li, J., Song, L., Fischer, I., Koch, M., Wuensch, A., Mewes, R., &Schaefert, R. (2017). Emotional distress and dysfunctional illness perception are associated with low mental and physical quality of life in Chinese breast cancer patients. Health and Quality of Life Outcomes, 15(231), 2-10.
Van der Elst,T. Witte, D. H., Cuyper, D. N. (2015). Job Insecurity, Health and Well-Being. In: Vuori J., Blonk R., Price R. (eds) Sustainable Working Lives. Aligning Perspectives on Health, Safety and Well-Being. Springer, Dordrecht.
Watson, H. J., Swan, A., & Nathan, P. R. (2011). Psychiatric diagnosis and quality of life: the additional burden of psychiatric comorbidity. Compr Psychiatry, 52, 265-72.
Weinman, J., Petrie, K. J., Moss-Morris, R., & Horne, R. (1996). The illness perception questionnaire: a new method for assessing illness perceptions. Psychology and Health, 11, 431-446.
Whitmarsh, A., Koutantji, M., &Sidell, K. (2003). Illness perceptions, mood and coping in predicting attendance at cardiac rehabilitation. British Journal of Health Psychology, 8, 209-221.
World Health Organization (2001). International Classification of Functioning, Disability and Health. Geneva.
Yaelim, L., Jong-Min B., Ye-Won, J. Eun-Ok, I. (2019). Illness perception and sense of well-being in breast cancer patients. Patient Preference and Adherence, 13 1557-1567.
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