This work was supported by the National Natural Science Foundation of China (Grant number 71974217) and the Science and Technology Department of Guangdong Province, China (Grant number P-045-02). We would also like to acknowledge all study staff as well as study participants.

Read the full text

About

PDF

Tools

Share a link

Email
Wechat
Bluesky

Abstract

Aim and objectives

To examine the dissimilarity between Chinese myocardial infarction (MI) patients’ and spouses’ illness perceptions (IPs), and to explore the relationship between patients’ IP, differences in couples’ IP and patients’ lifestyle after discharge.

Background

An individual's IP is affected and moderated by several factors, including the social context. One of the most influential members of the social network of patients is the spouse.

Design

Cross-sectional design.

Methods

From April 2016–April 2017, 111 MI patients and their spouses were recruited. Before discharge from hospital, revised Illness Perception Questionnaire was administered to MI patients and their spouses separately. Two months after discharge, patients’ lifestyle was assessed using Health Promoting Lifestyle Profile II. The manuscript was organised according to STROBE guidelines.

Results

Spouses were more likely to believe that the illness would last for a long time, and patients perceived MI as being more controllable than their spouses did. The patient–spouse dissimilarity in the perception of consequences was negatively correlated with both nutrition and stress control behaviours. Patients in couples with more dissimilar perception of environmental factors as a cause were more likely to choose a healthy diet, while patients in couples with more dissimilar perceived treatment control were more able to control stress.

Conclusion

There are both similarities and dissimilarities between MI patients’ and spouses’ IP, and these dissimilarities contributed the majority of the explained variance in patients’ lifestyle after discharge.

Relevance to clinical practice

We should consider both couples when examining how a patient copes with a chronic illness.

CONFLICT OF INTEREST

The authors declare no conflict of interests.

Supporting Information

REFERENCES

Baird, D. L., & Eliasziw, M. (2011). Disparity in perceived illness intrusiveness and illness severity between cardiac patients and their spouses. Journal of Cardiovascular Nursing, 26, 481–486. https://doi.org/10.1097/JCN.0b013e3182092c11
10.1097/JCN.0b013e3182092c11
PubMed Web of Science® Google Scholar
Benyamini, Y., Medalion, B., & Garfinkel, D. (2007). Patient and spouse perceptions of the patient’s heart disease and their associations with received and provided social support and undermining. Psychology & Health, 22, 765–785. https://doi.org/10.1080/14768320601070639
10.1080/14768320601070639
Web of Science® Google Scholar
Blair, J., Angus, N. J., Lauder, W. J., Atherton, I., Evans, J., & Leslie, S. J. (2014). The influence of non-modifiable illness perceptions on attendance at cardiac rehabilitation. European Journal of Cardiovascular Nursing, 13, 55–62. https://doi.org/10.1177/1474515113477272
10.1177/1474515113477272
PubMed Web of Science® Google Scholar
Dempster, M., McCorry, N. K., Brennan, E., Donnelly, M., Murry, L. J., & Johnston, B. T. (2011). Illness perception among carer-survivor dyads are related to psychological distress among Oesophageal cancer survivors. Journal of Psychosomatic Research, 70, 432–439. https://doi.org/10.1016/j.jpsychores.2010.07.007
10.1016/j.jpsychores.2010.07.007
PubMed Web of Science® Google Scholar
Ekblom, O., Ek, A., Cider, A., Hambraeus, K., & Borjesson, M. (2018). Increased Physical Activity Post Myocardial Infarction Is Related to Reduced Mortality: Results From the SWEDEHEART Registry. Journal of the American Heart Association, 7, 1–8. https://doi.org/10.1161/JAHA.118.010108
10.1161/JAHA.118.010108
Web of Science® Google Scholar
Figueiras, M. J., & Weinman, J. (2003). Do similar patient and spouse perceptions of myocardial infarction predict recovery? Psychology & Health, 18, 201–216. https://doi.org/10.1080/0887044021000057266
10.1080/0887044021000057266
Web of Science® Google Scholar
Foxwell, R., Morley, C., & Frizelle, D. (2013). Illness perceptions, mood and quality of life: A systematic review of coronary heart disease patients. Journal of Psychosomatic Research, 75(2013), 211–222. https://doi.org/10.1016/j.jpsychores.2013.05.003
10.1016/j.jpsychores.2013.05.003
PubMed Web of Science® Google Scholar
Gaalema, D. E., Elliott, R. J., Morford, Z. H., Higgins, S. T., & Ades, P. A. (2017). Effect of socioeconomic status on propensity to change risk behaviors following myocardial infarction: Implications for healthy lifestyle medicine. Progress in Cardiovascular Diseases, 60, 159–168. https://doi.org/10.1016/j.pcad.2017.01.001
10.1016/j.pcad.2017.01.001
PubMed Web of Science® Google Scholar
Giannousi, Z., Karademas, E. C., & Dimitraki, G. (2016). Illness representations and psychological adjustment of Greek couples dealing with a recently-diagnosed cancer: Dyadic, interaction and perception-dissimilarity effects. Journal of Behavior Medicine, 39, 85–93. https://doi.org/10.1007/s10865-015-9664-z
10.1007/s10865-015-9664-z
PubMed Web of Science® Google Scholar
He, Q. Y., & Gao, Y. H. (2009). Definitions of some terms about smoking. Chinese Journal of Tuberculosis and Respiratory Diseases, 32, 26. https://doi.org/10.3760/ema.j.issn.1001-0939.2009.01.00
Google Scholar
Heijmans, M., Ridder, D., & Bensing, J. (1999). Dissimilarity in patients’ and spouses’ representations of chronic illness: Exploration of relations to patient and adaptation. Psychology & Health, 14, 451–466. https://doi.org/10.1080/08870449908407340
10.1080/08870449908407340
Web of Science® Google Scholar
Kaptein, A. A., Scharloo, M., Helder, D. I., Snoei, L., van Kempen, G. M. J., Weinman, J., … Roos, R. A. C. (2007). Quality of life in couples living with Huntington’s disease: The role of patients’ and partners’ illness perceptions. Quality of Life Research, 16, 793–801. https://doi.org/10.1007/s11136-007-9194-4
10.1007/s11136-007-9194-4
CAS PubMed Web of Science® Google Scholar
Karademas, E. C., & Giannousi, Z. (2013). Representations of control and psychological symptoms in couples dealing with cancer: A dyadic-regulation approach. Psychology & Health, 28, 67–83. https://doi.org/10.1080/08870446.2012.713954
10.1080/08870446.2012.713954
PubMed Web of Science® Google Scholar
Kuipers, E., Watson, P., Onwumere, J., Bebbington, P., Dunn, G., Weinman, J., … Garety, P. (2007). Discrepant illness perceptions, affect and expressed emotion in people with psychosis and their carers. Social Psychiatry and Psychiatric Epidemiology, 42, 277–283. https://doi.org/10.1007/s00127-007-0165-4
10.1007/s00127-007-0165-4
PubMed Web of Science® Google Scholar
Leventhal, H., Halm, E., Horowitz, C., Leventhal, E. A., & Ozakinci, G. (2005). Living with chronic illness: A contextualized, self-regulation approach. In S. Sutton, A. Baum, & M. Johnston (Eds.), The SAGE handbook of health psychology (pp. 197–240). London: Sage.
Google Scholar
Leventhal, H., Phillips, L. A., & Burns, E. (2016). The Common-Sense Model of Self-Regulation (CSM): A dynamic framework for understanding illness self-management. Journal of Behavior Medicine, 39, 935–946. https://doi.org/10.1007/s10865-016-9782-2
10.1007/s10865-016-9782-2
PubMed Web of Science® Google Scholar
Lolokote, S., Hidru, T. H., & Li, X. F. (2017). Do socio-cultural factors influence college students’ self-rated health status and health-promoting lifestyles? A crosssectional multicenter study in Dalian, China. BMC Public Health, 17, 478–492. https://doi.org/10.1186/s12889-017-4411-8
10.1186/s12889-017-4411-8
PubMed Web of Science® Google Scholar
Marcos, Y. Q., Weinman, J., Cantero, M. C. T., & Vazquez, M. B. (2009). The dissimilarity between patients’ and relatives’ perception of eating disorders and its relation to patient adjustment. Journal of Health Psychology, 14, 306–312. https://doi.org/10.1177/1359105308100215
10.1177/1359105308100215
PubMed Web of Science® Google Scholar
Mosleh, S. M., & Almalik, M. A. (2016). Illness perception and adherence to healthy behavior in Jordanian coronary heart disease patients. European Journal of Cardiovascular Nursing, 15, 223–230. https://doi.org/10.1177/1474515114563885
10.1177/1474515114563885
PubMed Web of Science® Google Scholar
Moss-Morris, R., Weinman, J., Petrie, K. J., Horne, R., Cameron, L. D., & Buick, D. (2002). The revised illness perception questionnaire (IPQ-R). Psychology & Health, 17, 1–16. https://doi.org/10.1080/08870440290001494
10.1080/08870440290001494
Web of Science® Google Scholar
National Center for Cardiovascular Diseases, China. (2019). Report on cardiovascular diseases in China 2018. Beijing, China: Encyclopedia of China Publishing House.
Google Scholar
Onge, J. M. S., & Krueger, P. M. (2017). Health lifestyle behaviors among U.S. adults. SSM - Population Health, 3, 89–98. https://doi.org/10.1016/j.ssmph.2016.12.009
10.1016/j.ssmph.2016.12.009
PubMed Web of Science® Google Scholar
Popov, N., Heruti, I., Levy, S., Lulav-Grinwald, D., & Bar-Sela, G. (2014). Illness perception differences between Russian- and Hebrew-speaking Israeli oncology women. Journal of Clinical Psychology in Medical Settings, 21, 33–40. https://doi.org/10.1007/s10880-013-9384-x
10.1007/s10880-013-9384-x
PubMed Web of Science® Google Scholar
Qin, X. J. (2017). Correlation between myocardial infarction patients’ lifestyle and couples’ illness perceptions (Unpublished master dissertation). Sun Yat-Sen University, Guangzhou.
Google Scholar
Ross, A., Yang, L., Klagholz, S. D., Wehrlen, L., & Bevans, M. F. (2016). The relationship of health behaviors with sleep and fatigue in transplant caregivers. Psycho-Oncology, 25, 506–512. https://doi.org/10.1002/pon.3860
10.1002/pon.3860
CAS PubMed Web of Science® Google Scholar
Roth, G. A., Johnson, C., Abajobir, A., Abd-Allah, F., Abera, S. F., Abyu, G., …Murray C. (2017). Global burden of cardiovascular diseases 2015. Journal of the American College of Cardiology, 70, 1–25. https://doi.org/10.1016/j.jacc.2017.04.052
10.1016/j.jacc.2017.04.052
PubMed Web of Science® Google Scholar
Sararoudi, R. B., Motmaen, M., Maracy, M. R., & Pishgadam, E. (2016). Efficacy of illness perception focused intervention on quality of life, anxiety, and depression in patients with myocardial infarction. Journal of Research in Medical Sciences, 21, 1–7. PubMed ID: 28331511.
PubMed Web of Science® Google Scholar
Sharifi, M. H., Eftekhari, M. H., Ostovan, M. A., & Rezaianazadeh, A. (2017). Effects of a therapeutic lifestyle change diet and supplementation with Q10 plus L-carnitine on quality of life in patients with myocardial infarction: A randomized clinical trial. Journal of Cardiovascular and Thoracic Research, 9, 21–28. https://doi.org/10.15171/jcvtr.2017.03
10.15171/jcvtr.2017.03
PubMed Web of Science® Google Scholar
Sterba, K. R., DeVellis, R. F., Lewis, M. A., DeVelis, B. M., Jordan, J. M., & Baucom, D. H. (2008). Effect of couple illness perception congruence on psychological adjustment in women with rheumatoid Arthritis. Health Psychology, 27, 221–229. https://doi.org/10.1037/0278-6133.27.2.221
10.1037/0278-6133.27.2.221
PubMed Web of Science® Google Scholar
Twiddy, M., House, A., & Jones, F. (2012). The association between discrepancy in illness representations on distress in stroke patients and carers. Journal of Psychosomatic Research, 72, 220–225. https://doi.org/10.1016/j.jpsychores.2011.12.004
10.1016/j.jpsychores.2011.12.004
PubMed Web of Science® Google Scholar
Wallert, J., Madison, G., Held, C., & Olsson, E. (2017). Cognitive ability, lifestyle risk factors, and two-year survival in first myocardial infarction men: A Swedish National Registry study. International Journal of Cardiology, 231, 13–17. https://doi.org/10.1016/j.ijcard.2016.12.144
10.1016/j.ijcard.2016.12.144
PubMed Web of Science® Google Scholar
Wang, L., Zhou, Y., Qian, C., & Wang, Y. (2017). Clinical characteristics and improvement of guideline-based management of acute myocardial infarction in China: A national retrospective analysis. Oncotarget, 28, 46540–46548. https://doi.org/10.18632/oncotarget.14890
Google Scholar
Weinman, J., Petrie, K. J., Sharpe, N., & Walker, S. (2000). Causal attributions in patients and spouses following first-time myocardial infarction and subsequent lifestyle change. British Journal of Health Psychology, 5, 263–273. https://doi.org/10.1348/135910700168900
10.1348/135910700168900
Web of Science® Google Scholar
Wu, L. M., Mohamed, N. E., Winkel, G., & Diefenbach, M. A. (2013). Patient and spouse illness beliefs and quality of life in prostate cancer patients. Psychology & Health, 28, 355–368. https://doi.org/10.1080/08870446.2012.722219
10.1080/08870446.2012.722219
PubMed Web of Science® Google Scholar
Yan, J., You, L.-M., He, J.-G., Wang, J.-F., Chen, L., Liu, B.-L., … Jin, S.-Y. (2011). Illness perception among Chinese patients with acute myocardial infarction. Patient Education & Counseling, 85, 398–405. https://doi.org/10.1016/j.pec.2010.11.010
10.1016/j.pec.2010.11.010
PubMed Web of Science® Google Scholar
Yan, J., You, L.-M., Liu, B.-L., Jin, S.-Y., Zhou, J.-J., Lin, C.-X., … Gu, J. (2014). The effect of a telephone follow-up intervention on illness perception and lifestyle after myocardial infarction in China: A randomized controlled trial. International Journal of Nursing Studies, 51, 844–855. https://doi.org/10.1016/j.ijnurstu.2013.10.011
10.1016/j.ijnurstu.2013.10.011
PubMed Web of Science® Google Scholar

Citing Literature

Volume29, Issue5-6

March 2020

Pages 887-898

The dissimilarity between myocardial infarction patients’ and spouses’ illness perception and its relation to patients’ lifestyle

Abstract

Aim and objectives

Background

Design

Methods

Results

Conclusion

Relevance to clinical practice

CONFLICT OF INTEREST

Supporting Information

REFERENCES

Citing Literature

References

Information

About Wiley Online Library

Help & Support

Opportunities

Connect with Wiley

The dissimilarity between myocardial infarction patients’ and spouses’ illness perception and its relation to patients’ lifestyle

Abstract

Aim and objectives

Background

Design

Methods

Results

Conclusion

Relevance to clinical practice

CONFLICT OF INTEREST

Supporting Information

REFERENCES

Citing Literature

References

Related

Information