PMID- 25925788
OWN - NLM
STAT- MEDLINE
DCOM- 20160120
LR  - 20220331
IS  - 1476-8321 (Electronic)
IS  - 0887-0446 (Linking)
VI  - 30
IP  - 11
DP  - 2015
TI  - Illness perceptions and self-care behaviours in the first years of living with 
      type 2 diabetes; does the presence of complications matter?
PG  - 1274-87
LID - 10.1080/08870446.2015.1045511 [doi]
AB  - OBJECTIVE: To assess illness perceptions, self-care behaviours and their 
      relationship in recently diagnosed type 2 diabetes mellitus (T2DM) patients with 
      and without diabetes-related complications. DESIGN: Cross-sectional survey among 
      192 recently diagnosed T2DM patients of whom 23% reported the presence of 
      diabetes-related complications. Illness perceptions and self-care were assessed 
      by the Revised Illness Perception Questionnaire (IPQ-R) and the revised Summary 
      of Diabetes Self-Care Activities (SDSCA) measure. RESULTS: Generally, 
      participating patients perceived T2DM as a chronic, but relatively controllable 
      condition with minor consequences. In the presence of complications, however, 
      T2DM was perceived as more unpredictable with more (serious) consequences and 
      less controllable by self-care or medical treatment. Furthermore, engagement in 
      exercise and foot care was reported more often by patients with complications. 
      Self-care was related to certain illness perception dimensions, and interactions 
      between perceptions and complications were found. CONCLUSION: T2DM patients in 
      the first years of their illness are often recommended to make lifestyle changes 
      in the absence of noticeable diabetes-related symptoms or complaints. As many 
      T2DM patients do not seem to perceive their condition to be serious and postpone 
      lifestyle changes until diabetes-related complications appear, a major challenge 
      for professionals is to convince asymptomatic patients of the importance of 
      self-care.
FAU - van Puffelen, Anne L
AU  - van Puffelen AL
AD  - a NIVEL, The Netherlands Institute for Health Services Research , Utrecht , The 
      Netherlands.
FAU - Heijmans, Monique J W M
AU  - Heijmans MJ
AD  - a NIVEL, The Netherlands Institute for Health Services Research , Utrecht , The 
      Netherlands.
FAU - Rijken, Mieke
AU  - Rijken M
AD  - a NIVEL, The Netherlands Institute for Health Services Research , Utrecht , The 
      Netherlands.
FAU - Rutten, Guy E H M
AU  - Rutten GE
AD  - b Julius Center for Health Sciences and Primary Care , University Medical Center 
      Utrecht , Utrecht , The Netherlands.
FAU - Nijpels, Giel
AU  - Nijpels G
AD  - c Department of General Practice & Elderly Care Medicine , EMGO Institute for 
      Health and Care Research, VU University Medical Center , Amsterdam , The 
      Netherlands.
FAU - Schellevis, Francois G
AU  - Schellevis FG
AD  - a NIVEL, The Netherlands Institute for Health Services Research , Utrecht , The 
      Netherlands.
AD  - c Department of General Practice & Elderly Care Medicine , EMGO Institute for 
      Health and Care Research, VU University Medical Center , Amsterdam , The 
      Netherlands.
CN  - Diacourse study group
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150601
PL  - England
TA  - Psychol Health
JT  - Psychology & health
JID - 8807983
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Attitude to Health
MH  - Cross-Sectional Studies
MH  - Diabetes Complications/epidemiology/*psychology
MH  - Diabetes Mellitus, Type 2/*psychology/*therapy
MH  - Exercise
MH  - Female
MH  - Humans
MH  - Life Style
MH  - Male
MH  - Middle Aged
MH  - Self Care/*psychology
MH  - Surveys and Questionnaires
MH  - Time Factors
OTO - NOTNLM
OT  - complications
OT  - illness perceptions
OT  - self-care
OT  - type 2 diabetes mellitus
EDAT- 2015/05/01 06:00
MHDA- 2016/01/21 06:00
CRDT- 2015/05/01 06:00
PHST- 2015/05/01 06:00 [entrez]
PHST- 2015/05/01 06:00 [pubmed]
PHST- 2016/01/21 06:00 [medline]
AID - 10.1080/08870446.2015.1045511 [doi]
PST - ppublish
SO  - Psychol Health. 2015;30(11):1274-87. doi: 10.1080/08870446.2015.1045511. Epub 
      2015 Jun 1.