PMID- 30724586
OWN - NLM
STAT- MEDLINE
DCOM- 20200415
LR  - 20200415
IS  - 1465-3966 (Electronic)
IS  - 1354-8506 (Linking)
VI  - 24
IP  - 8
DP  - 2019 Sep
TI  - Health beliefs, attitudes, and health-related quality of life in persons with 
      fibromyalgia: mediating role of treatment adherence.
PG  - 962-977
LID - 10.1080/13548506.2019.1576913 [doi]
AB  - Fibromyalgia is a chronic illness characterized by pain and fatigue. Persons with 
      fibromyalgia experience increased the risk for poor mental and physical 
      health-related quality of life, which may be dependent on multiple factors, 
      including health beliefs, such as confidence in physicians and the health-care 
      system, and health behaviors, such as treatment adherence. Respondents with 
      fibromyalgia (n = 409) were recruited nationally, via support organizations, and 
      completed self-report measures: Multidimensional Health Profile - Health 
      Functioning Index (MHP-H), Short-Form-36 Health Survey (SF-36v2), and Medical 
      Outcomes Study (MOS) Measure of Patient Adherence - General Adherence Items. In 
      mediation models, belief in the healthcare system and health-care personnel, and 
      health efficacy exerted an indirect effect through treatment adherence on mental 
      and physical quality of life. Adaptive health beliefs and attitudes were related 
      to greater treatment adherence and, in turn, to a better quality of life. 
      Maladaptive health beliefs and mistrusting attitudes about physician-level and 
      systemic-level healthcare provision are negatively related to both treatment 
      adherence and consequent physical and mental health-related quality of life in 
      persons with fibromyalgia. Future randomized controlled trials are needed to 
      determine if therapeutic strategies to alter health values might improve 
      adherence and self-rated health.
FAU - Rowe, Catherine A
AU  - Rowe CA
AD  - a Lowry Health Center, Denver Health , Denver , CO , US.
FAU - Sirois, Fuschia M
AU  - Sirois FM
AUID- ORCID: 0000-0002-0927-277X
AD  - b Department of Psychology , University of Sheffield , Sheffield , UK.
FAU - Toussaint, Loren
AU  - Toussaint L
AUID- ORCID: 0000-0001-8876-1848
AD  - c Department of Psychology , Luther University , IA , Decorah , US.
FAU - Kohls, Niko
AU  - Kohls N
AD  - d Department of Integrative Health Promotion , Coburg University of Applied 
      Sciences and Arts , Coburg , Germany.
FAU - Nofer, Eberhard
AU  - Nofer E
AD  - d Department of Integrative Health Promotion , Coburg University of Applied 
      Sciences and Arts , Coburg , Germany.
FAU - Offenbacher, Martin
AU  - Offenbacher M
AD  - e Gasteiner Heilstollen Hospital, Bad Gastein-Bockstein , Austria.
FAU - Hirsch, Jameson K
AU  - Hirsch JK
AUID- ORCID: 0000-0003-3901-0452
AD  - f Department of Psychology , East Tennessee State University , Johnson City , TN 
      , USA.
LA  - eng
PT  - Journal Article
DEP - 20190206
PL  - England
TA  - Psychol Health Med
JT  - Psychology, health & medicine
JID - 9604099
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Female
MH  - Fibromyalgia/*drug therapy
MH  - *Health Literacy
MH  - *Health Status
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pain Measurement
MH  - *Quality of Life
MH  - Self Report
MH  - *Treatment Adherence and Compliance
MH  - Young Adult
OTO - NOTNLM
OT  - Health-related quality of life
OT  - fibromyalgia
OT  - health beliefs and attitudes
OT  - treatment adherence
EDAT- 2019/02/07 06:00
MHDA- 2020/04/16 06:00
CRDT- 2019/02/07 06:00
PHST- 2019/02/07 06:00 [pubmed]
PHST- 2020/04/16 06:00 [medline]
PHST- 2019/02/07 06:00 [entrez]
AID - 10.1080/13548506.2019.1576913 [doi]
PST - ppublish
SO  - Psychol Health Med. 2019 Sep;24(8):962-977. doi: 10.1080/13548506.2019.1576913. 
      Epub 2019 Feb 6.