UNASSIGNED: Coronary artery bypass graft (CABG) surgery is a highly effective coronary artery disease treatment, providing immediate relief and promising long-term benefits. However, it is a major procedure with significant risks, including the potential for depression. Many patients experience depression following CABG, which can negatively impact their overall recovery, affecting both physical and mental health.
UNASSIGNED: This study aimed to determine factors predicting depression in patients following CABG surgery.
UNASSIGNED: This cross-sectional study was conducted with data collected between January and April 2024. A total of 272 post-CABG patients from two super tertiary care hospitals in Bangkok, Thailand, were recruited through purposive sampling. All research instruments were validated and tested for reliability. Data were analyzed using multiple regression analysis.
UNASSIGNED: The study found that hope, optimism, illness perception, social support, and anxiety were correlated with depression (adjusted R² = 0.381), but these variables explained only 38.1% of the variance (p <0.05). Among these factors, anxiety (β = 0.311), optimism (β = 0.203), social support (β = -0.117), and illness perception (β = -0.143) were significant predictors (p <0.05), while hope was not a significant predictor. Thus, anxiety emerged as the most crucial predictor of depression in patients who have undergone CABG.
UNASSIGNED: Nurses play a vital role in preventing and managing depression in post-CABG patients. Screening for anxiety and addressing it can prevent depression, enhance social support, and improve outcomes. To develop effective nursing strategies, it is essential for nurses to assess anxiety and implement interventions that promote social support, optimism, and illness perception. These measures can improve care quality, reduce readmission rates, and enhance patients\' overall quality of life.

BACKGROUND: Previous studies have noted the link between rosacea severity and quality of life, but there is limited understanding of how disease perception impacts these aspects. Additionally, sun exposure is identified as a common trigger for rosacea flare-ups, emphasizing the importance of sun protection practices in managing the condition. This cross-sectional study aims to fill the gap in the literature by investigating the relationship between clinical severity, disease perception, quality of life, and sun protection behaviors in rosacea patients.
METHODS: Questionnaires assessing the quality of life, illness perception, sun protection behaviors, sun protection decisional balance, and its potential predictors were completed by 120 rosacea patients and 120 controls.
RESULTS: Patients exhibited a higher prevalence of sun protection behaviors than the control group (24.15 ± 5.76 vs. 17.63 ± 5.56, p < 0.001) and demonstrated greater determination in adhering to sun protection practices (13.43 ± 2.37 vs. 9.40 ± 3.09, p < 0.001). Hierarchical linear regression analyses showed that quality of life was related to clinical severity, illness perception (consequences, illness coherence, emotional representations), causal attribution (risk factors, immunity), and sun protection decisional balance variables (R2 = 0.45, F = 7.39, p < 0.001). Also, the perceived pros and cons of sun protection behaviors were predicted by illness perception (treatment control), causal attribution (risk factors, immunity, chance/accident), and quality of life variables (R2 = 0.24, F = 2.59, p = 0.004).
CONCLUSIONS: Providing more information to rosacea patients can improve their disease perception and quality of life, increasing adherence to sun protection behaviors.

BACKGROUND: Previous research has emphasized the significant role of illness perception in chronic diseases, including Multiple Sclerosis. Limited research has been conducted on exploring illness perception in Pediatric Onset Multiple Sclerosis (POMS), parental illness perception, and the impact of differences in their illness perceptions on the emotional well-being of the child.
METHODS: This study included 65 dyads of children aged 10-17 and their parents, divided into the following two groups: (I) 32 dyads of children with POMS and their parents; and (II) 33 dyads of healthy children and their parents.
RESULTS: Overall, 73.1% and 43.8% of the children with POMS met the criteria for probable anxiety and depression, respectively, compared to 27.3% and 0% of the healthy children. Differences were found between the dimensions of illness perception in the POMS children and their parents, in the areas of consequences, personal control, identity, and control factors. Multinomial Logistic Regression indicated that differences in child-parent illness perception increased the likelihood of comorbid anxiety and depression by 37%.
CONCLUSIONS: These findings underscore the importance of alignment between children with POMS and their parents in illness perception. Healthcare providers should prioritize interventions that address illness perceptions and be mindful of the potential impact on depression and anxiety comorbidity.

OBJECTIVE: To investigate the level of family resilience among patients with gynaecologic cancer and explore hope as a mediator between perceptions of illness and family resilience.
METHODS: A cross-sectional study.
METHODS: From May to October 2022, researchers used convenience sampling to survey 320 patients with gynaecological cancer at a level 3A hospital in Jinan City. The study instruments included the General Information Questionnaire, Family Hardiness Index, Brief Illness Perception Questionnaire, and Herth Hope Index. SPSS 26.0 was used to analyse the mediation effect of hope.
RESULTS: The mean score for family resilience was 55.86 ± 8.62. Illness perception was negatively associated with family resilience, while hope was positively associated with it. Additionally, hope mediated the relationship between illness perception and family resilience.
CONCLUSIONS: There is considerable room for improvement in family resilience among patients with gynaecologic cancer. Interventions aimed at increasing hope can enhance family resilience.
CONCLUSIONS: Healthcare providers can boost family resilience by fostering hope in patients, thereby promoting effective coping and adaptation to cancer.
UNASSIGNED: Patients primarily completed the questionnaires, providing insights into the factors that hindered and facilitated the development of family resilience. These findings were communicated to caregivers for further understanding and action.

UNASSIGNED: This study explored the effects of social support, illness perception, coping style, and vision-related quality of life (VRQOL) in older patients with dry eye disease (DED) using a chain mediation model.
UNASSIGNED: A total of 407 patients with DED from a tertiary hospital in Wuxi, Jiangsu Province, China, between June and December 2023 were selected as participants. A demographic questionnaire, the Social Support Rating Scale, the Brief Illness Perception Questionnaire, the Medical Coping Modes Questionnaire, and the National Eye Institute Visual Functioning questionnaire-25 were all given to them to complete. IBM SPSS (version 27.0) was used for data analysis, and Model 6 of the PROCESS Macro was used to test the predicted chain mediation model.
UNASSIGNED: The positive association between social support and VRQOL demonstrated the mediation role of illness perception and coping style. Social support affected VRQOL via three pathways: illness perception (effect = 0.190), confrontational coping style (effect = 0.103), and a combination of illness perception and confrontational coping style (effect = 0.067), accounted for 23.60%, 12.80%, and 8.32% of the total effect, respectively.
UNASSIGNED: Social support in older patients with DED can significantly and positively predict the VRQOL. In addition to the independent mediating effect of illness perception and confrontational coping style, a chain-mediating effect exists between social support and VRQOL. The study serves as a valuable strategy for healthcare professionals to prevent and intervene in VRQOL for older patients with DED in the future.

UNASSIGNED: This paper aims to understand the distinctive biopsychosocial aspects and patient perspectives on chronic low back pain in Lebanon, an Arab country with a unique and rich cultural heritage.
UNASSIGNED: Qualitative, semi-structured interviews with 12 Lebanese patients purposefully sampled from various governorates. The interviews included participants from different geographic areas and religions. The data underwent analysis through an inductive thematic approach guided by a bounded relativist ontology, a subjectivist epistemology, and a descriptive phenomenological framework. The coding process was managed by computer-assisted qualitative data analysis software (QSR NVivo version 12.0).
UNASSIGNED: The researchers identified and constructed two themes: (1) Chronic low back pain: understanding the impact, coping strategies, and communication patterns in lived experiences within the Lebanese context. This theme sheds light on the complexities of pain management and societal influences in Lebanon. (2) Explanatory model of patients living with chronic low back pain in Lebanon. This theme allowed an exploration of the multifaceted narratives of chronic low back pain.
UNASSIGNED: This study found that Lebanese individuals attribute chronic low back pain to biomedical factors despite some recognizing psychosocial elements. It emphasizes the need to educate patients on the biopsychosocial model, facilitate better care, and dispel misconceptions.
The exploration of patients’ pain perception may provide an opportunity to better develop and design culturally sensitive pain neuroscience education material for Arab-speaking and Lebanese physical therapists.The rehabilitation process should incorporate a balanced biopsychosocial approach, addressing both physical and psychosocial elements of pain, to provide more effective care and outcomes for Lebanese patients who predominantly attribute chronic low back pain to biomedical factors.Lebanese healthcare professionals need to improve communication with Lebanese patients regarding the nature of chronic low back pain, using clear communication to help dispel misconceptions and enhance rehabilitation outcomes.

OBJECTIVE: A good intimate relationship (IR) can relieve the psychological distress of patients with cervical cancer and promote a sense of well-being during stressful times. Researchers have found that IR is related to illness perception (IP) and dyadic coping (DC). Therefore, this study aimed to (1) describe the IR of patients with cervical cancer, (2) identify the relationships and pathways among IP, DC and IR in patients with cervical cancer and (3) explore the mediating role of DC between IP and IR in cervical cancer patients.
METHODS: A total of 175 patients with cervical cancer were recruited at a tertiary hospital in China from September 2021 to January 2023. The data were collected through a general demographic and disease-related information questionnaire, the Locke-Wallace Marriage Adjustment Test, the Revised Illness Perception Questionnaire of Cervical Cancer and the Dyadic Coping Inventory.
RESULTS: The mean score for intimate relationships was 107.78 (SD = 23.99, range 30-154). Pearson\'s correlation analysis revealed that intimate relationships were positively correlated with IP (personal control) and DC (stress communication, supportive DC, delegated DC and common DC) and were negatively correlated with IP (consequence, timeline acute/chronic, timeline cyclical and emotional representation) and negative DC. As for the results of the structural equation model, DC fully mediated the influencing effects of both positive and negative IP on IR.
CONCLUSIONS: The level of IR of patients with cervical cancer in China should be improved. DC has a significant mediating effect on the link between the IP and IR.

Bevezetés: A szív-érrendszeri betegségek világszerte mindkét nem esetében vezető halálokok, köztük a leggyakoribb az ischaemiás szívbetegség. Az egészségügyi információk megszerzési, értelmezési, felhasználási készségeinek gyűjtőfogalma az egészségértés, mely a prevenció több szintjén előre jelezheti az egészségi állapotot, valamint a cardiovascularis mortalitást. Célkitűzés: Kutatásunk célja az egészségértés szintjének és pszichodemográfiai összefüggéseinek vizsgálata volt ischaemiás szívbetegekben. Módszer: Keresztmetszeti, kérdőíves vizsgálatunkban magyar ischaemiás szívbetegek mintáján (n = 78) mértük az egészségértést, emellett az ezzel összefüggő életmódbeli és pszichés jellemzőket. Mérőeszközök: Brief Health Literacy Screening (BHLS), Short Test of Functional Health Literacy for Adults (S-TOFHLA), Heart Disease Knowledge Questionnaire; Rövidített Vitális Kimerültség Kérdőív, Brief Illness Perception Questionnaire, Medication Adherence Report Scale, egészség-magatartás és szubjektív egészségi állapot saját kérdéssorral. Eredmények: Egyik egészségértés teszten sem különbözött szignifikánsan a betegek pontszáma a standard értékektől. Az S-TOFHLA teszten a kitöltők mindössze 6,4%-ának volt nem megfelelő az eredménye, a BHLS tesztnél a 3,8%-uknak. A funkcionális egészségértést az életkor és a vitális kimerültség jelezte előre szignifikánsan (F(72) = 3,94), önállóan csak az utóbbi. A betegségismeret varianciájának 25,7%-át magyarázta az életkort, az iskolai végzettséget és a funkcionális egészségértést tartalmazó regressziós modell (F(74) = 8,18), önállóan az utóbbi kettő jelezte előre. Az önbevallásos egészségértés varianciájának 41,2%-át magyarázta az életkort, az iskolai végzettséget, a vitális kimerültséget, a betegségismeretet és a rizikóviselkedést tartalmazó regressziós modell, amelyben szignifikáns, független előrejelző volt az iskolai végzettség és a vitális kimerültség. A különböző egészségértés-típusok hatását az egészségügyi kimeneti változókra további regressziós modellekkel teszteltük: a betegségreprezentáció varianciájának 29,8%-át magyarázták együttesen (F(3) = 9,321), önálló előrejelzője azonban csak a BHLS teszt volt. Következtetés: Az egészségértés ismert meghatározói mellett rámutattunk a vitális kimerültség szerepére, továbbá az egészségértés és a betegségismeret, valamint a betegségreprezentáció szoros összefüggéseire. A jövőbeli betegedukációk tervezésekor fontosnak tartjuk az egészségértésszint mérését és figyelembevételét. Orv Hetil. 2024; 165(30): 1166–1175.

UNASSIGNED: This study aimed to assess the level of illness perception and medication adherence among adult patients with type 2 diabetes mellitus (T2DM) in Jeddah, Saudi Arabia, with a specific focus on understanding how these two factors may be related.
UNASSIGNED: This descriptive correlation study included all adult patients with T2DM attending the Jeddah Care Centre for Diabetes and Hypertension at King Abdulaziz Hospital between January and April 2022. Data were collected using a questionnaire that elicited sociodemographic and clinical information, and the Arabic versions of the Brief Illness Perception Questionnaire and the Morisky Medication Adherence Scale. Descriptive statistics and Pearson\'s correlation analysis were used for data analysis.
UNASSIGNED: A total of 365 patients were included (mean age: 50.9 ± 15.9 years), with the majority being female (53.4%). Overall, the level of medication adherence was moderate (mean score: 5.36 ± 1.73). Patients with lower medication adherence perceived the consequences of T2DM as more severe, had a stronger association with the illness identity, and experienced more intense emotional responses (for all, P < 0.001). Conversely, patients with higher adherence had a greater sense of personal control, a stronger belief in treatment effectiveness, and a better understanding of the illness (for all, P < 0.001).
UNASSIGNED: The study found a correlation between illness perception and medication adherence in patients with T2DM. Addressing patients\' perceptions may enhance their ability to manage the condition more effectively.

Introduction This cross-sectional descriptive study investigated the relationship between spiritual well-being, disease perception, and disease adaptation in individuals with diabetes mellitus (DM). Methods The sample consisted of 340 patients admitted to the internal medicine outpatient clinics of a city hospital in southern Turkey between January 2022 and January 2023. Data were collected using patient information, the Spiritual Well-Being Scale (SWBS), the Illness Perception Questionnaire (IPQ), and the Adaptation to Chronic Illness Scale (ACIS). The data were analyzed at a significance level of 0.05. Results Most participants were familiar with integrative interventions (84.1%). Less than half of the participants learned about integrative interventions from friends (46%). Less than a quarter of the participants had turned to integrative interventions (23.5%), such as cupping therapy (7.6%) and cinnamon therapy (7.1%). Participants had mean SWBS and ACIS scores of 118.40±11.46 and 84.46±9.18, respectively. There was a positive correlation between the ACIS and SWBS scores. There was also a positive correlation between total SWBS scores and scores on the IPQ \"perceptions about the illness\" subscale \"timeline (acute/chronic)\". Additionally, there was a positive correlation between the total ACIS score and the scores on the IPQ subscales \"perceptions about the illness\", \"personal control\", \"treatment control\", and \"illness identification\". Conclusion DM patients with greater spiritual well-being tend to adhere more to their treatment and management regimens. Moreover, DM patients with more positive perceptions of their illness tend to have greater levels of spiritual well-being, which correlates with improved adaptation to their disease management and treatment protocols.