Preliminary examination of the relations between disease stage, illness perceptions, coping strategies, and psychological morbidity in chronic hepatitis B and C guided by the Common-Sense Model of Illness

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dc.authoridekmen, nergiz/0000-0002-7921-3169
dc.authorwosidekmen, nergiz/AAO-8196-2021
dc.contributor.authorEkmen, Nergiz
dc.contributor.authorCan, Guray
dc.contributor.authorCan, Hatice
dc.date.accessioned2024-08-04T20:50:13Z
dc.date.available2024-08-04T20:50:13Z
dc.date.issued2021
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground and aims Chronic viral hepatitis (CVH) has a spectrum from asymptomatic disease to cirrhosis and hepatocellular carcinoma. In our study, we aimed to establish the relations between disease stage, illness perception, coping strategies and psychological morbidity in CVH. Methods A total of 182 patients with chronic hepatitis B (CHB) (n = 136) and chronic hepatitis C (CHC) (n = 46) were enrolled. Illness perceptions were measured with the Brief Illness Perceptions Questionnaire. Coping strategies were measured with the Carver Brief Coping Questionnaire. Anxiety and depression were measured with the Hospital Anxiety and Depression Scale. Relations were evaluated by structural equation modeling (SEM). Results In CHB, combining the questionnaire data using SEM resulted in a final model with an excellent fit [chi(2) (2) = 0.00, P = 1.000, chi(2)/N = 0.00, root mean square error of approximation (RMSEA) < 0.001, comparative fit index (CFI) = 1.000, goodness-of-fit index (GFI) = 1.000]. Disease stage had a significant direct influence on illness perceptions (beta = 0.23, P = 0.006). Illness perceptions had a significant direct influence on emotional coping strategy, depression and anxiety (beta = 0.20, P = 0.019; beta = 0.33, P < 0.001; beta = 0.59, P < 0.001, respectively). While the use of emotional coping strategies was associated significantly (P = 0.01) with the presence of anxiety, problem-focused coping strategy was associated with depression (P = 0.004). In CHC, SEM resulted in a final model with an excellent fit [chi(2) (2) = 0.078, P = 0.962, chi(2)/N = 0.039, RMSEA<0.001, CFI = 1.000, GFI = 0.999]. Disease stage did not have a significant direct influence on illness perceptions (P > 0.05). Illness perceptions had a significant direct influence on depression and anxiety (beta = 0.27, P = 0.023; beta = 0.44, P < 0.001, respectively). Conclusion The psychological consequences of the disease vary depending on the person's perception of illness and coping strategies.en_US
dc.identifier.doi10.1097/MEG.0000000000002131
dc.identifier.endpage939en_US
dc.identifier.issn0954-691X
dc.identifier.issn1473-5687
dc.identifier.issue6en_US
dc.identifier.pmid33867448en_US
dc.identifier.scopus2-s2.0-85105543315en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage932en_US
dc.identifier.urihttps://doi.org/10.1097/MEG.0000000000002131
dc.identifier.urihttps://hdl.handle.net/11616/99917
dc.identifier.volume33en_US
dc.identifier.wosWOS:000646354700022en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofEuropean Journal of Gastroenterology & Hepatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectchronic viral hepatitis Ben_US
dc.subjectchronic viral hepatitis Cen_US
dc.subjectCommon-Sense Modelen_US
dc.titlePreliminary examination of the relations between disease stage, illness perceptions, coping strategies, and psychological morbidity in chronic hepatitis B and C guided by the Common-Sense Model of Illnessen_US
dc.typeArticleen_US

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