Interpretation of illness in patients with chronic diseases from Shanghai and their associations with life satisfaction, escape from illness, and ability to reflect the implications of illness

• Published in: Journal of integrative medicine Vol. 12; no. 5; pp. 409 - 416
• Main Authors: Büssing, Arndt, von Bergh, Ariane, Zhai, Xiao-feng, Ling, Chang-quan
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier B.V 01.09.2014
• Subjects: Adaptation, Psychological; Adult; Aged; cancer; chronic disease; Chronic Disease - psychology; clinical trial; Cross-Sectional Studies; Female; Humans; interpretation of illness; Male; Middle Aged; Neoplasms - psychology; Personal Satisfaction; self assessment; 上海; 协会; 患者; 慢性疾病; 满意度; 生活; 能力; 逃跑; clinical trial; interpretation of illness; cancer; personal satisfaction; chronic disease; self assessment
• ISSN: 2095-4964
• DOI: 10.1016/S2095-4964(14)60046-7

The aim of this study is to analyze how patients with chronic diseases from Shanghai interpret their disease, and how these interpretations influence patients＇ life satisfaction, intention to escape from their illness and their ability to reflect on the implications of their illness. METHODS： A cross-sectional study enrolling 142 patients （mean age （50 ±16） years; 63% men, 37% women） with chronic diseases （60% cancer） was recruited in the Changhai Hospital of Traditional Chinese Medicine, Shanghai, China and surveyed using standardized questionnaires. RESULTS： Patients with chronic diseases from Shanghai interpreted their illness mostly as an Adverse Interruption of Life （55%）, as a Threat/Enemy （50%）, but also as a Challenge （49%）, and only rarely as a Call for Help （18%） or as a Punishment （13%）. Particularly fatalistic negative （i.e., Threat/Enemy, Adverse Interruption of Life） and strategy-associated disease interpretations （i.e., Relieving Break, Call for Help） were moderately associated with patients＇ intention to escape from illness. In contrast, positive interpretations （i.e., something of Value, Challenge） and also the guilt-associated negative interpretation Failure were moderately related with patients＇ ability to reflect on their illness. However, life satisfaction was weakly associated only with the view that illness might be a Challenge. Interestingly, 58% of those who would see their illness as an Adverse Interruption （AI＋） could see it also as a Challenge （Ch＋）. Detailed analyses showed that AI＋Ch＋ patients differ from their AI＋Chcounterparts significantly with respect to their ability to reflect life and implications of illness （F=9.1 ; P=-0.004）.