illness identity questionnaire

Although self-report questionnaires are the most appropriate method to gather information regarding internal processes, such as illness identity, other methods (e.g., interviews) should be used in future research. A mental health professional can diagnose mental illness but these tests can work to get complete overview of any disorder. The current study introduces the IIQ in individuals with type 1 diabetes as a way to assess all four illness identity dimensions. Shutdown Dissociation Scale The (Shut-D) measures the biological symptoms associated with freeze, fight/flight, fright, and flag/faint. Complete blood count (CBC) Treatment. Current research status on the psychological situation of adults with congenital heart disease. 2002 Dec;16(5):807-16 The Illness Identity Questionnaire (IIQ) is a newly developed measure tapping into four illness identity dimensions (8) and was used for the first time in patients with type 1 diabetes. The total score was calculated as the average of the four problem areas. The RN is caring for an older adult patient admitted with frequent falls at home. Personal Pronouns . At the time, I had only recently started to speak up about my experiences with Generalized Anxiety Disorder … © 2016 by the American Diabetes Association. RESEARCH DESIGN AND METHODS A sample of 575 adolescents and emerging adults (14–25 years of age) with type 1 diabetes completed questionnaires on illness identity, psychological functioning, diabetes-related problems, and treatment adherence. The questions cover four identity commitments: politics, religion, career choices, and gender roles, the areas covered by the identity status measures used in the literature. Whether it is deciding what to eat for dinner, choosing the best course for treatment, or grappling with serious complications, the individual's life is permanently altered. No mean sex differences were found for HbA1c values (F1,427 = 0.02, P = 0.903, η2 = 0.00). A sample item is, “I am satisfied with my life.” Higher scores indicate higher satisfaction with life. Positive changes as a result of different stressors, also referred to as posttraumatic growth, have been documented in adolescence (13). By completing this form, you acknowledge that. People with this disorder have a persistent fear that they have a serious or life-threatening illness despite few or no symptoms. 2008 Dec;31(6):563-75 As reported in Table 3, men scored higher on acceptance and satisfaction with life and lower on engulfment, depressive symptoms, and diabetes-related problems than women. Epub 2013 Jun 20. Prevention and treatment information (HHS). Researchers select the number and types of people questioned in hopes that the answers these individuals give will be representative of others who are their age, belong to the same ethnic group or live in the same region. Item 12, “Wearing a medic alert ID,” was deleted because this is not always part of treatment in Belgium. Seasonal Influenza Vaccine: Uptake, Attitude, and Knowledge Among Patients Receiving Immunoglobulin Replacement Therapy. The Impact of Chronic Illness Identify one person from the illness group you chose in Week 1. Patients with impaired cognitive abilities (as reported by their parents) were excluded. First, to evaluate the model fit of the hypothesized four-factor solution of the IIQ (i.e., factorial validity), we conducted confirmatory factor analysis (CFA) using Mplus 7.31. naire, the Illness Identity Questionnaire (IIQ) (L.O., J.R., S.P., M.V., L.G., P.M., C.A.B., I.W., K.L., unpublished data), which focuses on four different illness identity dimensions: rejection, engulf-ment, acceptance, and enrichment. In the event that gender identity information is not available, the patient is to be reported on Table 3B as “other” on Line 24. The Development of the Disease Identity Questionnaire Diabetes changes people's lives in countless ways. Acceptance refers to the degree to which individuals accept diabetes as a part of their identity, besides other social roles and identity assets. Epilepsy Behav. Online ahead of print. Illness Identity: A Novel Predictor for Healthcare Use in Adults With Congenital Heart Disease. zgiannousi@hotmail.com The ISCS, for instance, seems to include items tapping into an engulfment-like state (e.g., “my illness dictates nearly everything I do”) as well as into an acceptance-like state (e.g., “I have preserved my sense of self, in spite of my illness”), but the latter items need to be reverse scored and added to the engulfment items. These individuals do not feel overwhelmed by their diabetes (9,10) and try to lead as normal a life as possible, without neglecting the self-management behaviors (11). NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. USA.gov. Hence, when being analyzed in such a way, the ISCS does not allow for examining the potential distinctiveness of different illness identity dimensions. To achieve optimal diabetes care routines, adolescents and emerging adults need to incorporate type 1 diabetes management as part of their daily life and, consequently, need to integrate diabetes into their sense of self or identity (2). Three main study objectives were addressed: 1) to assess the factorial validity and reliability of the IIQ in a large sample of adolescents and emerging adults with type 1 diabetes; 2) to explore associations with demographic (sex and age) and clinical parameters (illness duration and insulin administration); and 3) to investigate unique associations of the four illness identity dimensions with psychological (depressive symptoms and quality of life) and diabetes-specific functioning (diabetes-related problems, treatment adherence, and glycemic control; i.e., criterion validity). However, I think considering it can help to bring out the positive impacts and combat the negative aspects of the impact on identity. Sharkey CM, Perez MN, Bakula DM, Grant DM, Mullins LL. This article contains Supplementary Data online at http://care.diabetesjournals.org/lookup/suppl/doi:10.2337/dc15-2559/-/DC1. Self-report questionnaires on illness identity, psychological, and physical functioning were assessed in … The four illness identity dimensions all showed unique relationships with psychological and diabetes-specific functioning. However, as the present findings clearly demonstrate, rejecting diabetes as part of one’s sense of self may reduce motivation to adhere to treatment regimens, leading to worse treatment adherence and, consequently, glycemic control (36). A sample item is, “I felt that everything I did was an effort.” Higher scores indicate more depressive symptoms. Cardiovasc Diagn Ther. It aims to provide understanding of how different curricular features influence the development of professional identity in health and social care students . Engulfment was related to less adaptive psychological functioning and more diabetes-related problems. The cause of OCPD is thought to involve a combination of genetic and environmental factors, namely problems with attachment. Apparently, all four illness identities can occur at any time during one’s illness trajectory. Some questions refer to Depersonalization and Derealization, others refer to Dissociative Identity Disorder and a few questions refer to normal, everyday dissociation that does not lead to problems. Table 2 presents all standardized factor loadings for the four-factor solution. Previous quantitative research assessing similar constructs has suggested that the degree to which individuals integrate their illness into their identity may affect psychological and diabetes-specific functioning in patients. Duality of Interest. The associations obtained with the various study variables further testify to the clinical value of distinguishing among these different dimensions. Eur J Prev Cardiol. -, J Behav Med. Examples from the CFS identity scale include; nausea, sore or swollen glands, forgetfulness, dizziness, stiff or sore joints, fatigue after exercise, muscle pain. Third, path analysis with structural equation modeling was used to examine the unique associations linking illness identity to psychological and diabetes-specific functioning (i.e., criterion validity). Keywords: Acceptance and engulfment were most strongly related to psychological and diabetes-specific functioning.

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