Kinderman, Peter; Setzu, Erika; Lobban, Fiona and Salmon, Peter (2006) Illness beliefs in schizophrenia. Social Science and Medicine, 63 (7). pp. 1900-1911. ISSN 0277-9536
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Beliefs about health and illness shape emotional responses to illness, health-related behaviour and relationships with health care providers in physical illness. Researchers are beginning to study the illness beliefs of people with psychosis, primarily using approaches developed in physical illness. It is likely that modifications to these models will be necessary if they are to apply to mental disorders, and it is probable that some of the assumptions underlying the models will be inappropriate. In particular, different dimensions of understanding may be present in mental illness in comparison to those identified in physical illness. The present study examined the beliefs of 20 patients diagnosed with schizophrenia, including 10 currently psychotic inpatients and 10 outpatients in remission, about their experiences, using qualitative interviews and thematic analysis. Patients currently experiencing psychosis did not identify their experiences as separable ‘illnesses’ and did not have ‘illness beliefs’. Patients currently in a period of remission appraised their experiences as distinct from their own normal behaviour, but used conceptual frameworks of understanding that deviated significantly from conventional ‘health belief’ models. Patients’ ways of understanding mental illness did not parallel those described in physical illnesses. Methods for assessing beliefs about mental illness should therefore not directly be transferred from studies of beliefs about physical illness, but should be tailored to the nature of patients’ beliefs about mental illness. (222 words) Declaration of interest: This research was supported by a grant (HPMD-CT-2001-00090) from the European Union Marie Curie Fellowships scheme.
|Additional Information:||Available online 14 June 2006. Issue: October 2006.|
|Uncontrolled Keywords:||illness beliefs; mental disorder; schizophrenia; health belief model; insight; psychosis; UK; MENTAL-ILLNESS; MYOCARDIAL-INFARCTION; PERCEPTION QUESTIONNAIRE; QUALITATIVE RESEARCH; DEPRESSION; SYMPTOMS; DISORDER; MODELS;IMPACT|
|Subjects:||R Medicine > R Medicine (General)|
H Social Sciences > H Social Sciences (General)
|Departments, Research Centres and Related Units:||Academic Faculties, Institutes and Research Centres > Faculty of Medicine > School of Population, Community & Behavioural Sciences|
|Deposited On:||09 May 2008 17:12|
|Last Modified:||20 May 2011 13:56|
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