ArticleBMC family practice2014
Perceived quality of life in chronic obstructive pulmonary disease patients: a cross-sectional study in primary care on the role of illness perceptions.
Article in BMC family practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 60 citations in OpenAlex.
- Health-related quality of life among people with HIV at low-to-moderate risk for atherosclerotic cardiovascular disease in the REPRIEVE Trial.AIDS (London, England) · 2026Trial
- Follow-up interviews from The Salford Lung Study (COPD) and analyses per treatment and exacerbations.NPJ primary care respiratory medicine · 2019Trial
- LANTERN: a randomized study of QVA149 versus salmeterol/fluticasone combination in patients with COPD.International journal of chronic obstructive pulmonary disease · 2015Trial
- Is Disease Stability an Attainable Chronic Obstructive Pulmonary Disease Treatment Goal?American journal of respiratory and critical care medicine · 2025Review
- Tailored patient self-management and supervised, home-based, pulmonary rehabilitation for mild and moderate chronic obstructive pulmonary disease.Journal of physical therapy science · 2022Article
- Validity and Reliability of Turkish Version of Reaction Type Scale Against COPD.Turkish thoracic journal · 2021Article
- How does multimorbidity affect middle-aged adults? A cross-sectional survey in the Singapore primary healthcare setting.BMC family practice · 2020Article
- Factors related to poor adherence in Latvian asthma patients.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2020Article
- Self-management and health related quality of life in persons with chronic obstructive pulmonary disease.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019Article
- Analysis of two questionnaires on quality of life of Chronic Obstructive Pulmonary Disease patients.Revista latino-americana de enfermagem · 2019Article
- A cross-sectional study on self-reported physical and mental health-related quality of life in rheumatoid arthritis and the role of illness perception.Health and quality of life outcomes · 2018Article
- Impact of Heart Disease Risk Factors, Respiratory Illness, Mastery, and Quality of Life on the Health Status of Individuals Living Near a Major Railyard in Southern California.International journal of environmental research and public health · 2018Article
- Comparative analysis of the psychometric parameters of two quality-of-life questionnaires, the SGRQ and CAT, in the assessment of patients with COPD exacerbations during hospitalization: A multicenter study.Chronic respiratory disease · 2018Observational
- Independent determinants of disease-related quality of life in COPD - scope for nonpharmacologic interventions?International journal of chronic obstructive pulmonary disease · 2018Article
- The effectiveness of a nurse-led illness perception intervention in COPD patients: a cluster randomised trial in primary care.ERJ open research · 2017Article
- COPD depicted - patients drawing their lungs.International journal of chronic obstructive pulmonary disease · 2017Article
- Vascular structure and function and their relationship with health-related quality of life in the MARK study.BMC cardiovascular disorders · 2016Article
- Illness perceptions and coping determine quality of life in COPD patients.International journal of chronic obstructive pulmonary disease · 2016Article
- Determinants of activation for self-management in patients with COPD.International journal of chronic obstructive pulmonary disease · 2016Article
- Improving Interprofessional and Coproductive Outcomes of Care for Patients with Chronic Obstructive Pulmonary Disease.BMJ quality improvement reports · 2016Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrevious research has shown that in Chronic Obstructive Pulmonary Disease (COPD) patients, it is important to consider not only physical functioning and complaints but also psychological factors, such as illness perceptions, to explain differences in Health-Related Quality of Life (HRQoL). The objective of this study is to analyse the extent to which the specific dimensions of illness perceptions according to the Common Sense Model (corrected for airflow limitation, dyspnoea and comorbidities) contribute to HRQoL.
methodIn a cross-sectional study in primary care, 90 COPD patients completed questionnaires: The Brief Illness Perception Questionnaire, the Medical Research Council dyspnoea scale, the Clinical COPD Questionnaire (CCQ) and the Chronic Respiratory Questionnaire (CRQ). Analyses were performed with multiple linear regression.
resultsWhen corrected for confounders (airflow limitation, dyspnoea and comorbidities), identity (β = .42) and comprehensibility (β = -.16) were associated with HRQoL (CCQ). Identity, comprehensibility and dyspnoea explained 56% of the variation in HRQoL (R2 = .56). Consequences (β = -.50) and treatment control (β = .20) were associated with HRQoL (the CRQ's physical domain). They explained 59% of the variation in the CRQ physical (R2 = .59) domain. Treatment control (β = .19) and emotional response (β = -.33) were associated with the CRQ emotional domain.
conclusionsPatients who experience fewer symptoms attributed to COPD, who have a better understanding of the disease, who experience less impact of COPD in daily life, who experience better treatment control and who have less of an emotional response have better HRQoL. This study indicates that the HRQoL of COPD patients is associated with illness perceptions as well as with the severity of dyspnoea as experienced by patients. Airflow limitation measures or comorbidities do not add to the explanation of HRQoL. The results of this study provide starting points for the development of interventions focusing on illness perceptions to support COPD patients in their disease management and to improve HRQoL.
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