ArticleScientific reports2025
Towards better illness perception in advanced chronic kidney disease: clinical, psychological and cognitive factors to address.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- The mechanisms between illness representations and depression in a sample of Chinese chronic kidney disease patients: mediation via maladaptive emotional coping and positive reframing.Journal of behavioral medicine · 2026Article
- Adaptation and validation of the short version of the B-IPQ for the assessment of disease perception in older Colombian adults.BMC geriatrics · 2026Article
- Illness perception mediates the association between emotional intelligence and symptom distress among patients undergoing peritoneal dialysis: a Common-Sense Model approach.Frontiers in public health · 2026Article
- Beyond the test: patient-reported concerns and worries regarding kidney conditions andFrontiers in nephrology · 2026Article
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4 authors.
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Abstract
People with advanced chronic kidney disease (ACKD) frequently experience psychological distress due to the progressive nature of the illness and the burden of long-term treatment. Illness perception plays a critical role in emotional adjustment and health behaviors, yet the psychosocial and clinical variables shaping these perceptions are not fully understood. This study aimed to identify combinations of psychological, behavioral, and clinical factors that predict how individuals with ACKD perceive their illness, using a Qualitative Comparative Analysis (QCA) approach. The sample included 69 participants with ACKD. Illness perception was assessed via the Brief Illness Perception Questionnaire (B-IPQ). Predictive conditions included: anxiety (HADS-A), coping styles (Brief COPE), kidney disease knowledge (KiKS), emotional social support (MOS-SSS), neuroticism (NEO-FFI), and CKD stage. QCA results revealed multiple pathways to high illness threat perception. Configurations characterized by high anxiety, elevated neuroticism, and low active coping were consistently associated with negative illness representations. Conversely, combinations including greater disease knowledge and active coping predicted more adaptive perceptions. These findings underscore the relevance of addressing both emotional and cognitive variables when designing psychosocial interventions for people with ACKD, supporting a multidimensional approach to improving patient adjustment and health outcomes.
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