Illness Perception Profiles and Their Association with 10-Year Survival Following Cardiac Valve Replacement. Issue 5 (20th February 2015)

• Record Type: Journal Article
• Authors: Crawshaw, Jacob; Rimington, Helen; Weinman, John; Chilcot, Joseph
• Is Part Of: Annals of behavioral medicine. Volume 49:Issue 5(2015)
• Page Start: 769
• Page End: 775
• Publication Date: 2015-02-20
• Subjects: Illness perceptions -- Cardiac surgery -- Valve replacement -- Cluster analysis -- Mortality -- Illness schema; Medicine and psychology -- Periodicals; Sick -- Psychology -- Periodicals; Behavioral Medicine; 616.0019
• DOI: 10.1007/s12160-015-9695-2
• Languages: English
• ISSNs: 0883-6612

Abstract

Abstract: Objective: The aim of the present study was to examine whether profiles of illness perceptions are associated with 10-year survival following cardiac valve replacement surgery. Methods: Illness perceptions were evaluated in 204 cardiac patients awaiting first-time valve replacement and again 1 year post-operatively using cluster analysis. All-cause mortality was recorded over a 10-year period. At 1 year, 136 patients were grouped into one of four profiles (stable positive, stable negative, changed from positive to negative, changed from negative to positive). Results: The median follow-up was 3063 days (78 deaths). After controlling for clinical covariates, including markers of function, patients who changed illness perceptions from positive to negative beliefs 1 year post-surgery had an increased mortality risk (hazard ratio (HR) = 3.2, 95 % confidence interval (CI) 1.2–8.3, p = .02) compared to patients who held positive stable perceptions. Conclusions: Following cardiac valve replacement, developing negative illness perceptions over the first post-operative year predicts long-term mortality. Early screening and intervention to alter this pattern of beliefs may be beneficial.