Illness Perceptions in Chronic Lymphocytic Leukemia: Testing Leventhal’s Self-regulatory Model Article Swipe
Travis D. Westbrook
,
Eleshia J. P. Morrison
,
Kami J. Maddocks
,
Farrukh T. Awan
,
Jeffrey A. Jones
,
Jennifer A. Woyach
,
Amy J. Johnson
,
John C. Byrd
,
Barbara L. Andersen
·
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1093/abm/kay093
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.1093/abm/kay093
Background Leventhal’s Self-regulatory Model proposes that somatic characteristics of a health threat (e.g., symptom severity), and prior experience with the threat (e.g., unsuccessful treatment), are determinants of illness perceptions. Chronic lymphocytic leukemia (CLL) is appropriate for test of these postulates, having three phases differing in symptom severity and prior treatment experiences: indolent disease requiring no treatment (active surveillance; AS), symptomatic disease requiring a first treatment (FT), and highly symptomatic disease in those who have relapsed and/or failed to respond to prior treatments (relapsed/refractory; RR). Purpose To test symptom severity and prior treatment experiences as determinants of illness perceptions, illness perceptions were characterized and contrasted between CLL groups. Methods Three hundred and thirty CLL patients (AS, n = 100; FT, n = 78; RR, n = 152) provided illness perception data on one occasion during a surveillance visit (AS) or prior to beginning treatment (FT, RR). Results Analysis of variance with planned comparisons revealed that consequences, identity, and concern were least favorable among RR patients, followed by FT, then AS (ps < .01). AS patients endorsed the lowest levels of coherence (ps < .01), and the most chronic illness timeline (ps < .01). FT patients endorsed the highest levels of personal and treatment control (ps < .01). Conclusions Data provide preliminary empirical support for Self-regulatory Model postulates that symptom severity and prior disease experiences influence illness perceptions. Unique knowledge needs for AS patients and elevated psychological/physical symptoms for later-stage CLL patients may warrant clinical attention.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/abm/kay093
- https://academic.oup.com/abm/article-pdf/53/9/839/29171220/kay093.pdf
- OA Status
- bronze
- Cited By
- 8
- References
- 53
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2906625821
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2906625821Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/abm/kay093Digital Object Identifier
- Title
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Illness Perceptions in Chronic Lymphocytic Leukemia: Testing Leventhal’s Self-regulatory ModelWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2018Year of publication
- Publication date
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2018-12-26Full publication date if available
- Authors
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Travis D. Westbrook, Eleshia J. P. Morrison, Kami J. Maddocks, Farrukh T. Awan, Jeffrey A. Jones, Jennifer A. Woyach, Amy J. Johnson, John C. Byrd, Barbara L. AndersenList of authors in order
- Landing page
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https://doi.org/10.1093/abm/kay093Publisher landing page
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https://academic.oup.com/abm/article-pdf/53/9/839/29171220/kay093.pdfDirect link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
- OA URL
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https://academic.oup.com/abm/article-pdf/53/9/839/29171220/kay093.pdfDirect OA link when available
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Chronic lymphocytic leukemia, Medicine, Leukemia, Psychology, Clinical psychology, ImmunologyTop concepts (fields/topics) attached by OpenAlex
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8Total citation count in OpenAlex
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2025: 2, 2024: 2, 2023: 2, 2022: 1, 2021: 1Per-year citation counts (last 5 years)
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53Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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