Page 176 - THE PERCEPT STUDY Illness Perceptions in Physiotherapy Edwin de Raaij

Appendix
Coping Appraisal
Coping Appraisal
Figure 2
Figure 2 = CSM model
Nine different dimensions of perceptions are reported in the literature:
1. Consequences
2. Timeline
3. Personal Control
4. Treatment Control
5. Identity
6. Concern
7. Coherence
8. Emotional Response
9. Cause
: The expected effects and outcome of the health threat on sign and symptoms
: How long will the illness last
: The amount of control over the illness by the person himself : The effectiveness of a treatment for the illness
: Symptoms experienced by the individual
: Concerns about the illness
: Understanding of the illness
: The effects of the illness on emotions
: Cause of the illness
Perceptions can be labelled as functional or dysfunctional. Perceptions are dysfunctional when associated with increasing signs and symptoms, such as pain intensity and limitations in physical functioning. For many years, the CSM has been the starting point for research into the associations of perceptions and symptoms of medical disorders like rheumatism, heart failure and lung diseases. Less research has been done into the MSP population.
The aim of the research reported in this thesis was to investigate the role of IPs in patients with MSP, i.e. low back pain, in primary physiotherapy care in the Netherlands.
In this thesis, three themes are presented:
1. Assessing illness perceptions by use of a questionnaire. (Chapter 2).
2. The association of illness perceptions with pain intensity and of illness perceptions with physical functioning (Chapters 3, 4 and 5).
3. The effectiveness of a physiotherapy intervention on IPs, pain intensity and physical functioning (Chapters 6 and 7).
174
Perceived health threat
Cognive representaons
Emoonal representaons