UNLABELLED: The association between a patient's illness representation and long-term changes in treatment adherence still needs to be clarified. AIM: to evaluate the association between the representation of hypercholesterolemia and dietary modifications over 1-year, controlling for biopsychosocial factors. METHODS: 208 hypercholesterolemic Caucasian patients. Measures of dietary intake, illness representation, and biopsychosocial factors were collected at baseline, 3, 6, and 12 months. RESULTS: Two multiple regressions were performed on the 1-year change in dietary habits; one with subjects with elevated fat consumption at baseline, another with individuals with low-moderate fat consumption. Higher scores on items reflecting an accurate illness representation at baseline were associated with greater dietary modification among patients of the first group. For patients with low-moderate total fat consumption, maintenance of dietary habits was associated to lower scores on the perception of stress and symptoms. CONCLUSION: To optimize adherence, intervention on illness representation should be adjusted according to initial dietary habits.
UNLABELLED: The association between a patient's illness representation and long-term changes in treatment adherence still needs to be clarified. AIM: to evaluate the association between the representation of hypercholesterolemia and dietary modifications over 1-year, controlling for biopsychosocial factors. METHODS: 208 hypercholesterolemic Caucasian patients. Measures of dietary intake, illness representation, and biopsychosocial factors were collected at baseline, 3, 6, and 12 months. RESULTS: Two multiple regressions were performed on the 1-year change in dietary habits; one with subjects with elevated fat consumption at baseline, another with individuals with low-moderate fat consumption. Higher scores on items reflecting an accurate illness representation at baseline were associated with greater dietary modification among patients of the first group. For patients with low-moderate total fat consumption, maintenance of dietary habits was associated to lower scores on the perception of stress and symptoms. CONCLUSION: To optimize adherence, intervention on illness representation should be adjusted according to initial dietary habits.
Authors: Teresa E Seeman; Burton H Singer; Carol D Ryff; Gayle Dienberg Love; Lené Levy-Storms Journal: Psychosom Med Date: 2002 May-Jun Impact factor: 4.312
Authors: F M Sacks; M A Pfeffer; L A Moye; J L Rouleau; J D Rutherford; T G Cole; L Brown; J W Warnica; J M Arnold; C C Wun; B R Davis; E Braunwald Journal: N Engl J Med Date: 1996-10-03 Impact factor: 91.245
Authors: T A Dolecek; N C Milas; L V Van Horn; M E Farrand; D D Gorder; A G Duchene; J R Dyer; P A Stone; B L Randall Journal: J Am Diet Assoc Date: 1986-06
Authors: J Shepherd; S M Cobbe; I Ford; C G Isles; A R Lorimer; P W MacFarlane; J H McKillop; C J Packard Journal: N Engl J Med Date: 1995-11-16 Impact factor: 91.245