Illness representation profiles and biopsychosocial well-being: a longitudinal study in hematopoietic cell transplantation recipients
Illness representation profiles and biopsychosocial well-being: a longitudinal study in hematopoietic cell transplantation recipients
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Kroemeke, Aleksandra
Kijowska, Marta
Sobczyk-Kruszelnicka, MaĆgorzata
Dudek, Joanna
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British Journal of Health Psychology
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1359-107X
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2026-02-02
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Abstract EN
Objectives: One of the modifiable determinants of biopsychosocial well-being in patients admitted for hematopoietic cell transplantation (HCT) is the illness representation. To date, studies on illness representations have mainly been cross-sectional, treating the sample as homogeneous. We investigated distinct illness representation profiles (including illness consequences, timeline, personal control, treatment control, identity, illness concern, coherence, and emotional representation) in patients before HCT, as well as profile predictors (i.e., demographic and clinical factors) and outcomes (i.e., pre- and post-transplant biopsychosocial indicators of well-being).
Design: A longitudinal study.
Methods: Illness representations (B-IPQ), symptoms of depression (CES-D), anxiety (GAD), loneliness (RUCLA), psychological well-being (C-PTGI-SF), and health-related quality of life (EORTC QLQ-C30) were measured in 202 patients (57% male; mean age = 47.38 years; mean time since diagnosis = 19.05 months) after admission for HCT and two weeks after discharge (N = 119). Unconditional and conditional latent profile analyses were applied.
Results: Three latent illness representation profiles were identified: positive (27%), negative (19%), and ambivalent (54%). Women were more likely to belong to the negative or ambivalent profiles. Patients with more favorable illness representations reported fewer depressive, anxiety, and loneliness symptoms, both prior to and after HCT. The positive and negative profiles differentiated well between patients with greater positive psychological well-being and poorer post-transplant overall quality of life, respectively.
Conclusions: The results highlight the variation in pre-HCT illness representation and demonstrate how biopsychosocial well-being is related to different illness representation subgroups in a concurrent and short-term manner, indicating the practical implications of the study.
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Keywords EN
cancer
hematological malignancies
hematopoietic cell transplantation
illness perceptions
latent profile analysis
oncology
person-centered approach
well-being
hematological malignancies
hematopoietic cell transplantation
illness perceptions
latent profile analysis
oncology
person-centered approach
well-being
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Sustainable Development Goals
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Proces przywracania znaczenia w chorobie nowotworowej: rola elastycznoĆci psychologicznej. Badania intensywne podĆuĆŒne i eksperymentalne
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