Illness representation profiles and biopsychosocial well-being: a longitudinal study in hematopoietic cell transplantation recipients

StatusPost-Print
Simple item page
cris.lastimport.scopus2026-02-22T04:10:21Z
dc.abstract.enObjectives: 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.
dc.affiliationWydziaƂ Psychologii w Warszawie
dc.affiliationInstytut Psychologii
dc.contributor.authorKroemeke, Aleksandra
dc.contributor.authorKijowska, Marta
dc.contributor.authorSobczyk-Kruszelnicka, MaƂgorzata
dc.contributor.authorDudek, Joanna
dc.date.access2026-02-02
dc.date.accessioned2026-02-02T10:34:02Z
dc.date.available2026-02-02T10:34:02Z
dc.date.created2025-01-22
dc.description.accesstimebefore_publication
dc.description.grantnumber2020/39/B/HS6/01927
dc.description.granttitleProces przywracania znaczenia w chorobie nowotworowej: rola elastycznoƛci psychologicznej. Badania intensywne podƂuĆŒne i eksperymentalne
dc.description.sdgGoodHealthAndWellBeing
dc.description.versionfinal_author
dc.identifier.doi10.1111/bjhp.70058
dc.identifier.eissn2044-8287
dc.identifier.issn1359-107X
dc.identifier.urihttps://share.swps.edu.pl/handle/swps/2166
dc.languageen
dc.pbn.affiliationpsychologia
dc.rightsCC-BY
dc.rights.questionYes_rights
dc.share.articleOPEN_REPOSITORY
dc.subject.encancer
dc.subject.enhematological malignancies
dc.subject.enhematopoietic cell transplantation
dc.subject.enillness perceptions
dc.subject.enlatent profile analysis
dc.subject.enoncology
dc.subject.enperson-centered approach
dc.subject.enwell-being
dc.swps.sciencecloudnosend
dc.titleIllness representation profiles and biopsychosocial well-being: a longitudinal study in hematopoietic cell transplantation recipients
dc.title.journalBritish Journal of Health Psychology
dc.typeJournalArticle
dspace.entity.typeArticle