Illness representation profiles and biopsychosocial well-being: A longitudinal study in haematopoietic cell transplantation recipients

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cris.lastimport.scopus2026-04-05T03:18:08Z
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.access2027-01-22
dc.date.accessioned2026-03-04T08:53:14Z
dc.date.available2026-03-04T08:53:14Z
dc.date.created2026-01-22
dc.date.issued2026-02-04
dc.description.accesstimeafter_publication
dc.description.additionalvorArtykuƂ zostaƂ przypisany do wydania: Br J Health Psychol. 2026;31:e70058. TytuƂ artykuƂy zostaƂ nieznacznie zmianiony przez wydawcę (brytyjski angielski a nie amerykaƄski). ZaƂączam teĆŒ artykuƂ, ktĂłry moĆŒna pobrac ze strony czasopisma (ale nie wiem, dlaczego jest w open access - nie opƂaciƂam).
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.issue1
dc.description.physical1-15
dc.description.sdgGoodHealthAndWellBeing
dc.description.versionfinal_author
dc.description.volume31
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.identifier.weblinkhttps://bpspsychub.onlinelibrary.wiley.com/doi/10.1111/bjhp.70058
dc.languageen
dc.pbn.affiliationpsychologia
dc.rightsEmbargo
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.sciencecloudsend
dc.titleIllness representation profiles and biopsychosocial well-being: A longitudinal study in haematopoietic cell transplantation recipients
dc.title.journalBritish Journal of Health Psychology
dc.typeJournalArticle
dspace.entity.typeArticle