دورية أكاديمية

Unrealistic pessimism about risk of coronary heart disease and stroke in patients with type 2 diabetes.

التفاصيل البيبلوغرافية
العنوان: Unrealistic pessimism about risk of coronary heart disease and stroke in patients with type 2 diabetes.
المؤلفون: Asimakopoulou KG; King's College London, Dental Institute, Oral Health Services Research & Dental Public Health, Caldecot Road, Denmark Hill, London SE5 9RW, UK. koula.asimakopoulou@kcl.ac.uk, Skinner TC, Spimpolo J, Marsh S, Fox C
المصدر: Patient education and counseling [Patient Educ Couns] 2008 Apr; Vol. 71 (1), pp. 95-101. Date of Electronic Publication: 2008 Feb 19.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: Ireland NLM ID: 8406280 Publication Model: Print-Electronic Cited Medium: Print ISSN: 0738-3991 (Print) Linking ISSN: 07383991 NLM ISO Abbreviation: Patient Educ Couns
أسماء مطبوعة: Publication: Limerick : Elsevier
Original Publication: Princeton, N.J. : Excerpta Medica, c1983-
مواضيع طبية MeSH: Affect* , Attitude to Health* , Patient Education as Topic*, Coronary Disease/*prevention & control , Diabetes Mellitus, Type 2/*psychology , Stroke/*prevention & control, Coronary Disease/complications ; Diabetes Mellitus, Type 2/complications ; Female ; Humans ; Male ; Middle Aged ; Physician-Patient Relations ; Risk Assessment ; Stroke/complications ; United Kingdom
مستخلص: Objective: We examined the accuracy of type 2 diabetes (T2D) patients' risk estimates of developing coronary heart disease (CHD)/having a stroke as a consequence of diabetes and their mood about these risks.
Methods: Patients reported their perceived risks of developing CHD/having a stroke and rated their mood about these risks using a self-report measure. Using an objective risk calculator, they were then told their actual risk of CHD and stroke and their mood was re-assessed.
Results: Patients' estimates of their risk of CHD/stroke were grossly inflated. A negative relationship between disease risk and mood was also seen where higher risk of actual and perceived CHD/stroke was related to worse mood. A positive relationship between mood and extent of perceptual error was further observed; the more inaccurate patients' perceptions of CHD/stroke risk were, the better their mood. Mood improved after patients were given accurate risk information.
Conclusion: T2D patients are unrealistically pessimistic about their risk of developing CHD/stroke. These risks and the extent of perceptual risk error are associated with mood, which improves upon providing patients with accurate risk information about CHD/stroke.
Practice Implications: These results have implications for the routine communication of risk to T2D patients.
تواريخ الأحداث: Date Created: 20080205 Date Completed: 20080617 Latest Revision: 20161124
رمز التحديث: 20221213
DOI: 10.1016/j.pec.2007.12.007
PMID: 18242931
قاعدة البيانات: MEDLINE
الوصف
تدمد:0738-3991
DOI:10.1016/j.pec.2007.12.007