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Illness perception and cardiovascular risk factors in patients with type 2 diabetes: cross-sectional questionnaire study

AIM. To investigate illness perception in patients with type 2 diabetes mellitus and its association with the degree of control over relevant cardiovascular risk factors. METHODS. A cross-sectional questionnaire-based study was performed from June 2007 to March 2008. A stratified random sample of 46...

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Published in:Croatian medical journal 2009-12, Vol.50 (6), p.583-593
Main Authors: Petricek, Goranka, Vrcic-Keglevic, Mladenka, Vuletic, Gorka, Cerovecki, Venija, Ozvacic, Zlata, Murgic, Lucija
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container_issue 6
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container_title Croatian medical journal
container_volume 50
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Vrcic-Keglevic, Mladenka
Vuletic, Gorka
Cerovecki, Venija
Ozvacic, Zlata
Murgic, Lucija
description AIM. To investigate illness perception in patients with type 2 diabetes mellitus and its association with the degree of control over relevant cardiovascular risk factors. METHODS. A cross-sectional questionnaire-based study was performed from June 2007 to March 2008. A stratified random sample of 46 Croatian general practitioners was asked to select, using systematic sampling, the first 6 patients with type 2 diabetes mellitus aged > or =18 years who visited them for consultation during the study period. Data on 250 patients included patient illness perception assessment (Brief Illness Perception Questionnaire, IPQ), cardiovascular risk factors, and socio-demographic data. RESULTS. The patients' mean age was 63.0+/-10.9 years and mean duration of diabetes was 9.3+/-7.8 years. The patients' illness perception assessment on an 11-point (0 to 10) scale showed the highest median scores (interquartile range): 10 (8 to 10) for "timeline" and 8 (7 to 9) for "treatment control," followed by 7 (5 to 8) for "personal control," 7 (5 to 9) for "understanding," 5 (3 to 7) for "consequences," 6 (4 to 7) for "concern," and 5 (2 to 7) for "emotional response." The lowest score was 3 (1 to 5) for "identity." Multivariate logistic regression showed that the Brief IPQ item "concern" (P
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To investigate illness perception in patients with type 2 diabetes mellitus and its association with the degree of control over relevant cardiovascular risk factors. METHODS. A cross-sectional questionnaire-based study was performed from June 2007 to March 2008. A stratified random sample of 46 Croatian general practitioners was asked to select, using systematic sampling, the first 6 patients with type 2 diabetes mellitus aged &gt; or =18 years who visited them for consultation during the study period. Data on 250 patients included patient illness perception assessment (Brief Illness Perception Questionnaire, IPQ), cardiovascular risk factors, and socio-demographic data. RESULTS. The patients' mean age was 63.0+/-10.9 years and mean duration of diabetes was 9.3+/-7.8 years. The patients' illness perception assessment on an 11-point (0 to 10) scale showed the highest median scores (interquartile range): 10 (8 to 10) for "timeline" and 8 (7 to 9) for "treatment control," followed by 7 (5 to 8) for "personal control," 7 (5 to 9) for "understanding," 5 (3 to 7) for "consequences," 6 (4 to 7) for "concern," and 5 (2 to 7) for "emotional response." The lowest score was 3 (1 to 5) for "identity." Multivariate logistic regression showed that the Brief IPQ item "concern" (P&lt;0.001) was a significant predictor of body mass index; "personal control" (P&lt;0.001) and "concern" (P=0.048) were significant predictors of fasting blood glucose; "treatment control" (P=0.009) was a significant predictor of total cholesterol; and "understanding" (P=0.010) was a significant predictor of blood pressure. CONCLUSION. As patients' beliefs seem to be associated with the degree of control over cardiovascular risk factors, they should be included in routine clinical assessments.</description><identifier>ISSN: 0353-9504</identifier><identifier>EISSN: 1332-8166</identifier><identifier>DOI: 10.3325/cmj.2009.50.583</identifier><identifier>PMID: 20017227</identifier><language>eng</language><publisher>Croatia: Sveuciliste U Zagrebu</publisher><subject>Attitude to Health ; Cardiovascular diseases ; Cardiovascular Diseases - etiology ; Cardiovascular Diseases - prevention &amp; control ; Complications and side effects ; Croatia ; Cross-Sectional Studies ; Diabetes Mellitus, Type 2 - complications ; Diabetes Mellitus, Type 2 - psychology ; Diet ; Female ; Health behavior ; Health Knowledge, Attitudes, Practice ; Health Surveys ; Humans ; Life Style ; Logistic Models ; Male ; Middle Aged ; Motor Activity ; Prevention ; Public Health ; Risk Factors ; Smoking ; Social aspects ; Statistics, Nonparametric ; Surveys ; Type 2 diabetes</subject><ispartof>Croatian medical journal, 2009-12, Vol.50 (6), p.583-593</ispartof><rights>COPYRIGHT 2009 Sveuciliste U Zagrebu</rights><rights>Copyright © 2009 by the Croatian Medical Journal. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-1074111ffe9137a605e0fb8eda736b2a6b294a3475659005566b8a27a092e96a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2802092/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2802092/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20017227$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Petricek, Goranka</creatorcontrib><creatorcontrib>Vrcic-Keglevic, Mladenka</creatorcontrib><creatorcontrib>Vuletic, Gorka</creatorcontrib><creatorcontrib>Cerovecki, Venija</creatorcontrib><creatorcontrib>Ozvacic, Zlata</creatorcontrib><creatorcontrib>Murgic, Lucija</creatorcontrib><title>Illness perception and cardiovascular risk factors in patients with type 2 diabetes: cross-sectional questionnaire study</title><title>Croatian medical journal</title><addtitle>Croat Med J</addtitle><description>AIM. To investigate illness perception in patients with type 2 diabetes mellitus and its association with the degree of control over relevant cardiovascular risk factors. METHODS. A cross-sectional questionnaire-based study was performed from June 2007 to March 2008. A stratified random sample of 46 Croatian general practitioners was asked to select, using systematic sampling, the first 6 patients with type 2 diabetes mellitus aged &gt; or =18 years who visited them for consultation during the study period. Data on 250 patients included patient illness perception assessment (Brief Illness Perception Questionnaire, IPQ), cardiovascular risk factors, and socio-demographic data. RESULTS. The patients' mean age was 63.0+/-10.9 years and mean duration of diabetes was 9.3+/-7.8 years. The patients' illness perception assessment on an 11-point (0 to 10) scale showed the highest median scores (interquartile range): 10 (8 to 10) for "timeline" and 8 (7 to 9) for "treatment control," followed by 7 (5 to 8) for "personal control," 7 (5 to 9) for "understanding," 5 (3 to 7) for "consequences," 6 (4 to 7) for "concern," and 5 (2 to 7) for "emotional response." The lowest score was 3 (1 to 5) for "identity." Multivariate logistic regression showed that the Brief IPQ item "concern" (P&lt;0.001) was a significant predictor of body mass index; "personal control" (P&lt;0.001) and "concern" (P=0.048) were significant predictors of fasting blood glucose; "treatment control" (P=0.009) was a significant predictor of total cholesterol; and "understanding" (P=0.010) was a significant predictor of blood pressure. CONCLUSION. As patients' beliefs seem to be associated with the degree of control over cardiovascular risk factors, they should be included in routine clinical assessments.</description><subject>Attitude to Health</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - etiology</subject><subject>Cardiovascular Diseases - prevention &amp; control</subject><subject>Complications and side effects</subject><subject>Croatia</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - psychology</subject><subject>Diet</subject><subject>Female</subject><subject>Health behavior</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Life Style</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Motor Activity</subject><subject>Prevention</subject><subject>Public Health</subject><subject>Risk Factors</subject><subject>Smoking</subject><subject>Social aspects</subject><subject>Statistics, Nonparametric</subject><subject>Surveys</subject><subject>Type 2 diabetes</subject><issn>0353-9504</issn><issn>1332-8166</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNpVUk1v1TAQtBCIPgpnbsgnOCX1R-wkHJCqio9KlbjA2do4mz4XJw52Unj_HqevVK0sy9Z6ZrQ7HkLeclZKKdSZHW9KwVhbKlaqRj4jO57rRcO1fk52TCpZtIpVJ-RVSjeMCVZV-iU5yRReC1HvyN9L7ydMic4YLc6LCxOFqacWYu_CLSS7eog0uvSLDmCXEBN1E51hcTgtif5xy54uhxmpoL2DDhdMH6mNIaUiod30wNPfK6btOoGLSNOy9ofX5MUAPuGb-_OU_Pzy-cfFt-Lq-9fLi_OrwlZaLAVndcU5HwZsuaxBM4Vs6BrsoZa6E5B3W4GsaqVVy5hSWncNiBpYK7DVIE_Jp6PuvHYj9jZ3HcGbOboR4sEEcObpy-T25jrcGtFku1qRBT7cC8RwN4cZXbLoPUwY1mRqWYnNWZ2R5RF5DR6Nm4aQBW1ePY7OhgkHl-vnQnDWyqptMuH9I8IewS_7FPy6WZWeAs-OwDtjIw4P_XNmtiCYHASzBcEoZnIQMuPd47Ef8P9_Xv4DzAOwsg</recordid><startdate>200912</startdate><enddate>200912</enddate><creator>Petricek, Goranka</creator><creator>Vrcic-Keglevic, Mladenka</creator><creator>Vuletic, Gorka</creator><creator>Cerovecki, Venija</creator><creator>Ozvacic, Zlata</creator><creator>Murgic, Lucija</creator><general>Sveuciliste U Zagrebu</general><general>Croatian Medical Schools</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200912</creationdate><title>Illness perception and cardiovascular risk factors in patients with type 2 diabetes: cross-sectional questionnaire study</title><author>Petricek, Goranka ; Vrcic-Keglevic, Mladenka ; Vuletic, Gorka ; Cerovecki, Venija ; Ozvacic, Zlata ; Murgic, Lucija</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-1074111ffe9137a605e0fb8eda736b2a6b294a3475659005566b8a27a092e96a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Attitude to Health</topic><topic>Cardiovascular diseases</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Cardiovascular Diseases - prevention &amp; control</topic><topic>Complications and side effects</topic><topic>Croatia</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Diabetes Mellitus, Type 2 - psychology</topic><topic>Diet</topic><topic>Female</topic><topic>Health behavior</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Life Style</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Motor Activity</topic><topic>Prevention</topic><topic>Public Health</topic><topic>Risk Factors</topic><topic>Smoking</topic><topic>Social aspects</topic><topic>Statistics, Nonparametric</topic><topic>Surveys</topic><topic>Type 2 diabetes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Petricek, Goranka</creatorcontrib><creatorcontrib>Vrcic-Keglevic, Mladenka</creatorcontrib><creatorcontrib>Vuletic, Gorka</creatorcontrib><creatorcontrib>Cerovecki, Venija</creatorcontrib><creatorcontrib>Ozvacic, Zlata</creatorcontrib><creatorcontrib>Murgic, Lucija</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Croatian medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Petricek, Goranka</au><au>Vrcic-Keglevic, Mladenka</au><au>Vuletic, Gorka</au><au>Cerovecki, Venija</au><au>Ozvacic, Zlata</au><au>Murgic, Lucija</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Illness perception and cardiovascular risk factors in patients with type 2 diabetes: cross-sectional questionnaire study</atitle><jtitle>Croatian medical journal</jtitle><addtitle>Croat Med J</addtitle><date>2009-12</date><risdate>2009</risdate><volume>50</volume><issue>6</issue><spage>583</spage><epage>593</epage><pages>583-593</pages><issn>0353-9504</issn><eissn>1332-8166</eissn><abstract>AIM. To investigate illness perception in patients with type 2 diabetes mellitus and its association with the degree of control over relevant cardiovascular risk factors. METHODS. A cross-sectional questionnaire-based study was performed from June 2007 to March 2008. A stratified random sample of 46 Croatian general practitioners was asked to select, using systematic sampling, the first 6 patients with type 2 diabetes mellitus aged &gt; or =18 years who visited them for consultation during the study period. Data on 250 patients included patient illness perception assessment (Brief Illness Perception Questionnaire, IPQ), cardiovascular risk factors, and socio-demographic data. RESULTS. The patients' mean age was 63.0+/-10.9 years and mean duration of diabetes was 9.3+/-7.8 years. The patients' illness perception assessment on an 11-point (0 to 10) scale showed the highest median scores (interquartile range): 10 (8 to 10) for "timeline" and 8 (7 to 9) for "treatment control," followed by 7 (5 to 8) for "personal control," 7 (5 to 9) for "understanding," 5 (3 to 7) for "consequences," 6 (4 to 7) for "concern," and 5 (2 to 7) for "emotional response." The lowest score was 3 (1 to 5) for "identity." Multivariate logistic regression showed that the Brief IPQ item "concern" (P&lt;0.001) was a significant predictor of body mass index; "personal control" (P&lt;0.001) and "concern" (P=0.048) were significant predictors of fasting blood glucose; "treatment control" (P=0.009) was a significant predictor of total cholesterol; and "understanding" (P=0.010) was a significant predictor of blood pressure. CONCLUSION. As patients' beliefs seem to be associated with the degree of control over cardiovascular risk factors, they should be included in routine clinical assessments.</abstract><cop>Croatia</cop><pub>Sveuciliste U Zagrebu</pub><pmid>20017227</pmid><doi>10.3325/cmj.2009.50.583</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects Attitude to Health
Cardiovascular diseases
Cardiovascular Diseases - etiology
Cardiovascular Diseases - prevention & control
Complications and side effects
Croatia
Cross-Sectional Studies
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - psychology
Diet
Female
Health behavior
Health Knowledge, Attitudes, Practice
Health Surveys
Humans
Life Style
Logistic Models
Male
Middle Aged
Motor Activity
Prevention
Public Health
Risk Factors
Smoking
Social aspects
Statistics, Nonparametric
Surveys
Type 2 diabetes
title Illness perception and cardiovascular risk factors in patients with type 2 diabetes: cross-sectional questionnaire study
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