'The chicken and egg thing': Cognitive representations and self-management of multimorbidity in people with diabetes and depression.
Summary of "'The chicken and egg thing': Cognitive representations and self-management of multimorbidity in people with diabetes and depression."
Objective: Diabetes with depression is common and can lead to poorer outcomes in both conditions. The existing literature has demonstrated that patients' single condition representations inform self-management, but less is known about the composition and impact of multimorbid representations. This study aimed to explore accounts of multimorbidity with a focus on the content of cognitive representations and reported management of diabetes and depression. Design: Semi-structured qualitative interviews were carried out with 17 people with diabetes and depression. Data were audio-taped, transcribed and analysed using an inductive thematic analysis and elements of grounded theory. Results: The nature of multimorbid representations varied and some participants, in particular those who prioritised other conditions, described diabetes and depression as unrelated and managed each separately. Others saw interactions between conditions, often in terms of causation, and described how diabetes and depression management could be either integrated or conflicting. Problems taking multiple-medications were frequently described, but participants differed in the confidence with which they described representations of multimorbidity. Conclusion: People hold multimorbid representations that appear to impact on their preferred self-management. An awareness of patients' understanding of multimorbidity could have implications for the provision of care and intervention design in this population.
a Aldermoor Health Centre, University of Southampton , Southampton , UK.
This article was published in the following journal.
Name: Psychology & health
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22924481
- DOI: http://dx.doi.org/10.1080/08870446.2012.716438
Medical and Biotech [MESH] Definitions
A set of cognitive functions that controls complex, goal-directed thought and behavior. Executive function involves multiple domains, such as CONCEPT FORMATION, goal management, cognitive flexibility, INHIBITION control, and WORKING MEMORY. Impaired executive function is seen in a range of disorders, e.g., SCHIZOPHRENIA; and ADHD.
Chicken Anemia Virus
The type species of GYROVIRUS, a small, non-enveloped DNA virus originally isolated from contaminated vaccines in Japan. It causes chicken infectious anemia and may possibly play a key role in hemorrhagic anemia syndrome, anemia dermatitis, and blue wing disease.
Works consisting of graphic representations, especially of the face, of real persons, usually posed, living or dead. They are pictures whose purpose is the portrayal of an individual or group of individuals, not pictures which merely include people as part of an event or scene. (From Thesaurus for Graphic Materials II, p540, 1995)
Materials Management, Hospital
The management of all procurement, distribution, and storage of equipment and supplies, as well as logistics management including laundry, processing of reusables, etc.
Management Quality Circles
Participation of employees with management as a labor-management team, in decisions pertaining to the operational activities of the organization or industry.
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