Abstract
This article focuses on several areas. After reviewing the most commonly used approaches in the study of health behaviors, (e.g., the medical model, the health belief model, and the theory of reasoned action) the common-sense model is presented as an alternative. By presenting evidence across a wide range of illness domains, we demonstrate the usefulness of the common-sense, self-regulatory approach. We then discuss the importance of the common-sense model for health research among minorities. We conclude the article with examples of the operationalization of illness representations in past research and directions for future research.
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Ajzen, I., & Fishbein, M. (1980).Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice Hall.
Ajzen, I. (1988).Attitudes, personality, and behavior. Chicago: Dorsey Press.
Ajzen, I. (1991). The theory of planned behavior.Organizational Behavior and Human Decision Processes, 50 179–211.
Bandura, A. (1977). Self efficacy: Toward a unifying theory of behavioral change.Psychological Review, 84 191–215.
Barefoot, J. C., Dahlstrom, W. G., & Williams, R. B. (1983). Hostility, CHD incidence, and total mortality: A 25-year follow-up study of 255 physicians.Psychosomatic Medicine, 45 59–63.
Baumann, L. J., & Leventhal, H. (1985). “I can tell when my blood pressure is up, can't I?”Health Psychology, 4 203–218.
Baumann, L., Cameron, L. D., Zimmerman, R., & Leventhal, H. (1989). Illness representations and matching labels with symptoms.Health Psychology, 8 449–469.
Becker, M. H. (1974). The health belief model and sick role behavior. In M. H. Becker (Ed.),The health belief model and personal health behavior (pp. 82–92). New Jersey: Slack,Inc.
Bishop, G. D. (1991). Understanding the understanding of illness: Lay disease representations. In J. A. Skelton & R. T. Croyle (Eds.),Mental representation in health and illness (pp. 32–59). New York: Springer-Verlag.
Blackwell, B. (1992). Compliance.Psychotherapy and Psychosomatics, 58 161–169.
Bond, G. G., Aiken, L. S., & Somerville, S. C. (1992). The health belief model and adolescents with insulin-dependent diabetes mellitus.Health Psychology, 11 190–198.
Brubaker, R. G., & Wickersham, D. (1990). Encouraging the practice of testicular self-examination: A field application of the theory of reasoned action.Health Psychology, 9 154–163.
Bush, P. J., & Aeneid, R. J. (1990). A Children's Health Belief Model.Medical Care, 28 69–86.
Cameron, L., Leventhal, E. A., & Leventhal, H. (1993). Symptom representations and affect as determinants of care seeking in a community dwelling adult sample population.Health Psychology, 12 171–179.
Cameron, L., Leventhal, E. A., & Leventhal, H. (1995). Seeking medical care in response to symptoms and life stress.Psychosomatic Medicine, 57 37–47.
Contrada, R. C., Leventhal, H., & O'Leary, A. (1990). Personality and Health. In L. A. Pervin (Ed.),Handbook of personality: Theory and research. New York: The Guilford Press.
Costa, P. T., & McCrae, R. R. (1985). Hypochondriasis, neuroticism, and aging.American Psychologist, 40 19–28.
Croyle, R. T., & Barger, S. D. (1993). Illness cognition. In S. Maes, H. Leventhal, & M. Johnston (Eds.).International Review of Health Psychology (Vol. 2, pp. 29–49). Chichester, U.K.: John Wiley.
Croyle, R. T., & Jemmott, J. B., III (1991). Psychological reactions to risk factor testing. In J. A. Skelton & R. T. Croyle (Eds.),Mental representation in health and illness (pp. 85–107). New York: Springer-Verlag.
Dean, C., Roberts, M. M., French K., & Robinson, S. (1986). Psychiatric morbidity after screening for breast cancer.Journal of Epidemiological Community Health, 40 71–75.
Diefenbach, M. A., Leventhal, E. A., Leventhal, H., & Patrick-Miller, L. (in press). Negative affect relates to cross-sectional but not to longitudinal symptom reporting: Data from elderly adults.Health Psychology.
Easterling, D., & Leventhal, H. (1989). The contribution of concrete cognition to emotion: Neutral symptoms as elicitors of worry about cancer.Journal of Applied Psychology, 74 787–796.
Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine.Science, 196 129–135.
Farmer, P., & Good, B. J. (1991). Illness representations in medical anthropology: A critical review and a case study of the representation of AIDS in Haiti. In J. A. Skelton & R. T. Croyle (Eds.),Mental representation in health and illness. New York: Springer Verlag.
Fishbein, M., & Ajzen, I. (1974). Attitudes towards objects as predictors of single and multiple behavioral criteria.Psychological Review, 81 59–74.
French, B. N., Kurczynski, T. W., Weaver, M. T., & Pituch, M. J. (1992). Evaluation of the health belief model and decision making regarding amniocentesis in women of advanced maternal age.Health Education Quarterly, 19 177–186.
French, K., Porter, A. M. D., Robinson, S. E., McCallum, F. M., Howie, J. G. R., & Roberts, M. M. (1982). Attendance at a breast screening clinic: A problem of administration or attitudes.British Medical Journal, 285 617–620.
Glass, D. C. (1977).Behavior patterns, stress, and coronary disease. Hillsdale, NJ: Erlbaum.
Glasser, M., Prohaska, T., & Roska, J. (1992). The role of the family in medical care-seeking decisions of older adults.Family and Community Health, 15 59–70.
Goldenberg, D., & Laschinger, H. (1991). Attitudes and normative beliefs of nursing students as predictors of intended care behaviors with AIDS patients: A test of the Ajzen-Fishbein theory of reasoned action.Journal of Nursing Education, 30 119–126.
Hyman, R. B., Baker, S., Ephraim, R., Moadel, A., & Philip J. (1994). Health belief model variables as predictors of screening mammography utilization.Journal of Behavioral Medicine, 17 391–406.
Janz, N. K., & Becker, M. H. (1984). The health belief model: A decade later.Health Education Quarterly, 11 1–47.
Jemmott, L. S., & Jemmott, J. B., III (1991). Applying the theory of reasoned action to AIDS risk behavior: Condom use among black women.Nursing Research, 40 228–234.
Jemmott, J. B., III, Ditto, P. H., & Croyle, R. T. (1986). Judging health status: Effects of perceived prevalence and personal relevance.Journal of Personality and Social Psychology, 50 899–905.
Kashima, Y., Gallois, C., & McCamish, M. (1993). The theory of reasoned action and cooperative behavior: It takes two to use a condom.British Journal of Social Psychology, 32 227–239.
Kasl, S. V. (1974). The health belief model and behavior related to chronic illness. In M. H. Becker (Ed.),The health belief model and personal health behavior (pp. 106–127). New Jersey: Slack, Inc.
Keller, M. L., Leventhal, H., Prohaska, T. R., & Leventhal E. A. (1989). Beliefs about aging and illness in a community sample.Research in Nursing and Health, 12 247–255.
Kleinman, A. (1980).Patients and healers in the context of culture. Berkeley: University of California Press.
Kleinman, A. (1988).The illness narratives: Suffering, healing, and the human condition. New York: Basic Books.
Kobassa, S. C. (1979). Stressful life events, personality and health: An inquiry into hardiness.Journal of Abnormal and Social Psychology, 37 1–11.
Lau, R. R., & Hartmann, K. (1983). Common sense representations of common illnesses.Health Psychology, 2 167–185.
Lazarus, R. S., & Folkman, S. (1984).Stress, appraisal, and coping. New York: Springer.
Leventhal, E. A., Easterling, D., Leventhal, H., & Cameron, L. (1993a). Conservation of energy, uncertainty reduction and swift utilization of medical care among the elderly: Study II.Medical Care.
Leventhal, E. A., Leventhal, H., Schaefer, P, & Easterling, D. (1993b). Conservation of energy, uncertainty reduction and swift utilization of medical care among the elderly.Journal of Gerontology: Psychological Sciences, 48 P78-P86.
Leventhal, H. (1970). Findings and theory in the study of fear communications.Advances in Experimental Social Psychology, 5 119–186.
Leventhal, H., & Diefenbach, M. A. (1991). The active side of illness cognition. In J. A. Skelton & R. T. Croyle (Eds.).Mental representation in health and illness. New York: Springer Verlag.
Leventhal, H., Diefenbach, M., & Leventhal, E. A. (1992). Illness cognition: Using common sense to understand treatment adherence and affect cognition interactions.Cognitive Therapy and Research, 16 143–163.
Leventhal, H., & Everhart, D. (1979). Emotion, pain, and physical illness. In C. E. Izard (Ed.),Emotions and psychopathology (pp. 263–299). New York: Plenum Press.
Leventhal, H., Meyer, D., & Nerenz, D. (1980). The common sense representation of illness danger. In S. Rachman (Ed.),Contributions to medical psychology (Vol. II, pp.7–30). New York: Pergamon Press.
Leventhal, H., & Nerenz, D. (1985). The assessment of illness cognition. In P. Karoly (Ed.),Measurement strategies in health (pp. 517–554). New York: John Wiley & Sons.
Leventhal, H., & Niles, P. (1965). Persistence of influence for varying durations of exposure to threat stimuli.Psychological Reports, 16 223–233.
Leventhal, H., & Singer, R. P. (1966). Affect arousal and positioning of recommendations in persuasive communications.Journal of Personality and Social Psychology, 4 137–146.
Maiman, L. A., & Becker, M. H. (1974). The health belief model: Origins and Correlates in Psychological Theory. In M. H. Becker (Ed.),The health belief model and personal health behavior (pp. 9–26). New Jersey: Slack, Inc.
Mechanic, D. (1978).Medical sociology, (2nd ed.). New York: Free Press.
Melzack, R. (1973).The puzzle of pain. New York: Basic Books.
Meyer, D., Leventhal, H., & Gutmann, M. (1985). Common-sense models of illness: The example of hypertension.Health Psychology, 4 115–135.
Meyerowitz, B. E. (1983). Post mastectomy coping strategies and quality of life.Health Psychology, 2 117–132.
Miller, P., Wikoff, R., & Hiatt, A. (1992). Fishbein's model of reasoned action and compliance behavior of hypertensive patients.Nursing Research, 41 104–109.
Park, D. C. (1994). Self-regulation and control of rheumatic disorders. In S. Maes, H. Leventhal, & M. Johnston (Eds.)International review of health psychology, Vol. 3; pp. (189–217). New York: Wiley & Sons.
Petrie, K., & Weinman, J. (1994). The IPQ: A New Method for Assessing Illness Representations. Presented at the Annual Meeting of the American Psychological Association, Los Angeles, August.
Prestholdt, P. H., Lane, I. M., & Matthews, R. C. (1987). Nurse turnover as reasoned action: Development of a process model.Journal of Applied Psychology, 72 221–227.
Prohaska, T. R., Keller, M. L., Leventhal, E. A., & Leventhal, H. (1987). Impact of symptoms and aging attribution on emotions and coping.Health Psychology, 6 495–514.
Rosenstock, I. M. (1974). The health belief model and preventive health behavior. In M. H. Becker (Ed.),The health belief model and personal the behavior (pp. 27–59). New Jersey: Slack, Inc.
Safer, M. A., Tharps, Q. J., Jackson, T. C., Leventhal, H. (1979). Determinants of three stages of delay in seeking care at a medical clinic.Medical Care, 17 11–29.
Skelton, J. A. & Croyle, R. T. (1991).Mental representation in health and illness. New York: Springer-Verlag.
Stein, J. A., Fox S. A., Murata, P. J., & Morisky D. E. (1992). Mammography usage and the health belief model.Health Education Quarterly, 19 447–462.
Sutton, R. S. (1982). Fear-arousing communications: A critical examination of theory and research. In J. R. Eisler (Ed.),Social psychology and behavioral medicine (pp. 303–337). New York: Wiley.
Temoshok, L. (1987). Personality, coping style, emotion and cancer: Towards an integrative model.Cancer Surveys, 6 545–567.
Wallston, B. S., & Wallston, K. A. (1984). Social psychological models of health behavior: An examination and integration. In A. Baum, S. E. Taylor, and J. E. Singer (Eds.),Handbook of psychology and health, (Vol. 4). Hillsdale, NJ: Erlbaum.
Watson, D., & Pennebaker, J. W. (1989). Health complaints, stress, and distress: Exploring the central role of negative affectivity.Psychological Review, 96 234–254.
Zola, I. K. (1973). Pathways to the doctor form person to patient.Social Science and Medicine, 7 677–689.
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Diefenbach, M.A., Leventhal, H. The common-sense model of illness representation: Theoretical and practical considerations. J Soc Distress Homeless 5, 11–38 (1996). https://doi.org/10.1007/BF02090456
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DOI: https://doi.org/10.1007/BF02090456