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Illness Perception Profiles and Their Association with 10-Year Survival Following Cardiac Valve Replacement

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Annals of Behavioral Medicine

Abstract

Objective

The aim of the present study was to examine whether profiles of illness perceptions are associated with 10-year survival following cardiac valve replacement surgery.

Methods

Illness perceptions were evaluated in 204 cardiac patients awaiting first-time valve replacement and again 1 year post-operatively using cluster analysis. All-cause mortality was recorded over a 10-year period. At 1 year, 136 patients were grouped into one of four profiles (stable positive, stable negative, changed from positive to negative, changed from negative to positive).

Results

The median follow-up was 3063 days (78 deaths). After controlling for clinical covariates, including markers of function, patients who changed illness perceptions from positive to negative beliefs 1 year post-surgery had an increased mortality risk (hazard ratio (HR) = 3.2, 95 % confidence interval (CI) 1.2–8.3, p = .02) compared to patients who held positive stable perceptions.

Conclusions

Following cardiac valve replacement, developing negative illness perceptions over the first post-operative year predicts long-term mortality. Early screening and intervention to alter this pattern of beliefs may be beneficial.

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Fig. 1

Notes

  1. Cronbach’s alpha calculated from the IPQ-R data reported here

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Acknowledgments

Dr. Sebastian Kohlmann conducted the original cluster analysis. We thank him for additional guidance in the preparation of this manuscript.

Authors’ Statement of Conflict of Interest and Adherence to Ethical Standards

Jake Crawshaw, Helen Rimington, John Weinman and Joseph Chilcot declare no conflict of interest. All procedures, including the informed consent process, were conducted in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000.

Author information

Authors and Affiliations

  1. Health Psychology Section, Psychology Department, Institute of Psychiatry, King’s College London, 5th Floor Bermondsey Wing, Guy’s Campus, London Bridge, London, SE19RT, UK

    Jacob Crawshaw MSc & Joseph Chilcot PhD

  2. Cardiothoracic Centre, Guy’s and St Thomas’ NHS Foundation Trust, London, UK

    Helen Rimington PhD

  3. Institute of Pharmaceutical Sciences, King’s College London, London, UK

    John Weinman PhD

Authors
  1. Jacob Crawshaw MSc
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  2. Helen Rimington PhD
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  3. John Weinman PhD
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  4. Joseph Chilcot PhD
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Corresponding author

Correspondence to Joseph Chilcot PhD.

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Crawshaw, J., Rimington, H., Weinman, J. et al. Illness Perception Profiles and Their Association with 10-Year Survival Following Cardiac Valve Replacement. ann. behav. med. 49, 769–775 (2015). https://doi.org/10.1007/s12160-015-9695-2

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  • DOI: https://doi.org/10.1007/s12160-015-9695-2

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