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Perceived autonomy in renal patients: the importance of illness/treatment perceptions.

Jansen, D., Heijmans, M., Boeschoten, E., Rijken, M. Perceived autonomy in renal patients: the importance of illness/treatment perceptions. Health Psychology Review: 2007, 1(S1), p. 181-182. Abstract. 21th EHPS Conference "Health Psychology and Society", Maastricht (Netherlands) 2007.
Research Question : To what extend do illness and treatment perceptions of dialysis patients predict perceived autonomy? Method: Prospective cohort study among dialysis patients. A total of 166 dialysis patients participated in the first wave of data collection. Patients completed questionnaires at home or in the dialysis center. Data were analysed by means of correlational analysis and linear regression analysis. Results: Results of the first wave showed that greater perceived consequences, stronger emotional response, greater experience of severe symptoms and greater feelings of concern were related to low perceived autonomy. Personal control beliefs were associated with a high level of perceived autonomy. Patients who experienced great disruption in their daily life as a result of the treatment scored lower on perceived autonomy. Preliminary regression analyses revealed that patients' illness and treatment perceptions explained additional variance over clinical and socio-demographic characteristics in predicting perceived autonomy.
Conclusion: The results suggest that patients' perceptions of their illness and treatment play an important role in the autonomy they perceive. Paying attention to these psychological beliefs and anticipating on these beliefs could contribute to a greater sense of autonomy and promotion of social participation in renal patients.