Illness Perceptions in Psychiatric Disorders: Assessing Differences and Associations With Symptom Severity.

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2025-10-08 DOI:10.1002/erv.70036

Bede Carr, An Binh Dang, Litza Kiropoulos, Isabel Krug

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引用次数: 0

Abstract

Objectives: This study investigated the influence of illness perceptions (IPs) on clinical severity across Major Depressive Disorder (MDD), Anorexia Nervosa (AN), Generalised Anxiety Disorder (GAD), Social Anxiety Disorder (SAD), and Panic Disorder (PD), and compared the IPs across these conditions.

Method: We administered the Brief Illness Perception Questionnaire alongside disorder-specific severity scales to 774 participants (85.1% female).

Results: Significant associations between IPs and symptom severity emerged for AN and GAD only. Higher perceived Personal Control was associated with reduced severity in GAD but with greater severity in AN, whereas higher perceived Treatment Control was linked to lower severity in AN. In contrast, stronger perceptions of Concern were associated with increased severity in GAD. Although several IP dimensions demonstrated transdiagnostic overlap, differential associations also emerged, particularly for AN with respect to Timeline, Identity, and Emotional Representations.

Discussion: Our findings underscore the critical role of IPs in mental health severity and support the need for tailored recovery-oriented interventions targeting specific maladaptive IPs to improve clinical outcomes. However, given the high prevalence of comorbidity across the assessed disorders, the findings should be interpreted with caution, as overlapping conditions may have shaped both IPs and their associations with severity.

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精神疾病的疾病感知：评估与症状严重程度的差异和关联。

目的：本研究探讨了疾病感知（IPs）对重度抑郁症（MDD）、神经性厌食症（AN）、广泛性焦虑症（GAD）、社交焦虑症（SAD）和恐慌症（PD）的临床严重程度的影响，并比较了这些疾病的IPs。方法：我们对774名参与者（85.1%为女性）进行了简短的疾病感知问卷和疾病特异性严重程度量表。结果：仅在AN和GAD中，IPs与症状严重程度之间存在显著关联。较高的感知到的个人控制与广泛性焦虑症的严重程度降低有关，但与AN的严重程度增加有关，而较高的感知到的治疗控制与AN的严重程度降低有关。相反，更强烈的关注感与广泛性焦虑症的严重程度增加有关。尽管多个IP维度显示出跨诊断重叠，但也出现了差异关联，特别是AN在时间线、身份和情感表征方面。讨论：我们的研究结果强调了IPs在心理健康严重程度中的关键作用，并支持针对特定适应不良的IPs进行量身定制的康复导向干预以改善临床结果的必要性。然而，考虑到所评估疾病的高患病率共病，研究结果应谨慎解释，因为重叠的条件可能形成了IPs及其与严重程度的关联。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.