Illness Beliefs

Mishel’s Uncertainty of Illness Theory is a middle-range theory (Black, 2014). This means the theory is not overly broad or narrow. The theory was developed from studying men with prostate cancer who were watchfully waiting for the advancing signs of their disease (Black, 2014). The theory has three main components, which incorporate: the antecedents of uncertainty, impaired cognitive appraisal, and coping with uncertainty in illness (Neville, 2003). The antecedents of Mishel’s theory are the stimulus frame, cognitive capacities and event congruence (Neville, 2003). The stimulus frame concerns three parts including: symptom pattern, event familiarity and event congruency (Neville, 2003). Symptom pattern may be when symptoms of

Acknowledging how the patient perceives illness and health, helps in understanding the beliefs and how they relate with preventing

Leventhal’s model of self-regulation is based on the idea that each person forms a cognitive representation of their illness, which allows them to make sense of their symptoms. This illness perception and the patient’s emotional response then guide behaviour towards managing the illness (Leventhal et al., 1984). An illness perception is made up of five major components. These are illness identity, potential cause, timeline, its consequences and how it may be controlled. Often patients with similar diseases can hold very different perceptions of their illness (Petrie and Weinman, 2012). Clinical severity of the condition does not necessarily predict how a patient will cope. This essay will outline strengths and weaknesses of whether the model can be used to explain health outcomes and coping strategies, implement successful interventions and predict or even improve adherence to treatment. Finally, the importance of constructs not included in the model, such as social support, will be discussed. The essay will evaluate the model using examples of illnesses such as stroke, cancer, diabetes and asthma.

When someone is suffering or living with a chronic illness it can have a huge impact on them psychologically and socially. Chronic Illness is a condition that is prolonged in duration, usually more than 3 months and is rarely cured (DoH, 2012). Having to cope with a chronic condition might lead to life changes, such as dependency on others, loss of income, which can cause feelings of loss and reduced self-esteem. They can also report feelings of social rejection, poor healthcare and workplace termination due to their presenting condition (Earnshaw, Quinn, & Park, 2011).

The Health Belief Model (HBM) of health behaviour change was originally developed in the 1950s in order to understand and explain why vaccination and screening programs being implemented at the time were not meeting with success (Edberg 2007). It was later extended to account for preventive health actions and illness behaviours (Roden 2004). Succinctly, it suggests that behaviour change is influenced by an individuals’ assessment of the benefits and achievability of the change versus the cost of it (Naidoo and Wills 2000).

Cancer has one of the biggest effects on the patients mental health but also the patients loved ones and friends. It is one of the hardest things to get a grip on when the doctor tells someone that they have cancer and a fifty-fifty chance of making it. "The disease can bring many changes-in what people do and how they look, in how they feel and what they value" (Dakota 4). It makes people look at the world and their lives in a different way, valuing now what they took for granted and seeing the bigger picture in every scenario. It is something that no one can actually brace, even after the doctor tells them. Through it all though, the person must remain strong and optimistic because the cancer can affect the person's moods and in return affect the outcome of the person and the chances of their making it

Which is being a shy small town girl who never wanted to speak in front of people because of fear of what they think or say. Years after her diagnosis she has become one of the most well know breast cancer activist in the United States. She believes that God brought her through the cancer the first time and used it for good. She also believes that the cancer has made her marriage and family stronger. Cancer can cause depression, body image issues, anxiety and fear, but your attitude about your diagnosis can make a big difference during your treatment. Always try to stay positive and when you you’re a survivor try to make a difference to help

The spiritual significance of illness and suffering is a topic Christians continue to grapple with, as Larchet points out in The Theology of Illness. Scripture offers a wealth of wisdom and cues for understanding illness, health, and healing from a Christian perspective. Larchet analyzes the various and often contradictory Christian positions on health and illness, revealing how attitudes have shifted over time and with changes in medical technology, practice, and ethics. For example, St. Barsanuphius presents a comprehensive analysis of the spiritual significance of illness and suffering. One view holds that illness signifies a lack of faith; another presents illness in terms of a person who is offered the opportunity to develop a stronger faith, or whose faith is being put to a test like the story of Job. Ultimately, the latter remains the most helpful way to approach illness and healing from a Christian perspective. The essence of Christian health care is that, "Healing itself, while resulting from natural processes, actually comes from God," (Larchet 116).

The healthy belief method was demonstrated with this study. The study demonstrated that the impact of health beliefs on behavior showed a direct relationship between health

“’So what’s your story?’” she then then replies “’I already told you my story. I was diagnosed when-‘” He interrupts and says “’No, not your cancer story. Your story. Interests, hobbies, passions, etcetera… Don’t tell me you’re one of those people who becomes their disease. I know so many people like that. It’s disheartening. Like cancer is in the growth business, right? The taking-people-over business. But surely you haven’t let it succeed prematurely’” (Green, 32).

Both the health belief model (HBM) and theories of reasoned action/planned behavior (TRA/TPB) are two model that has their root from psychology. Both models rely on social cognition as a mechanism to change individuals’ behaviors. Opponent criticizes the models for being unable to target social influence outside of an individual and overlook difference between target audiences.

Conner and Norman, 1995 describe the health belief model as ‘the oldest and most widely used model in health psychology’. It originated in the 50’s and was developed further by Hochbaum, Rosenstock and Kegals throughout the 1980’s for health education programmes and to predict different health behaviours and responses to treatments. The four terms that are the basis for the HBM are perceived susceptibility, perceived barriers, perceived severity and perceived benefits. The behaviour of the individual depends on their belief that they are susceptible to a health problem, how serious they deem it to be, whether they think that treatment will benefit them and if there are barriers that may get in the way.

Discuss what is meant by medicalisation and in what ways we can consider diseases to be socially constructed.

Many psychologists feel that psychological treatment is also a good way to teach patients how to endure their physical treatments. Many of these treatments present physical problems, but the treatments are almost more taxing on the mind. “Research clearly shows that unrelieved pain can slow recovery, create burdens for patients and their families and increase costs to the health care system.” (Rabasca, 1999). In overcoming anything whether it is a task for work, school or anything that can be physically and mentally draining like cancer, it is important to keep a strong mind and a positive outlook no matter how rough it is. Most patients of cancer are so far

The Health Belief Model (HBM) is one of the first theories of health behavior. It was developed in the 1950s by social psychologists in the U.S. Public Health Services to better understand the widespread failure of tuberculosis screening programs. Today it continues to be one of the most widely used theories. Research studies use it to explain and predict health behaviors seen in individuals. There is a broad range of health behaviors and subject populations that it is applied in. The concepts in the model involve perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. Focusing on the attitudes and beliefs of individuals being studied create an understanding of their