Preliminary examination of the relations between disease activity, @entity221 , coping strategies, and psychological morbidity in XXXX guided by the common sense model of illness.

@entity1 @entity308 @entity5786 @entity30 @entity29 @entity148 @entity221
BACKGROUND: An individual's psychological adjustment to illness is influenced by disease severity, @entity221 , and coping strategies. A more precise understanding of the contribution of each of these factors to a @entity1 's well-being may influence the kind of psychological support required by @entity1 . This study therefore aimed to characterize the contributors to psychological well-being in @entity1 with @entity30 ( @entity30 ). The design was a cross-sectional questionnaire-based study. METHODS: Ninety-six @entity30 @entity1 (34 males, 62 females, mean age 38 years) attending a @entity29 outpatient clinic were studied. Disease severity was evaluated according to the @entity30 Activity Index (CDAI), coping styles assessed with the Carver Brief @entity5786 scale, @entity221 explored with the Brief Illness Perceptions Questionnaire (BIPQ), and @entity148 and @entity308 measured using the Hospital Anxiety and @entity308 Scale (HADS). RESULTS: Combining the questionnaire data using structural equation modeling resulted in a final model with an excellent fit (  (2) (7) = 10.42, P = 0.17,   (2) /N = 1.49, root mean square error of approximation (RMSEA) < 0.07, comparative fit index (CFI) > 0.97, Goodness-of-fit index (GFI) > 0.97). Disease activity had a significant direct influence on @entity221 (b = 51, P < 0.001). In turn, @entity221 had a significant direct influence on @entity308 and @entity148 (b = 41, P < 0.001, b = 0.40, P < 0.001, respectively). Use of emotional coping strategies was associated significantly (P < 0.001) with the presence of @entity148 and @entity308 . CONCLUSIONS: There is an interrelationship between disease activity, @entity221 , coping strategies, and @entity308 and @entity148 . These aspects of psychological processing provide a framework and direction for the psychological support that @entity1 with @entity30 require.
