Commenced in January 2007
Frequency: Monthly
Edition: International
Paper Count: 32732
Self-Care Behavior and Performance Level Associated with Algerian Chronically Ill Patients

Authors: S. Aberkane, N. Djabali, S. Fafi, A. Baghezza


Chronic illnesses affect many Algerians. It is possible to investigate the impact of illness representations and coping on quality of life and whether illness representations are indirectly associated with quality of life through their influence on coping. This study aims at investigating the relationship between illness perception, coping strategies and quality of life with chronic illness. Illness perceptions are indirectly associated with the quality of life through their influence on coping mediation. A sample of 316 participants with chronic illness living in the region of Batna, Algeria, has been adopted in this study. A correlation statistical analysis is used to determine the relationship between illness perception, coping strategies, and quality of life. Multiple regression analysis was employed to highlight the predictive ability of the dimensions of illness perception and coping strategies on the dependent variables of quality of life, where mediation analysis is considered in the exploration of the indirect effect significance of the mediator. This study provides insights about the relationship between illness perception, coping strategies and quality of life in the considered sample (r = 0.39, p < 0.01). Therefore, it proves that there is an effect of illness identity perception, external and medical attributions related to emotional role, physical functioning, and mental health perceived, and these were fully mediated by the asking for assistance (c’= 0.04, p < 0.05), the guarding (c’= 0.00, p < 0.05), and the task persistence strategy (c’= 0.05, p < 0.05). The findings imply partial support for the common-sense model of illness representations in a chronic illness population. Directions for future research are highlighted, as well as implications for psychotherapeutic interventions which target unhelpful beliefs and maladaptive coping strategies (e.g., cognitive behavioral therapy).

Keywords: Chronic illness, coping, illness perception, quality of life, self-regulation model.

Digital Object Identifier (DOI):

Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 716


[1] Nacereddine D. The spread of more than 10 chronic diseases, including infectious: scary numbers about the reality of deteriorating health in Algeria. Djaridaty; 2013.
[2] Hampson S E. Personal models and the management of chronic illness: A comparison of diabetes and osteoarthritis. European Journal of Personality 1997;11: 401-414.
[3] Levasseur M, Couture. M. Coping strategies associated with participation and quality of life in older adults. Canadian Journal of Occupational Therapy, in press.
[4] Weinman J. Petrie K J. Illness perceptions: A new paradigm for psychosomatics? Journal of Psychosomatic Research 1997; 42: 113-11.
[5] Moss-Morris R, Petrie K J. Weinman J. Functioning in chronic fatigue syndrome: Do illnesss perceptions play a regulatory role. Br. J. HealthPsychol 1996;1: 15-25.
[6] Covic A, Seica A, Gusbeth-Tatomir P, Gavrilovici O, Goldsmith D J A. Illness representations and quality of life scores in haemodialysis patients. Nephrology Dialysis Transplantation 2004; 19: 2078-2083.
[7] OrbellS, Johnston M., Rowley D, Espley A, Davey P. Cognitive representations of illness and functional and affective adjustment following surgery for osteoarthritis. Social Science and Medicine1998; 47:93-102.
[8] Yaraghchi A, Rezaei O, Mandegar MH, Bagherian R. The relationship between Illness perception and quality of life in Iranian patients with coronary artery bypass graft. Procedia - Social and Behavioral Sciences 2012; 46: 3329 – 3334.
[9] Alethea AS. Illness Representation, Coping and Psychosocial Outcome in Chronic Pain, PHD Thesis. University of Southampton, School of Psychology, UK. 2010.
[10] Christofer lF. Illness Representations, Coping, and Quality of Life in Patients with Hepatitis C Undergoing Antiviral Therapy. PHD Thesis, University of Cincinnati, School of Nursing, USA. 2007.
[11] Chalder T, Godfrey E, Ridsdale L, King M, et al. Predictors of outcome in a fatigued population in primary care following a randomized controlled trial. Psychological Medicine2003;33:283-7.
[12] Gray SE, Rutter DR. Illness representations in young people with Chronic Fatigue Syndrome. Psychology and Health, 22, 159-174, Rutter C L. Rutter D R. (2002). Illness representation, coping and outcome in irritable bowel syndrome (IBS). Br. J. Health Psychol. 2007; 7: 377-391.
[13] Rutter CL, Rutter DR. Illness representation, coping and outcome in irritable bowel syndrome (IBS). Br. J. Health Psychol. 2002; 7: 377-391.
[14] Edgar K A, Skinner TC. Illness representations and coping as predictors of emotional well-being in adolescents with type 1diabetes. J. Pediatr. Psychol 2003; 28: 485-493.
[15] Carlisle A C, John A M, Fife-Schaw C, Lloyd M. The self-regulatory model in women with rheumatoid arthritis: relationships between illness representations, coping strategies, and illness outcome. Br.J.Health Psychol. 2005; 10: 571- 587.
[16] Goldstein L H, Holland L, Soteriou H, Mellers J D. Illness representations, coping styles and mood in adults with epilepsy. Epilepsy Res 2005; 67: 1- 11.
[17] Kaptein A A, Helder D I, Scharloo M, van Kempen G M, et al. Illness perceptions and coping explain well-being in patients with Huntington's disease. Psychology and Health 2006; 21:431-446.
[18] Hagger M S, Orbell S. A Meta-Analytic Review of the Common- Sense Model of Illness Representations. Psychology and Health, 2003; 18: 141-184.
[19] Vaughan R, Morrison L, Miller E. The illness representations of multiple sclerosis and their relations to outcome. Br. J. Health Psychol. 2003; 8:287-301.
[20] Heijmans M, de Ridder D. Assessing illness representations of chronic illness: explorations of their disease-specific nature. J. Behav. Med. 1998; 21: 485- 503.
[21] Heijmans M. The role of patients' illness representations in coping and functioning with Addison's disease. Br. J. Health Psychol. 1999; 4: 137-149.
[22] Han K, Lee P, Lee S, Park E. Factors influencing quality of life in people with chronic illness in Korea. Journal of Nursing Scholarship 2003; 35: 139-144.
[23] National Chronic Care Consortium 2001. Primary care for people with chronic conditions: Issues and Models. Retrieved April 3, 2004, from
[24] Dekkers W J M. Autonomy and dependence: Chronic physical illness and decision makingcapacity. Medicine, Health Care and Philosophy 2001; 4:185-192.
[25] Leventhal H, Nerenz D R, Steele D J. Illness representations and coping with health threats. In A. Baum, S. E. Tayloy, & J. E. Singer (Eds.), Handbook of psychology and health: sociological aspects of health (pp. 219-252). Hillsdale, NJ: Earlbaum. 1984.
[26] Moss-Morris R, Weinman J, Petrie K J, Horne R, Cameron L D, Buick D. The Revised Illness Perception Questionnaire (IPQ-R). Psychology and Health 2002; 17: 1-16.
[27] Aberkane S. Psychometric testing of an Arabic translation of the Revised-Illness Perception Questionnaire (IPQ-R) for chronic illness patients. Malays J Med Sci. 2017; 24(4):74–85
[28] Ware JE, Sherbourne CD. The MOS 36-item Short-Form Health Survey (SF-36). Med Care 1993; 30: 473-83.
[29] Jensen M P, Turner J A, Romano J M, Strom SE. The Chronic Pain Coping Inventory: development and preliminary validation. Pain 1995; 60: 203-216.
[30] Romano JM, Jensen MP, Turner JA. The chronic pain coping inventory-42: reliability and validity. Pain 2003; 104: 65–73.
[31] MacKinnon D P, Lockwood C M, Hoffman J M, West S G, Sheets V. A comparison of methods to test mediation and other intervening variable effects. Psychol. Methods 2002; 7: 83-104.
[32] Sobel M E. Asymptotic confidence intervals for indirect effects in structural equation models. In S. Leinhardt (Ed.), Sociological Methodology (pp. 290- 312). Washington, DC: American Sociological Association. 1982.
[33] Kristopher J P. The Free Statistics Calculators Website. Retrieved12/06/2013 at:
[34] Taylor S E. Health Psychology, University of California, Los Angeles. 2008.
[35] Turpin M, Leech C, Hackenberg L, Living with Parental Multiple Sclerosis: Children's Experiences and Clinical Implications. Canadian Journal of Occupational Therapy 2008; 75: 149-156.
[36] Jopson N M, Moss-Morris R. The role of illness severity and illness representations in adjusting to multiple sclerosis. Journal of Psychosomatic Research 2003; 54: 503-511.
[37] Javier G-C, Aida P, Marta A, Monica T G R. Coping with fibromialgia: usefulness of the Chronic Pain Coping Inventory-42. Pain 2007; 1: 68-76.
[38] Affleck G, Tennen, H, Pfeiffer C, Fifield J. Appraisals of control and predictability in adapting to a chronic disease. J. Pers. Soc. Psychol 1987; 53: 273-279.
[39] McCracken L. Contextual cognitive behavioral therapy for chronic pain. Seattle: IASP. 2004.
[40] Thorn B, Dixon K E. Coping with Chronic Pain: A Stress-Appraisal Coping Model. In E. Martz& H. Livneh (Eds.), Coping with Chronic Illness and Disability: Theoretical, Empirical and Clinical Aspects (pp. 313-336). Springe. 2007.