title: The associations of illness perceptions and self-efficacy with psychological well-being of patients in preparation for joint replacement surgery.
abstract: Patient well-being on referral to surgery likely affects their surgical experience yet few studies examine pre-surgical correlates of well-being. Guided by the Common Sense Model of Self-Regulation and Social Cognitive theory, this study examined whether illness and emotional representations, general and domain self-efficacy were associated with pre-surgical well-being. The pre-surgical assessment of a three-wave prospective study is reported. Fifty-four hip and knee replacements patients (mean age = 69.33; SD = 8.57) were recruited in the pre-surgery educational clinic at a UK general hospital. Patients completed a questionnaire-pack including the Revised Illness Perceptions Questionnaire, the General Self-Efficacy Scale, the Self-Efficacy for Rehabilitation Outcome Scale, the Falls-Efficacy Scale, and the Short Form of Psychological Well-Being Index. Multiple hierarchical regression analyses showed that above and beyond demographic and clinical characteristics, negative emotional representations were associated with lower psychological well-being while strong general self-efficacy beliefs were positively related to psychological well-being. Independent of demographic and clinical characteristics, joint replacement patients' psychological well-being was associated with their cognitions and emotional reactions to their condition before surgery. Early interventions could potentially target these modifiable factors to improve pre-surgical well-being in this group of patients, with potential for additional post-surgical benefit.
authors.affiliation: a School of Psychology , Bangor University , Brigantia Building, Penrallt Road, LL57 2AS , Bangor , UK.
authors.forename: Eleni
authors.initials: E
authors.lastname: Magklara
authors.affiliation: a School of Psychology , Bangor University , Brigantia Building, Penrallt Road, LL57 2AS , Bangor , UK.
authors.forename: Val
authors.initials: V
authors.lastname: Morrison
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019643:Arthroplasty, Replacement / Q000523:psychology*; D001294:Attitude to Health; D004644:Emotions; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000601:surgery; D010549:Personal Satisfaction; D011446:Prospective Studies; D012044:Regression Analysis; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Illness representations; emotional representations; joint replacement; self-efficacy; well-being