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Psychological adjustment to chronic disease.
Denise de Ridder1, Rinie Geenen, Roeline Kuijer
1Department of Clinical & Health Psychology, Utrecht University, The Netherlands Research Institute for Psychology & Health, Utrecht, Netherlands. D.T.D.deRidder@uu.nl
Lancet (London, England)
|July 22, 2008
Summary
This review highlights strategies for psychological adjustment to chronic illness. Key factors include active engagement, emotional expression, self-management, and focusing on positive outcomes for successful adaptation.
Area of Science:
- Psychology
- Health Psychology
- Behavioral Medicine
Background:
- Chronic illness presents significant challenges to psychological well-being.
- Understanding the factors influencing adaptation is crucial for patient care.
- Previous research focused on maladjustment; current focus is on successful adjustment.
Purpose of the Study:
- To review recent literature on psychological adjustment to chronic illness.
- To identify key themes and strategies promoting successful adaptation.
- To synthesize findings for practical application in patient support.
Main Methods:
- Systematic review of research published over the past decade.
- Analysis of studies focusing on physiological, emotional, behavioral, and cognitive aspects.
- Identification of recurring themes related to psychological adjustment.
Main Results:
- Four innovative themes emerged in understanding psychological adjustment.
- Shift in focus from reasons for failure to factors promoting successful adjustment.
- Identified strategies: active engagement, emotional expression, self-management, and positive outcome focus.
Conclusions:
- Active patient involvement is key to successful adjustment.
- Emotional processing and self-management empower patients.
- Focusing on positive outcomes aids adaptation to chronic illness challenges.
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