The Role of Illness Perceptions in Dyspnoea-Related Fear in Chronic Obstructive Pulmonary Disease
Dyspnoea is often the most distressing symptom described by people with a chronic respiratory condition. The traditional biomedical model of neuromechanical uncoupling that explains the physiological basis for dyspnoea is well accepted. However, in people with chronic obstructive pulmonary disease (...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-12-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/13/1/200 |
| _version_ | 1797358597512888320 |
|---|---|
| author | Kylie Hill Sarah Hug Anne Smith Peter O’Sullivan |
| author_facet | Kylie Hill Sarah Hug Anne Smith Peter O’Sullivan |
| author_sort | Kylie Hill |
| collection | DOAJ |
| description | Dyspnoea is often the most distressing symptom described by people with a chronic respiratory condition. The traditional biomedical model of neuromechanical uncoupling that explains the physiological basis for dyspnoea is well accepted. However, in people with chronic obstructive pulmonary disease (COPD), measures that are linked with neuromechanical uncoupling are poorly related to the restriction in activity during daily life attributed to dyspnoea. This suggests that activity restriction that results from dyspnoea is influenced by factors other than expiratory airflow limitation and dynamic pulmonary hyperinflation, such as the ways people perceive, interpret and respond to this sensation. This review introduces the common-sense model as a framework to understand the way an individual’s lay beliefs surrounding sensations can lead to these sensations being perceived as a health threat and how this impacts their emotional and behavioural responses. The aim is to provide insight into the nuances that can shape an individual’s personal construct of dyspnoea and offer practical suggestions to challenge unhelpful beliefs and facilitate cognitive re-structuring as a pathway to reduce distress and optimise health behaviours and outcomes. |
| first_indexed | 2024-03-08T15:03:24Z |
| format | Article |
| id | doaj.art-70604d63891b419a9f09ab085804baa2 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-08T15:03:24Z |
| publishDate | 2023-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-70604d63891b419a9f09ab085804baa22024-01-10T15:01:33ZengMDPI AGJournal of Clinical Medicine2077-03832023-12-0113120010.3390/jcm13010200The Role of Illness Perceptions in Dyspnoea-Related Fear in Chronic Obstructive Pulmonary DiseaseKylie Hill0Sarah Hug1Anne Smith2Peter O’Sullivan3Curtin School of Allied Health, Curtin University, Perth, WA 6102, AustraliaCurtin School of Allied Health, Curtin University, Perth, WA 6102, AustraliaCurtin School of Allied Health, Curtin University, Perth, WA 6102, AustraliaCurtin School of Allied Health, Curtin University, Perth, WA 6102, AustraliaDyspnoea is often the most distressing symptom described by people with a chronic respiratory condition. The traditional biomedical model of neuromechanical uncoupling that explains the physiological basis for dyspnoea is well accepted. However, in people with chronic obstructive pulmonary disease (COPD), measures that are linked with neuromechanical uncoupling are poorly related to the restriction in activity during daily life attributed to dyspnoea. This suggests that activity restriction that results from dyspnoea is influenced by factors other than expiratory airflow limitation and dynamic pulmonary hyperinflation, such as the ways people perceive, interpret and respond to this sensation. This review introduces the common-sense model as a framework to understand the way an individual’s lay beliefs surrounding sensations can lead to these sensations being perceived as a health threat and how this impacts their emotional and behavioural responses. The aim is to provide insight into the nuances that can shape an individual’s personal construct of dyspnoea and offer practical suggestions to challenge unhelpful beliefs and facilitate cognitive re-structuring as a pathway to reduce distress and optimise health behaviours and outcomes.https://www.mdpi.com/2077-0383/13/1/200dyspnoeaCOPDillness representationsbeliefsemotionsperceptions |
| spellingShingle | Kylie Hill Sarah Hug Anne Smith Peter O’Sullivan The Role of Illness Perceptions in Dyspnoea-Related Fear in Chronic Obstructive Pulmonary Disease Journal of Clinical Medicine dyspnoea COPD illness representations beliefs emotions perceptions |
| title | The Role of Illness Perceptions in Dyspnoea-Related Fear in Chronic Obstructive Pulmonary Disease |
| title_full | The Role of Illness Perceptions in Dyspnoea-Related Fear in Chronic Obstructive Pulmonary Disease |
| title_fullStr | The Role of Illness Perceptions in Dyspnoea-Related Fear in Chronic Obstructive Pulmonary Disease |
| title_full_unstemmed | The Role of Illness Perceptions in Dyspnoea-Related Fear in Chronic Obstructive Pulmonary Disease |
| title_short | The Role of Illness Perceptions in Dyspnoea-Related Fear in Chronic Obstructive Pulmonary Disease |
| title_sort | role of illness perceptions in dyspnoea related fear in chronic obstructive pulmonary disease |
| topic | dyspnoea COPD illness representations beliefs emotions perceptions |
| url | https://www.mdpi.com/2077-0383/13/1/200 |
| work_keys_str_mv | AT kyliehill theroleofillnessperceptionsindyspnoearelatedfearinchronicobstructivepulmonarydisease AT sarahhug theroleofillnessperceptionsindyspnoearelatedfearinchronicobstructivepulmonarydisease AT annesmith theroleofillnessperceptionsindyspnoearelatedfearinchronicobstructivepulmonarydisease AT peterosullivan theroleofillnessperceptionsindyspnoearelatedfearinchronicobstructivepulmonarydisease AT kyliehill roleofillnessperceptionsindyspnoearelatedfearinchronicobstructivepulmonarydisease AT sarahhug roleofillnessperceptionsindyspnoearelatedfearinchronicobstructivepulmonarydisease AT annesmith roleofillnessperceptionsindyspnoearelatedfearinchronicobstructivepulmonarydisease AT peterosullivan roleofillnessperceptionsindyspnoearelatedfearinchronicobstructivepulmonarydisease |