Advertisement

Supportive Care in Cancer

, Volume 27, Issue 5, pp 1935–1944 | Cite as

Illness perceptions are associated with higher health care use in survivors of endometrial cancer—a study from the population-based PROFILES registry

  • Melissa S. Y. ThongEmail author
  • Floortje Mols
  • Adrian A. Kaptein
  • Dorry Boll
  • Caroline Vos
  • Johanna M. A. Pijnenborg
  • Lonneke V. van de Poll-Franse
  • Nicole P. M. Ezendam
Original Article

Abstract

Objectives

According to the Common Sense Model of self-regulation, cancer survivors construct perceptions of their illness as a (mal)adaptive mechanism. These perceptions might impact on health care use. We aimed to explore the association between illness perceptions and health care use in stage I–II endometrial cancer (EC) survivors, and whether these associations differed by time since diagnosis.

Methods

A survey was conducted in 2008 by the population-based PROFILES registry among EC survivors diagnosed between 1999 and 2007. Survivors (n = 742, 77% response) completed the Brief Illness Perception Questionnaire (BIPQ) and questions on health care use in the past 12 months. Clinical data were accessed from the Netherlands Cancer Registry. Multiple logistic regression was used to evaluate the relationship between illness perceptions and health care use.

Results

Between 15 and 22% of the survivors had negative illness perceptions. Survivors with more negative perceptions on consequences, timeline, treatment control, identity, cognitive representation, concern, emotion, and emotional representation were more likely to make ≥ 1 visit to their family physician/general practitioner in relation to their cancer when compared with survivors with more positive illness perceptions. More negative perceptions on consequences, timeline, identity, and concern were associated with ≥ 2 general or cancer-related visits to the medical specialists. The association between negative illness perceptions and health care use was more prominent among long-term (>5 years post-diagnosis) EC survivors.

Conclusions

Negative illness perceptions among EC survivors were associated with higher health care use. For individuals with maladaptive illness perceptions, visits to their health care provider may reduce worry about their illness. Future research might address the effects of intervening in maladaptive illness perceptions on use of health care in this category of survivors.

Keywords

Endometrial cancer Illness perceptions Health care use Population-based Survivors 

Notes

Acknowledgements

We thank all survivors and their doctors for their participation in the study.

Disclaimer

The funding sources were neither involved in the collection, interpretation, and analysis of the data, nor in the decision for the writing and submission of this report for publication.

Funding

The present research is financially supported in part by a Social Psychology Fellowship from the Dutch Cancer Society to Dr. Nicole Ezendam (UVT 2014-6632). Data collection for this study was funded by the Netherlands Comprehensive Cancer Organisation, Eindhoven, The Netherlands; the Center of Research on Psychology in Somatic diseases (CoRPS), Tilburg University, The Netherlands; and an investment subsidy (#480-08-009) of the Netherlands Organization for Scientific Research (The Hague, The Netherlands).

Compliance with ethical standards

Conflict of interest

The authors declare that they no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Supplementary material

520_2018_4451_MOESM1_ESM.docx (19 kb)
ESM 1 (DOCX 18 kb)

References

  1. 1.
    Leventhal H, Brissette I, Leventhal EA (2003) The common-sense model of self-regulation of health and illness. In: Cameron LD, Leventhal H (eds) The self-regulation of health and illness behaviour. Routledge, London, pp 42–65Google Scholar
  2. 2.
    Scott SE (2010) Symptom perception and help seeking. In: French D, Vedhara K, Kaptein AA et al (eds) Health Psychology, 2nd edn. BPS Blackwell Publishing, Chichester, pp 162–174Google Scholar
  3. 3.
    Frostholm L, Fink P, Christensen KS, Toft T, Oernboel E, Olesen F, Weinman J (2005) The patients’ illness perceptions and the use of primary health care. Psychosom Med 67:997–1005CrossRefGoogle Scholar
  4. 4.
    Connelly JE, Philbrick JT, Smith GR Jr, Kaiser DL, Wymer A (1989) Health perceptions of primary care patients and the influence on health care utilization. Med Care 27:S99–S109CrossRefGoogle Scholar
  5. 5.
    Campbell SM, Roland MO (1996) Why do people consult the doctor? Fam Pract 13:75–83CrossRefGoogle Scholar
  6. 6.
    Ezendam NP, Nicolaije KA, Boll D et al (2013) Health care use among endometrial cancer survivors: a study from PROFILES, a population-based survivorship registry. Int J Gynecol Cancer 23:1258–1265CrossRefGoogle Scholar
  7. 7.
    Nicolaije KAH, Ezendam NPM, Vos MC, Boll D, Pijnenborg JMA, Kruitwagen RFPM, Lybeert MLM, van de Poll-Franse LV (2013) Follow-up practice in endometrial cancer and the association with patient and hospital characteristics: a study from the population-based PROFILES registry. Gynecol Oncol 129:324–331CrossRefGoogle Scholar
  8. 8.
    Lebel S, Tomei C, Feldstain A, Beattie S, McCallum M (2013) Does fear of cancer recurrence predict cancer survivors’ health care use? Support Care Cancer 21:901–906CrossRefGoogle Scholar
  9. 9.
    Nicolaije KAH, Ezendam NPM, Vos MC, Pijnenborg JMA, Boll D, Boss EA, Hermans RHM, Engelhart KCM, Haartsen JE, Pijlman BM, van Loon-Baelemans IEAM, Mertens HJMM, Nolting WE, van Beek JJ, Roukema JA, Zijlstra WP, Kruitwagen RFPM, van de Poll-Franse LV (2015) Impact of an automatically generated cancer survivorship care plan on patient-reported outcomes in routine clinical practice: longitudinal outcomes of a pragmatic, cluster randomized trial. J Clin Oncol 33:3550–3559CrossRefGoogle Scholar
  10. 10.
    Kenzik KM, Kvale EA, Rocque GB, Demark-Wahnefried W, Martin MY, Jackson BE, Meneses K, Partridge EE, Pisu M (2016) Treatment summaries and follow-up care instructions for cancer survivors: improving survivor self-efficacy and health care utilization. Oncologist 21:817–824CrossRefGoogle Scholar
  11. 11.
  12. 12.
    Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J, Rosso S, Coebergh JWW, Comber H, Forman D, Bray F (2013) Cancer incidence and mortality patterns in Europe: estimates for 40 countries in 2012. Eur J Cancer 49:1374–1403CrossRefGoogle Scholar
  13. 13.
    Renehan AG, Tyson M, Egger M et al (2008) Body-mass index and incidence of cancer: a systematic review and meta-analysis of prospective observational studies. Lancet 371:569–578CrossRefGoogle Scholar
  14. 14.
    Siegel RL, Miller KD, Jemal A (2015) Cancer statistics, 2015. CA Cancer J Clin 65:5–29CrossRefGoogle Scholar
  15. 15.
    Hayata E, Seto K, Kitazawa T, Matsumoto K, Morita M, Hasegawa T (2016) Informing health policy in Japan: a mixed-model estimation to compare the cost of illness of cervical cancer and endometrial cancer. J Obstet Gynaecol Res 42:446–456CrossRefGoogle Scholar
  16. 16.
    van de Poll-Franse LV, Horevoorts N, Van Eenbergen MC et al (2011) The patient reported outcomes following initial treatment and long term evaluation of survivorship registry: scope, rationale and design of an infrastructure for the study of physical and psychosocial outcomes in cancer survivorship cohorts. Eur J Cancer 47:2188–2194CrossRefGoogle Scholar
  17. 17.
    Broadbent E, Petrie KJ, Main J, Weinman J (2006) The brief illness perception questionnaire. J Psychosom Res 60:631–637CrossRefGoogle Scholar
  18. 18.
    Broadbent E, Wilkes C, Koschwanez H, Weinman J, Norton S, Petrie KJ (2015) A systematic review and meta-analysis of the Brief Illness Perception Questionnaire. Psychol Health 30:1361–1385CrossRefGoogle Scholar
  19. 19.
    Zigmond AS, Snaith RP (1983) The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 67:361–370CrossRefGoogle Scholar
  20. 20.
    Olsson I, Mykletun A, Dahl AA (2005) The Hospital Anxiety and Depression Rating Scale: a cross-sectional study of psychometrics and case finding abilities in general practice. BMC Psychiatry 5:46CrossRefGoogle Scholar
  21. 21.
    Sangha O, Stucki G, Liang MH, Fossel AH, Katz JN (2003) The Self-administered Comorbidity Questionnaire: a new method to assess comorbidity for clinical and health services research. Arthritis Rheum 49:156–163CrossRefGoogle Scholar
  22. 22.
    Thong MS, Kaptein AA, Vissers PA et al (2016) Illness perceptions are associated with mortality among 1552 colorectal cancer survivors: a study from the population-based PROFILES registry. J Cancer Surviv 10:898–905CrossRefGoogle Scholar
  23. 23.
    Han X, Lin CC, Li C, de Moor JS, Rodriguez JL, Kent EE, Forsythe LP (2015) Association between serious psychological distress and health care use and expenditures by cancer history. Cancer 121:614–622CrossRefGoogle Scholar
  24. 24.
    Husson O, Thong MSY, Mols F, Oerlemans S, Kaptein AA, van de Poll-Franse LV (2013) Illness perceptions in cancer survivors: what is the role of information provision? Psychooncology 22:490–498CrossRefGoogle Scholar
  25. 25.
    Nicolaije KA, Husson O, Ezendam NP et al (2012) Endometrial cancer survivors are unsatisfied with received information about diagnosis, treatment and follow-up: a study from the population-based PROFILES registry. Patient Educ Couns 88:427–435CrossRefGoogle Scholar
  26. 26.
    Ninou A, Guthrie E, Paika V, Ntountoulaki E, Tomenson B, Tatsioni A, Karagiannopoulou E, Carvalho AF, Hyphantis T, ARISTEIA-ABREVIATE Study Group members (2016) Illness perceptions of people with long-term conditions are associated with frequent use of the emergency department independent of mental illness and somatic symptom burden. J Psychosom Res 81:38–45CrossRefGoogle Scholar
  27. 27.
    Wearden A, Peters S (2008) Therapeutic techniques for interventions based on Leventhal’s common sense model. Br J Health Psychol 13:189–193CrossRefGoogle Scholar
  28. 28.
    Broadbent E, Ellis CJ, Thomas J, Gamble G, Petrie KJ (2009) Further development of an illness perception intervention for myocardial infarction patients: a randomized controlled trial. J Psychosom Res 67:17–23CrossRefGoogle Scholar
  29. 29.
    Fischer MJ, Wiesenhaan ME, Does-den Heijer A et al (2013) From despair to hope: a longitudinal study of illness perceptions and coping in a psycho-educational group intervention for women with breast cancer. Br J Health Psychol 18:526–545CrossRefGoogle Scholar
  30. 30.
    Stagl JM, Bouchard LC, Lechner SC, Blomberg BB, Gudenkauf LM, Jutagir DR, Glück S, Derhagopian RP, Carver CS, Antoni MH (2015) Long-term psychological benefits of cognitive-behavioral stress management for women with breast cancer: 11-year follow-up of a randomized controlled trial. Cancer 121:1873–1881CrossRefGoogle Scholar
  31. 31.
    Lawson VL, Bundy C, Belcher J et al (2013) Changes in coping behavior and the relationship to personality, health threat communication and illness perceptions from the diagnosis of diabetes: a 2-year prospective longitudinal study. Health Psychol Res 1:e20CrossRefGoogle Scholar
  32. 32.
    Dempster M, Howell D, McCorry NK (2015) Illness perceptions and coping in physical health conditions: a meta-analysis. J Psychosom Res 79:506–513CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Melissa S. Y. Thong
    • 1
    Email author
  • Floortje Mols
    • 2
    • 3
  • Adrian A. Kaptein
    • 4
  • Dorry Boll
    • 5
  • Caroline Vos
    • 6
  • Johanna M. A. Pijnenborg
    • 7
  • Lonneke V. van de Poll-Franse
    • 2
    • 3
    • 8
  • Nicole P. M. Ezendam
    • 2
    • 3
  1. 1.Department of Medical Psychology, Amsterdam Public Health Research InstituteAmsterdam University Medical Centers, location AMCAmsterdamThe Netherlands
  2. 2.Netherlands Comprehensive Cancer Organisation (IKNL)UtrechtThe Netherlands
  3. 3.Department of Medical and Clinical PsychologyTilburg UniversityTilburgThe Netherlands
  4. 4.Department of Medical PsychologyLeiden University Medical CenterLeidenThe Netherlands
  5. 5.Department of Obstetrics and GynecologyCatharina HospitalEindhovenThe Netherlands
  6. 6.Department of Obstetrics and GynecologyElisabeth-Tweesteden HospitalTilburgThe Netherlands
  7. 7.Department of Obstetrics and GynecologyRadboud University Medical CenterNijmegenThe Netherlands
  8. 8.Division of Psychosocial Research and EpidemiologyThe Netherlands Cancer InstituteAmsterdamThe Netherlands

Personalised recommendations