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This study aimed to determine the relationship between religious coping, acceptance of illness and diabetes self-efficacy in patients with Type 2 diabetes. This descriptive and cross-sectional study was conducted between 15/08/2022 and 15/03/2023 with 606 patients with Type 2 diabetes who attended Family Health Centers in a province center in eastern Türkiye. Model fits were found to be at satisfactory levels (x²/df=2.529, RMSEA=0.05, CFI=0.91, GFI=0.91, AGFI=0.88, IFI=0.91). Positive religious coping positively affected negative religious coping (ß0=0.123, p=0.012). Negative religious coping positively affected diabetes self-efficacy (ß0=0.099, p=0.039). Diabetes self-efficacy positively affected the level of acceptance of illness (ß0=0.430, p=0.001). It was determined that religious coping, acceptance of disease and diabetes self-efficacy were related in Type 2 diabetes patients. Longitudinal studies on factors affecting patients with Type 2 diabetes are recommended. [ABSTRACT FROM AUTHOR]

Abstract Background Understanding the disease and its acceptance significantly influence adherence to prescribed medications, a critical aspect in managing coronary artery disease (CAD). This study is designed to explore the multifaceted factors influencing medication adherence specifically in CAD patients. Of particular interest is investigating the interconnectedness between medication adherence, the perception of illness, and the level of acceptance of the illness itself among these individuals. Methods This cross-sectional study involved 280 confirmed CAD patients who were selected through a convenience sampling method adhering to predefined inclusion criteria. The study was conducted between March and September 2023. Three primary parameters—medication adherence, illness perception, and acceptance of illness—were evaluated using standardized tools: The Morisky Medication Adherence Scale-8, Illness Perception Questionnaire-Brief, and Acceptance of Illness Scale. Statistical analyses using SPSS (version 25) were used to analyze the data. Results Patients had moderate illness perception (51.82 ± 7.58) and low acceptance to illness (16.98 ± 4.75), and 61.8 of them adhered to their medication regimen. A positive relationship between acceptance of illness and medication adherence (r = 0.435, p-value

• Stress urinary incontinence is a common condition that affects a significant group of postmenopausal women, lowering their quality of life, and leading to embarrassment, social isolation, and decreased physical activity. • This study aimed to assess the changes in quality of life, acceptance of illness, and impact of physical activity, in patients undergoing the transobturator tape procedure following long-term assessment. • Thirty-six months after surgery for stress urinary incontinence, using a transobturator tape procedure showed a significant improvement in health acceptance and the number of patients with a high level of acceptance, according to the AIS. Stress urinary incontinence (SUI) is a common condition that affects a significant group of postmenopausal women, lowering quality of life, leading to embarrassment, social isolation, and decreased physical activity. SUI can be treated with medication, behavioral changes, pelvic floor muscle exercises, or surgical intervention. This study aimed to assess the changes in quality of life, acceptance of illness, and impact on physical activity, in patients after the transobturator tape (TOT) procedure following long-term assessment. Forty-five women aged 71.52 ± 4.12 years took part in our follow-up project at 12 and 36 months after surgical intervention. The World Health Organization Quality of Life Questionnaire (WHOQOL-BREF), Acceptance of Illness Scale Questionnaire (AIS), and International Physical Activity Questionnaire (IPAQ) were used in the study. At 36 months after surgery, SUI using TOT showed a significant improvement in health acceptance. Also, there was a number of patients who reported a high level of acceptance according to the AIS. Elderly women with SUI, after treatment by TOT, showed a significant improvement in health acceptance 3 years after the procedure. [ABSTRACT FROM AUTHOR]

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Background: Understanding the disease and its acceptance significantly influence adherence to prescribed medications, a critical aspect in managing coronary artery disease (CAD). This study is designed to explore the multifaceted factors influencing medication adherence specifically in CAD patients. Of particular interest is investigating the interconnectedness between medication adherence, the perception of illness, and the level of acceptance of the illness itself among these individuals. Methods: This cross-sectional study involved 280 confirmed CAD patients who were selected through a convenience sampling method adhering to predefined inclusion criteria. The study was conducted between March and September 2023. Three primary parameters—medication adherence, illness perception, and acceptance of illness—were evaluated using standardized tools: The Morisky Medication Adherence Scale-8, Illness Perception Questionnaire-Brief, and Acceptance of Illness Scale. Statistical analyses using SPSS (version 25) were used to analyze the data. Results: Patients had moderate illness perception (51.82 ± 7.58) and low acceptance to illness (16.98 ± 4.75), and 61.8 of them adhered to their medication regimen. A positive relationship between acceptance of illness and medication adherence (r = 0.435, p-value < 0.01) was found. Level of education, type of drug and marital status had significantly impact on medication adherence, and gender, level of education, intention to stop drug and marital status were associated with acceptance of illness (p < 0.05). Conclusion: These results underscore the pivotal role of medication adherence in CAD management. Future interventions should target improving illness perception and acceptance of illness among CAD patients to enhance their overall adherence to prescribed medications and ultimately improve disease management. [ABSTRACT FROM AUTHOR]

IntroductionEndometriosis is a chronic gynecological condition that lacks a definitive cure and adversely impacts the quality of life (QoL) of those affected. This study delves into the experiences of individuals with endometriosis in Trinidad and Tobago, focusing on their quality of life, pain severity, and acceptance of illness.MethodsSurveys were distributed among 160 members of the Trinidad and Tobago Endometriosis Association. The survey instrument utilized was the WHOQOL-BREF, which measures QoL, pain severity, and acceptance of illness [the Acceptance of Illness Scale (AIS)].ResultsThe average age of respondents was 38.65 years. Quality of life scores averaged 3.41, with the “environment” aspect scoring highest (12.84) and “social relationships” scoring lowest (11.88). Cronbach's alpha indicated excellent internal consistency for “environment” (ɑ = 0.909) and the “AIS” (ɑ = 0.882). The independent samples t-test revealed lower mean QoL scores for unemployed participants. Analysis of variance revealed significant differences in mean QoL scores for “health status” and “years since endometriosis diagnosis.” All the QoL domains were positively correlated with each other. There were moderate positive correlations between the physical health and social relationships domains (ρ = 0.558). All other domains were strongly correlated with each other (0.6

Introduction Nowadays, heart failure is one of the most serious health problems. In Poland, about a million people struggle with it. This is due to several demographic and epidemiological trends, m.in. the improvement of the health care system and the aging of the population. Cardiovascular diseases are a huge challenge for the healthcare system, as they are considered the main cause of death in Poland. The basic assumption of the treatment of the disease includes the improvement of the quality of life Aim of the study: The aim of the study was to assess acceptance of the disease in patients with heart failure receiving outpatient medical care. Material and methods: The research was carried out on a group of 100 patients from NZOZ "Vita". To carry out the research, the author's questionnaire and the Standardized Questionnaire: AIS and LOT-R were used, and appropriate consents were obtained for their use in the work. Results In the study group, the level of disease acceptance according to the AIS in patients with heart failure treated on an outpatient basis was medium and high (48%; n=48 vs. 48%; n=48). Among the respondents, the largest group (46%; n=46) were people with an average level of optimism according to LOT-R. In people with heart failure, the most common comorbidities were diabetes, hypertension and bronchial asthma. Additional diseases did not have a statistically significant impact on the acceptance of the disease among the examined patients (p>0.05). The importance of religion as well as spiritual development in the respondents' lives did not influence their acceptance of the disease (p>0.05). Respondents with an optimistic attitude more often represented a higher level of acceptance of the disease according to the AIS than those with a pessimistic attitude (p=0.005). Conclusions Acceptance of the disease is the final stage of adaptation to the disease, it manifests itself in the recognition of limitations and losses that result from the occurrence of a given disease entity. Therefore, accepting the disease brings many benefits that ultimately improve the course of the disease and further prognosis.

Purpose: This study aimed to examine the effect of supportive care needs and related factors in the acceptance of illness by gynecological cancer patients undergoing therapy. Methods: A cross-sectional design was adopted. The study included 190 gynecologic cancer patients by convenience sampling method. The personal information form, Acceptance of Illness Scale, and Supportive Care Needs a Survey-Short Form were used for data collection. ANOVA, t-test, Pearson’s correlation test, and hierarchical regression analysis were used for analyzing the data. Results: Most participants (72.6%) had moderate acceptance of illness, and the Supportive Care Needs a Survey-Short Form total score was a moderate level, at 84.93 ± 18.86. All the patients stated that their need for supportive care had caused them much concern, thus needing additional help. The acceptance of illness was negatively related to unmet supportive care needs (r =−0.515, p = 0.001) and all its subscales [health care service and informing, psychology, sexuality, daily life, (r = −0.343, r = −0.447, r = −0.341, r = −0.408, respectively; p < 0.05)]. Hierarchical regression analyses indicated unmet psychology (β = −0.305), daily life (β = −0.205) and sexuality needs (β = −0.167), perceived income (β = 0.290), and occupation (β = −0.167), explaining 45% of the acceptance of illness. Conclusions: Acceptance of illness of gynecological cancer patients undergoing therapy needs to be improved. Perceived income and occupation are positive predictors, and unmet psychology, daily life, and sexuality needs are negative predictors of acceptance of illness. [ABSTRACT FROM AUTHOR]

Chronic Kidney Disease (CKD) can be identified as one of the non-communicable diseases (NCDs) which affect millions of people worldwide, including in Sri Lanka and Poland. The prevalence of CKD has been rising over the last three decades due to the identification of CKD with unknown etiology and the increment of NCDs such as hypertension and diabetes mellitus among the Sri Lankan population. Poland can be identified as a European country that has 4 million patients with CKD, which is the second most common chronic disease in the country. CKD is associated with the physical, economic, psychological, and social burden on patients and their caregivers. The current study is aimed to investigate the psychosocial well-being of CKD patients and their caregivers in Sri Lanka and Poland. The current study is a mixed-method study aimed to investigate the psychosocial well-being of individuals with chronic kidney disease undergoing hemodialysis and their caregivers in Sri Lanka and Poland. Participants in the quantitative part of the project will be individuals with chronic kidney disease undergoing hemodialysis from Sri Lanka (n  =  63) and Poland (n  =  63) who are currently undergoing hemodialysis treatment. Kidney Disease Quality of LifeSort Form, Beck Depression Scale, Test of Self-Conscious Affect, The Courtauld Emotional Control Scale, Acceptance of Illness Scale, and a demographic and medical information sheet will be used in both Sri Lankan and Polish samples. Apart from that, the qualitative phase of the study will involve semi-structured interviews with individuals diagnosed with CKD, selected randomly from the initial part of the research, and their close relatives. Notably, the participant count will remain undetermined, as this approach addresses the inherent challenges of exploratory research. [ABSTRACT FROM AUTHOR]

Introduction Rheumatoid arthritis (RA) is a chronic autoimmune condition characterized by periods of exacerbation (physical limitations, depressed mood, depressive states and decreased life satisfaction) and remission (hope of health improvement). Our objective was to present social functioning of RA patients taking into consideration their age and employing selected determinants: satisfaction with life, generalized sense of self-efficacy and acceptance of illness. Material and methods Standardized tools were employed: the Satisfaction with Life Scale, Generalized Self Efficacy Scale and Acceptance of Illness Scale. The study group included 46 patients with RA 18-45 years of life and 54 above 60 years of life. The control group consisted of 24 non-RA subjects in every group . Results Rheumatoid arthritis patients in the period of disease exacerbation reported low and moderate levels of satisfaction with life, in the patients in remission period the score was moderate, while the control group subjects described their level of satisfaction with life as high and moderate. The level of acceptance of illness was described by the RA patients in the period of disease exacerbation as 20.4/40 points; the patients in remission defined their level of acceptance of illness as 29.38/40 points. The patients with RA exacerbation showed a low sense of self-efficacy, yet a large group of such patients also presented high self-efficacy levels and the majority of the RA subjects in remission reported a high sense of self-efficacy. Conclusions In the RA patients, satisfaction with life, generalized sense of self-efficacy and acceptance of illness were closely related and affected their general psychosocial functioning.

Schizophrenia is one of the most severe chronic mental illnesses. It drastically changes an individual’s life and well-being. Sexual well-being in schizophrenia is often sidelined, even though it is one of the main areas for maintaining quality of life. Based on the conservation of resources theory (COR) and empirical data, we assume that self-esteem and acceptance of illness help in coping with schizophrenia and maintaining sexual well-being. This pilot study aimed to determine the relationship between self-esteem, acceptance of illness, and sexual well-being in Polish individuals with schizophrenia. The results of 60 individuals were included in this study. In the present study, the Self-Esteem Scale (SES), Acceptance of Illness Scale (AIS), and Short Sexual Well-Being Scale (SSWBS) were used. The study showed a significant association between self-esteem, acceptance of illness, and sexual well-being. Self-esteem (β = 0.62) and acceptance of illness (β = 0.55) acted as positive and significant predictors of sexual well-being in individuals with schizophrenia. Acceptance of illness was also found to play a mediating role between self-esteem and sexual well-being in people with schizophrenia (indirect effect: β = 0.34; LLCI = 0.063; ULCI = 0.839). The current pilot study demonstrates the relationship between self-esteem, acceptance of illness, and sexual well-being. Our findings highlight the significant role of acceptance of illness in maintaining sexual well-being among individuals with schizophrenia.

Chronic Kidney Disease (CKD) can be identified as one of the non-communicable diseases (NCDs) which affect millions of people worldwide, including in Sri Lanka and Poland. The prevalence of CKD has been rising over the last three decades due to the identification of CKD with unknown etiology and the increment of NCDs such as hypertension and diabetes mellitus among the Sri Lankan population. Poland can be identified as a European country that has 4 million patients with CKD, which is the second most common chronic disease in the country. CKD is associated with the physical, economic, psychological, and social burden on patients and their caregivers. The current study is aimed to investigate the psychosocial well-being of CKD patients and their caregivers in Sri Lanka and Poland. The current study is a mixed-method study aimed to investigate the psychosocial well-being of individuals with chronic kidney disease undergoing hemodialysis and their caregivers in Sri Lanka and Poland. Participants in the quantitative part of the project will be individuals with chronic kidney disease undergoing hemodialysis from Sri Lanka (n = 63) and Poland (n = 63) who are currently undergoing hemodialysis treatment. Kidney Disease Quality of Life-Sort Form, Beck Depression Scale, Test of Self-Conscious Affect, The Courtauld Emotional Control Scale, Acceptance of Illness Scale, and a demographic and medical information sheet will be used in both Sri Lankan and Polish samples. Apart from that, the qualitative phase of the study will involve semi-structured interviews with individuals diagnosed with CKD, selected randomly from the initial part of the research, and their close relatives. Notably, the participant count will remain undetermined, as this approach addresses the inherent challenges of exploratory research.

Introduction: Sex life is an important element contributing to the overall quality of life. It is also a particularly sensitive dimension of quality of life for HIV-positive patients. Objective: The aim of the study was to assess the sexual life of people living with HIV in Poland treated in the Observation and Infection Clinic with the Subunit for HIV/AIDS Patients of the University Clinical Hospital in Bialystok, and its impact on the quality of life, life satisfaction, HIV status acceptance, general health status and depressive symptoms among the respondents. Methods: A total of 147 participants, including 104 men (70.7%) and 43 women (29.3%), took part in the research. The study was conducted between May 2019 and January 2020. The study used a diagnostic survey method with a modified questionnaire "Psychosocial situation of people living with HIV/AIDS" by Dr. Magdalena Ankiersztejn-Bartczak and the following standardised psychometric tools: the World Health Organization Quality of Life (WHOQOL-BREF), Short Form Health Survey (SF-36), Acceptance of Illness Scale (AIS), Satisfaction with Life Scale (SWLS), General Health Questionnaire (GHQ-28) and Beck Depression Inventory (BDI). Results: One-third of patients rated their sex life as poor or very poor. Almost half of respondents always informed sexual partners of their HIV status (49.7%). The sex life of respondents was highly correlated with almost all psychometric measures used in the study. Those indicating sexual contact as a possible source of HIV infection had a lower quality of life in the domain of general health compared to other respondents, but the difference was relatively small (about 5.5 points). Discussion: In conclusion, the overall satisfaction with the sex life of people living with HIV was moderate with a tendency to poor. The quality of life of people living with HIV was determined by their sex life. Better quality of life was presented by those with good self-reported sex life. [ABSTRACT FROM AUTHOR]

Grzegorz Wysocki,1 Micha&lstrok; Czapla,2– 4 Bartosz Uchmanowicz,5 Piotr Fehler,4 Katarzyna Aleksandrowicz,4 &Lstrok;ukasz Rypicz,6 Irena Wolska-Zogata,7 Izabella Uchmanowicz4,5 1LUX MED Medical Center, Warsaw, Poland; 2Department of Emergency Medical Service, Wroclaw Medical University, Wroclaw, Poland; 3Group of Research in Care (GRUPAC), Faculty of Health Science, University of La Rioja, Logroño, Spain; 4Institute of Heart Diseases, University Hospital, Wroclaw, Poland; 5Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland; 6Department of Population Health, Faculty of Health Sciences, Wroclaw Medical University, Wroc&lstrok;aw, Poland; 7Department of the Sociology of the Public Sphere, University of Wroclaw, Wroclaw, PolandCorrespondence: Micha&lstrok; Czapla, Department of Emergency Medical Service, Wroclaw Medical University, ul. Parkowa 34, Wroclaw, 51-616, Poland, Email michal.czapla@umw.edu.plIntroduction: Ankylosing spondylitis (AS) is a chronic, progressive disease, often with multiple complications, with periods of exacerbation and remission. The onset of the disease usually affects people under 30 years of age. The disease impairs physical, psychological, and social functioning, leading to disability. Therefore, patients with AS face the challenge of adapting to life with the condition and deteriorating quality of life (QoL).Objective: This study aimed to assess the impact of disease acceptance on quality of life in patients with AS.Material and Methods: The study was conducted in the Department of Rheumatology and Internal Diseases of the University Hospital in Wroc&lstrok;aw among 110 patients (67 men and 43 women) with the diagnosis of AS, aged 20– 89 years (M=48.44 years, SD± 12.55). The study used the Acceptance of Illness Scale (AIS), the WHOQoL-BREF Quality of Life Scale, and a self-constructed questionnaire of clinical and sociodemographic data.Results: Respondents rated the quality of life as good and moderate (M = 3.49 points, SD=± 0.84). The mean AIS score was 27.44 (SD=± 8.67). AIS scores are positively correlated with all QoL domains and perception of quality of life and health (p< 0.001). The strongest correlation was in the physical domain (r=0.71), while the weakest correlation was observed in the social domain (r=0.329). AIS and QoL measures showed significant relationships with selected sociodemographic data (eg, gender, age, education, and occupational activity) and correlated with selected disease data (eg, type of treatment used, duration of disease, or comorbidities).Conclusion: AIS in patients with AS condition correlated positively with their QoL in all domains. Both disease acceptance and quality of life are influenced by specific sociodemographic and disease-related data. Prevention of complications and the type of treatment for AS (primarily biological treatment) can be essential in improving patients’ quality of life.Keywords: ankylosing spondylitis, health-related quality of life, quality of life, acceptance of illness

IntroductionSex life is an important element contributing to the overall quality of life. It is also a particularly sensitive dimension of quality of life for HIV-positive patients.ObjectiveThe aim of the study was to assess the sexual life of people living with HIV in Poland treated in the Observation and Infection Clinic with the Subunit for HIV/AIDS Patients of the University Clinical Hospital in Bialystok, and its impact on the quality of life, life satisfaction, HIV status acceptance, general health status and depressive symptoms among the respondents.MethodsA total of 147 participants, including 104 men (70.7%) and 43 women (29.3%), took part in the research. The study was conducted between May 2019 and January 2020. The study used a diagnostic survey method with a modified questionnaire “Psychosocial situation of people living with HIV/AIDS” by Dr. Magdalena Ankiersztejn-Bartczak and the following standardised psychometric tools: the World Health Organization Quality of Life (WHOQOL-BREF), Short Form Health Survey (SF-36), Acceptance of Illness Scale (AIS), Satisfaction with Life Scale (SWLS), General Health Questionnaire (GHQ-28) and Beck Depression Inventory (BDI).ResultsOne-third of patients rated their sex life as poor or very poor. Almost half of respondents always informed sexual partners of their HIV status (49.7%). The sex life of respondents was highly correlated with almost all psychometric measures used in the study. Those indicating sexual contact as a possible source of HIV infection had a lower quality of life in the domain of general health compared to other respondents, but the difference was relatively small (about 5.5 points).DiscussionIn conclusion, the overall satisfaction with the sex life of people living with HIV was moderate with a tendency to poor. The quality of life of people living with HIV was determined by their sex life. Better quality of life was presented by those with good self-reported sex life.

(1) Background: Acceptance of illness is a process in which a person with an illness accepts its presence and treats it as an integral part of their life. With regard to alcoholism, acceptance of illness is one of the important elements of the healing process. (2) Methods: The study group consisted of 104 residents in an addiction treatment ward. Questionnaires SOC-29, AIS and PSS-10 were used to check levels of coherence, stress and acceptance of illness. The analysis was based on regression analysis. Patient age was analysed as a moderator of correlations between perceived indicators. Moderation analysis was based on the simple moderation model. (3) Results: The level of perceived stress correlated negatively with all areas of the sense of coherence and with acceptance of illness. All areas of the sense of coherence correlated with acceptance of illness positively. (4) Conclusions: The acceptance of illness by the patient is a factor that can be motivating for further treatment, through a positive approach to illness and strengthening the sense of control in experiencing it. The combination of strengthening behavioural, cognitive and motivational resources can be used in the treatment of people experiencing the challenges of addiction to alcohol. [ABSTRACT FROM AUTHOR]

Schizophrenia is one of the most severe chronic mental illnesses. It drastically changes an individual's life and well-being. Sexual well-being in schizophrenia is often sidelined, even though it is one of the main areas for maintaining quality of life. Based on the conservation of resources theory (COR) and empirical data, we assume that self-esteem and acceptance of illness help in coping with schizophrenia and maintaining sexual well-being. This pilot study aimed to determine the relationship between self-esteem, acceptance of illness, and sexual well-being in Polish individuals with schizophrenia. The results of 60 individuals were included in this study. In the present study, the Self-Esteem Scale (SES), Acceptance of Illness Scale (AIS), and Short Sexual Well-Being Scale (SSWBS) were used. The study showed a significant association between self-esteem, acceptance of illness, and sexual well-being. Self-esteem (β = 0.62) and acceptance of illness (β = 0.55) acted as positive and significant predictors of sexual well-being in individuals with schizophrenia. Acceptance of illness was also found to play a mediating role between self-esteem and sexual well-being in people with schizophrenia (indirect effect: β = 0.34; LLCI = 0.063; ULCI = 0.839). The current pilot study demonstrates the relationship between self-esteem, acceptance of illness, and sexual well-being. Our findings highlight the significant role of acceptance of illness in maintaining sexual well-being among individuals with schizophrenia. [ABSTRACT FROM AUTHOR]

Penile cancer is a rare malignant neoplasm, occurring mainly in men in their sixties and seventies. The consequences of treatment often include a severely disturbed perception of one's body image, lowered self-esteem and difficulties in daily functioning, which can result in reduced satisfaction with further life. This study aimed to assess the life satisfaction and level of acceptance of illness of a 42-year-old patient after penectomy in the course of cancer. The following tools were applied in the study: the authors' own questionnaire, the Acceptance of Illness Scale (AIS) and the Satisfaction With Life Scale (SWLS). The patient surveyed scored 38 out of 40 on the AIS scale, indicating that he accepted his illness, while on the SWLS scale, he scored the maximum number of points indicating a high overall sense of satisfaction with life. The patient did not report any difficulties in terms of daily functioning resulting from the diagnosed disease and the treatment administered. [ABSTRACT FROM AUTHOR]

Introduction and objective: The aim of the study was to assess discriminatory behaviours towards HIV-infected people in Poland reported by patients treated in the Observation and Infection Clinic with the Subunit for HIV/AIDS Patients of the Medical University of Bialystok Clinical Hospital. Materials and methods: A total of 147 participants, including 104 men (70.7%) and 43 women (29.3%), took part in the research. The study was conducted between May 2019 and January 2020. The study used a diagnostic survey method with a modified questionnaire "Psychosocial situation of people living with HIV/ AIDS in Poland" by Dr Magdalena Ankiersztejn-Bartczak and standardised psychometric tools: the World Health Organization Quality of Life (WHOQOL-BREF), Short Form Health Survey (SF-36), Acceptance of Illness Scale (AIS), Satisfaction with Life Scale (SWLS), General Health Questionnaire (GHQ-28) and Beck Depression Inventory (BDI). Results: One in three respondents (32.7%) experienced discrimination. Healthcare professionals were reported to most frequently show discriminatory behaviour against seropositive persons (23.8%). Refusal of medical assistance and unethical treatment by medical staff were mentioned as the most common forms of discrimination (10.9% each). Conclusions: The quality of life of HIV-infected persons was moderate and was determined by the experience of stigma/discrimination due to their HIV status. Higher quality of life was presented by those who did not experience stigma/discrimination. HIV-infected respondents often experienced discrimination and stigma due to their clinical diagnosis. Since healthcare workers were the most common source of discrimination, it is important to undertake educational activities in this professional group as part of campaign against discrimination of HIV-positive people. [ABSTRACT FROM AUTHOR]

Aim. Osteoporosis is a chronic disease and affects an increasing number of people in the ageing population. Due to its 'quiet' progress, it gradually impacts on the patient's daily functioning, resulting in reduction, then abandoning of existing forms of life activities and deterioration of mental state. The aim of the study was to analyze the levels of disease acceptance and satisfaction with life in women with postmenopausal osteoporosis depending on their body mass index. Material and method. The study included a group of 198 women, 72.3 ± 8.59 years old, diagnosed with postmenopausal osteoporosis treated in two Osteoporosis Treatment Centers in the city of Lodz. The study used the Acceptance of Illness Scale (AIS), the Satisfaction with Life Scale (SWLS), the Visual Analogue Scale (VAS), and a self-made survey. Results. The mean AIS score was 25.95 ± 10.20 points, which indicated a moderate level of acceptance and adjustment to the disease in the study group. The average level of satisfaction with life assessed on the SWLS was 19.37 ± 7.31 points and indicated moderate life satisfaction. The lowest acceptance of the disease (24.38 ± 11.3 points) was presented by underweight persons, while the lowest satisfaction with life (17.75 ± 7.50 points) was presented by overweight women. The subjects presented a mild level of pain according to the VAS scale (4.87 ± 2.39 points). The highest acceptance of the disease and satisfaction with life was presented by normal weight persons. Conclusions. The levels of disease acceptance and satisfaction with life in women with postmenopausal osteoporosis do not differ statistically significantly depending on body mass index. It was indicated that greater acceptance of the disease was accompanied by greater satisfaction with life in people with osteoporosis. Psychological aspects (AIS, SWLS) should be an important component of the assessment of therapy effectiveness in women undergoing a long-term treatment for postmenopausal osteoporosis. [ABSTRACT FROM AUTHOR]

Introduction: Rheumatoid arthritis (RA) is a chronic autoimmune condition characterized by periods of exacerbation (physical limitations, depressed mood, depressive states and decreased life satisfaction) and remission (hope of health improvement). Our objective was to present social functioning of RA patients taking into consideration their age and employing selected determinants: satisfaction with life, generalized sense of self-efficacy and acceptance of illness. Material and methods: Standardized tools were employed: the Satisfaction with Life Scale, Generalized Self Efficacy Scale and Acceptance of Illness Scale. The study group included 46 RA patients aged 18-45 years and 54 RA patients aged over 60 years. The control group consisted of 24 non-RA subjects in every group. Results: Rheumatoid arthritis patients in the period of disease exacerbation reported low and moderate levels of satisfaction with life, in the patients in remission period the score was moderate, while the control group subjects described their level of satisfaction with life as high and moderate. The level of acceptance of illness was described by the RA patients in the period of disease exacerbation as 20.4/40 points; the patients in remission defined their level of acceptance of illness as 29.38/40 points. The patients with RA exacerbation showed a low sense of self-efficacy, yet a large group of such patients also presented high self-efficacy levels and the majority of the RA subjects in remission reported a high sense of self-efficacy. Conclusions: In the RA patients, satisfaction with life, generalized sense of self-efficacy and acceptance of illness were closely related and affected their general psychosocial functioning. [ABSTRACT FROM AUTHOR]

Introduction: Cancer threatens life and brings about many negative emotions in patients, which influence their satisfaction with life and contribute to a low level of their acceptance of illness. This is why the acceptance of illness is a serious problem among patients with cancer; contributes to the intensification of symptoms; and influences the patient's physical, mental, emotional, social, and spiritual condition. Aim: The purpose of this work is to assess the acceptance of illness and satisfaction with life in patients with cancer, as well as to identify social, demographical, and clinical factors that significantly differentiate their acceptance of illness and satisfaction with life. Materials and Methods: The study involved 120 patients with cancer aged 18 to 88. The study was conducted in the form of a questionnaire based on standard research tools: Acceptance of Illness (AIS), Satisfaction with Life Scale (SWLS), and Numerical Rating Scale (NRS). Social, demographical, and clinical data were collected in the original questionnaire. Results: A group of 120 patients was studied, including 55.83% (n = 67) women and 44.16% (n = 53) men. The average age was 56. A general acceptance-of-illness index obtained by the patients was 21.6 ± 7.32 and a general satisfaction-with-life index was 19.14 ± 5.78. The statistical analysis indicated a significant correlation between the acceptance of illness and the intensity of pain (rHO = −0.19; p < 0.05), fatigue ((Z = 1.92; p > 0.05), and diarrhoea (t(118) = 2.54; p < 0.05). The correlation between the intensity of pain and satisfaction with life was negative (rHO = −0.20; p < 0.05). Conclusion: The greater acceptance of illness, the greater satisfaction with life in patients with cancer. Pain, fatigue, and diarrhoea decrease the acceptance of illness. In addition, pain decreases the level of satisfaction with life. Social and demographical factors do not determine the level of acceptance of illness and satisfaction with life. [ABSTRACT FROM AUTHOR]

Context. Diabetes is a serious public health problem that is increasing worldwide. Objectives. The aim of this study is to evaluate acceptance of the illness, emotional distress, depression and quality of life in individuals with type 2 diabetes mellitus. Subjects and Methods. This study was conducted in 145 individuals with type 2 diabetes mellitus, 73 males (50.3%) and 72 females (49.7%), ranging in age from 20 to 65 years old. Research data were collected using the face-to-face interview technique by the researchers. The Acceptance of Illness Scale for the determination of individuals’ acceptance of the illness, Problem Areas in Diabetes Scale for emotional distress, Beck Depression Inventory for depression and Short Form-36 scales for quality of life was used. Results. The mean score of individuals’ Acceptance of Illness Scale was 30.2±5.62. Compared to women, men had lower emotional distress, depression levels (p<0.05), higher physical, mental quality of life (p<0.001). Correlations among acceptance of illness, emotional distress, depression and quality of life were found to be significant (p<0.05). Also, models of multiple linear regression analysis were statistically significant (p=0.000). Conclusions. The main goal in the treatment of diabetes should be to eliminate complaints in patients, to reduce, prevent or delay the development of complications, to increase the quality of life, to ensure that the individual has a physically, emotionally, spiritually and mentally regular life in addition to metabolic control. For this reason, it is beneficial to carry out the treatment with a multidisciplinary approach in type 2 diabetes mellitus. [ABSTRACT FROM AUTHOR]

Objectives: To explore the relationship between acceptance of illness and quality of life (QOL), and factors associated with acceptance of illness among men who have sex with men (MSM) living with human immunodeficiency virus (HIV). Methods: Three hundred and one MSM were recruited from an HIV clinic between August and December 2018. The battery of measurements consisted of the Acceptance of Illness Scale, World Health Organization Quality of Life Questionnaire for HIV brief version, HIV Cognitive Appraisal Scale and a self-designed questionnaire used to collect general information. Pearson correlation test was used to examine the relationship between acceptance of illness and QOL. Univariate and multivariate ordinal logistic regression analyses were used to examine whether the general data (demographic and HIV-related clinical data) and HIV cognitive appraisal were associated with acceptance of illness levels. Results: Descriptive analysis showed the acceptance level among MSM living with HIV was moderate (Mean = 26.29, SD = 5.28). Those with a better acceptance of illness had a better QOL (r = 0.69, P

Introduction: In Poland approximately 2% of the population are infected with HCV. The majority (70-80%) of persons infected with HCV develop chronic hepatitis C which, when untreated, may lead to cirrhosis and/or hepatocellular carcinoma. The skills of coping with stress and acceptance of chronic illness may motivate patients for participation in treatment and leading a health-promoting life style. Objective: The aim of the study was assessment of coping with illness in patients with chronic hepatitis C. Materials and Method: The study included 220 adults with chronic hepatitis C, and was conducted by the method of a diagnostic survey using the Polish questionnaire: Brief Method of Assessment of Coping with Illness (Krótka Metoda Oceny Radzenia Sobie z Chorobą - KMORSZCH), the Acceptance of Illness Scale (AIS), and an author-constructed questionnaire. Results: The examined group of patients with hepatitis C most strongly presented style oriented on emotions and passivity (mean score 1.20), and style focused on problem solving (mean score 1.05), followed by respondents who presented avoidance-oriented style (mean score 0.98), whereas the style focused on seeking the best solution to the problem was most rarely chosen (mean score 0.77). It was found that the more frequently the respondents presented style oriented on experiencing emotions and passivity, to the significantly lower degree they accepted their illness. Patients with higher education significantly more often presented style focused on seeking the best solution to the problem (p

Despite the extensive literature on stroke rehabilitation, there are few studies that comprehensively show non-ambulatory stroke patients. The aim of the study was to explore the dynamics of the change in physical activity (PA), psychological and functional outcomes, and the correlation between them in non-ambulatory patients during early in-patient post-stroke rehabilitation. Measurements were taken on 21 participants at the beginning of and 6 weeks post-conventional rehabilitation with the Barthel Index (BI), Berg Balance Scale (BBS), Trunk Control Test (TCT), Stroke Impact Scale (SIS), General Self-Efficacy Scale, Stroke Self-Efficacy Questionnaire (SSEQ), the original scale of belief in own impact on recovery (BiOIoR), Hospital Anxiety and Depression Scale, Acceptance of Illness Scale and when the patient could walk—Time Up & Go and 6 Minute Walk Test. Daily PA was assessed over 6 weeks using a Caltrac accelerometer. Only outcomes for BI, BBS, TCT, SIS, and SSEQ significantly improved 6 weeks post-rehabilitation. PA energy expenditure per day significantly increased over time (p < 0.001; effect size = 0.494), but PA only increased significantly up to the third week. PA change was correlated with BiOIoR post-treatment. Self-efficacy in self-management mediated improvement in SIS. The BiOIoR and confidence in self-management could be important factors in the rehabilitation process. [ABSTRACT FROM AUTHOR]

Context. Diabetes is a serious public health problem that is increasing worldwide. Objectives. The aim of this study is to evaluate acceptance of the illness, emotional distress, depression and quality of life in individuals with type 2 diabetes mellitus. Subjects and Methods. This study was conducted in 145 individuals with type 2 diabetes mellitus, 73 males (50.3%) and 72 females (49.7%), ranging in age from 20 to 65 years old. Research data were collected using the face-to-face interview technique by the researchers. The Acceptance of Illness Scale for the determination of individuals' acceptance of the illness, Problem Areas in Diabetes Scale for emotional distress, Beck Depression Inventory for depression and Short Form-36 scales for quality of life was used. Results. The mean score of individuals' Acceptance of Illness Scale was 30.2±5.62. Compared to women, men had lower emotional distress, depression levels (p<0.05), higher physical, mental quality of life (p<0.001). Correlations among acceptance of illness, emotional distress, depression and quality of life were found to be significant (p<0.05). Also, models of multiple linear regression analysis were statistically significant (p=0.000). Conclusions. The main goal in the treatment of diabetes should be to eliminate complaints in patients, to reduce, prevent or delay the development of complications, to increase the quality of life, to ensure that the individual has a physically, emotionally, spiritually and mentally regular life in addition to metabolic control. For this reason, it is beneficial to carry out the treatment with a multidisciplinary approach in type 2 diabetes mellitus. [ABSTRACT FROM AUTHOR]

This study aimed to determine the Acceptance of Illness and use of religious coping in patients with Familial Mediterranean Fever (FMF). This descriptive and cross-sectional study was conducted with 209 FMF patients, who came to be examined in the Rheumatology outpatient clinic of a Training and Research Hospital in Turkey between June and October 2020. Data were obtained using a Patient Information Form, the Acceptance of Illness Scale, and the Religious Coping Styles Scale. The patients' mean Acceptance of Illness score was 21.14 ± 8.44 (moderate level), their mean positive religious coping score was 20.46 ± 5.97, and their mean negative religious coping score was 10.63 ± 5.01. There was a weak, negative correlation between the patients' Acceptance of Illness and their negative religious coping. Nurses should help patients to develop their Religious Coping Styles by taking into consideration their beliefs, values, cultural, and social backgrounds. [ABSTRACT FROM AUTHOR]

Objective: To investigate the current state and related factors of the readiness for return-to-work in young and middle-aged patients with lymphoma. Methods: Totally 220 young and middle-aged patients with lymphoma who had not returned to work were selected from two tertiary hospitals in Zhengzhou. They were assessed with the Readiness for Return-to-work Scale (RRTW) and Acceptance of Illness Scale (AIS) . Logistic regression analysis was used to explore the related factors of readiness for return-to-work. Results: The distribution of readiness for return-to-work in young and middle-aged patients with lymphoma who did not return to work was contemplation stage, pre-contemplation stage, preparation for action-self-evaluative stage, and preparation for action-behaviour stage from high to low. Logistic regression analysis showed that patients with age≤44 years old, lower disease stage, higher scores of disease accept ancehad higher preparation for returning to work (OR=5. 88, 8. 31, 1. 29) . The readiness for return-to-work was lower in patients who had lower family income or engaged in manual work (OR=0. 40, 0. 27) . Conclusion: The study shows that a high proportion of young and middle-aged patients with lymphoma are not ready to return to work. The age, nature of work, disease stage, family income and acceptance of illness for the patients may be related to the readiness for return-to-work. [ABSTRACT FROM AUTHOR]

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Objective: To explore the relationship between perceived social support, acceptance of illness, and self-management behaviors and the mediating role of acceptance of illness in perceived social support and self-management behaviors., Methods: Between August 2022 and February 2023, 731 rural older adults with coronary heart disease in Feicheng City participated in this study. Correlation analysis was used to analyze the relationship between variables, and mediating effects were analyzed using AMOS 23.0 software., Results: Perceived social support and acceptance of illness were positively correlated with self-management behaviors. Acceptance of illness mediated the relationship between the perceived social support and the three dimensions of self-management behavior., Conclusion: These findings contribute to the understanding that increased perceived social support and acceptance of illness are more likely to improve self-management behaviors., Competing Interests: Declaration of competing interest The authors declare that there is no conflict of interest., (Copyright © 2024 Elsevier Inc. All rights reserved.)

Background: Malignant prostate cancer is associated with many negative psychological consequences in patients. Therefore, it is reasonable to explore intensity of the acceptance of cancer and the factors that determine its level. This study aims to determine which types of the appraisal of illness predict the acceptance of illness and to what extent. Patients and methods: This study was conducted in a group of forty-five prostate cancer inpatients for radiotherapy. The following tools measuring the appraisal of illness and acceptance of illness were used: the Disease-Related Appraisals Scale (DRAS) by Janowski, Steuden, Kurylowicz and Nieśpiałowska-Steuden, and the Acceptance of Illness Scale (AIS) by Janowski and Steuden. Results: Higher levels of satisfaction with life despite the disease were associated with a lower level of appraisal of illness as an obstacle/loss, a lower sense of harm and a greater tendency to interpret illness as a value. Reconcilement with the disease was negatively associated with the appraisal of illness as a threat and obstacle/loss. Self-distancing from the disease was negatively associated with the appraisal of illness as a threat and significant situation. The overall acceptance of illness score was negatively associated with the appraisal of illness as a threat and significant situation. Conclusions: The appraisal of illness as a challenge and obstacle/loss was the most common predictor of the acceptance of illness in prostate cancer patients. A greater level of appraisal of illness as a challenge contributes to a greater level of acceptance of illness in patients. A lower level of appraisal of illness as an obstacle/loss contributes to a greater level of acceptance of illness in prostate cancer patients. [ABSTRACT FROM AUTHOR]

Background: results of studies concerning the quality of life in chronic diseases and the predictors thereof are a source of valuable information making it possible to take the right actions, both educational, at every stage, and therapeutic. The assessment acceptance of illness and the quality of life enables the identification of patients' actual problems and objections as well as the recognition of their needs for the purpose of treatment optimization.Objective: The aim of the study was to evaluate the acceptance of the disease and the quality of life of patients with type 2 diabetes.Materials and methods: The study assessed disease acceptance and the quality of life in 194 people living with type 2 diabetes for over 10 years. The AIS (Acceptance of Illness) and WHOQoL –BREF questionnaires were used.Results: Acceptance of illness in the study group was average 24.21 points (SD=8.61).Patients are not satisfied with the quality of their life and their own health. According to the assessment of patients, the quality of their life is the highest in the social domain (mean13.72±2.18), slightly worse in the environmental domain (mean 13.31±2.1) and it is the worst in the mental (mean12.82±2.78) and physical (mean 12.02±3.24) domain. The AIS result significantly and positively correlated with each domain of life (all of them pConclusion: Acceptance of illness is an independent predictor of the quality of life in terms of the perception of own health and the perception of the quality of life in general. It also affects all domains of life. The greater the acceptance of illness, the higher the quality of life in all domains.

Introduction: Cancer threatens life and brings about many negative emotions in patients, which influence their satisfaction with life and contribute to a low level of their acceptance of illness. This is why the acceptance of illness is a serious problem among patients with cancer; contributes to the intensification of symptoms; and influences the patient’s physical, mental, emotional, social, and spiritual condition. Aim: The purpose of this work is to assess the acceptance of illness and satisfaction with life in patients with cancer, as well as to identify social, demographical, and clinical factors that significantly differentiate their acceptance of illness and satisfaction with life. Materials and Methods: The study involved 120 patients with cancer aged 18 to 88. The study was conducted in the form of a questionnaire based on standard research tools: Acceptance of Illness (AIS), Satisfaction with Life Scale (SWLS), and Numerical Rating Scale (NRS). Social, demographical, and clinical data were collected in the original questionnaire. Results: A group of 120 patients was studied, including 55.83% (n = 67) women and 44.16% (n = 53) men. The average age was 56. A general acceptance-of-illness index obtained by the patients was 21.6 ± 7.32 and a general satisfaction-with-life index was 19.14 ± 5.78. The statistical analysis indicated a significant correlation between the acceptance of illness and the intensity of pain (rHO = −0.19; p < 0.05), fatigue ((Z = 1.92; p > 0.05), and diarrhoea (t(118) = 2.54; p < 0.05). The correlation between the intensity of pain and satisfaction with life was negative (rHO = −0.20; p < 0.05). Conclusion: The greater acceptance of illness, the greater satisfaction with life in patients with cancer. Pain, fatigue, and diarrhoea decrease the acceptance of illness. In addition, pain decreases the level of satisfaction with life. Social and demographical factors do not determine the level of acceptance of illness and satisfaction with life.

Renal transplantation (RT) is the optimal renal replacement treatment approach in terms of patient survival and high quality of life. Proper adherence to medication is essential in order to prolong graft life and patient survival. This study aimed to investigate the effects of psychosocial factors and age-related declines on adherence in kidney transplant recipients. Methods: This was a cross-sectional study of kidney transplant recipients, based on regression analysis. Patient adherence was assessed with the Basel Assessment of Adherence with Immunosuppressive Medication Scale (BAASIS). Psychosocial and age-related variables were measured with the World Health Organization's quality of life questionnaire (WHOQoL-BREF), the Mini-Mental State Examination (MMSE), the Hospital Anxiety and Depression Scale (HADS), the Acceptance of Illness Scale (AIS), and the Tilburg Frailty Indicator (TFI). Results: A simple linear regression model indicated that the significant predictors of self-reported adherence (p < 0.05) were age, time since transplant, and anxiety and cognitive functions. For problems with implementing immunosuppressive medication, logistic regression models showed that gender, age, retirement status, hypercholesterolemia, and cognitive impairment were the most significant predictors (p < 0.05). However, after controlling for other predictors in the multiple regression models, anxiety and cognitive ability no longer predicted treatment adherence to immunosuppressive medication. Conclusions: Renal transplantation is the most effective therapy in chronic renal failure patients. Proper adherence to immunosuppressive therapy is critical to prolonging graft and person survival. Our study shows that occupational status more significantly influences adherence to the implementation of treatment in kidney transplant recipients. [ABSTRACT FROM AUTHOR]

Objective: To investigate the status of disease acceptance and the quality of life in patients with the inflammatory bowel disease (IBD), and to explore the relationship between them. Methods A total of 345 patients with IBD attending the Inflammatory Bowel Disease Center in Yunnan Province were selected as the study population by convenience sampling method. Data were collected using the General Information Questionnaire, the Chinese version of the Acceptance of Illness Scale (AIS), and the Inflammatory Bowel Disease Quality of Life Scale (IBDQ). Results The total scores of the disease acceptance and the quality of life of IBD patients were (21.95±5.58） and (166.41±30.75), respectively, which were positively correlated (r = 0.606, P＜0.01). Conclusion The higher the acceptance of IBD patients, the higher the quality of life. Therefore, nursing workers should guide IBD patients to correctly understand the disease, encourage them to accept the disease, so as to improve their quality of life. [ABSTRACT FROM AUTHOR]

Aim. Osteoporosis is a chronic disease and affects an increasing number of people in the ageing population. Due to its 'quiet' progress, it gradually impacts on the patient's daily functioning, resulting in reduction, then abandoning of existing forms of life activities and deterioration of mental state. The aim of the study was to analyze the levels of disease acceptance and satisfaction with life in women with postmenopausal osteoporosis depending on their body mass index. Material and method. The study included a group of 198 women, 72.3 ± 8.59 years old, diagnosed with postmenopausal osteoporosis treated in two Osteoporosis Treatment Centers in the city of Lodz. The study used the Acceptance of Illness Scale (AIS), the Satisfaction with Life Scale (SWLS), the Visual Analogue Scale (VAS), and a self-made survey. Results. The mean AIS score was 25.95 ± 10.20 points, which indicated a moderate level of acceptance and adjustment to the disease in the study group. The average level of satisfaction with life assessed on the SWLS was 19.37 ± 7.31 points and indicated moderate life satisfaction. The lowest acceptance of the disease (24.38 ± 11.3 points) was presented by underweight persons, while the lowest satisfaction with life (17.75 ± 7.50 points) was presented by overweight women. The subjects presented a mild level of pain according to the VAS scale (4.87 ± 2.39 points). The highest acceptance of the disease and satisfaction with life was presented by normal weight persons. Conclusions. The levels of disease acceptance and satisfaction with life in women with postmenopausal osteoporosis do not differ statistically significantly depending on body mass index. It was indicated that greater acceptance of the disease was accompanied by greater satisfaction with life in people with osteoporosis. Psychological aspects (AIS, SWLS) should be an important component of the assessment of therapy effectiveness in women undergoing a long-term treatment for postmenopausal osteoporosis. [ABSTRACT FROM AUTHOR]

Introduction: Gratitude is commonly known as a positive emotion, but it can also be understood as a disposition—one's inherent quality that includes being grateful for the positive aspects of one's life and appreciating altruistic gifts. A growing body of research suggests that having a disposition of gratitude is positively related to wellbeing and psychological adjustment. The present study examined the extent to which acceptance of illness—a measure of adjustment to a distressing condition—mediated relationships between dispositional gratitude and wellbeing among women who had elevated levels of depressive symptoms. Methods: Participants were 131 women who, based on scores on the Center for Epidemiological Studies Depression scale, were at-risk for experiencing clinical depression. Thirty-five of these participants had been diagnosed as depressed at some point in their lives and 96 had not. Participants completed measures of dispositional gratitude, wellbeing, anxiety, and acceptance of illness. Results: Dispositional gratitude was positively correlated with wellbeing and was negatively correlated with depression and anxiety. Dispositional gratitude was also positively correlated with acceptance of illness. Mediational analyses found that acceptance of illness mediated relationships between dispositional gratitude and wellbeing, between dispositional gratitude and anxiety, and between dispositional gratitude and depression. Moreover, such mediation varied as a function of whether women had ever been diagnosed as depressed. Acceptance of illness was related more strongly to wellbeing for women who had been diagnosed as depressed at some time in their lives than it was for women who had never been diagnosed as depressed. Conclusion: Women with elevated depressive symptoms who were more grateful (compared to those who were less grateful) were more accepting of their condition, which was related to increased wellbeing and decreased feelings of depression and anxiety. [ABSTRACT FROM AUTHOR]

Introduction. In Poland, approximately 730,000 people are infected with the hepatitis C virus (HCV). Acceptance of a chronic illness may positively motivate patients in the process of treatment. The higher the degree of illness acceptance, the lower the feeling of psychological discomfort and a lower intensity of negative emotions. Objective. The aim of the study was assessment of illness acceptance among patients with chronic hepatitis C, and determination of the level of the relationship between social and demographic variables, and the degree of illness acceptance. Materials and method. The study included 220 patients with a diagnosis of chronic hepatitis C. The research method was a diagnostic survey, while the instruments used were the Acceptance of Illness Scale (AIS) and an author-constructed questionnaire. Results. Respondents most frequently accepted their illness to the mean degree (30 scores), and a low category or even the lack of acceptance (<20 scores) of respondents. Urban inhabitants significantly more often accepted their illness to a high degree, compared to rural inhabitants. Disability pensioners and retired pensioners significantly more frequently accepted their disease in the category - low degree. The remaining independent variables: gender, age, education, marital status, number of years of illness, had no significant effect on the degree of acceptance of hepatitis C. Conclusions. The majority of patients diagnosed with chronic hepatitis C accept their illness to the mean degree. Patients with hepatitis C should be covered with psychological assistance in order to change the way of perception and evaluation of their health situation in more positive terms. [ABSTRACT FROM AUTHOR]

Acceptance of illness is related to better mental health among patients with chronic illness; however, this construct has not been evaluated as part of routine transplantation evaluations. The purpose of this study was to create a brief measure of acceptance of illness for patients pursuing organ transplantation and examine how acceptance is related to distress. Retrospective medical record reviews were conducted for 290 patients who completed a routine psychosocial evaluation prior to transplant listing which included the Illness Acceptance Scale (IAS). Internal consistency for the IAS was excellent (Cronbach's alpha =.92). Illness acceptance was negatively correlated with depression, anxiety, and catastrophizing and was not related to health literacy or health numeracy. The IAS is a reliable and valid measure for patients who are pursuing thoracic transplant or left ventricular assist device. Clinicians may want to screen transplant candidates for illness acceptance and refer those with lower levels to psychological interventions. [ABSTRACT FROM AUTHOR]

IntroductionGratitude is commonly known as a positive emotion, but it can also be understood as a disposition—one’s inherent quality that includes being grateful for the positive aspects of one’s life and appreciating altruistic gifts. A growing body of research suggests that having a disposition of gratitude is positively related to wellbeing and psychological adjustment. The present study examined the extent to which acceptance of illness—a measure of adjustment to a distressing condition—mediated relationships between dispositional gratitude and wellbeing among women who had elevated levels of depressive symptoms.MethodsParticipants were 131 women who, based on scores on the Center for Epidemiological Studies Depression scale, were at-risk for experiencing clinical depression. Thirty-five of these participants had been diagnosed as depressed at some point in their lives and 96 had not. Participants completed measures of dispositional gratitude, wellbeing, anxiety, and acceptance of illness.ResultsDispositional gratitude was positively correlated with wellbeing and was negatively correlated with depression and anxiety. Dispositional gratitude was also positively correlated with acceptance of illness. Mediational analyses found that acceptance of illness mediated relationships between dispositional gratitude and wellbeing, between dispositional gratitude and anxiety, and between dispositional gratitude and depression. Moreover, such mediation varied as a function of whether women had ever been diagnosed as depressed. Acceptance of illness was related more strongly to wellbeing for women who had been diagnosed as depressed at some time in their lives than it was for women who had never been diagnosed as depressed.ConclusionWomen with elevated depressive symptoms who were more grateful (compared to those who were less grateful) were more accepting of their condition, which was related to increased wellbeing and decreased feelings of depression and anxiety.

Objective: This study aimed to explore the intrapersonal and interpersonal effects of three personality traits—neuroticism, extraversion and conscientiousness—on depression and examine whether acceptance of illness mediates the actor and partner effects in advanced lung cancer patients and caregivers using the Actor–Partner Interdependence Mediation Model (APIMeM). Methods: A total of 304 dyads of advanced lung cancer patients and caregivers were studied. Personality traits, acceptance of illness and depression were measured using 44‐item Big Five Inventory, the Acceptance of Illness (AIS) scale and the Patient Health Questionnaire (PHQ‐9). Results: The APIMeMs suggested that there were significant actor–actor effects of the three personality traits on depression through their own acceptance of illness. Additionally, significant actor–partner effects of neuroticism and extraversion on depression were also found. Specifically, patients' neuroticism was negatively related to their own acceptance of illness, which increased caregivers' depression, and caregivers' higher extraversion was related to their own higher acceptance of illness, which reduced patients' depression. Furthermore, a significant partner–actor effect was only found in the neuroticism model. Patients' neuroticism was negatively related to caregivers' acceptance of illness, which increased caregivers' depression. Conclusion: The three personality traits had both interpersonal and intrapersonal effects on depression in advanced lung cancer patient–caregiver dyads, and acceptance of illness played an important mediating role in these relationships. [ABSTRACT FROM AUTHOR]

Problems faced by patients in adapting to life after stoma surgery can be affected by a multitude of factors including socioeconomic and clinical parameters. In India, a huge number of stoma surgeries are performed everyday with limited facility of specialised stoma care. Hence, this study seeks to explore and proportionally weigh the challenges faced by these patients in various aspects in order to channelise the information gained towards improved outcome. The study was conducted on 69 patients at the Department of Surgery in a tertiary care setting in eastern India. The instrument used was a three-section Questionnaire which included City of Hope National Medical Centre Questionnaire on Quality of Life, Acceptance of Illness Scale and Ostomy Adjustment Inventory 23. Mean total quality of life score 148.24 with lowest scores in the social domain. Average acceptance of illness score is 1.97 ± 0.11. Average adjustment score is 2.99. Factors like gender and the type of stoma (permanent or temporary) affected the quality of life and acceptance of illness outcomes. Age influenced psychosocial adjustment. Gender and type of stoma, i.e. temporary or permanent, have an impact on the perceived quality of life and acceptance level. Age influences level of adjustment to ostomy. This study revealed the specific issues which posed the biggest difficulties in adapting to a stoma in physical psychological as well as social domains among Indian patients. [ABSTRACT FROM AUTHOR]

This study was carried out to determine the effect of acceptance of illness on the comfort level in patients with type 2 diabetes mellitus. The study was conducted as a cross-sectional study between August 2017 and July 2018. The research population consisted of patients with type 2 diabetes mellitus treated in the endocrine and diabetes outpatient clinic of a hospital located in the east of Turkey. The study was completed with 561 patients. A Patient Questionnaire Form, the Acceptance of Illness Scale, and the General Comfort Questionnaire were used to collect data. Educational status, income status, profession, people with whom the patient lived together, frequency of follow-up, treatment method, and chronic complications were found to be important predictors related to acceptance of illness and general comfort levels of individuals with diabetes in the study. A positive and weak relationship was detected between the Acceptance of Illness Scale and the mean scores of the General Comfort Questionnaire and its sub-dimensions. There was a positive correlation between the comfort level and the acceptance of illness. As the level of acceptance increased, comfort was found to increase. In line with the results of the study, it is recommended to facilitate acceptance of illness, investigate the methods to improve adaptation, and plan interventions. [ABSTRACT FROM AUTHOR]

Zbigniew Guzek,1 Joanna Kowalska2 1Department of Neurological Rehabilitation, University Hospital in Zielona Góra, Zielona Góra, Poland; 2Department of Physiotherapy, University School of Physical Education, Wroclaw, PolandCorrespondence: Joanna Kowalska Department of PhysiotherapyUniversity School of Physical Education, Paderewskiego 35 Street, Wrocław 51-612, PolandTel +48 71 347-35-22Fax +48 71 347-30-81Email joanna.kowalska@awf.wroc.plIntroduction: The aim of this study was to analyse the level of illness and disability acceptance in stroke patients undergoing regular rehabilitation at two time points, before rehabilitation and after 3 weeks, and to answer the following questions: What is the functional and emotional status of stroke patients, characterized by a lower and higher level of illness acceptance before and after the 3-week rehabilitation period? What factors, including clinical, sociodemographic, functional and emotional, are associated with the degree of illness acceptance in patients who have suffered a first stroke?Sample and Methods: The study included 64 patients after first stroke, aged 50– 87 years. The following tests were used: Acceptance of Illness Scale, Geriatric Depression Scale, Rivermead Mobility Index and Barthel Index. Tests were conducted at two time points, the first before rehabilitation and the second after 3 weeks of regular rehabilitation.Results: The study group had an average level of acceptance of their illness and disability, both before and after 3 weeks of rehabilitation. After rehabilitation process, statistically significant improvements were achieved in acceptance of illness, mood disorders, functional status, mobility and locomotion. Low levels of illness acceptance were observed in stroke patients with a poorer functional condition, with mood disorders, with primary and vocational education.Conclusion: The results suggest that the level of illness acceptance may be an important factor in the rehabilitation of stroke patients; however, further studies are necessary.Keywords: stroke, older adults, rehabilitation, acceptance of illness, symptoms of depression, functional status

Joanna Szczepańska-Gieracha,1 Justyna Mazurek2 1Faculty of Physiotherapy, University School of Physical Education in Wroclaw, Wroclaw, Poland; 2Department and Division of Medical Rehabilitation, Wroclaw Medical University, Wroclaw, PolandCorrespondence: Justyna MazurekDepartment and Division of Medical Rehabilitation, Wroclaw Medical University, Borowska 213, Wroclaw 50-556, PolandEmail justyna.mazurek@umed.wroc.plIntroduction: Belief in one’s personal capabilities are conducive to achieving success and provides additional energy for action. The stronger the conviction of one’s self-efficacy, the higher the self-goals and the stronger the commitment to achieving them, despite any adversities. Our knowledge regarding the role of self-efficacy in post-stroke rehabilitation is still scarce.Aim of the Study: The study aimed to analyze characteristics related to high self-efficacy levels before and after rehabilitation and to determine the role of self-efficacy in this process.Materials and Methods: The study involved 99 stroke survivors. Participants’ mental and functional state were assessed using Generalized Self-Efficacy Scale (GSES), Barthel Index (BI), Acceptance of Illness Scale (AIS), Geriatric Depression Scale (GDS), Visual Analogue Scale for Pain (VAS), Instrumental Activities of Daily Living (IADL) and Rivermead Mobility Index (RMI). Patients were evaluated twice: on admission (T1) and 3 weeks into rehabilitation (T2).Results: Patients without self-efficacy improvement after 3 weeks of rehabilitation, on discharge from the ward demonstrated poorer well-being (p = 0.002, Hedges’ g = 0.63, 95% CI [0.24– 1.08]), lower illness acceptance levels (p < 0.001, Hedges’ g = − 0.78, 95% CI [− 1.25 – − 0.41]), poorer functional status in basic activities of daily living (p = 0.003, Hedges’ g = − 0.62, 95% CI [− 1 – − 0.25]), locomotive abilities (p = 0.004, Hedges’ g = − 0.58, 95% CI [− 1.12 – − 0.15]) and instrumental activities of daily living (p = 0.001, Hedges’ g = − 0.71, 95% CI [− 1.15 – − 0.34]).Conclusion: Self-efficacy level is significantly related to rehabilitation outcomes. A routine self-efficacy assessment during the rehabilitation process seems very important. Patients whose initial self-efficacy is low or remains unchanged despite rehabilitation require special attention. Close cooperation between all members of the therapeutic team is essential to strengthen, at each stage, the sense of self-efficacy in stroke survivors.Keywords: self-efficacy, rehabilitation outcomes, depression, acceptance of illness, behavior management

Abstract Background The study was performed to evaluate the association between socio-demographic factors on the one hand, and quality of life and illness acceptance on the other, in pregnant women with hyperglycemia. Methods The study was performed in the years 2016–2017 in south-eastern Poland. The study included 676 women: 339 pregnant women with hyperglycemia in the case group, and 337 healthy pregnant women in the control group. The research instruments applied included the WHOQOL-BREF quality of life questionnaire, the Acceptance of Illness Scale (AIS), and a general questionnaire. Results Factors associated with quality of life in women with hyperglycemia include: relationship status, residence, professional activity, living conditions, number of pregnancies, self-reported knowledge of diabetes treatment and lifestyle and also of the potential pregnancy complications and fetal health impact associated with the disease, as well as the type of diabetes treatment (p