Campus Units

Psychology

Document Type

Article

Publication Version

Accepted Manuscript

Publication Date

10-2-2019

Journal or Book Title

Health Psychology Review

Volume

13

Issue

4

First Page

378

Last Page

405

DOI

10.1080/17437199.2018.1503559

Abstract

Research on the Commonsense Self-Regulation Model has emphasised reflective/conscious perceptual processes regarding illness threat (beliefs about symptoms, consequences, timeline, and curability) in predicting and changing coping behaviours. Understanding of illness self-regulation and avenues for intervention might be enriched by consideration of automatic processes that influence the recognition and identification of illness, response to illness, and ongoing management. This article adopts an integrative approach to (1) outline the theoretical importance of implicit processes in patients’ self-regulation of illness and methods to study them; (2) review research evidence for these processes, including interventions tested to modify them; and (3) outline avenues for future research. A substantial body of research on implicit processes (cognitive bias and interpretational bias) in illness maintenance in chronic illness has recently been extended to detection and interpretation of acute illness and new perspectives relating to the self-system. There is encouraging evidence that cognitive accessibility of coping and implicit attitudes may impact upon coping behaviours. Procedures that strategically automatise coping responses and create habits have considerable promise. We outline an agenda for future research in which health psychology accepts the challenge posed by the interplay of the reflective and associative systems in promoting effective self-regulation of illness.

Comments

This is an Accepted Manuscript of an article published by Taylor & Francis in Health Psychology Review in 2019, available online at DOI: 10.1080/17437199.2018.1503559. Posted with permission.

Copyright Owner

Informa UK Limited, trading as Taylor & Francis Group

Language

en

File Format

application/pdf

Published Version

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