Dimensional structure of the Brief Illness Perception Questionnaire and Association with adverse childhood experiences in patients with an implantable cardioverter-defibrillator
Abstract Illness perceptions (IP), as measured by the Brief Illness Perception Questionnaire (BIPQ), and adverse childhood experiences (ACE) have been shown to affect the physical and psychological well-being in different patient populations. However, little is known about IP and ACE in patients wit...
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Nature Portfolio
2025-01-01
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| Online Access: | https://doi.org/10.1038/s41598-025-88470-x |
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| author | Marc Dörner Roland von Känel Aju P. Pazhenkottil Rahel Altwegg Noelle König Ladina Nager Veronica Attanasio Lisa Guth Sina Zirngast Anna Menzi Claudia Zuccarella-Hackl Mary Princip |
| author_facet | Marc Dörner Roland von Känel Aju P. Pazhenkottil Rahel Altwegg Noelle König Ladina Nager Veronica Attanasio Lisa Guth Sina Zirngast Anna Menzi Claudia Zuccarella-Hackl Mary Princip |
| author_sort | Marc Dörner |
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| description | Abstract Illness perceptions (IP), as measured by the Brief Illness Perception Questionnaire (BIPQ), and adverse childhood experiences (ACE) have been shown to affect the physical and psychological well-being in different patient populations. However, little is known about IP and ACE in patients with an implantable cardioverter-defibrillator (ICD). Our objectives were to investigate the dimensional structure and to evaluate correlates of the BIPQ in ICD patients. 423 patients with an ICD were prospectively recruited. We conducted a principal component analysis to determine the dimensional structure of the BIPQ. Associations between ACE, other sociodemographic and clinical variables, and IP were analysed using a multivariable linear regression. We identified a two-factor structure (I = Consequences, II = Control) of the BIPQ. Among others, a higher number of ICD shocks in the past (0.21, 95% CI = 0.01–0.41, p = 0.036), low physical activity (-2.16, 95% CI = -4.37 to -0.37, p = 0.045), more frequent ACE (0.56, 95% CI = 0.08–1.22, p = 0.030), ICD shock-related concerns (0.75, 95% CI 0.62–0.89, p < 0.001), and primary ICD indication (-2.29, 95% CI -4.47 to -0.11, p = 0.039) were significantly associated with more threatening IP. The identification of those variables might lead to more precise interventions targeting maladaptive IP in this vulnerable patient population. |
| format | Article |
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| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj-art-33af821481db43e0bc71bc11d22243bc2025-02-02T12:15:52ZengNature PortfolioScientific Reports2045-23222025-01-011511910.1038/s41598-025-88470-xDimensional structure of the Brief Illness Perception Questionnaire and Association with adverse childhood experiences in patients with an implantable cardioverter-defibrillatorMarc Dörner0Roland von Känel1Aju P. Pazhenkottil2Rahel Altwegg3Noelle König4Ladina Nager5Veronica Attanasio6Lisa Guth7Sina Zirngast8Anna Menzi9Claudia Zuccarella-Hackl10Mary Princip11Department of Consultation-Liaison-Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of ZurichDepartment of Consultation-Liaison-Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of ZurichDepartment of Consultation-Liaison-Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of ZurichDepartment of Consultation-Liaison-Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of ZurichDepartment of Consultation-Liaison-Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of ZurichDepartment of Consultation-Liaison-Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of ZurichDepartment of Consultation-Liaison-Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of ZurichDepartment of Consultation-Liaison-Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of ZurichDepartment of Consultation-Liaison-Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of ZurichDepartment of Consultation-Liaison-Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of ZurichDepartment of Consultation-Liaison-Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of ZurichDepartment of Consultation-Liaison-Psychiatry and Psychosomatic Medicine, University Hospital Zurich, University of ZurichAbstract Illness perceptions (IP), as measured by the Brief Illness Perception Questionnaire (BIPQ), and adverse childhood experiences (ACE) have been shown to affect the physical and psychological well-being in different patient populations. However, little is known about IP and ACE in patients with an implantable cardioverter-defibrillator (ICD). Our objectives were to investigate the dimensional structure and to evaluate correlates of the BIPQ in ICD patients. 423 patients with an ICD were prospectively recruited. We conducted a principal component analysis to determine the dimensional structure of the BIPQ. Associations between ACE, other sociodemographic and clinical variables, and IP were analysed using a multivariable linear regression. We identified a two-factor structure (I = Consequences, II = Control) of the BIPQ. Among others, a higher number of ICD shocks in the past (0.21, 95% CI = 0.01–0.41, p = 0.036), low physical activity (-2.16, 95% CI = -4.37 to -0.37, p = 0.045), more frequent ACE (0.56, 95% CI = 0.08–1.22, p = 0.030), ICD shock-related concerns (0.75, 95% CI 0.62–0.89, p < 0.001), and primary ICD indication (-2.29, 95% CI -4.47 to -0.11, p = 0.039) were significantly associated with more threatening IP. The identification of those variables might lead to more precise interventions targeting maladaptive IP in this vulnerable patient population.https://doi.org/10.1038/s41598-025-88470-xAdverse childhood experiencesImplantable cardioverter-defibrillatorIllness perceptionICD shocksPhysical activityDimensional structure of the Brief Illness Perception Questionnaire |
| spellingShingle | Marc Dörner Roland von Känel Aju P. Pazhenkottil Rahel Altwegg Noelle König Ladina Nager Veronica Attanasio Lisa Guth Sina Zirngast Anna Menzi Claudia Zuccarella-Hackl Mary Princip Dimensional structure of the Brief Illness Perception Questionnaire and Association with adverse childhood experiences in patients with an implantable cardioverter-defibrillator Scientific Reports Adverse childhood experiences Implantable cardioverter-defibrillator Illness perception ICD shocks Physical activity Dimensional structure of the Brief Illness Perception Questionnaire |
| title | Dimensional structure of the Brief Illness Perception Questionnaire and Association with adverse childhood experiences in patients with an implantable cardioverter-defibrillator |
| title_full | Dimensional structure of the Brief Illness Perception Questionnaire and Association with adverse childhood experiences in patients with an implantable cardioverter-defibrillator |
| title_fullStr | Dimensional structure of the Brief Illness Perception Questionnaire and Association with adverse childhood experiences in patients with an implantable cardioverter-defibrillator |
| title_full_unstemmed | Dimensional structure of the Brief Illness Perception Questionnaire and Association with adverse childhood experiences in patients with an implantable cardioverter-defibrillator |
| title_short | Dimensional structure of the Brief Illness Perception Questionnaire and Association with adverse childhood experiences in patients with an implantable cardioverter-defibrillator |
| title_sort | dimensional structure of the brief illness perception questionnaire and association with adverse childhood experiences in patients with an implantable cardioverter defibrillator |
| topic | Adverse childhood experiences Implantable cardioverter-defibrillator Illness perception ICD shocks Physical activity Dimensional structure of the Brief Illness Perception Questionnaire |
| url | https://doi.org/10.1038/s41598-025-88470-x |
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