<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Lisa Van Wilder</style></author><author><style face="normal" font="default" size="100%">Sophie Vandepitte</style></author><author><style face="normal" font="default" size="100%">Els Clays</style></author><author><style face="normal" font="default" size="100%">Brecht Devleesschauwer</style></author><author><style face="normal" font="default" size="100%">Peter Pype</style></author><author><style face="normal" font="default" size="100%">Pauline Boeckxstaens</style></author><author><style face="normal" font="default" size="100%">Diëgo Schrans</style></author><author><style face="normal" font="default" size="100%">Delphine De Smedt</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Psychosocial factors associated with health-related quality of life in patients with chronic disease: Results of a cross-sectional survey</style></title><secondary-title><style face="normal" font="default" size="100%">Chronic Illn</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Chronic disease</style></keyword><keyword><style  face="normal" font="default" size="100%">EQ-5D</style></keyword><keyword><style  face="normal" font="default" size="100%">health-related quality of life</style></keyword><keyword><style  face="normal" font="default" size="100%">illness perception</style></keyword><keyword><style  face="normal" font="default" size="100%">multimorbidity</style></keyword><keyword><style  face="normal" font="default" size="100%">psychosocial factors</style></keyword><keyword><style  face="normal" font="default" size="100%">sense of coherence</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2023</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2023 Dec</style></date></pub-dates></dates><number><style face="normal" font="default" size="100%">757</style></number><volume><style face="normal" font="default" size="100%">19</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;&lt;b&gt;OBJECTIVE: &lt;/b&gt;The impact of various psychosocial factors (sense of coherence, illness perception, patient enablement, self-efficacy, health literacy, personality) is not fully understood across a wide range of chronic diseases, and in particular in patients with multimorbidity. As such, this study assessed the key psychosocial factors associated with impaired health-related quality of life (HRQoL) in patients with one or more chronic diseases based on cross-sectional data collected in Flanders (Belgium).&lt;/p&gt;

&lt;p&gt;&lt;b&gt;METHODS: &lt;/b&gt;Cross-sectional data on 544 chronically ill patients were analysed. Multiple linear regression models were built to analyze the key psychosocial factors associated with HRQoL (EQ-5D-5L as dependent factor).&lt;/p&gt;

&lt;p&gt;&lt;b&gt;RESULTS: &lt;/b&gt;Overall, the strongest independently associated factor with HRQoL was illness perceptions (β = -0.52, P &amp;lt; 0.001). In addition, sense of coherence (β = 0.14, P = &amp;lt; 0.05) was independently positively associated with HRQoL. Moreover, after stratification for multimorbidity, the negative association of illness perceptions with HRQoL was stronger when multimorbidity is present compared to when it is absent (β = -0.62, P &amp;lt; 0.001 vs β = -0.38, P &amp;lt; 0.001).&lt;/p&gt;

&lt;p&gt;&lt;b&gt;CONCLUSIONS: &lt;/b&gt;This study revealed interesting associations of the modifiable psychosocial factors of illness perceptions and sense of coherence with HRQoL in a population of chronically ill persons. Given that the burden of chronic diseases will rise in the next decades, designing and implementing interventions that enhance these psychosocial abilities of patients, especially illness perceptions in multimorbid patients, is needed in order to reduce the burden of chronic diseases in terms of impaired HRQoL.&lt;/p&gt;
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