EXAMINING THE IMPACT OF ILLNESS REPRESENTATIONS ON PSYCHOLOGICAL ADJUSTMENT TO CHRONIC ILLNESSES

Illness representations were assessed in 63 adults with rheumatoid art hritis (RA) and 66 with multiple sclerosis (MS). The relationship of i llness representations to concurrent and later mood was explored. MS p atients' beliefs in symptom variability were associated with higher de pressed mood 4 months later, over and above initial levels of depressi on. RA patients who saw RA as curable or who saw themselves as respons ible for the illness reported significant increases in depression over time. Belief in the serious consequences of RA interacted with later illness severity to predict change in depression. When belief in the s erious consequences of RA was high, less severe illness status was ass ociated with less depression and more severe illness status was associ ated with more depression. When RA was initially viewed as only modera tely serious, less severe illness was associated with somewhat higher levels of depression.