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@ARTICLE{Drner:276322,
      author       = {Dörner, Marc and von Känel, Roland and Pazhenkottil, Aju
                      P and Altwegg, Rahel and König, Noelle and Nager, Ladina
                      and Attanasio, Veronica and Guth, Lisa and Zirngast, Sina
                      and Menzi, Anna and Zuccarella-Hackl, Claudia and Princip,
                      Mary},
      title        = {{D}imensional structure of the {B}rief {I}llness
                      {P}erception {Q}uestionnaire and {A}ssociation with adverse
                      childhood experiences in patients with an implantable
                      cardioverter-defibrillator.},
      journal      = {Scientific reports},
      volume       = {15},
      number       = {1},
      issn         = {2045-2322},
      address      = {[London]},
      publisher    = {Springer Nature},
      reportid     = {DZNE-2025-00285},
      pages        = {3731},
      year         = {2025},
      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.},
      keywords     = {Humans / Defibrillators, Implantable: psychology / Male /
                      Female / Surveys and Questionnaires / Adverse Childhood
                      Experiences / Middle Aged / Aged / Prospective Studies /
                      Perception / Adverse childhood experiences (Other) /
                      Dimensional structure of the Brief Illness Perception
                      Questionnaire (Other) / ICD shocks (Other) / Illness
                      perception (Other) / Implantable cardioverter-defibrillator
                      (Other) / Physical activity (Other)},
      cin          = {AG Schreiber},
      ddc          = {600},
      cid          = {I:(DE-2719)1310010},
      pnm          = {353 - Clinical and Health Care Research (POF4-353)},
      pid          = {G:(DE-HGF)POF4-353},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:39880904},
      doi          = {10.1038/s41598-025-88470-x},
      url          = {https://pub.dzne.de/record/276322},
}