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Self-Care Management and Negative Automatic Thoughts Among Individuals With Chronic Diseases: A Cross-Sectional Study.

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Τίτλος: Self-Care Management and Negative Automatic Thoughts Among Individuals With Chronic Diseases: A Cross-Sectional Study.
Συγγραφείς: Kahraman F; Department of Nursing, Faculty of Health Science, Igdır University, Igdır, Turkey., Durar E; Department of Nursing, Faculty of Health Science, Igdır University, Igdır, Turkey., Durmuş M; Department of Nursing, Faculty of Health Science, Muş Alparslan University, Muş, Turkey.
Πηγή: Nursing open [Nurs Open] 2026 Aug; Vol. 13 (8), pp. e70756.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: John Wiley & Sons, Inc Country of Publication: United States NLM ID: 101675107 Publication Model: Print Cited Medium: Internet ISSN: 2054-1058 (Electronic) Linking ISSN: 20541058 NLM ISO Abbreviation: Nurs Open Subsets: MEDLINE
Imprint Name(s): Original Publication: [Hoboken, NJ] : John Wiley & Sons, Inc., [2014]-
Ιατρικοί όροι (MeSH): Self Care*/psychology , Self Care*/methods, Chronic Disease/psychology ; Chronic Disease/therapy ; Quality of Life/psychology ; Humans ; Cross-Sectional Studies ; Female ; Male ; Middle Aged ; Adult ; Surveys and Questionnaires ; Turkey ; Aged
Περίληψη: Aim: This study aimed to investigate the impact of chronic illness self-care management on negative automatic thoughts among individuals with chronic conditions.
Design: A descriptive cross-sectional design was employed.
Methods: The study was conducted between January 5 and May 20, 2023, with 439 individuals diagnosed with chronic diseases (including circulatory, nervous and endocrine system disorders) residing in Turkey. Participants were selected utilising a non-probability convenience sampling method. Data were collected entirely through virtual outreach and web-based survey methodologies meticulously structured in accordance with the CHERRIES and STROBE guidelines. Data collection instruments included a Socio-demographic Information Form, the Self-Care Management in Chronic Diseases Scale (SCMCDS) and the Automatic Thoughts Questionnaire (ATQ). Parametric data were analysed using descriptive statistics, independent samples t-tests, one-way ANOVA with Benjamini-Hochberg False Discovery Rate (FDR) correction, Pearson correlation and multiple linear regression analysis.
Results: The mean age of the participants was 49.28 ± 18.53. Total ATQ scores exhibited statistically significant differences based on income status, occupation, mental health status, quality of life, smoking habits and alcohol consumption (p < 0.05). A low-level, statistically significant negative association was identified between the global Negative Automatic Thoughts Scale and the global Chronic Illness Self-Care Management Scale [r(439) = -0.159, p < 0.05]. Multiple linear regression analysis indicated that self-care management sub-dimensions significantly predicted negative automatic thoughts, collectively accounting for 37.9% of the explained variance [F(2, 436) = 134.480, p < 0.05, R2 adj = 0.379]. According to the standardised regression coefficients, social protection (β = -0.597, p < 0.05) and self-protection (β = 0.352, p < 0.05) emerged as the significant predictors within the multivariate model.
Conclusion: Enhanced global self-care management substantially diminishes negative automatic thoughts in individuals with chronic conditions, primarily driven by the adaptive capacity of social protection mechanisms. Comprehensive nurse-led counselling programs, specific task-oriented screening tools and targeted cognitive-behavioural interventions should be systematically integrated into primary healthcare services to reduce immediate cognitive distortions, mitigate anxiety-induced hypervigilance and enhance functional self-care behaviours across health networks.
Patient or Public Contribution: Participants voluntarily contributed data regarding their self-care management practices and negative automatic thoughts. Neither the patients nor the public were involved in the study design, conduct, reporting, or dissemination plans.
(© 2026 The Author(s). Nursing Open published by John Wiley & Sons Ltd.)
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Contributed Indexing: Keywords: Turkey; chronic disease; negative automatic thoughts; self‐care management
Entry Date(s): Date Created: 20260818 Date Completed: 20260818 Latest Revision: 20260818
Update Code: 20260819
DOI: 10.1002/nop2.70756
PMID: 42612156
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:2054-1058
DOI:10.1002/nop2.70756