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Leventhal's Self-Regulatory Model (SRM)

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Self-Regulatory Model (SRM) [1-4] is a cognitive-affective model that highlights the existence of the emotional component as well as the cognitive component; both of these components alter the perception of disease threat and influence each other. This model emphasizes the active role of the patient and his / her concrete action towards the change of behavior, which will allow effective interventions. According to the Self-Regulation Model, there is a simultaneity ratio between the cognitive and the emotional processing of the disease threat [4].
The Common Sense Model of Self-Regulation is a complex system that highlights the health and disease self-regulation [5]. In this model, Leventhal defines disease representations as a person’s perceptions …show more content…

In this respect, according to theory, disease representations are analyzed in terms of five basic dimensions: identity (perceived signs and symptoms, illness-related personal and familial experience); causality (beliefs about the cause / causes of the disease: genetic factors, stress, fate); timeline (beliefs about the evolution and the duration of the acute or chronic disease); consequences (psychosocial implications of the disease on the quality of personal and family life); and disease control (prevention, treatment). Different responses to the same disease or health risk are explained, in terms of theory, by different representations of the disease and by individuals’ …show more content…

Patients must continuously adjust to the threat to their own identity: at first, when they find out the diagnosis, and later, to the treatment, to various physical symptoms and to the emotional distress. This adjustment is considered by the Common Sense Model of Self-Regulation, where the patient with cancer is considered to be actively seeking and processing the information about the disease, building his/her own cognitive and emotional representations with regard to the disease and finally selecting and applying those coping procedures that will help him/her face the threat of disease [14,15]. If the adjustment efforts that focus on the problem or on the emotion are inadequate or inappropriate, individuals will experience fear or worry, according to Leventhal’s Common Sense Model of Self-Regulation, which originally did not include worry and risk perception; these concepts were later included in the extended versions of the self-regulation framework

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