Predictors of psychosocial adjustment in people with physical disease

Aims. The purpose of this paper was to examine the demographic, medical and psychosocial variables that result in the deterioration of psychosocial adjustment in patients with physical disease, the meaning their illness has for them and their coping style. Methods. The study was carried out in inpatient clinics of the Istanbul Faculty of Medicine (n = 198). The following evaluation instruments were used: a semi‐structured questionnaire, the Psychosocial Adjustment to Illness Scale‐Self Report (PAIS‐SR), the Meaning of Illness Questionnaire (MIQ), the Hospital Anxiety–Depression Scale, the Multivariate Perceived Social Support Questionnaire and the Ways of Coping Inventory (WCI). Variables to be related with psychosocial adjustment were analysed by using Forward Logistic Regression. Results. The mean age of patients was 36·9 (SD 12·9) (18–65), 55% of which were women, the average PAIS‐SR score was 1·02 (SD 0·41) (0·7–2·26); 47% of the patients had poor adjustment scores. Univariate analysis showed that psychosocial adjustment was affected by having children (p = 0·02), anxiety, depression, locus of control, perceived social support (p