eCite Digital Repository

Unrealistic pessimism about risk of coronary heart disease and stroke in patients with type 2 diabetes


Asimakopoulou, KG and Skinner, TC and Spimpolo, J and Marsh, S and Fox, C, Unrealistic pessimism about risk of coronary heart disease and stroke in patients with type 2 diabetes, Patient Education and Counseling: An Interdisciplinary Journal for Patient Education Researchers and Managers, 71, (1) pp. 95-101. ISSN 0738-3991 (2008) [Refereed Article]

Not available

Copyright Statement

The definitive version is available at

DOI: doi:10.1016/j.pec.2007.12.007


Objective: We examined the accuracy of type 2 diabetes (T2D) patients' risk estimates of developing coronary heart disease (CHD)/having a stroke as a consequence of diabetes and their mood about these risks. Methods: Patients reported their perceived risks of developing CHD/having a stroke and rated their mood about these risks using a self-report measure. Using an objective risk calculator, they were then told their actual risk of CHD and stroke and their mood was re-assessed. Results: Patients' estimates of their risk of CHD/stroke were grossly inflated. A negative relationship between disease risk and mood was also seen where higher risk of actual and perceived CHD/stroke was related to worse mood. A positive relationship between mood and extent of perceptual error was further observed; the more inaccurate patients' perceptions of CHD/stroke risk were, the better their mood. Mood improved after patients were given accurate risk information. Conclusion: T2D patients are unrealistically pessimistic about their risk of developing CHD/stroke. These risks and the extent of perceptual risk error are associated with mood, which improves upon providing patients with accurate risk information about CHD/stroke. Practice implications: These results have implications for the routine communication of risk to T2D patients. © 2007 Elsevier Ireland Ltd. All rights reserved.

Item Details

Item Type:Refereed Article
Research Division:Biomedical and Clinical Sciences
Research Group:Cardiovascular medicine and haematology
Research Field:Cardiovascular medicine and haematology not elsewhere classified
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Skinner, TC (Professor Timothy Skinner)
ID Code:74156
Year Published:2008
Web of Science® Times Cited:28
Deposited By:Research Division
Deposited On:2011-11-14
Last Modified:2012-03-14

Repository Staff Only: item control page