Research on the Commonsense Self-Regulation Model has emphasised reflective/conscious perceptual processes regarding illness threat (beliefs about symptoms, consequences, timeline, and curability) in predicting and changing coping behaviours. Understanding of illness self-regulation and avenues for intervention might be enriched by consideration of automatic processes that influence the recognition and identification of illness, response to illness, and ongoing management. This article adopts an integrative approach to (1) outline the theoretical importance of implicit processes in patients’ self-regulation of illness and methods to study them; (2) review research evidence for these processes, including interventions tested to modify them; and (3) outline avenues for future research. A substantial body of research on implicit processes (cognitive bias and interpretational bias) in illness maintenance in chronic illness has recently been extended to detection and interpretation of acute illness and new perspectives relating to the self-system. There is encouraging evidence that cognitive accessibility of coping and implicit attitudes may impact upon coping behaviours. Procedures that strategically automatise coping responses and create habits have considerable promise. We outline an agenda for future research in which health psychology accepts the challenge posed by the interplay of the reflective and associative systems in promoting effective self-regulation of illness.

中文翻译：

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疾病的自动处理和自我调节

关于常识自我调节模型的研究强调了在预测和改变应对行为时对疾病威胁（对症状，后果，时间表和可治愈性的信念）的反思/意识感知过程。通过考虑影响疾病识别和识别，对疾病的反应以及持续管理的自动过程，可以丰富对疾病自我调节和干预途径的了解。本文采用一种综合的方法来：（1）概述隐式过程在患者自我调节疾病中的理论重要性以及研究这些过程的方法；（2）审查这些过程的研究证据，包括经过测试以修改它们的干预措施；（3）概述了未来研究的途径。关于慢性病疾病维持中的内隐过程（认知偏见和解释性偏见）的大量研究最近已扩展到急性疾病的检测和解释以及与自我系统有关的新观点。有令人鼓舞的证据表明，应对的认知可达性和内在态度可能会影响应对行为。从战略上自动应对应对措施并养成习惯的程序具有可观的前景。我们概述了未来研究的议程，在该议程中，健康心理学接受了反射性和关联性系统在促进疾病的有效自我调节方面相互作用所带来的挑战。