Recent research has examined patients’ drawings of their illness as a means to identify patients’ illness representations. The aim of this systematic review was to examine which representations are evident in patients’ drawings, and whether drawing assessments are associated with patient outcomes. Ten electronic databases were searched for published journal papers in English up to July 1 2017. Narrative synthesis summarized findings by participant characteristics, study design, illness representations, and associations with outcomes. There were 101 eligible studies, published across 29 different countries, with 27 different disease categories; 54 of the studies were with adults and 80 were cross-sectional. All core illness perception domains were evident; the most common being identity and related concepts (including symptoms, anatomy, pathophysiology), and emotional representations (including fear, denial, stigma). Perceptions of treatment and the clinical and social environment were evident. More organ damage drawn and larger drawing size were associated with worse perceptions and health outcomes, and drawings distinguished between patient groups. Limitations include the inability to conduct meta-analysis. In conclusion, patients’ drawings reveal additional domains of illness representations, specifically perceptions of pathophysiology, treatment and social environments, as well as illness pre-occupation. These findings expand theories of self-regulation and suggest image-based intervention strategies.

中文翻译：

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对患者病情的系统评价：使用常识模型的研究意义

最近的研究已经检查了病人的病情图，以此来确定病人的病情表现。该系统评价的目的是检查哪些代表在患者的图纸中是显而易见的，以及图纸评估是否与患者的预后相关。截至2017年7月1日，在十个电子数据库中搜索了英文发表的期刊论文。叙事综合总结了参与者的特征，研究设计，疾病代表以及与结果的关系。在29个国家/地区发布了101项合格研究，涉及27种不同疾病类别；其中有54项研究针对成人，其中80项是横断面研究。所有核心疾病感知领域都很明显；最常见的是身份和相关概念（包括症状，解剖结构，病理生理学）和情感表征（包括恐惧，否定，污名）。治疗的感觉以及临床和社会环境是显而易见的。抽取更多的器官损伤和较大的绘图尺寸与较差的感知力和健康结果相关联，并且在患者组之间区分绘图。局限性包括无法进行荟萃分析。总之，患者的绘画揭示了疾病表现的其他领域，特别是对病理生理，治疗和社会环境的了解，以及对疾病的关注。这些发现扩展了自我调节的理论，并提出了基于图像的干预策略。抽取更多的器官损伤和较大的绘图尺寸与较差的感知力和健康结果相关联，并且在患者组之间区分了绘图。局限性包括无法进行荟萃分析。总之，患者的绘画揭示了疾病表现的其他领域，特别是对病理生理，治疗和社会环境的了解，以及对疾病的关注。这些发现扩展了自我调节的理论，并提出了基于图像的干预策略。抽取更多的器官损伤和较大的绘图尺寸与较差的感知力和健康结果相关联，并且在患者组之间区分绘图。局限性包括无法进行荟萃分析。总之，患者的绘画揭示了疾病表现的其他领域，特别是对病理生理，治疗和社会环境的了解，以及对疾病的关注。这些发现扩展了自我调节的理论，并提出了基于图像的干预策略。治疗和社交环境，以及对疾病的关注。这些发现扩展了自我调节的理论，并提出了基于图像的干预策略。治疗和社交环境，以及对疾病的关注。这些发现扩展了自我调节的理论，并提出了基于图像的干预策略。