Living with a chronic illness as a challenge to psychological development: The role of personal identity, sense of coherence and perceived self-efficacy

The aim of this paper is to propose lifespan developmental psychology as a theoretical framework for analysing the psychological aspects of living with chronic illness. The basic assumption of lifespan developmental psychology is that development occurs throughout the entire human life-cycle. Furthe...

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Main Authors: Silvia Bonino, Emanuela Calandri, Elena Cattelino
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Social Sciences and Humanities Open
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Online Access:http://www.sciencedirect.com/science/article/pii/S2590291125003481
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author Silvia Bonino
Emanuela Calandri
Elena Cattelino
author_facet Silvia Bonino
Emanuela Calandri
Elena Cattelino
author_sort Silvia Bonino
collection DOAJ
description The aim of this paper is to propose lifespan developmental psychology as a theoretical framework for analysing the psychological aspects of living with chronic illness. The basic assumption of lifespan developmental psychology is that development occurs throughout the entire human life-cycle. Furthermore, developmental psychology emphasizes the active role played by the individual in one's own development and pays particular attention to the adaptation processes involved. It underlines that development is prompted by challenging or crisis situations, provided that the person has the resources to deal with them.Based on these assumptions, chronic illness is considered not only as a constraint on development and a burden on existence, but also as a challenge that can promote psychological development: if illness undoubtedly entails considerable difficulties for personal development, it also has the potential to trigger transformation and positive adaptation processes.In this introductory theoretical article, we explain the model which we refer to and focus on three psychological variables, closely interrelated, that are crucial for adaptation to chronic illness: Personal identity, sense of coherence and self-efficacy. These aspects are particularly threatened by chronic illness, but also represent resources that can be strengthened and on which the person can count. We consider them key factors that can serve as resources in the process of personal development and adaptation to chronic illness throughout the lifespan. As examples, we report some of the results of our research on these aspects in people with multiple sclerosis. These findings confirm that it is useful to look at chronic illness from a developmental psychological perspective, not only for a deeper understanding of the processes involved, but also for the implementation of psychological support interventions.
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spelling doaj-art-e3ca0bdbfff249308a57237811a6be3c2025-08-20T02:36:26ZengElsevierSocial Sciences and Humanities Open2590-29112025-01-011110162010.1016/j.ssaho.2025.101620Living with a chronic illness as a challenge to psychological development: The role of personal identity, sense of coherence and perceived self-efficacySilvia Bonino0Emanuela Calandri1Elena Cattelino2Department of Psychology, University of Torino, Via Verdi 10, 10124, Torino, ItalyDepartment of Psychology, University of Torino, Via Verdi 10, 10124, Torino, ItalyDepartment of Social and Human Sciences, University of Valle d’Aosta, Strada Cappuccini 2/a, 11100, Aosta, Italy; Corresponding authorThe aim of this paper is to propose lifespan developmental psychology as a theoretical framework for analysing the psychological aspects of living with chronic illness. The basic assumption of lifespan developmental psychology is that development occurs throughout the entire human life-cycle. Furthermore, developmental psychology emphasizes the active role played by the individual in one's own development and pays particular attention to the adaptation processes involved. It underlines that development is prompted by challenging or crisis situations, provided that the person has the resources to deal with them.Based on these assumptions, chronic illness is considered not only as a constraint on development and a burden on existence, but also as a challenge that can promote psychological development: if illness undoubtedly entails considerable difficulties for personal development, it also has the potential to trigger transformation and positive adaptation processes.In this introductory theoretical article, we explain the model which we refer to and focus on three psychological variables, closely interrelated, that are crucial for adaptation to chronic illness: Personal identity, sense of coherence and self-efficacy. These aspects are particularly threatened by chronic illness, but also represent resources that can be strengthened and on which the person can count. We consider them key factors that can serve as resources in the process of personal development and adaptation to chronic illness throughout the lifespan. As examples, we report some of the results of our research on these aspects in people with multiple sclerosis. These findings confirm that it is useful to look at chronic illness from a developmental psychological perspective, not only for a deeper understanding of the processes involved, but also for the implementation of psychological support interventions.http://www.sciencedirect.com/science/article/pii/S2590291125003481Chronic illnessLifespan developmental psychologyResourcesIdentitySense of coherenceSelf-efficacy
spellingShingle Silvia Bonino
Emanuela Calandri
Elena Cattelino
Living with a chronic illness as a challenge to psychological development: The role of personal identity, sense of coherence and perceived self-efficacy
Social Sciences and Humanities Open
Chronic illness
Lifespan developmental psychology
Resources
Identity
Sense of coherence
Self-efficacy
title Living with a chronic illness as a challenge to psychological development: The role of personal identity, sense of coherence and perceived self-efficacy
title_full Living with a chronic illness as a challenge to psychological development: The role of personal identity, sense of coherence and perceived self-efficacy
title_fullStr Living with a chronic illness as a challenge to psychological development: The role of personal identity, sense of coherence and perceived self-efficacy
title_full_unstemmed Living with a chronic illness as a challenge to psychological development: The role of personal identity, sense of coherence and perceived self-efficacy
title_short Living with a chronic illness as a challenge to psychological development: The role of personal identity, sense of coherence and perceived self-efficacy
title_sort living with a chronic illness as a challenge to psychological development the role of personal identity sense of coherence and perceived self efficacy
topic Chronic illness
Lifespan developmental psychology
Resources
Identity
Sense of coherence
Self-efficacy
url http://www.sciencedirect.com/science/article/pii/S2590291125003481
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