CommonSenseModell

CommonSenseModell, commonly known in English as the Common-Sense Model of Self-Regulation (CSM), is a theoretical framework used in health psychology and behavioral medicine to describe how individuals perceive, interpret, and respond to health threats and illnesses. It explains how laypeople construct mental representations of their illness that guide coping and treatment decisions. In German-language literature the term "Common-Sense-Modell" or "Common Sense Modell der Krankheitsbewältigung" is often used.

Origins and core constructs. The model was developed in the 1980s by Howard Leventhal and colleagues. It posits that illness representations consist of multiple elements: identity (symptoms and label), cause, timeline (acute vs. chronic), consequences, and controllability or curability. Some formulations also include emotional representations and coherence. These representations shape appraisal, coping strategies, and the selection and evaluation of behaviors—such as seeking medical care, adhering to medications, or adopting lifestyle changes.

Research and measurement. Researchers study the model using surveys such as the Illness Perception Questionnaire (IPQ) and its revised forms. Longitudinal studies examine how changes in illness representations relate to adherence, symptom management, and outcomes.

Applications and limitations. Common-Sense Model has been applied to diverse conditions, including diabetes, cardiovascular disease, cancer, and chronic pain. It offers a basis for patient education and shared decision making. Criticisms include cultural variability, measurement challenges, and calls for integration with other theories to predict behavior more reliably.

See also. Illness representation, Self-regulation theory, Health psychology, Leventhal.