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Psychosocial well-being over the two years following cardiac rehabilitation initiation & association with heart-health behaviors

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Date

2018-05

Authors

Ali, S.
Santiago de Araújo Pio, Carolina
Chaves, Gabriela
Britto, Raquel
Cribbie, Robert
Grace, Sherry L.

Journal Title

Journal ISSN

Volume Title

Publisher

Elsevier

Abstract

The objective of this research was to track psychosocial well-being over 2 years following cardiac rehabilitation (CR) initiation, and its' association with heart-health behaviors. Patients from 3 CR programs were approached at their first visit,and consenters completed a survey. Participants were emailed surveys again 6 months, 1 and 2 years later. Depressive symptoms (PHQ-8) and quality of life were assessed at each point, as were exercise, nutrition, smoking and medication adherence, among other well-being indicators. Of 411 participants, 46.7% were retained at 2 years. Post-CR, there was 70% concordance between participants' desired and actual work status. Depressive symptoms were consistently minimal over time (mean = 3.17 ± 0.37); Quality of life was high, and increased over time (p = .01). At 2 years, 56.9% participants met exercise recommendations, and 5.4% smoked. With adjustment, greater self-regulation was associated with significantly greater exercise at intake; greater exercise self-efficacy was significantly associated with greater exercise at 1 year; greater disease management self-efficacy was significantly associated with greater exercise at 2 years; greater environmental mastery (actual) was significantly associated with greater exercise at 2 years. Lower depressive symptoms were significantly associated with better nutrition at 2 years. CR initiators are thriving, and this relates to better exercise and diet.

Description

Keywords

Cardiac rehabilitation, Exercise, Heart disease, Psychology

Citation

Ali, S., Santiago de Araújo Pio, C., Chaves, G. S. S., Britto, R., Cribbie, R. A., & Grace, S. L. (2018). Psychosocial well-being over the two years following cardiac rehabilitation initiation & association with heart-health behaviors. General Hospital Psychiatry, 52, 48-57. doi: 10.1016/j.genhosppsych.2018.03.006.