Negative health outcomes in depressed cardiac patients are associated with both low and high psychological well-being dimensions

Literature supports the positive effects of psychological well-being (P.W.B.) on health. However, most studies focused on the unitary construct of P.W.B., neglecting the different role played by distinct P.W.B. dimensions on health-related outcomes. The aim of this study was to determine whether unb...

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Published in:Psychology, health & medicine health & medicine, 2023-03, Vol.28 (3), p.555-563
Main Authors: Gostoli, Sara, Piolanti, Antonio, Buzzichelli, Sara, Benasi, Giada, Roncuzzi, Renzo, Abbate Daga, Giovanni, de Figueiredo, John M., Rafanelli, Chiara
Format: Article
Language:English
Subjects:
Acute coronary syndrome
Autonomy
Cardiac surgery
Coronary artery disease
demoralization
depression
Depression - psychology
health outcomes
Health status
Humans
Life Style
Medical prognosis
Mental depression
Outcome Assessment, Health Care
Participation
Patients
Personal development
Psychological assessment
Psychological Well-Being
Psychotherapy
Secondary prevention
Surveys and Questionnaires
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Summary:Literature supports the positive effects of psychological well-being (P.W.B.) on health. However, most studies focused on the unitary construct of P.W.B., neglecting the different role played by distinct P.W.B. dimensions on health-related outcomes. The aim of this study was to determine whether unbalanced (i.e. low or high) levels of P.W.B. dimensions could differentially affect cardiac course after acute coronary syndrome (A.C.S.), in terms of participation in secondary prevention (S.P.) and/or survival. The sample included 136 depressed and/or demoralized A.C.S. patients referred for a S.P. program on lifestyle modification, in addition to routine cardiac visits provided by the hospital where they were admitted. Psychological assessment included validated interviews on depression and demoralization, Symptom Questionnaire and Psychological Well-Being scales. 100 patients joined the S.P. program, 36 did not. Logistic regression revealed that older age (B = 0.051; p
ISSN:1354-8506
1465-3966
DOI:10.1080/13548506.2021.1975781