A longitudinal study on perceived health in cardiovascular patients: The role of conscientiousness, subjective wellbeing and cardiac self-efficacy

Autoři: Carmen Tabernero aff001;  Tamara Gutiérrez-Domingo aff001;  Michele Vecchione aff004;  Esther Cuadrado aff001;  Rosario Castillo-Mayén aff001;  Sebastián Rubio aff001;  Alicia Arenas aff001;  Javier Delgado-Lista aff001;  Pablo Jiménez-Pérez aff001;  Bárbara Luque aff001
Působiště autorů: Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), Hospital Reina Sofía, University of Córdoba, Córdoba, Spain aff001;  Instituto de Neurociencias de Castilla y León (INCYL), University of Salamanca, Salamanca, Spain aff002;  Department of Psychology, University of Córdoba, Córdoba, Spain aff003;  Department of Psychology, “Sapienza” University of Rome, Rome, Italy aff004;  Department of Social and Experimental Sciences, University of Córdoba, Córdoba, Spain aff005;  Department of Psychology, University of Seville, Seville, Spain aff006;  Department of Medicine, University of Córdoba, Córdoba, Spain aff007;  CIBER Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III, Cordoba, Spain aff008
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0223862


Cardiovascular disease (CVD) is the world’s most prevalent chronic disease and the leading chronic cause of morbidity. There are several psychosocial factors associated with quality of life during CVD. Our main objectives were to analyze the roles of conscientiousness, subjective wellbeing and self-efficacy beliefs. The sample comprised 514 patients (mean age 63.57 years) who were assessed twice over a nine-month interval. At Time 1, participants answered a questionnaire assessing conscientiousness, perceived subjective wellbeing (positive and negative affect, life satisfaction), cardiac self-efficacy and health-related quality of life (HRQoL). The same variables (except for conscientiousness) were re-assessed at Time 2. Results showed that conscientiousness had a positive relation with subjective wellbeing, cardiac self-efficacy, and HRQoL at Time 1. Moreover, cardiac self-efficacy at Time 1 had a positive longitudinal effect on HRQoL at Time 2, while controlling for autoregressive effects. Mediation analyses indicated that the relationship between conscientiousness and HRQoL was mediated by positive affect and cardiac self-efficacy. These results suggest the usefulness of psychosocial interventions aimed at promoting positive affect and self-efficacy beliefs among CVD patients.

Klíčová slova:

Balance and falls – Behavioral and social aspects of health – Cardiology – Cardiovascular diseases – Emotions – Patients – Personality – Quality of life


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2019 Číslo 10