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

Souhrn

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


Zdroje

1. Joseph P, Leong D, McKee M, Anand S, Schwalm JD, Tee K, et al. Reducing the Global Burden of Cardiovascular Disease. Part 1: The Epidemiology and Risk Factors. Circ Res. 2017;121(6):677–94. doi: 10.1161/CIRCRESAHA.117.308903 28860318

2. World Health Organization Regional Office for Europe. European Health for All Database (HFA-DB). 2016. Available from: http://www.euro.who.int/en/data-and-evidence/databases/european-health-for-all-database-hfa-db

3. Wilkins E, Wilson L, Wickramasinghe K, Bhatnagar P, Leal J, Luengo-Fernandez R, et al. European Cardiovascular Disease Statistics 2017. Brussels: European Heart Network; 2017.

4. Statistics National Institute. Deaths by death's cause. National Tables Deaths due to causes (reduced list), sex and age; 2016. Available from: http://www.ine.es/dyngs/INEbase/es/operacion.htm?c=Estadistica_C&cid=1254736176780&menu=ultiDatos&idp=1254735573175

5. World Health Organization. Who Global NCD Action Plan 2013–2020. Geneva: WHO; 2013.

6. Bandura A. The primacy of self-regulation in health promotion. Appl Psychol-Int Rev. 2005;54(2):245–54. doi: 10.1111/j.1464-0597.2005.00208.x

7. Costa PT, McCrae RR. Revised NEO Personality Inventory (NEO-PI-R) and NEO Five-Factor Inventory (NEO-FFI) manual. Odessa, FL: Psychological Assessment Resources; 1992.

8. Friedman HS, Kern ML. Personality, Well-Being, and Health. Annu Rev Psychol. 2014;65(1):719–42. doi: 10.1146/annurev-psych-010213-115123 24405364

9. Jokela M, Pulkki-Raback L, Elovainio M, Kivimaeki M. Personality traits as risk factors for stroke and coronary heart disease mortality: pooled analysis of three cohort studies. J Behav Med. 2014;37(5):881–9. doi: 10.1007/s10865-013-9548-z 24203126

10. Burke GL, Arnold AM, Bild DE, Cushman M, Fried LP, Newman A, et al. Factors associated with healthy aging: The cardiovascular health study. J Amer. Geriat Soc. 2001;49: 254–262. doi: 10.1046/j.1532-5415.2001.4930254.x 11300235

11. Karademas EC, Tsaousis I. The Relationship of Patient and Spouse Personality to Cardiac Patients' Health: Two Observational Studies of Mediation and Moderation. Ann Behav Med. 2014;47(1):79–91. doi: 10.1007/s12160-013-9523-5 23780734

12. Friedman HS, Kern ML, Hampson SE, Duckworth AL. A New Life-Span Approach to Conscientiousness and Health: Combining the Pieces of the Causal Puzzle. Dev Psychol. 2014;50(5):1377–1389. doi: 10.1037/a0030373 23088747

13. Alessandri G, Zuffianò A, Fabes R, Vecchione M, Martin C. Linking positive affect and positive self-beliefs in daily life. J Happiness Stud. 2014;15(6):1479–1493. doi: 10.1007/s10902-013-9487-y

14. Sirois FM, Hirsch JK. Big Five traits, affect balance and health behaviors: A self-regulation resource perspective. Pers and Indiv Differ. 2015;87:59–64. doi: 10.1016/j.paid.2015.07.031

15. Boehm JK, Kubzansky LD. The heart's content: the association between positive psychological well-being and cardiovascular health. Psychol Bull. 2012;138(4):655–91. doi: 10.1037/a0027448 22506752

16. Meyer FA, von Kanel R, Saner H, Schmid JP, Stauber S. Positive affect moderates the effect of negative affect on cardiovascular disease-related hospitalizations and all-cause mortality after cardiac rehabilitation. Eur J Prev Cardiol. 2015;22(10):1247–53. doi: 10.1177/2047487314549745 25208905

17. Sanjuan P, Montalbetti T, Perez-Garcia AM, Bermudez J, Arranz H, Castro A. A Randomised Trial of a Positive Intervention to Promote Well-Being in Cardiac Patients. Appl Psychol-Hlth We. 2016;8(1):64–84. doi: 10.1111/aphw.12062 26876425

18. Peleg S, Drori E, Banai S, Finkelstein A, Shiloh S. The dynamic nature of self‐assessed health (SAH) as a function of negative and positive affects among cardiac patients. Appl Psychol-Hlth We. 2017;9(3):370–386. doi: 10.1111/aphw.12099 29171195

19. Heidemeier H, Göritz AS. The Instrumental Role of Personality Traits: Using Mixture Structural Equation Modeling to Investigate Individual Differences in the Relationships Between the Big Five Traits and Life Satisfaction. J Happiness Stud. 2016;17(6):2595–2612. doi: 10.1007/s10902-015-9708-7

20. Diener E, Pressman SD, Hunter J, Delgadillo-Chase D. If, Why, and When Subjective Well-Being Influences Health, and Future Needed Research. Appl Psychol-Hlth We. 2017;9(2):133–167. doi: 10.1111/aphw.12090 28707767

21. Shanahan MJ, Hill PL, Roberts BW, Eccles J, Friedman HS. Conscientiousness, health, and aging: the life course of personality model. Develop. Psychol. 2014;50(5):1407–1425. doi: 10.1037/a0031130 23244406

22. Meslot C, Gauchet A, Hagger MS, Chatzisarantis N, Lehmann A, Allenet B. A randomized controlled trial to test the effectiveness of planning strategies to improve medication adherence in patients with cardiovascular disease. Appl Psychol-Hlth We. 2017;9(1):106–129. doi: 10.1111/aphw.12081 27779370

23. Dorough AE, Winett RA, Anderson ES, Davy BM, Martin EC, Hedrick V. DASH to wellness: Emphasizing self-regulation through e-health in adults with prehypertension. Health Psychol. 2014;33(3):249–254. doi: 10.1037/a0030483 23181455

24. Molloy GJ, O'Carroll RE, Ferguson E. Conscientiousness and medication adherence: A meta-analysis. Ann Behav Med. 2014;47(1):92–101. doi: 10.1007/s12160-013-9524-4 23783830

25. Stajkovic AD, Bandura A, Locke EA, Lee D, Sergent K. Test of three conceptual models of influence of the big five personality traits and self-efficacy on academic performance: A meta-analytic path-analysis. Pers Indiv Differ. 2018;120:238–245. doi: 10.1116/j.paid.2017.08.014

26. Fisher L, Hessler D, Masharani U, Strycker L. Impact of baseline patient characteristics on interventions to reduce diabetes distress: the role of personal conscientiousness and diabetes self-efficacy. Diabetic Med. 2014;31(6):739–746. doi: 10.1111/dme.12403 24494593

27. Axelsson M, Lotvall J, Cliffordson C, Lundgren J, Brink E. Self-efficacy and adherence as mediating factors between personality traits and health-related quality of life. Qual Life Res. 2013;22(3):567–575. doi: 10.1007/s11136-012-0181-z 22544414

28. Pocnet C, Dupuis M, Congard A, Jopp D. Personality and its links to quality of life: Mediating effects of emotion regulation and self-efficacy beliefs. Motiv Emotion. 2017;41(2):196–208. doi: 10.1007/s11031-017-9603-0

29. Caprara GV, Barbaranelli C, Bermudez J, Maslach C, Ruch W. Multivariate methods for the comparison of factor structures in cross-cultural research: An illustration with the Big Five Questionnaire. J Cross Cult Psychol. 2000;31(4):437–464. doi: 10.1177/0022022100031004002

30. Watson D, Clark LA, Tellegen, A. Development and validation of brief measures of positive and negative affect: The PANAS scales. J Pers Soc Psychol. 1988;54(6):1063–1070. doi: 10.1037//0022-3514.54.6.1063 3397865

31. Diener ED, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. J Pers Assess. 1985;49(1):71–5. doi: 10.1207/s15327752jpa4901_13 16367493

32. Sullivan MD, LaCroix AZ, Russo J, Katon WJ. Self-efficacy and self-reported functional status in coronary heart disease: A six-month prospective study. Psychosom Med. 1998;60(4):473–8. doi: 10.1097/00006842-199807000-00014 9710293

33. Failde I, Medina P, Ramirez C, Arana R. Construct and criterion validity of the SF-12 health questionnaire in patients with acute myocardial infarction and unstable angina. J Eval Clin Pract. 2010;16(3):569–73. doi: 10.1111/j.1365-2753.2009.01161.x 20438603

34. Abu HO, Ulbricht C, Ding E, Allison JJ, Salmoirago-Blotcher E, Goldberg RJ, Kiefe CI. Association of religiosity and spirituality with quality of life in patients with cardiovascular disease: a systematic review. Qual Life Res. 2018;27(11): 2777–2797. doi: 10.1007/s11136-018-1906-4 29948601

35. Schermelleh-Engel K, Moosbrugger, Müller H. Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures, MPR-online. 2003;8(2):23–74.

36. Hayes AF. Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. 2th. ed. London: Guilford Publications; 2017.

37. Wang LW, Ou SH, Tsai CS, Chang YC, Kao CW. Multimedia exercise training program improves distance walked, heart rate recovery, and self-efficacy in cardiac surgery patients. J Cardiovasc Nurs. 2016;31(4):343–9. doi: 10.1097/JCN.0000000000000246 25774840

38. Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J. 2016;37(29):2315–2381. doi: 10.1093/eurheartj/ehw106 27222591

39. Bogg T, Roberts BW. Duel or diversion? Conscientiousness and executive function in the prediction of health and longevity. Ann Behav Med. 2013;45(3):400–401. doi: 10.1007/s12160-013-9468-8 23355117

40. Brands I, Custers M, van Heugten C. Self-efficacy and quality of life after low-intensity neuropsychological rehabilitation: a pre-post intervention study. NeuroRehabilitation. 2017;40(4):587–594. doi: 10.3233/NRE-171446 28211828

41. Cajanding RJ. Effects of a structured discharge planning program on perceived functional status, cardiac self-efficacy, patient satisfaction, and unexpected hospital revisits among Filipino cardiac patients: a randomized controlled study. J Cardiovasc Nurs. 2017;32(1):67–77. doi: 10.1097/JCN.0000000000000303 26544173

42. Gostoli S, Roncuzzi R, Urbinati S, Rafanelli C. Clinical and Subclinical Distress, Quality of Life, and Psychological Well-Being after Cardiac Rehabilitation. Appl Psychol-Hlth We. 2017;9(3):349–369. doi: 10.1111/aphw.12098 29171196

43. Bleidorn W, Hopwood CJ, Ackerman RA, Witt EA, Kandler C, Riemann R, Samuel DB, Donnellan MB. The healthy personality from a basic trait perspective. J Person. Social Psychol. 2019. doi: 10.1037/pspp0000231 30614724

44. Schwarzer R, Warner LM, Fleig L, Gholami M, Serra-Majem L, Ngo J, et al. Dietary planning, self-efficacy, and outcome expectancies play a role in an online intervention on fruit and vegetable consumption. Psychol Health. 2017;33(3):1–17. doi: 10.1080/08870446.2017.1385785 28990404

45. Gartland N, O'Connor DB, Lawton R, Ferguson E. Investigating the effects of conscientiousness on daily stress, affect and physical symptom processes: A daily diary study. Brit J Health Psych. 2014;19(2):311–328. doi: 10.1111/bjhp.12077 24237707


Článek vyšel v časopise

PLOS One


2019 Číslo 10