Cardiac‐specific experiential avoidance predicts change in general psychological well‐being among patients completing cardiac rehabilitation

Giada Rapelli, Roberto Cattivelli, Giada Pietrabissa, Gianluca Castelnuovo, Enrico Molinari, Emanuele Maria Giusti, Christina Goodwin, Gabriella Malfatto, Mario Facchini

Research output: Contribution to journalArticle

Abstract

Previous studies have shown that experiential avoidance (EA) is associated with physical and psychological well-being in medical and non-medical samples. The aims of the present study were to evaluate the reciprocal association between psychological well-being and EA over time among cardiac rehabilitation (CR) patients with moderately to severely low levels of psychological well-being. Pre-CR data on demographic characteristics, measures of psychological well-being, and cardiac-specific EA were collected from 915 CR patients, as well as post-CR psychological well-being and EA data, from 800 of these patients. A cross-lagged model was estimated to examine the relationship between EA and psychological well-being among patients with moderately to severely low levels of psychological well-being based on questionnaire scores. Both EA and psychological well-being significantly changed during CR and were negatively associated with each other at both pre-and post-CR. Results from cross-lagged structural equation modeling supported a nonreciprocal association between EA and psychological well-being during CR. Pre-CR assessment of EA in patients showing low levels of well-being at the beginning of CR could help to identify patients at risk for worse psychological outcomes. EA could be a promising target of psychological treatments administered during CR.
Original languageEnglish
Pages (from-to)1-13
Number of pages13
JournalAPPLIED PSYCHOLOGY. HEALTH AND WELL-BEING
DOIs
Publication statusPublished - 2021

Keywords

  • cardiac rehabilitation
  • cross-lagged
  • experiential avoidance
  • psychological well-being

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