TY - JOUR
T1 - Cardiac‐specific experiential avoidance predicts change in general psychological well‐being among patients completing cardiac rehabilitation
AU - Giusti, Emanuele Maria
AU - Rapelli, Giada
AU - Goodwin, Christina
AU - Cattivelli, Roberto
AU - Pietrabissa, Giada
AU - Malfatto, Gabriella
AU - Facchini, Mario
AU - Castelnuovo, Gianluca
AU - Molinari, Enrico
PY - 2021
Y1 - 2021
N2 - 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.
AB - 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.
KW - cardiac rehabilitation
KW - cross-lagged
KW - experiential avoidance
KW - psychological well-being
KW - cardiac rehabilitation
KW - cross-lagged
KW - experiential avoidance
KW - psychological well-being
UR - http://hdl.handle.net/10807/176720
U2 - 10.1111/aphw.12260
DO - 10.1111/aphw.12260
M3 - Article
SN - 1758-0846
SP - 1
EP - 13
JO - APPLIED PSYCHOLOGY. HEALTH AND WELL-BEING
JF - APPLIED PSYCHOLOGY. HEALTH AND WELL-BEING
ER -