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

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

*Autore corrispondente per questo lavoro

Risultato della ricerca: Contributo in rivistaArticolo in rivista

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.
Lingua originaleEnglish
pagine (da-a)1-13
Numero di pagine13
RivistaAPPLIED PSYCHOLOGY. HEALTH AND WELL-BEING
DOI
Stato di pubblicazionePubblicato - 2021

Keywords

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

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