Positive affect as a predictor of non-pharmacological adherence in older Chronic Heart Failure (CHF) patients undergoing cardiac rehabilitation

Granata, Nicolò; Torlaschi, Valeria; Zanatta, Francesco; Giardini, Anna; Maestri, Roberto; Pavesi, Claudia; Gazzi, Lidia; Bertolotti, Giorgio; Braga, Simona Sarzi; Monelli, Mauro; Zanelli, Emanuela; Pierobon, Antonia

doi:10.1080/13548506.2022.2077394

Cited by 7 publications

(4 citation statements)

References 49 publications

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“…It is therefore likely that our result of a positive association between life satisfaction and compliance with Covid-19 measures may generalise to other forms of compliance with public safety measures, though more evidence on this relationship in other contexts is certainly required. Studies that find an association between positive affect and health behaviours such as medical compliance with treatments for heart failure do point towards this direction 58 , 59 .…”

Section: Discussionmentioning

confidence: 99%

Happiness predicts compliance with preventive health behaviours during Covid-19 lockdowns

Krekel

Swanke

Neve

2023

Sci Rep

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To combat the public health crisis of Covid-19, governments and public health officials have been asking individuals to substantially change their behaviours for prolonged periods of time. Are happier people more willing to comply with such measures? Using independent, large-scale surveys covering about 79,000 adult respondents across 29 countries, including longitudinal data from the UK, we find that life satisfaction predicts compliance with preventive health behaviours during Covid-19 lockdowns, especially the number of weekdays stood at home (β = 0.02, p < 0.01). The association is stronger for higher levels of life satisfaction (e.g. β = 0.19, p < 0.01, 7 on a 0-to-10 scale). Lower life satisfaction, on the contrary, predicts lower compliance (e.g. β = 0.02, p > 0.10, 2 on a 0-to-10 scale). We explore risk-avoidance and pro-social motivations for this relationship, and find suggestive evidence that people who are older or have certain medical preconditions seem to be behave in line with risk-avoidance, whereas motivations of people who are less at risk of Covid-19 seem more mixed. While it is difficult to estimate the relationship between life satisfaction and compliance behaviour due to potential confounders and unobserved heterogeneity, our findings suggest that life satisfaction is important, both for complying with preventive health measures and as a policy end in itself.

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Section: Discussionmentioning

confidence: 99%

Happiness predicts compliance with preventive health behaviours during Covid-19 lockdowns

Krekel

Swanke

Neve

2023

Sci Rep

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“…Focusing on protective factors, the three waves described the following resources without significant differences: families, perceived social support and positive mindset and attitudes. These ones were already known as factors able to help individuals to give meaning to life and to cope with adversities [ 41 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

“…The emotion of fear is also significantly higher in patients of the first wave with respect to those experiencing the disease during the second and third waves. This finding can be explained by the fact that, from an evolutionary perspective, the “unknown” is often perceived as dangerous because it might potentially threaten own survival [ 41 ]. In this regard, specifically during the first wave, the clinical and social consequences of coronavirus can be seen without any doubt as an unknown threat, letting arising feelings of fear as an adaptive response of human beings [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Patients’ Clinical and Psychological Status in Different COVID-19 Waves in Italy: A Quanti-Qualitative Study

Vigorè,

Steccanella,

Maffoni

et al. 2023

Healthcare

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Background: COVID-19 waves have been characterized by different clinical manifestations, a decrease of functional abilities, and the presence of psychological symptoms. The aims of this study were to investigate differences in physical and psychological symptoms during the three Italian waves of the coronavirus pandemic. Methods: Patients undergoing a functional, cardiological and pneumological check-up follow-up at ICS Maugeri Institutes, 2–3 months after recovery from COVID-19 were consecutively recruited to participate in the study, completing a quanti-qualitative questionnaire about anxiety, depression, PTSD symptoms, and personal resources. Results: 104 patients were recruited: 44 and 60 during the first and second/third pandemic waves, respectively. Physical comorbidities were more present in the second/third waves compared to the first one, while no significant differences were found in anxious and depressive symptoms, which were significantly higher than normal during the three waves; PTSD symptoms were reported by 56.3% of patients. Family, social support, and a positive mindset were described as resources to cope with the COVID-19 burden. Negative affects arose during outbreaks (panic) and the disease (fear), while positive affect (joy) characterized only the follow-up period. Conclusion: This study shows how psychophysical symptoms might change during the pandemic waves and highlights the importance of protective factors to balance the subjective distress.

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“…The administration of this schedule in the present study sample provided satisfactory reliability scores for each subscale (ASonA-A, α = .78; ASonA-SE, α = .74; ASonA-Aff, α = .68). The ASonA has already shown significant evidence in patients affected by chronic multimorbidity and hypertension ( Zanatta et al, 2020 ), and it belongs to a wider group of similar schedules used in prior works with patients affected by chronic obstructive pulmonary disease (COPD; Pierobon et al, 2017 ), coronary heart disease ( Pierobon et al, 2016 ), and chronic heart failure ( Granata et al, 2022 ). The Italian and Polish versions were administered and can be requested from the authors (for more information, see the English version provided as supplementary material).…”

Section: Methodsmentioning

confidence: 99%

Psychosocial and behavioral correlates of self-efficacy in treatment adherence in older patients with comorbid hypertension and type 2 diabetes

Pierobon¹,

Zanatta²,

Granata³

et al. 2023

Health Psychology Report

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BackgroundAdhering to clinical prescriptions is known to protect against the effects of uncontrolled hypertension and of acute and chronic cardiovascular diseases, including diabetes. Contextually, positive associations between self-care behaviors and psychological constructs, such as self-efficacy, are widely acknowledged in the literature. However, still little is known about the psychological factors underlying the patient’s self-efficacy. This study aimed to investigate the psychosocial and behavioral correlates of self-efficacy related to treatment adherence in older patients with comorbid hypertension and type 2 diabetes mellitus.Participants and procedureItalian and Polish patients (≥ 65 years; N = 180) consecutively responded to self-report questionnaires measuring psycho-social (i.e., beliefs about medicines, perceived physician’s communication effectiveness, medication-specific social sup-port, self-efficacy) and behavioral factors (i.e., pharmacological adherence, medications refill adherence, intentional non-adherence) related to treatment adherence. Between-group comparisons and regression analyses were performed.ResultsFisher’s least significant difference (LSD) test showed significant differences between the Italian and Polish groups in all questionnaires (p < .01) with the Italian patients reporting more satisfactory scores. Younger age (β = .08, p = .045), female gender (β = 1.03, p = .042), higher medication refills adherence (β = –.07, p = .024), lower intentional non-adherence (β = –.03, p = .009), positive beliefs about medications (β = .13, p < .001), better quality of communication with the physician (β = .09, p < .001), and stronger perceived medication-specific social support (β = .06, p = .001) were significantly associat-ed with self-efficacy related to treatment adherence.ConclusionsFuture research and interventions should leverage psychosocial and behavioral factors to address self-efficacy contributing to enhancing adherence to clinical prescriptions.

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Positive affect as a predictor of non-pharmacological adherence in older Chronic Heart Failure (CHF) patients undergoing cardiac rehabilitation

Cited by 7 publications

References 49 publications

Happiness predicts compliance with preventive health behaviours during Covid-19 lockdowns

Happiness predicts compliance with preventive health behaviours during Covid-19 lockdowns

Patients’ Clinical and Psychological Status in Different COVID-19 Waves in Italy: A Quanti-Qualitative Study

Psychosocial and behavioral correlates of self-efficacy in treatment adherence in older patients with comorbid hypertension and type 2 diabetes

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