Psychological Predictors of Adherence and Outcomes Among Patients in Cardiac Rehabilitation

Glazer, Kelly; Emery, Charles F.; Frid, David J.; Banyasz, Robin E.

doi:10.1097/00008483-200201000-00006

Cited by 198 publications

(139 citation statements)

References 29 publications

Supporting

Mentioning

125

Contrasting

Unclassified

Order By: Relevance

“…Previous studies showed that depressed patients have a seven to nine times greater odds of drop-out from short-term rehabilitation programs. 45,46 Adherence is also suboptimal. 24,26 The Silver Sneakers program may not be the most ideal format for depressed older adults since it includes mostly unsupervised exercise at a fitness facility.…”

Section: Discussionmentioning

confidence: 99%

Depression and Use of a Health Plan–Sponsored Physical Activity Program by Older Adults

Nguyen

Unützer

Larson

et al. 2008

American Journal of Preventive Medicine

View full text Add to dashboard Cite

Background-The purpose of this study was to determine the associations between depression and the likelihood of enrollment in a health plan-sponsored physical activity program and pattern of program participation over 2 years; a secondary aim was to examine the association between participation dose and depression risk. There are no published studies on how depression influences participation in health plan-sponsored physical activity programs and how participation affects depression risk in older adults in nonresearch settings.

show abstract

Section: Discussionmentioning

confidence: 99%

Depression and Use of a Health Plan–Sponsored Physical Activity Program by Older Adults

Nguyen

Unützer

Larson

et al. 2008

American Journal of Preventive Medicine

View full text Add to dashboard Cite

show abstract

“…185 Although a social drift explanation (ie, people with mental health problems being more likely to move into poor neighborhoods) could at least partially explain some associations between the built environment and negative emotional states or poor mental health, it also has been shown that moving to less disadvantaged neighborhoods appears to decrease psychological distress. 186 Thus, economic, social, and physical environment factors appear to contribute to chronic negative psychological states, which may result in dysregulation of the autonomic nervous system 187 and associated increased blood pressure, greater adiposity, and insulin resistance (Biological Mechanisms section); increased likelihood of unhealthy behaviors (Behavioral Mechanisms section); additional chronic life stress [188][189][190][191][192][193][194][195][196] ; and the development and progression of CVD. Research in this area is continuing, [197][198][199][200] and inclusion of racial/ethnic and socioeconomically diverse populations in this research will be critical.…”

Section: Psychological Mechanismsmentioning

confidence: 99%

Social Determinants of Risk and Outcomes for Cardiovascular Disease

Havranek¹,

Mujahid²,

Barr³

et al. 2015

Circulation

1,054

732

View full text Add to dashboard Cite

“…However, findings are not uniform across all studies. In one study that followed patients through a 12-week cardiac rehabilitation program, baseline optimism was not associated with improved oxygen consumption during exercise, controlling for age, gender, neuroticism, and depression (Glazer, Emery, Frid, & Banyasz, 2002). Cross-sectional studies do generally suggest that greater optimism is associated with more physical activity though (e.g., Giltay et al, 2007).…”

Section: Eudaimonic Well-beingmentioning

confidence: 99%

The heart's content: The association between positive psychological well-being and cardiovascular health.

Boehm

Kubzansky

2012

Psychological Bulletin

713

698

View full text Add to dashboard Cite

This review investigates the association between positive psychological well-being (PPWB) and cardiovascular disease (CVD). We also consider the mechanisms by which PPWB may be linked with CVD, focusing on the health behaviors (e.g., smoking, alcohol consumption, physical activity, sleep quality and quantity, and food consumption) and biological functions (e.g., cardiovascular, inflammatory, and metabolic processes) that are most relevant for cardiovascular health. Because PPWB is a broad concept, not all aspects of PPWB may be associated with cardiovascular health. Thus, we distinguish between eudaimonic well-being, hedonic well-being, optimism, and other measures of well-being when reviewing the literature. Findings suggest that PPWB protects consistently against CVD, independently of traditional risk factors and ill-being. Specifically, optimism is most robustly associated with a reduced risk of cardiovascular events. In general, PPWB is also positively associated with restorative health behaviors and biological function and inversely associated with deteriorative health behaviors and biological function. Cardiovascular health is more consistently associated with optimism and hedonic well-being than with eudaimonic well-being, although this could be due in part to more limited evidence being available concerning eudaimonic well-being. Some similarities were also evident across different measures of PPWB, which is likely due to measurement overlap. A theoretical context for this research is provided, and suggestions for future research are given, including the need for additional prospective investigations and research that includes multiple constructs of psychological well-being and ill-being.Keywords: cardiovascular disease, health behaviors, biological function, eudaimonic well-being, hedonic well-being Scholars have long recognized the connection between mental health and physical health. From the ancient Roman poet Juvenal who declared, "A healthy mind in a healthy body," to early 20th century psychoanalysts who investigated the connection between mental states and physiology (Menninger & Menninger, 1936), and to researchers in the late 20th century seeking to identify disease-prone personalities (H. S. Friedman & Booth-Kewley, 1987;Rosenman et al., 1964), the complex relationship between psychological attributes and physical ailments has been the subject of fascination across time. Although past research has predominantly focused on the relationship between poor psychological functioning (e.g., anxiety, depression, hostility) and physical health, increasing research also suggests that a protective relationship exists between positive psychological functioning and physical health (Diener & Chan, 2011;Pressman & Cohen, 2005). Because the effects of psychological well-being and psychological ill-being are not merely opposites of one another and the absence of one does not necessarily indicate the presence of the other (Ryff et al., 2006;Ryff & Singer, 1998), it is critical to consider each separately in rel...

show abstract

Psychological Predictors of Adherence and Outcomes Among Patients in Cardiac Rehabilitation

Abstract: Depression appears to have a significant influence on adherence and improvement among patients in CR, but optimism and neuroticism were not significant predictors of change.

Cited by 198 publications

References 29 publications

Depression and Use of a Health Plan–Sponsored Physical Activity Program by Older Adults

Depression and Use of a Health Plan–Sponsored Physical Activity Program by Older Adults

Social Determinants of Risk and Outcomes for Cardiovascular Disease

The heart's content: The association between positive psychological well-being and cardiovascular health.

Contact Info

Product

Resources

About