Positivity and Self-Effi cacy Beliefs Explaining Health-Related Quality of Life in Cardiovascular Patients

  1. Carmen Tabernero 1
  2. Gian Vittorio Caprara 2
  3. Tamara Gutiérrez-Domingo 3
  4. Esther Cuadrado 3
  5. Rosario Castillo-Mayén 3
  6. Alicia Arenas 4
  7. Sebastián Rubio 3
  8. Bárbara Luque 3
  1. 1 Universidad de Salamanca
    info

    Universidad de Salamanca

    Salamanca, España

    ROR https://ror.org/02f40zc51

  2. 2 Università de Roma La Sapienza
    info

    Università de Roma La Sapienza

    Roma, Italia

    ROR https://ror.org/02be6w209

  3. 3 Universidad de Córdoba
    info

    Universidad de Córdoba

    Córdoba, España

    ROR https://ror.org/05yc77b46

  4. 4 Universidad de Sevilla
    info

    Universidad de Sevilla

    Sevilla, España

    ROR https://ror.org/03yxnpp24

Revista:
Psicothema

ISSN: 0214-9915 1886-144X

Año de publicación: 2021

Título del ejemplar: Monográfico Mariano Yela

Volumen: 33

Número: 3

Páginas: 433-441

Tipo: Artículo

DOI: 10.7334/PSICOTHEMA2020.476 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Psicothema

Resumen

Antecedentes: el bienestar psicológico y la autorregulación se asocian con la salud cardiovascular. Este estudio tiene como objetivo examinar longitudinalmente la relación entre la positividad y variables autorreguladoras específicas de la salud con la calidad de vida relacionada con la salud en pacientes cardiovasculares. Método: quinientos cincuenta pacientes cardíacos respondieron dos veces a las escalas de positividad, autoeficacia para la regulación emocional, autoeficacia cardíaca y salud general SF-12 con un intervalo de nueve meses, evaluando respectivamente su nivel de positividad, creencias de autoeficacia específicas de la salud y calidad de vida relacionada con la salud. Resultados: los análisis mediacionales demostraron que las creencias de autoeficacia median la relación entre la positividad y la calidad de vida. La autoeficacia para el manejo del afecto negativo, concretamente el factor desaliento-angustia, mostró un efecto directo e indirecto sobre la salud. Los resultados del modelo de ecuaciones estructurales mostraron índices de ajuste adecuados para el modelo longitudinal propuesto. Conclusiones: la positividad puede actuar como un factor disposicional que facilita desarrollar estrategias motivacionales relacionadas con la salud, tener mayor confianza en la capacidad para regular las emociones y seguir las recomendaciones del equipo médico-cardíaco, permitiendo así a los pacientes percibir una mayor calidad de vida

Información de financiación

This work was supported by the Spanish Ministry of Economy and Competitiveness under Grant number PSI2014–58609-R, in which Dr. Carmen Tabernero is the principal investigator, and by the Spanish Ministry of Science, Innovation and Universities under Grant number PDI2019-107304RB-I00, in which Dr. Bárbara Luque and Dr. Carmen Tabernero are the principal investigators.

Financiadores

Referencias bibliográficas

  • Alessandri, G., Vecchione, M., & Caprara, G. V. (2015). Assessment of regulatory emotional self-efficacy beliefs: A review of the status of the art and some suggestions to move the field forward. Journal of Psychoeducational Assessment, 33(1), 24-32. https://doi. org/10.1177/0734282914550382
  • Bandura, A. (2005). The primacy of self-regulation in health promotion. Applied Psychology: An International Review. 54(2), 245-254. https:// doi.org/10.1111/j.1464-0597.2005.00208.x
  • Bandura, A. (2008). An agentic perspective on positive psychology. In S.J. López (Ed.), Positive psychology: Exploring the best in people. Discovering human strengths (pp. 167-196). Praeger Publishers.
  • Banik, A., Schwarzer, R., Knoll, N., Czekierda, K., & Luszczynska, A. (2018). Self-efficacy and quality of life among people with cardiovascular diseases: A meta-analysis. Rehabilitation Psychology, 63(2), 295-312. https://doi.org/10.1037/rep0000199
  • Caprara, G. V., Alessandri, G., & Caprara, M. (2019). Associations of positive orientation with health and psychosocial adaptation: A review of fi ndings and perspectives. Asian Journal of Social Psychology, 22, 126-132. https://doi.org/10.1111/ajsp.12325
  • Caprara, G. V., Alessandri, G., Eisenberg, N., Kupfer, A., Steca, P., Caprara, M., Yamaguchi, S., Fukuzawa, A., & Abela, J. (2012). The positivity scale. Psychological Assessment, 24(3), 701-712. https://doi. org/10.1037/a0026681
  • Caprara, G. V., Castellani, V., Alessandri, G., Mazzuca, F., La Torre, M., Barbaranelli, C., Colaiaco, F., Gerbino, M., Pasquali, V., D’Amelio, R., Marchetti, P., & Ziparo, V. (2016). Being positive despite illness: The contribution of positivity to the quality of life of cancer patients. Psychology & Health, 31(5), 524-534. https://doi.org/10.1080 /08870446.2015.1117081
  • Caprara, G. V., Di Giunta, L. D., Eisenberg, N., Gerbino, M., Pastorelli, C., & Tramontano, C. (2008). Assessing regulatory emotional self-efficacy in three countries. Psychological Assessment, 20(3), 227-237. https:// doi.org/10.1037/1040-3590.20.3.227
  • Caprara, G. V., & Gerbino, M. (2001). Affective perceived self-efficacy: The capacity to regulate negative affect and to express positive affect. In G. V. Caprara (Ed.), Self-efficacy Assessment (pp. 35-50). Erikson.
  • Caprara, G. V., & Steca, P. (2005). Affective and social self-regulatory efficacy beliefs as determinants of positive thinking and happiness. European Psychologist, 10(4), 1-12. https://doi.org/10.1027/1016-9040.10.4.275
  • Caprara, M., Di Giunta, L., Bermúdez, J., & Caprara, G. V. (2020). How self-efficacy beliefs in dealing with negative emotions are associated to negative affect and to life satisfaction across gender and age. PLoS ONE, 15(11), e0242326.https://doi.org/10.1371/journal.pone.024232
  • Collins, T., Mikkelsen, B., Adams, J., Chestnov, O., Evans, T., Feigl, A., Nugent, R., Pablos-Méndez, A., Srivanichakorn, S., & Webb, D. (2018). Addressing NCDs: A unifying agenda for sustainable development. Global Public Health, 13(9), 1152-1157. https://doi.org /10.1080/17441692.2017.1394481
  • Delgado-Lista, J., Pérez-Martínez, P., García-Ríos, A., Alcalá-Díaz, J. F., Pérez-Caballero, A. I., Gómez-Delgado, F., Fuentes, F., Quintana-Navarro, G., López-Segura, F., Ortiz-Morales, A. M., Delgado-Casado, N., Yubero-Serrano, E. M., Camargo, A., Marín, C., Rodríguez-Cantalejo, F., Gómez-Luna, P., Ordovas, J. M., López-Miranda, J., & Pérez-Jiménez, F. (2016). CORonary Diet Intervention with Olive oil and cardiovascular PREVention study (CORDIOPREV): Rationale, methods, and baseline characteristics: A clinical trial comparing the effi cacy of a Mediterranean diet rich in olive oil versus a low-fat diet on cardiovascular disease in coronary patients. American Heart Journal, 177, 42-50. https://doi.org/10.1016/j.ahj.2016.04.011
  • Failde, I., Medina, P., Ramírez, C., & Arana, R. (2010). Construct and criterion validity of the SF-12 health questionnaire in patients with acute myocardial infarction and unstable angina. Journal of Evaluation in Clinical Practice, 16(3), 569-573. https://doi.org/10.1111/j.1365- 2753.2009.01161.x
  • Fernández-Jiménez, E., Panyavin, I., Pérez San Gregorio, M. D. L. Á., & Schultheis, M. T. (2021). Quality of life and depressive symptomatology in multiple sclerosis: A cross-sectional study between the USA and Spain. Psicothema, 33(1), 60-69. https://doi.org/10.1111/10.7334/ psicothema2020.151
  • Fredrickson, B. L., Arizmendi, C., & Van Cappellen, P. (2020). Sameday, cross-day, and upward spiral relations between positive affect and positive behaviours. Psychology & Health, 1-17. https://doi.org/10.108 0/08870446.2020.1778696
  • González Fernández, S., Fernández Rodríguez, C., Paz Caballero, M. D., & Pérez Álvarez, M. (2018). Treating anxiety and depression of cancer survivors: Behavioral activation versus acceptance and commitment therapy. Psicothema, 30(1), 14-20. https://doi.org/10.7334/psicothema 2017.396
  • Greco, A., Brugnera, A., D’Addario, M., Compare, A., Franzelli, C., Marloberti, A., Giannattasio, C., Fattirolli, F., & Steca, P. (2020). A three-year longitudinal study of healthy lifestyle behaviors and adherence to pharmacological treatments in newly diagnosed patients with acute coronary syndrome: Hierarchical linear modeling analyses. Journal of Public Health: From Theory to Practice. Advance online publication. https://doi.org/10.1007/s10389-020-01369-x
  • Greco, A., Steca, P., Pozzi, R., Monzani, D., Malfatto, G., & Parati, G. (2015). The influence of illness severity on health satisfaction in patients with cardiovascular disease: The mediating role of illness perception and self-effi cacy beliefs. Behavioral Medicine, 41(1), 9-17. https://doi. org/10.1080/08964289.2013.855159
  • Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Publications.
  • Herber, O., Jones, M., Smith, K., & Johnston, D. (2012). Assessing acute coronary syndrome patients’ cardiac-related beliefs, motivation and mood over time to predict non-attendance at cardiac rehabilitation. Journal of Advanced Nursing, 68(12), 2778-2788. https://doi. org/10.1111/j.1365-2648.2012.06066.x
  • Holman, E. A. (2015). Psychological distress and susceptibility to cardiovascular disease across the lifespan. Journal of the American College of Cardiology, 66(14), 1587-89. https://doi.org/10.1016/j. jacc.2015.08.026
  • Huber, A., Oldridge, N., & Höfer, S. (2016). International SF-36 reference values in patients with ischemic heart disease. Quality of Life Research, 25(11), 2787-2798. https://doi.org/10.1007/s11136-016-1316-4
  • Kessing, D., Denollet, J., Widdershoven, J., & Kupper, N. (2016). Psychological determinants of heart failure self-care: Systematic review and meta-analysis. Psychosomatic Medicine, 78(4), 412-431. https://doi.org/10.1097/PSY.0000000000000270
  • Koechlin, H., Coakley, R., Schechter, N., Werner, C., & Kossowsky, J. (2018). The role of emotion regulation in chronic pain: A systematic literature review. Journal of Psychosomatic Research, 107, 38-45. https://doi.org/10.1016/j.jpsychores.2018.02.002
  • Kraynak, T. E., Marsland, A. L., & Gianaros, P. J. (2018). Neural mechanisms linking emotion with cardiovascular disease. Current Cardiology Reports, 20(12), 128. https://doi.org/10.1007/s11886-018-1071-y
  • Luceño-Moreno, L., García-Albuerne, Y., Talavera-Velasco, B., & Martín-García, J. (2016). Stress in Spanish police force depending on occupational rank, sex, age and work-shift. Psicothema, 28(4), 389- 393. https://doi.org/10.7334/psicothema2015.310
  • Martínez, P., Andreu, Y., & Conchado, A. (2021). Psychometric properties of the Spanish version of the cancer survivors’ unmet needs (CaSUN-S) measure in breast cancer. Psicothema, 33(1), 155-163. https://doi. org/10.7334/psicothema2020.146
  • O’Neil, A., Berk, M., Davis, J., & Stafford, L. (2013). Cardiac self-efficacy predicts adverse outcomes in coronary artery disease (CAD) patients. Health, 5(7), 6-14. https://doi.org/10.4236/health.2013.57A3002
  • och Dag, Y. N., Mehlig, K., Rosengren, A., Lissner, L., & Rosvall, M. (2020). Negative emotional states and negative life events: Consequences for cardiovascular health in a general population. Journal of Psychosomatic Research, 129, 109888. https://doi.org/10.1016/j. jpsychores.2019.109888
  • Pérez-García, A. M., Sanjuán, P., Rueda, B., & Ruiz, M. A. (2011). Cardiovascular health in women: The role of anger and its expression. Psicothema, 23(4), 593-598.
  • Piepoli, M. F., Hoes, A. W., Agewall, S., Albus, C., Brotons, C., Catapano, A. L., Cooney, M.-T., Corra, U., Cosyns, B., Deaton, C., Graham, I., Hall, M. S., Hobbs, F. D. R., Løchen, M.-L., Löllgen, H., MarquesVidal, P., Perk, J., Prescott, E., Redon, J. … & Binno, S. (2016). 2016 European Guidelines on cardiovascular disease prevention in clinical practice. European Heart Journal, 37(29), 2315-2381. https://doi. org/10.1093/eurheartj/ehw106
  • Serlachius, A., Pulkki-Råback, L., Elovainio, M., Hintsanen, M., Mikkilä, V., Laitinen, T. T., Jokela, M., Rosentröm, T., Josefsson, K., Juonala, M., Lehtimäki, T., Raitakari, O., & Keltikangas-Järvinen, L. (2015). Is dispositional optimism or dispositional pessimism predictive of ideal cardiovascular health? The young Finns study. Psychology & Health, 30(10), 1221-1239. https://doi.org/10.1080/08870446.2015. 1041394
  • Serrano, C., Andreu, Y., & Murgui, S. (2020). The Big Five and subjective wellbeing: The mediating role of optimism. Psicothema, 32(3), 352- 358. https://doi.org/10.7334/psicothema2019.392
  • Steca, P., Greco, A., Monzani, D., Politi, A., Gestra, R., Ferrari, G., Malfatto, G., & Parati, G. (2013). How does illness severity infl uence depression, health satisfaction and life satisfaction in patients with cardiovascular disease? The mediating role of illness perception and self-efficacy beliefs. Psychology & Health, 28(7), 765-783. https://doi. org/10.1080/08870446.2012.759223
  • Sullivan, M., LaCroix, A., Russo, J., & Katon, W. (1998). Self-efficacy and self-reported functional status in coronary heart disease: A six-month prospective study. Psychosomatic Medicine, 60(4), 473-478. https:// doi.org/10.1097/00006842-199807000-00014
  • Suls, J., Mogavero, J. N., Falzon, L., Pescatello, L. S., Hennessy, E. A., & Davidson, K. W. (2020). Health behaviour change in cardiovascular disease prevention and management: Meta-review of behaviour change techniques to affect self-regulation. Health Psychology Review, 14(1), 43-65. https://doi.org/10.1080/17437199.2019.1691622
  • Tabernero, C., Gutiérrez-Domingo, T., Vecchione, M., Cuadrado, E., Castillo-Mayén, R., Rubio, S., Arenas, A., Delgado-Lista, J., Pérez-Martínez, P., & Luque, B. (2019) Correction: A longitudinal study on perceived health in cardiovascular patients: The role of conscientiousness, subjective wellbeing and cardiac self-effi cacy. PLoS ONE, 14(10), e0223862. https://doi.org/10.1371/journal. pone.0223862
  • Timmis, A., Townsend, N., Gale, C., Grobbee, R., Maniadakis, N., Flather, M., Wilkins, E., Wright, L., Vos, R., Bax, J., Blum, M., Pinto, F., & Vardas, P. (2018). European Society of Cardiology: Cardiovascular Disease Statistics 2017. European Heart Journal, 39(7), 508-577. https://doi.org/10.1093/eurheartj/ehx628