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

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Journal:
Psicothema

ISSN: 0214-9915,  1886-144X

Year of publication: 2021

Issue Title: Monográfico Mariano Yela

Volume: 33

Issue: 3

Pages: 433-441

Type: Article

DOI: 10.7334/PSICOTHEMA2020.476 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Psicothema

Abstract

Background: Psychological well-being and health-specific self-regulation have been associated with cardiovascular health. This study aimed to examine the longitudinal relationship of positivity and health-specific self-regulatory variables to health-related quality of life in patients with cardiovascular disease. Methods: A sample of 550 cardiac patients completed a number of instruments (positivity, regulatory emotional self-efficacy, and cardiac self-efficacy scales, and the general health questionnaire SF-12) on two occasions 9 months apart, assessing their level of positivity, health-specific self-efficacy beliefs, and health-related quality of life. Results: Mediational analyses demonstrated that health-specific self-efficacy beliefs mediate the relationship between positivity and health-related quality of life. In terms of self-efficacy in managing negative affect, the despondency-distress factor showed both direct and indirect effects on health, while the anger factor showed only an indirect effect. The results of the structural equation model demonstrated suitable indices of fit. Conclusions: Positivity may act as a disposition helps patients to use motivational strategies related to health, be more confident in their ability to regulate their emotions, and follow the recommendations of their cardiac medical team, enabling them to perceive a higher quality of life. These findings indicate the need to promote psychosocial interventions that include these variables.

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Funding information

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.

Funders

Bibliographic References

  • 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
Data source: Dialnet