Positive psychological states and health behaviors in acute coronary syndrome patients: A qualitative study
Open accessAbstract
Positive psychological states are linked to superior cardiac outcomes, possibly mediated through increased participation in health behaviors. Trained study staff conducted in-depth semi-structured interviews in the hospital and 3 months later for 34 patients diagnosed with an acute coronary syndrome. These interviews focused on positive psychological states, cardiac health behaviors, and their connection; the interviews were transcribed and independently coded using directed content analysis. Both optimism and positive affect were associated with completion of physical activity and healthy eating in a bidirectional manner. In contrast, gratitude, while common, was infrequently linked to completion of health behaviors.
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Psychological illness and psychological health have been shown to be associated with medication nonadherence or adherence, respectively.
“Psychological illness and psychological health have been shown to be associated with medication nonadherence or adherence, respectively. 142,147-150”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [142]
The introductory background reports that depressive symptoms and anxiety have been linked to medication nonadherence in ACS patients. But the Results and Discussion report that participants rarely linked positive psychological states to medication adherence. The cited paper therefore supports the illness–nonadherence half, not the health–adherence half. (LLM, conf=0.90)
Experimental — accuracy not yet measuredFindings are relatively consistent across studies and evident for multiple facets of positive psychological health, although effect sizes are modest.
“Findings are relatively consistent across studies and evident for multiple facets of positive psychological health, although effect sizes are modest. 54,141-143”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [142]
The Discussion (page unavailable) reports associations in prior studies for several positive states, including optimism and positive affect. It does not characterize findings across studies as relatively consistent or report modest effect sizes; this qualitative study does not estimate effect sizes. (LLM, conf=0.82)
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Cites
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Self-citation
- Authors
- Huffman, J. C., DuBois, C. M., Mastromauro, C. A., Moore, S. V., Suarez, L., & Park, E. R.
- Affiliations
- Harvard University (US)
- Massachusetts General Hospital (US)
- Corresponding author
- Huffman, Jeff C
- ORCID
- Venue
- Journal of Health Psychology
- Publisher
- SAGE Publications
- Published
- 2014-08-11
- Volume
- 21
- Issue
- 6
- Pages
- 1026-1036
- ISSN
- 1359-1053 (ISSN-L)
- 1461-7277
- PMC
- PMC4490125
- OpenAlex
- W2330922936
- Cited by
- 48
- References
- 12
- Citations by year
- 2024: 3 · 2023: 8 · 2022: 3 · 2021: 3 · 2020: 11 · 2019: 4 · 2018: 5 · 2017: 1 · 2016: 4 · 2015: 5
- FWCI
- 2.29
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL113272)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Keywords
- positive psychological states, acute coronary syndrome, health behavior, optimism, positive affect, gratitude, physical activity, healthy eating, cardiac outcomes, patient experience
- MeSH terms
- Optimism, Female, Habits, Humans, Interviews as Topic, Male, Middle Aged, Health Behavior, Exercise, Qualitative Research, Acute Coronary Syndrome
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