Association of Midlife Status With Response to a Positive Psychology Intervention in Patients With Acute Coronary Syndrome.
Association of Midlife Status With Response to a Positive Psychology Intervention in Patients With Acute Coronary Syndrome.
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中年状态与急性冠状动脉综合征患者对积极心理学干预的反应之间的关联
DOI：
10.1016/j.psym.2020.06.002
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发表时间：
2021-03
影响因子：
2.3
通讯作者：
Huffman JC
中科院分区：
文献类型：
--
作者：
Feig EH;Celano CM;Massey CN;Chung WJ;Romero P;Harnedy LE;Huffman JC
体力活动与急性冠脉综合征（ACS）患者心脏事件复发风险降低密切相关，但大多数患者未达到推荐的体力活动水平。心理健康与较高水平的体力活动相关，但中年成年人面临众多压力源，这会降低其幸福感。本研究的目的是比较中年（45 - 64岁）和老年（65岁及以上）参与者在接受积极心理学（PP）干预后，在ACS后的体力活动和心理健康方面的情况。
这是对一个电话实施的积极心理学干预发展项目三个阶段的二次分析。参与者因ACS住院，且在ACS前健康行为依从性较低。他们接受了每周8 - 12次的干预课程。在治疗前后对心理结果、自我报告的依从性和体力活动进行了测量。采用混合回归模型比较中年和老年参与者的课程完成率以及结果指标的变化。
在164名参与者中，与老年参与者相比，中年参与者在抑郁、积极情感和体力活动方面有更大改善，但在焦虑或乐观方面没有；课程完成率没有显著差异。
ACS后的中年患者可能对电话实施的积极心理学干预特别敏感。从临床上看，ACS后的时期可能对中年患者改善其身心健康具有独特的激励作用。未来的工作可以针对中年人的独特压力源定制积极心理学干预方案。
Physical activity is strongly associated with lower risk of recurrent cardiac events in patients who experience an acute coronary syndrome (ACS), yet most patients do not meet recommended levels of physical activity. Psychological well-being is associated with higher levels of physical activity, but midlife adults experience a multitude of stressors that can reduce well-being. The aim of this study was to compare midlife (age 45–64) and older (age 65+) participants in a positive psychology (PP) intervention to increase physical activity and psychological well-being after an ACS. This was a secondary analysis across three phases of a telephone-delivered PP intervention development project. Participants were hospitalized for an ACS and had low pre-ACS health behavior adherence. They received 8–12 weekly intervention sessions. Psychological outcomes, self-reported adherence, and physical activity were measured pre- and post-treatment. Mixed regression models were used to compare session completion rates and change in outcome measures between midlife and older participants. Across 164 participants, midlife participants showed larger improvements in depression, positive affect, and physical activity, but not anxiety or optimism, compared to older participants; session completion rates did not significantly differ. Midlife patients post-ACS may be particularly responsive to a telephone-delivered PP intervention. Clinically, the post-ACS period may be uniquely motivating for midlife patients to improve their physical and psychological health. Future work could customize PP for unique midlife stressors.
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影响因子：
1.2
作者：
Notara, Venetia;Panagiotakos, Demosthenes B.;Pitsavos, Christos E.
通讯作者：
Pitsavos, Christos E.
影响因子：
--
作者：
Gulliksson, Mats;Burell, Gunilla;Svardsudd, Kurt
通讯作者：
Svardsudd, Kurt
影响因子：
3.3
作者：
Celano, Christopher M.;Albanese, Ariana M.;Huffman, Jeff C.
通讯作者：
Huffman, Jeff C.
影响因子：
--
作者：
Peterson, Janey C.;Charlson, Mary E.;Allegrante, John P.
通讯作者：
Allegrante, John P.
影响因子：
3.8
作者：
Madva, Elizabeth N.;Gomez-Bernal, Federico;Huffman, Jeff C.
通讯作者：
Huffman, Jeff C.