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

Psicothema, 2021-07, Vol.33 (3), p.433-441 [Peer Reviewed Journal]

COPYRIGHT 2021 Colegio Oficial De Psicologos Del Principado De Asturias ;2021. Notwithstanding the ProQuest Terms and conditions, you may use this content in accordance with the associated terms available at https://www.psicothema.com/PublicationNorms2022.pdf ;ISSN: 0214-9915 ;EISSN: 1886-144X ;DOI: 10.7334/psicothema2020.476

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  • Title:
    Positivity and Self-Efficacy Beliefs Explaining Health-Related Quality of Life in Cardiovascular Patients
  • Author: Tabernero, Carmen ; Caprara, Gian Vittorio ; Gutierrez-Domingo, Tamara ; Cuadrado, Esther ; Castillo-Mayen, Rosario ; Arenas, Alicia ; Rubio, Sebastian ; Luque, Barbara
  • Subjects: Quality of life ; Self-efficacy
  • Is Part Of: Psicothema, 2021-07, Vol.33 (3), p.433-441
  • Description: 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 healthspecific 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: Posit iv it y m ay act a s a d isp osit ion helps p atient s 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. Keywords: Positivity; Cardiac self-efficacy; Self-regulation; Affect regulation; Cardiovascular disease; Health-related quality of life. Calidad de Vida relacionada con la Salud de Personas con Enfermedad Cardiovascular: Positividad y Creencias de Autoeficacia. Antecedentes: el bienestar psicologico y la autorregulacion se asocian con la salud cardiovascular. Este estudio tiene como objetivo examinar longitudinalmente la relacion entre la positividad y variables autorreguladoras especificas de la salud con la calidad de vida relacionada con la salud en pacientes cardiovasculares. Metodo: quinientos cincuenta pacientes cardiacos respondieron dos veces a las escalas de positividad, autoeficacia para la regulacion emocional, autoeficacia cardiaca y salud general SF-12 con un intervalo de nueve meses, evaluando respectivamente su nivel de positividad, creencias de autoeficacia especificas de la salud y calidad de vida relacionada con la salud. Resultados: los analisis mediacionales demostraron que las creencias de autoeficacia median la relacion entre la positividad y la calidad de vida. La autoeficacia para el manejo del afecto negativo, concretamente el factor desaliento-angustia, mostro un efecto directo e indirecto sobre la salud. Los resultados del modelo de ecuaciones estructurales mostraron indices 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 medico-cardiaco, permitiendo asi a los pacientes percibir una mayor calidad de vida. Palabras clave: positividad; autoeficacia cardiaca; autorregulacion; afecto negativo; enfermedad cardiovascular; calidad de vida relacionada con la salud.
  • Publisher: Oviedo: Colegio Oficial De Psicologos Del Principado De Asturias
  • Language: English;Spanish
  • Identifier: ISSN: 0214-9915
    EISSN: 1886-144X
    DOI: 10.7334/psicothema2020.476
  • Source: ProQuest One Psychology
    ProQuest Central
    DOAJ Directory of Open Access Journals
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