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May 11, 2026Psychology and HealthOpen Access

Affairs of the heart: couples coping with cardiac rehabilitation

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Population

Partners from 86 couples at cardiac rehabilitation admission

Design

Dyadic study using self-report questionnaires

Key result

Patient activation during cardiac rehabilitation was higher when the partner's illness perception was less pessimistic, the partner was less overprotective, and the couple coped better together.

Authors

SDSilvia DonatoCDChiara DemariaCGClaudia Gioia

Discussion

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Overview

Hypothesis-generating for dyadic influences on activation in cardiac rehab; prospective trials needed before clinical adoption.

Key Points

  • To explore how perceptions and behaviors of partners influence patient activation in cardiac rehabilitation settings.
  • 86 couples completed self-report questionnaires at cardiac rehabilitation admission
  • Path analysis was used to assess relationships between partner perceptions and patient activation
  • Focus on partner characteristics like illness perception and support behaviors
  • Patient activation was higher when partners had less pessimistic illness perceptions
  • Activation improved with less overprotective partners and better coping as a couple
  • No significant relationships found between activation and partner hostility or support

Study Design

Type

Cross-Sectional (n=172)

PICO

P
Population
Cardiac rehabilitation (n=172)
I
Intervention / Comparator
Relational drivers (partner illness perception, overprotectiveness, dyadic coping)
O
Primary Outcome
Patient activation

Cite This Study

Donato et al. (2026) conducted a cross-sectional in Cardiac rehabilitation (n=172). Relational drivers (partner illness perception, overprotectiveness, dyadic coping) was evaluated on Patient activation. Patient activation during cardiac rehabilitation was higher when the partner's illness perception was less pessimistic, the partner was less overprotective, and the couple coped better together.

synapsesocial.com/papers/6a0171983a9f334c28271b6dhttps://doi.org/10.1080/08870446.2026.2670014
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