Key result
Pre-rehabilitation cardiac-specific experiential avoidance was negatively associated with psychological well-being and predicted worse psychological outcomes among 800 patients completing cardiac rehabilitation.
Why the study?
The study aimed to evaluate the reciprocal association between psychological well-being and experiential avoidance over time among cardiac rehabilitation patients with moderately to severely low levels of psychological well-being.
Does cardiac-specific experiential avoidance predict changes in psychological well-being among patients completing cardiac rehabilitation?
Observational (n=915)
Does cardiac-specific experiential avoidance predict changes in psychological well-being among patients completing cardiac rehabilitation?
Pre-cardiac rehabilitation assessment of experiential avoidance can help identify patients at risk for worse psychological outcomes, suggesting it as a potential target for psychological interventions.
Experiential avoidance was associated with lower well-being during cardiac rehabilitation; leaves open whether targeting it improves outcomes.
Previous studies have shown that experiential avoidance (EA) is associated with physical and psychological well-being in medical and non-medical samples. The aims of the present study were to evaluate the reciprocal association between psychological well-being and EA over time among cardiac rehabilitation (CR) patients with moderately to severely low levels of psychological well-being. Pre-CR data on demographic characteristics, measures of psychological well-being, and cardiac-specific EA were collected from 915 CR patients, as well as post-CR psychological well-being and EA data, from 800 of these patients. A cross-lagged model was estimated to examine the relationship between EA and psychological well-being among patients with moderately to severely low levels of psychological well-being based on questionnaire scores. Both EA and psychological well-being significantly changed during CR and were negatively associated with each other at both pre- and post-CR. Results from cross-lagged structural equation modeling supported a nonreciprocal association between EA and psychological well-being during CR. Pre-CR assessment of EA in patients showing low levels of well-being at the beginning of CR could help to identify patients at risk for worse psychological outcomes. EA could be a promising target of psychological treatments administered during CR.
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Spatola et al. (2021) conducted an observational in Cardiac rehabilitation patients with low psychological well-being (n=915). Cardiac-specific experiential avoidance was evaluated on Change in general psychological well-being. Pre-rehabilitation cardiac-specific experiential avoidance was negatively associated with psychological well-being and predicted worse psychological outcomes among 800 patients completing cardiac rehabilitation.
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