TY - JOUR
T1 - The influence of illness severity on health satisfaction in patients with cardiovascular disease
T2 - The mediating role of illness perception and self-efficacy beliefs
AU - Greco, Andrea
AU - Steca, Patrizia
AU - Pozzi, Roberta
AU - Monzani, Dario
AU - Malfatto, Gabriella
AU - Parati, Gianfranco
PY - 2015/1/2
Y1 - 2015/1/2
N2 - The importance of psychological factors in improving conditions of cardiovascular disease (CVD) patients is stressed by the guidelines for their prevention and rehabilitation, but little is known about the impact of illness severity on patients well-being, and on the psychosocial variables that may mediate this association. The aim of this study was to investigate the role of illness perception and self-efficacy beliefs on the relationship between illness severity and health satisfaction in 75 CVD patients undergoing rehabilitation (80% men; mean age = 65.44) at the St. Luca Hospital, Istituto Auxologico Italiano, Milan, Italy. Illness severity was measured in terms of left ventricular ejection fraction; psychological factors were assessed at the beginning and end of rehabilitation. Results from path analyses showed that the relationships among CVD severity and health satisfaction were mediated by illness perception and self-efficacy beliefs. Findings underscored the importance of considering illness representations and self-efficacy beliefs to improve well-being in CVD patients.
AB - The importance of psychological factors in improving conditions of cardiovascular disease (CVD) patients is stressed by the guidelines for their prevention and rehabilitation, but little is known about the impact of illness severity on patients well-being, and on the psychosocial variables that may mediate this association. The aim of this study was to investigate the role of illness perception and self-efficacy beliefs on the relationship between illness severity and health satisfaction in 75 CVD patients undergoing rehabilitation (80% men; mean age = 65.44) at the St. Luca Hospital, Istituto Auxologico Italiano, Milan, Italy. Illness severity was measured in terms of left ventricular ejection fraction; psychological factors were assessed at the beginning and end of rehabilitation. Results from path analyses showed that the relationships among CVD severity and health satisfaction were mediated by illness perception and self-efficacy beliefs. Findings underscored the importance of considering illness representations and self-efficacy beliefs to improve well-being in CVD patients.
KW - cardiovascular disease
KW - health satisfaction
KW - illness perception
KW - illness severity
KW - self-efficacy beliefs
UR - http://www.scopus.com/inward/record.url?scp=84919481168&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84919481168&partnerID=8YFLogxK
U2 - 10.1080/08964289.2013.855159
DO - 10.1080/08964289.2013.855159
M3 - Article
C2 - 24965513
AN - SCOPUS:84919481168
VL - 41
SP - 9
EP - 17
JO - Behavioral Medicine
JF - Behavioral Medicine
SN - 0896-4289
IS - 1
ER -