The influence of illness severity on health satisfaction in patients with cardiovascular disease: The mediating role of illness perception and self-efficacy beliefs

Andrea Greco, Patrizia Steca, Roberta Pozzi, Dario Monzani, Gabriella Malfatto, Gianfranco Parati

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)9-17
Number of pages9
JournalBehavioral Medicine
Volume41
Issue number1
DOIs
Publication statusPublished - Jan 2 2015

Keywords

  • cardiovascular disease
  • health satisfaction
  • illness perception
  • illness severity
  • self-efficacy beliefs

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Applied Psychology
  • Medicine(all)

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