RT Journal Article
T1 Positive psychological profiles based on perceived health clustering in patients with cardiovascular disease: a longitudinal study
A1 Castillo-Mayén, Rosario
A1 Luque, Bárbara
A1 Rubio, Sebastián Jesús
A1 Cuadrado, Esther
A1 Gutiérrez-Domingo, Tamara
A1 Arenas, Alicia
A1 Delgado-Lista, Javier
A1 Pérez-Martínez, Pablo
A1 Tabernero, Carmen
K1 Self-efficacy
K1 Life satisfaction
K1 Cardiovascular disease
K1 Cardiovascular health
K1 Socioeconomic status
K1 Cluster analysis
K1 Health status
K1 Employment
K1 Depression
K1 Quality of life
K1 Autoeficacia
K1 Enfermedades cardiovasculares
K1 Clase social
K1 Análisis por conglomerados
K1 Estado de salud
K1 Empleo
K1 Depresión
K1 Calidad de vida
AB Objectives Psychological well-being and sociodemographic factors have been associated with cardiovascular health. Positive psychological well-being research is limited in the literature; as such, this study aimed to investigate how patients with cardiovascular disease could be classified according to their perceived mental and physical health, and to identify positive psychological profiles based on this classification and test their stability over time.Design and setting Longitudinal study with patients from a public hospital located in Córdoba (Spain).Participants This study comprised 379 cardiovascular patients (87.3% men) tested at three measurement points.Outcome measures Participants reported their sociodemographic variables (age, sex, educational level, employment and socioeconomic status) at phase 1, while their perceived health and variables relating to positive psychological well-being were tested at this and two subsequent time points (average interval time: 9 months).Results The two-step cluster analysis classified participants into three groups according to their mental and physical health levels, p<0.001: high (n=76), moderate (n=113) and low (n=189) perceived health clusters. Low perceived health was the largest cluster, comprising almost half of patients. Clusters significantly differed according to sex, p=0.002, and socioeconomic level, p=0.004. The profile analysis indicated that participants in the high perceived health cluster showed high positive affect, positivity, life satisfaction, and self-efficacy in emotion regulation, and less negative affect and use of passive strategies over the three measurement points (95% CI, all ps<0.01). Moreover, psychological profile stability for each cluster was generally found over an 18-month period, all ps<0.05.Conclusion Cardiovascular patients may differ in terms of their perceived health and, accordingly, in terms of other relevant variables. Perceived health clusters generated varying and generally stable psychological profiles based on positive psychological well-being variables. Psychological interventions should be adapted to patients’ requirements.
PB BMJ Group
YR 2021
FD 2021-05-18
LK http://hdl.handle.net/10668/4327
UL http://hdl.handle.net/10668/4327
LA en
NO Castillo-Mayén R, Luque B, Rubio SJ, Cuadrado E, Gutiérrez-Domingo T, Arenas A, et al. Positive psychological profiles based on perceived health clustering in patients with cardiovascular disease: a longitudinal study. BMJ Open. 2021 May 18;11(5):e050818
DS RISalud
RD Apr 9, 2025