Castillo-Mayén, RosarioLuque, BárbaraRubio, Sebastián JesúsCuadrado, EstherGutiérrez-Domingo, TamaraArenas, AliciaDelgado-Lista, JavierPérez-Martínez, PabloTabernero, Carmen2022-11-072022-11-072021-05-18Castillo-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):e050818http://hdl.handle.net/10668/4327Objectives 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.enAtribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/Self-efficacyLife satisfactionCardiovascular diseaseCardiovascular healthSocioeconomic statusCluster analysisHealth statusEmploymentDepressionQuality of lifeAutoeficaciaEnfermedades cardiovascularesClase socialAnálisis por conglomeradosEstado de saludEmpleoDepresiónCalidad de vidaMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Cluster AnalysisMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::DepressionMedical Subject Headings::Check Tags::FemaleMedical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Demography::Health StatusMedical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::HumansMedical Subject Headings::Persons::Persons::Age Groups::InfantMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Longitudinal StudiesMedical Subject Headings::Check Tags::MaleMedical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Quality of LifeMedical Subject Headings::Geographical Locations::Geographic Locations::Europe::SpainMedical Subject Headings::Diseases::Cardiovascular DiseasesMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Personality::Personality Development::Self Concept::Self EfficacyMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Personal SatisfactionMedical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Sociology::Socioeconomic FactorsMedical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Sociology::Social ClassMedical Subject Headings::Disciplines and Occupations::Natural Science Disciplines::Science::Research::Biomedical Research::Outcome Assessment (Health Care)Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Facilities::Hospitals::Hospitals, PublicMedical Subject Headings::Health Care::Population Characteristics::Socioeconomic Factors::Employmentresearch article34006562open access10.1136/bmjopen-2021-0508182044-6055PMC8130737