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The Combined Effect of Psychological and Relational Aspects on Cardiac Patient Activation

  • Giada RapelliEmail author
  • Silvia Donato
  • Anna Bertoni
  • Chiara Spatola
  • Ariela F. Pagani
  • Miriam Parise
  • Gianluca Castelnuovo
Article

Abstract

The literature assumes that activating patients in the treatment is associated with positive health-related outcomes, such as clinical indicators in the normal range, high medication adherence, and low emergency department utilization. In the cardiac population, patient activation, that is the patient’s knowledge, skills, confidence, and behaviors needed for managing one’s own health and health care, has been less investigated. In addition, limited attention has been given to the role of the partner as an informal caregiver. However, the patient in the care process is rarely alone, and the partner may play a key role in this process. The goal of this dyadic study (N = 100 heterosexual couples with one partner suffering from an acute cardiac event) is to analyze how individual factors (patients’ anxiety, depression, medication adherence, pessimistic perception of illness) and the couple’s relationship functioning (e.g., different kinds of partner support and dyadic coping) are associated with patient activation. The results showed that patient activation is not a mere question of age. It is positively related to medication adherence and to the partner’s support patient activation. It is negatively correlated with the patient’s psychological distress, pessimistic perception of illness, and to the partner’s hostility. The need for a dyadic approach to both research and intervention with this population is discussed.

Keywords

Cardiac illness Couple relationship Partner support Distress Dyadic coping Patient activation 

Notes

Compliance with Ethical Standards

Conflict of interest

Giada Rapelli, Donato Silvia, Bertoni Anna, Chiara Spatola, Ariela F. Pagani, Miriam Parise, and Castelnuovo Gianluca declare that they have no conflict of interest.

Human and Animal Rights

All procedures performed involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included.

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Authors and Affiliations

  1. 1.Department of PsychologyUniversità Cattolica del Sacro Cuore - MilanoMilanItaly
  2. 2.Family Studies and Research University CentreUniversità Cattolica del Sacro Cuore - MilanoMilanItaly
  3. 3.Psychology Research LaboratoryIstituto Auxologico Italiano, IRCCSMilanItaly

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