Valued Life Activities, Smoking Cessation, and Mood in Post-Acute Coronary Syndrome Patients
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Continued engagement in valued life activities is a protective factor for depression and has been linked to readiness to quit smoking in medical populations but has never been examined among acute coronary syndrome (ACS) patients.
The purpose of this study is to investigate relationships among valued life activities, mood, and smoking post-ACS.
Participants were 54 post-ACS patients who were smoking before ACS hospitalization. Data on mood, smoking status, engagement in valued activities, restriction of valued activities, and satisfactory replacement of restricted activities was collected 1–12 months post-ACS.
Depressive symptoms were associated with both less valued activity engagement and greater valued activity restriction. Positive affect was associated with greater valued activity engagement and negative affect was associated with greater valued activity restriction. Satisfactory replacement of restricted activities was associated with greater positive affect, fewer depressive symptoms, and quitting smoking post-ACS. The majority of these relationships remained significant after controlling for relevant covariates, including physical functioning.
Valued activity restriction and engagement may contribute to depressed mood and failure to quit smoking in ACS patients. Psychotherapies that target greater engagement in valued life activities deserve further investigation in ACS patients.
KeywordsDepression Coronary heart disease Smoking Activity restriction Acute coronary syndrome
- 6.van Melle JP, de Jonge P, Spijkerman TA, Tijssen JG, Ormel J, van Veldhuisen DJ, et al. Prognostic association of depression following myocardial infarction with mortality and cardiovascular events: a meta-analysis. Psychosom Med. 2004;66(6):814–22. doi:10.1097/01.psy.0000146294.82810.9c.CrossRefPubMedGoogle Scholar
- 11.Parker RD, Adams J. Activity restrictions and recovery after open chest surgery: understanding the patient’s perspective. Proc (Baylor Univ Med Cent). 2008;21(4):421–5.Google Scholar
- 12.Fox PJ. The widow-maker heart attack at age 48. AuthorHouse: Bloomington; 2009.Google Scholar
- 22.Fan X, Lee KS, Frazier, SK, Lennie TA, Moser DK (2014) Psychometric testing of the duke activity status index in patients with heart failure. Eur J Cardiovasc Nurs. [Epub ahead of print]Google Scholar
- 25.Mausbach BT, Roepke SK, Depp CA, Moore R, Patterson TL, Grant I. Integration of the pleasant events and activity restriction models: development and validation of a “PEAR” model of negative outcomes in Alzheimer’s caregivers. Behav Ther. 2011;42(1):78–88. doi:10.1016/j.beth.2009.11.006.PubMedCentralCrossRefPubMedGoogle Scholar
- 28.Kanter JW, Busch AM, Rusch LC. Behavioral activation: distinctive features. London: Routledge Press; 2009.Google Scholar
- 29.Hayes SC, Strosahl K, Wilson KG (1999) Acceptance and commitment therapy. SpringerGoogle Scholar