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Valued Life Activities, Smoking Cessation, and Mood in Post-Acute Coronary Syndrome Patients

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Abstract

Background

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.

Purpose

The purpose of this study is to investigate relationships among valued life activities, mood, and smoking post-ACS.

Methods

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.

Results

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.

Conclusions

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.

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Acknowledgments

Funding for this study was provided by the Brown University Department of Psychiatry and Human Behavior and the National Heart, Lung, and Blood Institute grant K23-HL107391 (PI: Andrew Busch). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute or the National Institutes of Health.

Conflict of Interest

All authors declare that they have no conflict of interest regarding this manuscript.

Human Subjects Statement

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study.

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Authors and Affiliations

  1. The Miriam Hospital,Centers for Behavioral & Preventive Medicine, Coro West, Suite 309,164 Summit Ave, Providence, RI, 02906, USA

    Andrew M. Busch & Belinda Borrelli

  2. Warren Alpert Medical School of Brown University, Providence, RI, USA

    Andrew M. Busch, John Fani Srour, James A. Arrighi & Belinda Borrelli

  3. Rhode Island Hospital, Providence, RI, USA

    John Fani Srour & James A. Arrighi

  4. Brown University School of Public Health, Providence, RI, USA

    Christopher W. Kahler

Authors
  1. Andrew M. Busch
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  2. John Fani Srour
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  4. Christopher W. Kahler
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  5. Belinda Borrelli
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Corresponding author

Correspondence to Andrew M. Busch.

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Busch, A.M., Fani Srour, J., Arrighi, J.A. et al. Valued Life Activities, Smoking Cessation, and Mood in Post-Acute Coronary Syndrome Patients. Int.J. Behav. Med. 22, 563–568 (2015). https://doi.org/10.1007/s12529-014-9456-9

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  • DOI: https://doi.org/10.1007/s12529-014-9456-9

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