Rachel A Millstein1, Christopher M Celano2, Eleanor E Beale3, Scott R Beach2, Laura Suarez4, Arianna M Belcher5, James L Januzzi6, Jeff C Huffman2. 1. Harvard Medical School, 55 Fruit St., Boston, MA 02114, USA; Department of Psychiatry, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA. Electronic address: ramillstein@mgh.harvard.edu. 2. Harvard Medical School, 55 Fruit St., Boston, MA 02114, USA; Department of Psychiatry, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA. 3. Harvard Medical School, 55 Fruit St., Boston, MA 02114, USA. 4. Department of Psychiatry, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA. 5. Department of Medicine, Division of Cardiology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA. 6. Harvard Medical School, 55 Fruit St., Boston, MA 02114, USA; Department of Medicine, Division of Cardiology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA.
Abstract
OBJECTIVE: This study examined the effects of optimism and gratitude on self-reported health behavior adherence, physical functioning and emotional well-being after an acute coronary syndrome (ACS). METHODS: Among 156 patients, we examined associations between optimism and gratitude measured 2 weeks post-ACS and 6-month outcomes: adherence to medical recommendations, mental and physical health-related quality of life (HRQoL), physical functioning, depressive symptoms and anxiety. Multivariable linear regression models were used, controlling for increasing levels of adjustment. RESULTS: Optimism [β=.11, standard error (S.E.)=.05, P=.038] and gratitude (β=.10, S.E.=.05, P=.027) at 2 weeks were associated with subsequent self-reported adherence to medical recommendations (diet, exercise, medication adherence, stress reduction) at 6 months in fully adjusted models. Two-week optimism and gratitude were associated with improvements in mental HRQoL (optimism: β=.44, S.E.=.13, P=.001; gratitude: β=.33, S.E.=.12, P=.005) and reductions in symptoms of depression (optimism: β=-.11, S.E.=.05, P=.039; gratitude: β=-.10, S.E.=.05, P=.028) and anxiety (optimism: β=-.15, S.E.=.05, P=.004; gratitude: β=-.10, S.E.=.05, P=.034) at 6 months. CONCLUSION: Optimism and gratitude at 2 weeks post-ACS were associated with higher self-reported adherence and improved emotional well-being 6 months later, independent of negative emotional states. Optimism and gratitude may help recovery from an ACS. Interventions promoting these positive constructs could help improve adherence and well-being.
OBJECTIVE: This study examined the effects of optimism and gratitude on self-reported health behavior adherence, physical functioning and emotional well-being after an acute coronary syndrome (ACS). METHODS: Among 156 patients, we examined associations between optimism and gratitude measured 2 weeks post-ACS and 6-month outcomes: adherence to medical recommendations, mental and physical health-related quality of life (HRQoL), physical functioning, depressive symptoms and anxiety. Multivariable linear regression models were used, controlling for increasing levels of adjustment. RESULTS: Optimism [β=.11, standard error (S.E.)=.05, P=.038] and gratitude (β=.10, S.E.=.05, P=.027) at 2 weeks were associated with subsequent self-reported adherence to medical recommendations (diet, exercise, medication adherence, stress reduction) at 6 months in fully adjusted models. Two-week optimism and gratitude were associated with improvements in mental HRQoL (optimism: β=.44, S.E.=.13, P=.001; gratitude: β=.33, S.E.=.12, P=.005) and reductions in symptoms of depression (optimism: β=-.11, S.E.=.05, P=.039; gratitude: β=-.10, S.E.=.05, P=.028) and anxiety (optimism: β=-.15, S.E.=.05, P=.004; gratitude: β=-.10, S.E.=.05, P=.034) at 6 months. CONCLUSION: Optimism and gratitude at 2 weeks post-ACS were associated with higher self-reported adherence and improved emotional well-being 6 months later, independent of negative emotional states. Optimism and gratitude may help recovery from an ACS. Interventions promoting these positive constructs could help improve adherence and well-being.
Authors: Clara K Chow; Sanjit Jolly; Purnima Rao-Melacini; Keith A A Fox; Sonia S Anand; Salim Yusuf Journal: Circulation Date: 2010-02-01 Impact factor: 29.690
Authors: Rachel A Millstein; Wei-Jean Chung; Bettina B Hoeppner; Julia K Boehm; Sean R Legler; Carol A Mastromauro; Jeff C Huffman Journal: Gen Hosp Psychiatry Date: 2019-04-04 Impact factor: 3.238
Authors: Laura Duque; Lydia Brown; Christopher M Celano; Brian Healy; Jeff C Huffman Journal: Gen Hosp Psychiatry Date: 2019-06-04 Impact factor: 3.238
Authors: Christopher M Celano; Eleanor E Beale; Melanie E Freedman; Carol A Mastromauro; Emily H Feig; Elyse R Park; Jeff C Huffman Journal: Nurs Health Sci Date: 2020-03-22 Impact factor: 1.857