ArticlePsychosomatic medicine
Positive Affect and Health Behaviors Across 5 Years in Patients With Coronary Heart Disease: The Heart and Soul Study.
Article in Psychosomatic medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.
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Who cites it
56 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Positive affect and medication adherence in chronic conditions: A systematic review.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2019Pooled it
- Feasibility and preliminary efficacy of a positive psychology-based intervention to promote health behaviors in heart failure: The REACH for Health study.Journal of psychosomatic research · 2020Trial
- Positive Health Beliefs and Blood Pressure Reduction in the DESERVE Study.Journal of the American Heart Association · 2020Trial
- Usefulness of a Positive Psychology-Motivational Interviewing Intervention to Promote Positive Affect and Physical Activity After an Acute Coronary Syndrome.The American journal of cardiology · 2019Trial
- Trial
- Insights into immunization practices: community health nurses' experiences at Fanteakwa North District child welfare clinics.BMC pediatrics · 2026Article
- Acute Affective Responses and Perceived Exertion during a Single Bout of Virtual Reality Exercise.International journal of exercise science · 2026Article
- Potential Mechanisms of Influence Between Spiritual Practices and Cognitive Health: A Systematic Review and Conceptual Model.Brain sciences · 2025Review
- Article
- Integrating mental health and cardiovascular wellness: synergistic impacts and the promise of comprehensive care models.Annals of medicine and surgery (2012) · 2025Review
- Cross-country assessment of the unique contributions of psychological factors to vaccination: Perspectives on the COVID-19 pandemic.Journal of health psychology · 2025Article
- A review of the literature on wellbeing and modifiable dementia risk factors.Ageing research reviews · 2024Review
- Associations Between Psychological Factors and Adherence to Health Behaviors After Percutaneous Coronary Intervention: The Role of Cardiac Rehabilitation.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024Article
- Article
- Determinants influencing health-promoting behaviors in individuals at high risks of stroke: a cross-sectional study.Frontiers in public health · 2024Article
- Changes in childhood caregiving impressions among middle-aged and older adults.Personal Relationships · 2023Article
- The effect of a multi-component behavior change technique intervention on physical activity among individuals on primary prevention statin therapy: A dose-finding trial protocol.Contemporary clinical trials · 2023Article
- Does an Online Positive Psychological Intervention Improve Positive Affect in Young Adults During the COVID-19 Pandemic?Affective science · 2023Article
- Ageism and the Pandemic: Risk and Protective Factors of Well-Being in Older People.Geriatrics (Basel, Switzerland) · 2023Article
- University Students' Well-Being and Engagement in Activities in the Early Days of Covid-19.Applied research in quality of life · 2023Article
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Authors and funding
3 authors.
Funding
Abstract
objectivesPositive psychological states are linked to superior health and longevity, possibly due to behavioral factors. We evaluated cross-sectional and 5-year associations between positive affect and health behaviors in patients with coronary heart disease (CHD).
methodsOutpatients with CHD reported positive affect, physical activity, sleep quality, medication adherence, cigarette smoking, and alcohol use at baseline (n = 1022) and 5 years later (n = 662). Covariates in regression analyses included demographics, cardiac disease severity, and depressive symptoms.
resultsAt baseline, higher positive affect (per 1 standard deviation) was associated with better health behaviors: physical activity (odds ratio [OR] = 1.52, 95% 95% confidence interval [CI] = 1.30-1.77, p < .001), sleep quality (OR = 1.24, 95% CI = 1.04-1.48, p = .015), medication adherence (OR = 1.46, 95% CI = 1.12-1.90, p = .005), and nonsmoking (OR = 1.29, 95% CI = 1.06-1.57, p = .012), but was unrelated to alcohol use. Baseline positive affect did not predict health behaviors at follow-up, accounting for baseline behaviors. However, increases in positive affect across 5 years co-occurred with improvements in physical activity (B = 0.023, standard error [SE] = 0.008, p = .002), sleep quality (B = 0.011, SE = 0.005, p = .039), and medication adherence (B = 0.014, SE = 0.004, p < .001), but not smoking status (OR = 1.07, 95% CI = 0.73-1.55, p = .74).
conclusionsPositive affect was associated with health behaviors among patients with CHD. Efforts to sustain or enhance positive affect may be promising for promoting better health behaviors.
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