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Greco A, Adorni R, De Matteis C, D’Addario M, Fattirolli F, Franzelli C, Giannattasio C, Luyckx K, Steca P. Latent change models of lifestyle in acute coronary syndrome patients: Are lifestyle changes associated with resilience changes? Health Psychol Open 2023; 10:20551029231167836. [PMID: 37007212 PMCID: PMC10064170 DOI: 10.1177/20551029231167836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/30/2023] Open
Abstract
This study aimed to examine the role of resilience resources in patients' lifestyle changes after the first Acute Coronary event. 275 Italian patients (84.0% men; mean age = 57.5, SD = 7.9) participated in a longitudinal study. Resilience resources (Self-esteem, Dispositional Optimism, Sense of Coherence – SOC, General and Disease-specific Self-efficacy), and lifestyles (diet, physical activity, and smoking) were assessed twice (at baseline and after 6 months). Path analysis using latent change models was performed to model the combined effect of levels and changes of the resilience resources over lifestyle changes. Patients with strong SOC at baseline were less prone to smoke and more prone to decrease smoking; enhancement in SOC was associated with a smoking decrease. High Disease-specific Self-efficacy at baseline was associated with an improvement in all lifestyles; enhancement in Disease-specific Self-efficacy predicted an increase in physical activity. Findings underline the need to design psychological interventions that promote patients' Disease-specific Self-efficacy and SOC.
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Affiliation(s)
- Andrea Greco
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Roberta Adorni
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
- Roberta Adorni, Department of Psychology, University of Milano-Bicocca Piazza dell’Ateneo Nuovo, 1, 20126, Milano, Italy.
| | - Chiara De Matteis
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | - Marco D’Addario
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | - Francesco Fattirolli
- Department of Experimental & Clinical Medicine, University of Florence, Florence, Italy
- Cardiac Rehabilitation Unit, Careggi University Hospital, Florence, Italy
| | | | - Cristina Giannattasio
- School of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy
- Cardiology IV, “A. De Gasperis” Department, Ospedale Niguarda Ca’ Granda, Milan, Italy
| | - Koen Luyckx
- Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium
| | - Patrizia Steca
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
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Zanatta F, Steca P, Fundarò C, Giardini A, Felicetti G, Panigazzi M, Arbasi G, Grilli C, D’Addario M, Pierobon A. Biopsychosocial effects and experience of use of robotic and virtual reality devices in neuromotor rehabilitation: A study protocol. PLoS One 2023; 18:e0282925. [PMID: 36897863 PMCID: PMC10004562 DOI: 10.1371/journal.pone.0282925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Accepted: 02/18/2023] [Indexed: 03/11/2023] Open
Abstract
BACKGROUND Robot-assisted therapy (RAT) and virtual reality (VR)-based neuromotor rehabilitation have shown promising evidence in terms of patient's neuromotor recovery, so far. However, still little is known on the perceived experience of use of robotic and VR devices and the related psychosocial impact. The present study outlines a study protocol aiming to investigate the biopsychosocial effects and the experience of use of robotic and non-immersive VR devices in patients undergoing neuromotor rehabilitation. METHODS Adopting a prospective, two-arm, non-randomized study design, patients with different neuromotor diseases (i.e., acquired brain injury, Parkinson's Disease, and total knee/hip arthroplasty) undergoing rehabilitation will be included. In a real-world clinical setting, short- (4 weeks) and long-term (6 months) changes in multiple patient's health domains will be investigated, including the functional status (i.e., motor functioning, ADLs, risk of falls), cognitive functioning (i.e., attention and executive functions), physical and mental health-related quality of life (HRQoL), and the psychological status (i.e., anxiety and depression, quality of life satisfaction). At post-intervention, the overall rehabilitation experience, the psychosocial impact of the robotic and VR devices will be assessed, and technology perceived usability and experience of use will be evaluated through a mixed-methods approach, including both patients' and physiotherapists' perspectives. Repeated measures within-between interaction effects will be estimated, and association analyses will be performed to explore the inter-relationships among the variables investigated. Data collection is currently ongoing. IMPLICATIONS The biopsychosocial framework adopted will contribute to expanding the perspective on patient's recovery within the technology-based rehabilitation field beyond motor improvement. Moreover, the investigation of devices experience of use and usability will provide further insight into technology deployment in neuromotor rehabilitation programs, thereby maximising therapy engagement and effectiveness. TRIAL REGISTRATION ClinicalTrials.gov ID: NCT05399043.
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Affiliation(s)
- Francesco Zanatta
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | - Patrizia Steca
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | - Cira Fundarò
- Istituti Clinici Scientifici Maugeri IRCCS, Neurophysiopathology Unit of Montescano Institute, Montescano, Italy
- * E-mail:
| | - Anna Giardini
- Istituti Clinici Scientifici Maugeri IRCCS, Information Technology Department of Pavia Institute, Pavia, Italy
| | - Guido Felicetti
- Istituti Clinici Scientifici Maugeri IRCCS, Neuromotor Rehabilitation Unit of Montescano Institute, Montescano, Italy
| | - Monica Panigazzi
- Istituti Clinici Scientifici Maugeri IRCCS, Occupational Physiatry and Ergonomics Unit of Montescano Institute, Montescano, Italy
| | - Giovanni Arbasi
- Istituti Clinici Scientifici Maugeri IRCCS, Neuromotor Rehabilitation Unit of Montescano Institute, Montescano, Italy
| | - Cesare Grilli
- Istituti Clinici Scientifici Maugeri IRCCS, Occupational Physiatry and Ergonomics Unit of Montescano Institute, Montescano, Italy
| | - Marco D’Addario
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | - Antonia Pierobon
- Istituti Clinici Scientifici Maugeri IRCCS, Psychology Unit of Montescano Institute, Montescano, Italy
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Zanatta F, Mari S, Adorni R, Labra M, Matacena R, Zenga M, D’Addario M. The Role of Selected Psychological Factors in Healthy-Sustainable Food Consumption Behaviors during the COVID-19 Pandemic. Foods 2022; 11:foods11131944. [PMID: 35804759 PMCID: PMC9265338 DOI: 10.3390/foods11131944] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Revised: 06/24/2022] [Accepted: 06/27/2022] [Indexed: 01/27/2023] Open
Abstract
The COVID-19 pandemic and the consequent precautions and dispositions adopted have triggered substantial changes in daily health-related behaviors, including food consumption habits. The psychological impact of the pandemic has been considered one of the factors affecting this transition and requiring consideration when targeting healthy-sustainable behavior preservation. The present study describes the results of a survey conducted on a convenience sample of Italian residents (n = 2272) during the first phases of pandemic. The aim was to explore the daily nutritional choices and behaviors and their transformations that occurred along with the associations with psychological factors (i.e., subjective well-being, and depression, anxiety and stress symptoms). An indicator for healthy-sustainable transition (HST index) was constructed and revealed diffused transformation in dietary habits, with a large segment of the sample adopting healthier and more sustainable dietary behaviors and others showing reduced healthy-sustainable food choices. Informative relationships with the psychological variables were then found from the correlational and regression analyses. Lower levels of anxiety, depression and stress symptomatology and higher perceived subjective well-being were significantly associated with healthier-sustainable food consumption behaviors. These findings shed light on the crucial areas to be considered in future institutional interventions, ultimately ensuring favorable conditions for both healthy diet behaviors and sustainable food consumption choices.
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Affiliation(s)
- Francesco Zanatta
- Department of Psychology, University of Milan-Bicocca, 20126 Milan, Italy; (S.M.); (R.A.); (M.D.)
- Correspondence:
| | - Silvia Mari
- Department of Psychology, University of Milan-Bicocca, 20126 Milan, Italy; (S.M.); (R.A.); (M.D.)
- BEST4Food-Bicocca Center of Science and Technology for Food, University of Milan-Bicocca, 20126 Milan, Italy; (M.L.); (R.M.)
| | - Roberta Adorni
- Department of Psychology, University of Milan-Bicocca, 20126 Milan, Italy; (S.M.); (R.A.); (M.D.)
| | - Massimo Labra
- BEST4Food-Bicocca Center of Science and Technology for Food, University of Milan-Bicocca, 20126 Milan, Italy; (M.L.); (R.M.)
- Department of Biotechnologies and Biosciences, University of Milan-Bicocca, 20126 Milan, Italy
| | - Raffaele Matacena
- BEST4Food-Bicocca Center of Science and Technology for Food, University of Milan-Bicocca, 20126 Milan, Italy; (M.L.); (R.M.)
| | - Mariangela Zenga
- Department of Statistics and Quantitative Methods, University of Milan-Bicocca, 20126 Milan, Italy;
| | - Marco D’Addario
- Department of Psychology, University of Milan-Bicocca, 20126 Milan, Italy; (S.M.); (R.A.); (M.D.)
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D’Addario M, Adorni R, Steca P, Capelli R, Zanatta F, Fattirolli F, Franzelli C, Giannattasio C, Greco A. Associations between Lifestyle Changes and Adherence to COVID-19 Restrictions in Older Adults with Hypertension. IJERPH 2022; 19:ijerph19137853. [PMID: 35805511 PMCID: PMC9265744 DOI: 10.3390/ijerph19137853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 06/20/2022] [Accepted: 06/24/2022] [Indexed: 11/16/2022]
Abstract
COVID-19 has changed people’s routines and imposed new ways of living. This study investigated variations in lifestyles (namely, physical activity, diet, alcohol consumption, and cigarette smoking) between the prepandemic and the pandemic period in a sample of older adults with hypertension. Moreover, it investigated predictors of adherence to government restrictions during the first lockdown period, evidencing the role of relevant sociodemographic indicators and lifestyle changes. A sample of 105 older Italian adults (M_age = 70 years; SD = 5.83) with hypertension was enrolled from a previous longitudinal study and interviewed on the phone between May and August 2020. Updated information about sociodemographic indicators and lifestyle changes was collected. Adherence to restrictions was explored through several questions regarding compliance with home confinement, facemask use, and the observance of social distancing. Results evidenced that only 33% of the respondents abided by all the national restrictions. During the first pandemic peak, considerable changes in lifestyles occurred, particularly regarding physical activity, which diminished in 70% of the sample. Women, unemployed/retired people, and individuals who decreased their amount of physical activity reported higher adherence to rules. Maintaining a healthy lifestyle over time is essential for disease prevention. Therefore, it is essential to continue to inform the population about the importance of a healthy lifestyle, and it is necessary to provide guidelines to maintain and promote it even during housebound periods.
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Affiliation(s)
- Marco D’Addario
- Department of Psychology, University of Milano-Bicocca, 20126 Milan, Italy; (M.D.); (P.S.); (F.Z.)
| | - Roberta Adorni
- Department of Psychology, University of Milano-Bicocca, 20126 Milan, Italy; (M.D.); (P.S.); (F.Z.)
- Correspondence:
| | - Patrizia Steca
- Department of Psychology, University of Milano-Bicocca, 20126 Milan, Italy; (M.D.); (P.S.); (F.Z.)
| | - Roberto Capelli
- Department of Human and Social Sciences, University of Bergamo, 24129 Bergamo, Italy; (R.C.); (A.G.)
| | - Francesco Zanatta
- Department of Psychology, University of Milano-Bicocca, 20126 Milan, Italy; (M.D.); (P.S.); (F.Z.)
| | - Francesco Fattirolli
- Department of Medical and Surgical Critical Care, Cardiac Rehabilitation Unit, University of Florence, 50139 Florence, Italy;
- Azienda Ospedaliero-Universitaria Careggi, 50134 Florence, Italy
| | - Cristina Franzelli
- Cardiac/Pulmonary Rehabilitation, ASST Gaetano Pini—CTO, 20122 Milan, Italy;
| | - Cristina Giannattasio
- School of Medicine and Surgery, University of Milano-Bicocca, 20126 Milan, Italy;
- Cardiology IV, “A. De Gasperis” Department, Ospedale Niguarda Ca’ Granda, 20162 Milan, Italy
| | - Andrea Greco
- Department of Human and Social Sciences, University of Bergamo, 24129 Bergamo, Italy; (R.C.); (A.G.)
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Greco A, Brugnera A, D’Addario M, Compare A, Franzelli C, Maloberti A, Giannattasio C, Fattirolli F, Steca P. A three-year longitudinal study of healthy lifestyle behaviors and adherence to pharmacological treatments in newly diagnosed patients with acute coronary syndrome: hierarchical linear modeling analyses. J Public Health (Oxf) 2022. [DOI: 10.1007/s10389-020-01369-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Abstract
Aim
Healthy lifestyle behaviors and a good adherence to pharmacological treatments are important predictors of lower recurrence rates and better overall outcomes among patients with an established acute coronary syndrome (ACS). The present study sought to investigate the longitudinal trajectories of these behaviors years after the onset of an ACS.
Subject and methods
We recruited a sample of 275 newly diagnosed consecutive patients at their first ACS event (mean age: 57.1 ± 7.87 years; 84% males) admitted to a cardiac rehabilitation program from three large public hospitals in Northern Italy. Patients completed a battery of sociodemographic questionnaires, which evaluated healthy lifestyles (smoking status, alcohol intake, diet, and physical activity) and adherence to pharmacological treatments, at five time-points (pre-event, 6-, 12-, 24-, and 36-month follow-ups). Longitudinal trajectories were examined through hierarchical (generalized) linear models, controlling for several demographic and clinical variables.
Results
We found significant changes in all healthy lifestyles from pre-event to the 6-month follow-up, suggesting the adoption of healthier behaviors soon after the cardiac event. However, from the 6-month up to the 3-year follow-up, patients experienced small but significant declines in their self-reported levels of healthy dietary behaviors and physical activity. Further, we found that the odds of being at medium risk of non-adherence to the pharmacological treatments significantly increased over the course of 3 years.
Conclusion
Given the negative long-term trajectories in specific lifestyles and adherence to pharmacological treatments, cardiac rehabilitation programs are suggested to provide repeated psychological interventions aimed at fostering patients’ capabilities to self-regulate their habitual behaviors.
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Adorni R, Zanatta F, D’Addario M, Atella F, Costantino E, Iaderosa C, Petarle G, Steca P. Health-Related Lifestyle Profiles in Healthy Adults: Associations with Sociodemographic Indicators, Dispositional Optimism, and Sense of Coherence. Nutrients 2021; 13:nu13113778. [PMID: 34836035 PMCID: PMC8624048 DOI: 10.3390/nu13113778] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 10/16/2021] [Accepted: 10/22/2021] [Indexed: 01/20/2023] Open
Abstract
Cardiovascular disease (CVD) is the leading cause of morbidity and mortality globally. Promoting healthy behaviors throughout life is an essential prevention tool. This study investigated the associations among lifestyle profiles (including diet, alcohol consumption, physical activity, cigarette smoking, and cardiovascular screening), sociodemographic factors (gender, age, education, and family history of CVDs), and psychological factors (sense of coherence and dispositional optimism). In total, 676 healthy adults (mean age = 35 years; range = 19-57; 46% male) participated in an online survey. Lifestyle profiles were identified through cluster analysis, and a multinomial logistic regression was then performed to explore their association with sociodemographic and psychological variables. Results show that men were more likely than women to belong to the lifestyle profile with the highest amount of physical activity (OR = 2.40; p < 0.001) and the greatest attention to cardiovascular screening (OR = 2.09; p < 0.01). Lower dispositional optimism was associated with the profile paying the greatest attention to cardiovascular screening (OR = 0.67; p < 0.05). Sense of coherence, in terms of lower comprehensibility (OR = 0.67; p < 0.05) and higher manageability (OR = 1.43; p < 0.05), was associated with the lifestyle profile characterized by an unhealthy diet, sedentary lifestyle, and nonsmoking. This study shed light on factors associated with different co-occurring health-related behaviors that should be considered in planning effective communication strategies promoting adherence to health claims.
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Chang EC, Chang OD, Martos T, Sallay V, Zettler I, Steca P, D’Addario M, Boniwell I, Pop A, Tarragona M, Slemp GR, Shin JE, de la Fuente A, Cardeñoso O. The positive role of hope on the relationship between loneliness and unhappy conditions in Hungarian young adults: How pathways thinking matters! The Journal of Positive Psychology 2019. [DOI: 10.1080/17439760.2018.1545042] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Edward C. Chang
- Department of Psychology, University of Michigan, Ann Arbor, USA
| | - Olivia D. Chang
- Department of Psychology, University of Michigan, Ann Arbor, USA
| | - Tamás Martos
- Department of Personality, Clinical and Health Psychology, University of Szeged, Szeged, Hungary
| | - Viola Sallay
- Department of Personality, Clinical and Health Psychology, University of Szeged, Szeged, Hungary
| | - Ingo Zettler
- Department of Psychology, University of Copenhagen, Copenhagen, Denmark
| | - Patrizia Steca
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | - Marco D’Addario
- Department of Psychology, University of Milano-Bicocca, Milan, Italy
| | - Ilona Boniwell
- Department of Psychology, Anglia Ruskin University, Cambridge, UK & Positran, Épône, France
| | - Alina Pop
- Department of Communication Science and Public Relations, Dimitrie Cantemir Christian University, Bucharest, Romania
| | | | - Gavin R. Slemp
- Centre for Positive Psychology, Melbourne Graduate School of Education, The University of Melbourne, Melbourne, Australia
| | - Ji-eun Shin
- College of Liberal Studies, Seoul National University, Seoul, South Korea
| | - Amaia de la Fuente
- Department of Developmental and Educational Psychology, University of the Basque Country, Bilbao, Spain
| | - Olga Cardeñoso
- Department of Developmental and Educational Psychology, University of the Basque Country, Bilbao, Spain
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Steca P, Monzani D, Greco A, Franzelli C, Magrin ME, Miglioretti M, Sarini M, Scrignaro M, Vecchio L, Fattirolli F, D’Addario M. Stability and change of lifestyle profiles in cardiovascular patients after their first acute coronary event. PLoS One 2017; 12:e0183905. [PMID: 28850579 PMCID: PMC5574544 DOI: 10.1371/journal.pone.0183905] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2017] [Accepted: 08/14/2017] [Indexed: 11/29/2022] Open
Abstract
Background Acute coronary syndrome (ACS) is a major cause of morbidity and mortality. Lifestyle and health behavior changes play an important role in the primary and secondary prevention of ACS recurrence. Changes in unhealthy lifestyles after an acute coronary event have been analyzed by considering separate behaviors individually, even though research on the healthy population has demonstrated that unhealthy behaviors tend to co-occur. Purpose The aim of this study was to identify lifestyle profiles of ACS patients and to explore their pathways of change for one year after their first coronary event by adopting a typological approach. Methods Two hundred and twenty-three patients (84% male; mean age = 57.14) completed self-report measures of health-related behaviors at the beginning of cardiac rehabilitation, and six months and twelve months after. At each wave depression, anxiety and heart rate were also evaluated. Cluster analysis was performed to identify lifestyle profiles and to analyze their change over time. Differences in psychological factors and heart rate among clusters were assessed. Results Patients' diet, physical activity, and smoking behavior greatly improved six months after their first coronary event. No further improvements were detected after one year. At each wave specific lifestyle profiles were identified, ranging from more maladaptive to healthier clusters. Patients with multiple unhealthy behaviors experience greater difficulties in maintaining a healthier lifestyle over time. Moreover, the results demonstrated the association between lifestyle profiles at twelve months after the acute coronary event and depression measured six months earlier. Finally, the most maladaptive lifestyle profile had many members with elevated heart rate at twelve months after the cardiac rehabilitation. Conclusions Current findings may have a strong practical impact in the development and implementation of personalized secondary prevention programs targeting lifestyles of ACS patients.
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Affiliation(s)
- Patrizia Steca
- Department of Psychology, University of Milan –Bicocca, Milan, Italy
| | - Dario Monzani
- Department of Psychology, University of Milan –Bicocca, Milan, Italy
- * E-mail:
| | - Andrea Greco
- Department of Psychology, University of Milan –Bicocca, Milan, Italy
| | - Cristina Franzelli
- Cardiac Rehabilitation Centre, Istituti Clinici di Perfezionamento Hospital, Milan, Italy
| | | | | | - Marcello Sarini
- Department of Psychology, University of Milan –Bicocca, Milan, Italy
| | - Marta Scrignaro
- Department of Psychology, University of Milan –Bicocca, Milan, Italy
| | - Luca Vecchio
- Department of Psychology, University of Milan –Bicocca, Milan, Italy
| | - Francesco Fattirolli
- Department of Medical and Surgical Critical Care, Cardiac Rehabilitation Unit, University of Florence and Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
| | - Marco D’Addario
- Department of Psychology, University of Milan –Bicocca, Milan, Italy
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Steca P, D’Addario M, Magrin ME, Miglioretti M, Monzani D, Pancani L, Sarini M, Scrignaro M, Vecchio L, Fattirolli F, Giannattasio C, Cesana F, Riccobono SP, Greco A. A Type A and Type D Combined Personality Typology in Essential Hypertension and Acute Coronary Syndrome Patients: Associations with Demographic, Psychological, Clinical, and Lifestyle Indicators. PLoS One 2016; 11:e0161840. [PMID: 27589065 PMCID: PMC5010181 DOI: 10.1371/journal.pone.0161840] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2016] [Accepted: 08/12/2016] [Indexed: 01/07/2023] Open
Abstract
Many studies have focused on Type A and Type D personality types in the context of cardiovascular diseases (CVDs), but nothing is known about how these personality types combine to create new profiles. The present study aimed to develop a typology of Type A and Type D personality in two groups of patients affected by and at risk for coronary disease. The study involved 711 patients: 51.6% with acute coronary syndrome, 48.4% with essential hypertension (mean age = 56.4 years; SD = 9.7 years; 70.7% men). Cluster analysis was applied. External variables, such as socio-demographic, psychological, lifestyle, and clinical parameters, were assessed. Six groups, each with its own unique combined personality profile scores, were identified: Type D, Type A-Negatively Affected, Not Type A-Negatively Affected, Socially Inhibited-Positively Affected, Not Socially Inhibited, and Not Type A-Not Type D. The Type A-Negatively Affected cluster and, to a lesser extent, the Type D cluster, displayed the worst profile: namely higher total cardiovascular risk index, physical inactivity, higher anxiety and depression, and lower self-esteem, optimism, and health status. Identifying combined personality profiles is important in clinical research and practice in cardiovascular diseases. Practical implications are discussed.
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Affiliation(s)
- Patrizia Steca
- Department of Psychology, University of Milan “Bicocca”, Milan, Italy
| | - Marco D’Addario
- Department of Psychology, University of Milan “Bicocca”, Milan, Italy
| | | | | | - Dario Monzani
- Department of Psychology, University of Milan “Bicocca”, Milan, Italy
| | - Luca Pancani
- Department of Psychology, University of Milan “Bicocca”, Milan, Italy
| | - Marcello Sarini
- Department of Psychology, University of Milan “Bicocca”, Milan, Italy
| | - Marta Scrignaro
- Department of Psychology, University of Milan “Bicocca”, Milan, Italy
| | - Luca Vecchio
- Department of Psychology, University of Milan “Bicocca”, Milan, Italy
| | - Francesco Fattirolli
- Department of Medical and Surgical Critical Care, Cardiac Rehabilitation Unit, University of Florence and Azienda Ospedaliero-Universitaria Careggi, Florence, Italy
| | - Cristina Giannattasio
- Health Science Department, University of Milan “Bicocca”, Milan, Italy
- Cardiology IV, Cardiovascular “A.De Gasperis” Department, Niguarda Ca’ Granda Hospital, Milan, Italy
| | - Francesca Cesana
- Health Science Department, University of Milan “Bicocca”, Milan, Italy
- Cardiology IV, Cardiovascular “A.De Gasperis” Department, Niguarda Ca’ Granda Hospital, Milan, Italy
| | - Salvatore Pio Riccobono
- Cardiology IV, Cardiovascular “A.De Gasperis” Department, Niguarda Ca’ Granda Hospital, Milan, Italy
| | - Andrea Greco
- Department of Psychology, University of Milan “Bicocca”, Milan, Italy
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Sormani P, Colombo G, Greco A, Maloberti A, Franzosi C, Meani P, Varrenti M, Vallerio P, De Chiara B, Casadei F, Moreo A, D’Addario M, Magrin M, Miglioretti M, Sarini M, Vecchio L, Steca P, Grassi G, Mancia G, Giannattasio C. [PP.32.04] PREDICTORS OF PWV PROGRESSION OVER A THREE YEARS FOLLOW UP. J Hypertens 2016. [DOI: 10.1097/01.hjh.0000492274.66436.7b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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D’Addario M, Pancani L, Cappelletti ER, Greco A, Monzani D, Steca P. The hidden side of the Ultimatum Game: The role of motivations and mind-reading in a two-level one-shot Ultimatum Game. Journal of Cognitive Psychology 2015. [DOI: 10.1080/20445911.2015.1042974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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De Vito C, Solimini A, Colamesta V, D’Addario M, Di Lascio A, Miani A, Villari P. Usefulness of meta-analysis approach to address main themes of the “One Health” initiative. Eur J Public Health 2013. [DOI: 10.1093/eurpub/ckt123.135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Marzuillo C, De Vito C, D’Addario M, Santini P, Boccia A, Villari P. Are public health professionals prepared for public health genomics? A cross-sectional survey in Italy. Eur J Public Health 2013. [DOI: 10.1093/eurpub/ckt126.070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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De Vito C, D’Addario M, Di Lascio A, Villari P, Damiani G. Are self-management interventions effective in reducing hospital readmissions in patients with heart failure? Results of a systematic review and meta-analysis. Eur J Public Health 2013. [DOI: 10.1093/eurpub/ckt126.037] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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