The role of daily adjustment disorder, depression and anxiety symptoms for the physical activity of cardiac patients.

Autor: Bermudez T; Applied Social and Health Psychology Unit, University of Zurich, Zurich, Switzerland.; Department Health Science, Institute of Sport Science, University of Bern, Bern, Switzerland., Maercker A; University Research Priority Program 'Dynamics of Healthy Aging', University of Zurich, Zurich, Switzerland.; Psychopathology and Clinical Intervention Unit, University of Zurich, Zurich, Switzerland., Bierbauer W; Applied Social and Health Psychology Unit, University of Zurich, Zurich, Switzerland.; University Research Priority Program 'Dynamics of Healthy Aging', University of Zurich, Zurich, Switzerland., Bernardo A; Clinic Gais AG, Gais, Switzerland., Fleisch-Silvestri R; Clinic Schloss Mammern, Mammern, Switzerland., Hermann M; Department of Cardiology, University Heart Center Zurich, University Hospital Zurich, Zurich, Switzerland., Schmid JP; Clinic Gais AG, Gais, Switzerland., Scholz U; Applied Social and Health Psychology Unit, University of Zurich, Zurich, Switzerland.; University Research Priority Program 'Dynamics of Healthy Aging', University of Zurich, Zurich, Switzerland.
Jazyk: angličtina
Zdroj: Psychological medicine [Psychol Med] 2023 Oct; Vol. 53 (13), pp. 5992-6001. Date of Electronic Publication: 2022 Oct 24.
DOI: 10.1017/S0033291722003154
Abstrakt: Background: Physical activity (PA) is crucial in the treatment of cardiac disease. There is a high prevalence of stress-response and affective disorders among cardiac patients, which might be negatively associated with their PA. This study aimed at investigating daily differential associations of International Classification of Diseases (ICD)-11 adjustment disorder, depression and anxiety symptoms with PA and sedentary behaviour (SB) during and right after inpatient cardiac rehabilitation.
Methods: The sample included N = 129 inpatients in cardiac rehabilitation, M age = 62.2, s.d. age = 11.3, 84.5% male, n = 2845 days. Adjustment disorder, depression and anxiety symptoms were measured daily during the last 7 days of rehabilitation and for 3 weeks after discharge. Moderate-to-vigorous PA (MVPA), light PA (LPA) and SB were measured with an accelerometer. Bayesian lagged multilevel regressions including all three symptoms to obtain their unique effects were conducted.
Results: On days with higher adjustment disorder symptoms than usual, patients engaged in less MVPA, and more SB. Patients with overall higher depression symptoms engaged in less MVPA, less LPA and more SB. On days with higher depression symptoms than usual, there was less MVPA and LPA, and more SB. Patients with higher anxiety symptoms engaged in more LPA and less SB.
Conclusions: Results highlight the necessity to screen for and treat adjustment disorder and depression symptoms during cardiac rehabilitation.
Databáze: MEDLINE
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