Effect of Exercise-Based Cardiac Refiabilitation on Mobility and Self-Esteem of Persons After Cardiac Surgery

Low self‐esteem appears to be both a vulnerability factor for cardiac diseases and a result of cardiac diseases. Thus enhancing self‐esteem might facilitate recovery and/or help to prevent recurrence. Since some evidence suggests that self‐esteem might even serve as an important gauge of cardiac rehabilitation, it is therefore important to know more of the construct of self‐esteem to enable the planning of a more promising rehabilitation process. This paper explores the source and basis of the self‐esteem of Hong Kong Chinese with cardiac diseases. One hundred and fifty‐two adults with cardiac diseases and 146 adults not suffering from any major illness participated in this study. The Adult Source of Self‐Esteem Inventory (ASSEI) (Elovson & Fleming, 1989), open‐ended questions on self‐evaluation, and interviewing were the major procedures used to identify the sources and basis of the self‐esteem of persons with and without cardiac diseases. The subjects' important life aspects were identified through interpreting their responses to open‐ended questions and interviews. Moreover, a structured questionnaire on their subjective perceptions of importance and satisfaction in different life areas was used to identify the relationships between discrete self‐concept variables. Factor analysis of their responses to the 20 ASSEI items revealed four factors, namely, Interpersonal Relationship, Personal Quality, Physical Self, and Personal Achievement. We also examined and compared the means and ranks of the ASSEI items as indicated by the subjects. Content analysis of open‐ended questions further confirmed the self‐esteem domains of persons with cardiac diseases. The discrepancy of ideal‐actual physical abilities was found to be more prominent in the cardiac group. It was also found that family is an important entity to Chinese individuals with cardiac diseases. Implications of the findings to rehabilitation of persons with cardiac diseases were also discussed.

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Potential Mediators of Ethnic Differences in Physical Activity in Older Mexican Americans and European Americans: Results from the San Antonio Longitudinal Study of Aging

Dergance

Mouton

Lichtenstein

et al. 2005

J American Geriatrics Society

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Factors were examined that might explain reported ethnic differences in leisure time physical activity (LTPA) between Mexican Americans (MAs) and European Americans (EAs). Data were from a random sample of 749 community-dwelling MAs and EAs, aged 65 and older, who participated in the San Antonio Longitudinal Study of Aging (SALSA) baseline examination. Variables examined included LTPA measured as kilocalories of energy expended per week, contextual variables (age, sex, socioeconomic status (SES), acculturation/structural assimilation), psychosocial measures (self-esteem, mastery, perceived health control), lifestyle variables (fat avoidance, current alcohol drinker, years smoking, body mass index (BMI)), and presence of chronic diseases (diabetes mellitus, angina pectoris, myocardial infarction, stroke, hypertension, arthritis, chronic obstructive pulmonary disease, depression, mild cognitive impairment). Hierarchical multiple regression was used to examine potential mediators of the ethnic group-LTPA association. EAs expended almost 300 kcal/wk more energy than did MAs (1,287 kcal/wk vs 1,001 kcal/wk). SES and psychosocial (self-esteem), lifestyle (fat avoidance, smoking, BMI), and disease (depression) factors that vary by SES explained this ethnic difference. In MAs, structural assimilation, but not acculturation, was significantly associated with LTPA independent of SES. Self-esteem, BMI, and depression explained this association. Psychosocial resources, lifestyle behaviors, and depression explain differences in LTPA between older MAs and EAs. Interventions to increase LTPA in both ethnic groups should be targeted especially at women and persons who have low self-esteem, smoke, and are obese or depressed. In MAs, additional emphasis should be focused on those who are less structurally assimilated into the broader American society.

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Effect of Exercise-Based Cardiac Refiabilitation on Mobility and Self-Esteem of Persons After Cardiac Surgery

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Exploring self‐esteem of Hong Kong Chinese adults cardiac diseases

Potential Mediators of Ethnic Differences in Physical Activity in Older Mexican Americans and European Americans: Results from the San Antonio Longitudinal Study of Aging

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