Negative health outcomes in depressed cardiac patients are associated with both low and high psychological well-being dimensions

Demoralization in acute coronary syndrome: Treatment and predictive factors associated with its persistence

“…Indeed, CBT/WBT is a comprehensive intervention focused on mood disorders (CBT), psychological impairments (WBT) and unhealthy behaviors (lifestyle intervention). Moreover, it appears that specific prescriptions of healthier lifestyle behaviors might be an important aspect to address in order to treat demoralization among these patients ( Gostoli et al., 2023b ; Rafanelli et al., 2020 ). However, the difference between the 2 groups tended to fade away over time and CM, as an active form of control group, also showed a positive effect on demoralization decrement at 3-month follow-up.…”

“…Among cardiac patients in particular, demoralization is associated with various somatic symptoms such as breathing difficulty, fatigue, and pain ( Yi-Tsen et al., 2021 ). Drawing from the evidence in the field, due to the traumatic nature of the ACS and its potential for ongoing physical discomfort and disability, these patients become more aware of potential triggers that might worsen their symptoms ( Gostoli et al., 2023b ) or increase the risk of future cardiac events ( Ganz et al., 2022 ). Therefore, experiencing somatization might affect their motivation to engage in healthy behaviors and result in increased morbidity and mortality ( Ejdemyr et al., 2021 ).…”

“…Receiving encouragement, reassurance, assistance and engaging in social activities and positive health behaviors ( Hsu et al., 2022 ) are likely to help patients to cope with stress and the challenges related to ACS. Along the same line, but on the reverse side, demoralized ACS patients with fewer positive relationships were less likely to participate in secondary prevention and reported a worse cardiac course ( Gostoli et al., 2023b ).…”

Promoting weight loss and psychological well‐being in patients with obesity: A sequential combination of behavioural lifestyle intervention and well‐being therapy

“…In a previous investigation, a pronounced increase in autonomy predicted poor weight outcomes following a comprehensive lifestyle intervention (Zhu et al, 2022). Both exceedingly high and low levels of autonomy may entail maladaptive thoughts and beliefs (i.e., the weight outcome is totally under one's control, or it is impossible to manage one's weight without the aid of clinicians) that can be detrimental to one's functioning (Fava, 2016; Fava & Guidi, 2020; Gostoli et al, 2021; Zhu et al, 2022). Hence, it is reasonable to assume that the balance of autonomy could vary across different stages of change, in particular, between those of pre‐maintenance and maintenance, which usually mark a transition from supervised to unsupervised weight loss.…”