Dispositional Optimism in Cardiac Patients and Their Spouses: Dyadic Relations to Well-being and Positive Affect
Published:
Nov 22, 2020
Keywords:
cardiovascular disease dyadic relations dispositional optimism positive affect well-being
Abstract
The aim of this prospective study was to examine the relation of a positive personal characteristic, i.e., dispositional optimism, to physical and emotional well-being and positive affect in a sample of chronic cardiac patients and their partners. One hundred and four cardiac patients (25 women; mean age = 64.36 years) and their spouses (mean age = 60.04; all couples were married) participated in the study. Patient and partner dispositional optimism was assessed at baseline; well-being and positive affect, four months later. Τhe Actor-Partner Interdependence Model was used to examine the dyadic effects of optimism on physical and emotional well-being and positive affect. Structural equation modeling (SEM) was applied to run these analyses. In almost all cases, patient and spouse baseline optimism was positively related to their own well-being and positive emotions. Furthermore, patient optimism positively predicted spouse outcomes. However, spouse optimism was not related to any of the patients’ indicators of well-being or positive emotions. These findings provide further support to the beneficial role of optimism, at an intra- and also inter-personal level. Furthermore, they indicate that, even when dealing with severe chronic disease, there are still positive personal characteristics, like dispositional optimism, which may help patients and their partners achieve better adaptation and higher levels of well-being.
Article Details
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Karademas, E., & Thomadakis, C. (2020). Dispositional Optimism in Cardiac Patients and Their Spouses: Dyadic Relations to Well-being and Positive Affect. Psychology: The Journal of the Hellenic Psychological Society, 25(1), 151–163. https://doi.org/10.12681/psy_hps.25364
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References
Barry, L. C., Lightman, J. H., Spertus, J. A., Rumsfeld, J. S., Vaccarino, V., Jones, P. G., Plomondon, M. E., Parashar, S., & Krumholz, H. M. (2007). Patient satisfaction with treatment after acute myocardial infarction: Role of psychosocial factors. Psychosomatic Medicine, 69, 115-123. https://doi.org/10.1097/PSY.0b013e31802f2785
Bennett, P. (2007). Coronary heart disease: Impact. In S. Ayers (Ed.), Cambridge handbook of psychology, health, and medicine (pp. 644-647). Cambridge University Press.
Berg, C. A., & Upchurch, R. A. (2007). Developmental-contextual model of couples coping with chronic illness across the adult life span. Psychological Bulletin, 133, 920-954. https://doi.org/10.1037/00332909.133.6.920
Bertoni, A., Donato, S., Barello, G., & Parise, M. (2015). Engaged patients, engaged partnerships: singles and partners dealing with an acute cardiac event. Psychology, Health, and Medicine, 20, 505-517. https://doi.org/10.1080/13548506.2014.969746
Bodenmann, G. (2005). Dyadic coping and its significance for marital functioning. In T. Revenson, K. Kayser & G. Bodenmann (Eds.), Couples coping with stress: Emerging perspectives on dyadic coping (pp. 33-50). American Psychological Association.
Bakas, T., Clark, P. C., Kelly-Hayes, M., King, R. B., Lutz, B. J., & Miller, E. L. (2014). Evidence for stroke family caregiver and dyad interventions. Stroke, 45, 2836-2852. https://doi.org/10.1161/STR.000 0000000000033
Brummett, B. H., Boyle, S. H., Siegler, I. C., Williams, R. B., Mark, D. B., & Barefoot, J. C. (2005). Ratings of positive and depressive emotion as predictors of mortality in coronary patients. International Journal of Cardiology, 100, 213-216. https://doi.org/10.1016/j.ijcard.2004.06.016
Carver, C. S., & Connor-Smith, J. (2010). Personality and coping. Annual Review of Psychology, 61, 679-704. https://doi.org/10.1146/annurev.psych.09008.100352
Carver, C. S., & Scheier, M. F. (2001). Optimism, pessimism, and self-regulation. In E.C. Chang (Ed.), Optimism and Pessimism: Implications for Theory, Research, and Practice (pp. 31-51). American Psychological Association.
Carver, C. S., & Scheier, M. F. (2014). Dispositional optimism. Trends in Cognitive Sciences, 18, 293-299. https://doi.org/10.1016/j.tics/2014.02.003
Carver, C. S., Smith, R. G., Antoni, M. H., Petronis, V. M., Weiss, S., & Derhagopian, R. P. (2005). Optimistic personality and psychosocial well-being during treatment predict psychosocial well-being among long-term survivors of breast cancer. Health Psychology, 24, 508–516. https://doi.org/10.1037/0278-6133.24.5.508
Chida, Y., & Steptoe, A. (2008). Positive psychological well-being and mortality: a quantitative review of prospective observational studies. Psychosomatic Medicine, 70, 741-756. https://doi.org/10.1097/PSY.0b013e31818105ba
Chung, M. L., Bakas, T., Plue, L. D., & Williams, L. S. (2016). Effects of self-esteem, optimism, and perceived control on depressive symptoms in stroke survivor-spouse dyads. Journal of Cardiovascular Nursing, 31, E8-E16. https://doi.org/10.1097/JCN.0000000000000232
Clark, L. A., Watson, D., & Leeka, J. (1989). Diurnal variation in the positive affects. Motivation and Emotion, 13, 205-234. https://doi.org/10.1007/BF00995536
Contrada, R. J., Boulifard, D. A., Hekler, E. B., Idler, E. L., Spruill, T. M., Labouvie, E. W., & Krause, T. J. (2008). Psychosocial factors in heart surgery: Presurgical vulnerability and postsurgical recovery. Health Psychology, 27, 309-319. https://doi.org/10.1037/0278-6133.27.3.309
Dimitraki, G., & Karademas, E. C. (2014). The association of type 2 diabetes patient and spouse illness representations with their well-being: A dyadic approach. International Journal of Behavioral Medicine, 21, 230-239. https://doi.org/10.1007/s12529-013-9296-z
Ferreira, V. M., & Sherman, A. M. (2007). The relationship of optimism, pain and social support to well-being in older adults with osteoarthritis. Aging and Mental Health, 11, 89-98. https://doi.org/10.1080/13607860600736166
Giltay, E. J., Geleijnse, J. M., Zitman, F. G., Hoekstra, T., & Schouten, E. G. (2004). Dispositional optimism and all cause and cardiovascular mortality in a prospective cohort of elderly Dutch men and women. Archives of General Psychiatry, 61, 1126–1135. https://doi.org/10.1001/archpsyc.61.11.1126
Helgeson, V. S., & Zajdel, M. (2017). Adjusting to chronic health conditions. Annual Review of Psychology, 68, 545-571. https://doi.org/10.1146/annurev-psych-010416-044014
Jöreskog, K. G., & Sörbom, D. (2006). LISREL 8.8 for Windows. Skokie. Scientific Software International.
Karademas, E. C., Barouxi, E., & Mavroeides, G. (2019). Positive and negative affect and well-being in cardiac patients and their spouses: The mediating role of illness representations. Psychology and Health, 34, 289-305. https://doi.org/10.1080/08870446.2018.1525490
Karademas, E. C., Kafetsios, K., & Siderides, G. (2007). Optimism, self-efficacy and information processing of threat and well-being related stimuli. Stress and Health, 23, 285-294. https://doi.org/10.1002/smi.1147
Karademas, E. C., Kynigopoulou, E., Agathangelou, E., & Anestis, D. (2011), The relation of illness representations to the ‘end-stage’ appraisal of outcomes through health status, and the moderating role of optimism. Psychology and Health, 26, 567-583. https://doi.org/10.1080/08870441003653488
Karademas, E. C. Ktistaki, G., Dimitraki, G., Papastefanakis, E., Mastorodemos, V., Repa, A., Gergianaki, I., Bertsias, G., Sidiropoulos, P., & Simos, P. (2017). Patient and partner dispositional optimism as a long-term predictor of illness representations in autoimmune diseases. Journal of Health Psychology, 22, 1691-1700. https://doi.org/10.1177/1359105316633287
Kenny, D. A. (1996). Models of non-independence in dyadic research. Journal of Social and Personal Relationships, 13, 279-294. https://doi.org/10.1177/0265407596132007
Kenny, D. A., & Cook, W. L. (1999). Partner effects in relationship research: Conceptual issues, analytic difficulties, and illustrations. Personal Relationships, 6, 433-448. https://doi.org/10.1111/j.1475-6811.1999.tb00202.x
Kenny, D. A., Kashy, D. A., & Cook, W. L. (2006). Dyadic data analysis. Guilford.
Kim, E. S., Chopic, W. J., & Smith, J. (2014). Are people healthier if their partners are more optimistic? The dyadic effect of optimism on health among older adults. Journal of Psychosomatic Research, 76, 447-453. https://doi.org/10.1016/j.jpsychores.2014.03.104
Leventhal, H., Philips, L. A., & Burns, E. (2016). The Common-Sense Model of Self-regulation (CSM): a dynamic framework for understanding illness self-management. Journal of Behavioral Medicine, 39, 935-946. https://doi.org/10.1007/s10865-016-9782-2
Marks, D. E., & Yardley, L. (Eds.) (2004). Research methods for clinical and health psychology. Sage.
Martire, L. M., Schulz, R., Helgeson, V. S., Small, B. J., & Saghafi, E. M. (2010). Review and meta-analysis of couple-oriented interventions for chronic illness. Annals of Behavioral Medicine, 40, 325-342. https://doi.org/10.1007/s12160-010-9216-2
Mensah, G. A., Wei, G. S., Sorlie, P. D., Fine, L. J., Rosenberg, Y., Kaufmann, P. G., Mussolino, M. E., Hsu, L. L., Addou, E., Engelgau, M. M., & Gordon, D. (2017). Decline in cardiovascular mortality: Possible causes and implications. Circulation Research, 120, 366-380. https://doi.org/10.1161/CIRCRESAHA.116.309115
Moss-Morris, R., Weinman, J., Petrie, K. J., Horne, R., & Cameron, L. D. (2002). The Revised Illness Perception Questionnaire (IPQ-R). Psychology & Health, 17, 1-16. https://doi.org/10.1080/08870440290001494
Otto, A. K., Laurenceau, J. P., Siegel, S. D., & Belcher, A. J. (2015). Capitalizing on everyday positive events uniquely predicts daily intimacy and well-being in couples coping with breast cancer. Journal of Family Psychology, 29, 69-79. https://doi.org/10.1037/fam0000042
Oxland, M., & Wade, T. D. (2008). Longitudinal risk factors for adverse psychological functioning six months after coronary bypass graft surgery. Journal of Health Psychology, 13, 79-92. https://doi.org/10.1177/1359105307084314
Pagidipati, N. J., & Gaziano, T. A. (2013). Estimating deaths from cardiovascular disease: A review of global methodologies of mortality measurement. Circulation, 127, 749-756. https://doi.org/10.1161/CIRCULATIONAHA.112.128413
Pressman, S. D., & Cohen, S. (2005). Does positive affect influence health? Psychological Bulletin, 131, 925-971. https://doi.org/10.1037/0033-2909.131.6.925
Rasmussen, H. N., Wrosch, C., Scheier, M. F., & Carver, C. S. (2006). Self-regulation processes and health: The importance of optimism and goal adjustment. Journal of Personality, 74, 1721-1747. https://doi.org/10.1111/j.1467-6494.2006.00426.x
Scheier, M. F., & Carver, C. S. (1985). Optimism, coping, and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4, 219-247. https://doi.org/10.1037//0278-6133.4.3.219
Scheier, M. F., & Carver, C. S. (1987). Dispositional optimism and physical well-being: The influence of generalized outcome expectancies on health. Journal of Personality, 55, 169-210. https://doi.org/10.1111/j.1467-6494.1987.tb00434.x
Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the Life Orientation Test. Journal of Personality and Social Psychology, 67, 1063-1078. https://doi.org/10.1037//0022-3514.67.6.1063
Sebern, M. D., & Woda, A. (2012). Shared care dyadic intervention: Outcome patterns for heart failure care partners. Western Journal of Nursing Research, 34, 289-316. https://doi.org/10.1177/0193945911399088
Shen, B. J., McCreary, C. P., & Myers, H. F. (2004). Independent and mediated contributions of personality, coping, social support, and depressive symptoms to physical functioning outcome among patients in cardiac rehabilitation. Journal of Behavioral Medicine, 27, 39-49. https://doi.org/10.1023/b:jobm.0000013643.36767.22
Shoda, Y., Lee Tierman, S., & Mischel, W. (2002). Personality as a dynamic system: Emergence of stability and distinctiveness from intra- and interpersonal interactions. Personality and Social Psychology Review, 6, 316–325. https://doi.org/10.1207/S15327957PSPR0604_06
Stanton, A. L., Revenson, T. A., & Tennen, H. (2007). Health Psychology: Psychological adjustment to chronic disease. Annual Review of Psychology, 58, 565-592. https://doi.org/10.1146/annurev.psych.58.110405.085615
Suchday, S., Tucker, D. L., & Krantz, D. S. (2002). Diseases of the circulatory system. In T. L. Boll, S. B. Johnson, N. W. Perry & R. H. Rozensky (Eds.), Handbook of clinical health psychology: Vol.1. Medical Disorders (pp. 203-238). American Psychological Association.
Symister, P., & Friend, R. (2003). The influence of social support and problematic support on optimism and depression in chronic illness: A prospective study evaluating self-esteem as a mediator. Health Psychology, 22, 123-129. https://doi.org/10.1037//0278-6133.22.2.123
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063-1070. https://doi.org/10.1037//0022-3514.54.6.1063
World Health Organization. (2017). Cardiovascular diseases: key facts. http://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
