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Steca P, Pancani L, Cesana F, Fattirolli F, Giannattasio C, Greco A, D'Addario M, Monzani D, Cappelletti ER, Magrin ME, Miglioretti M, Sarini M, Scrignaro M, Vecchio L, Franzelli C. Changes in physical activity among coronary and hypertensive patients: A longitudinal study using the Health Action Process Approach. Psychol Health 2017; 32:361-380. [PMID: 28049344 DOI: 10.1080/08870446.2016.1273353] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVES Physical activity (PA) is a key factor in cardiovascular disease prevention. Through the Health Action Process Approach (HAPA), the present study investigated the process of change in PA in coronary patients (CPs) and hypertensive patients (HPs). DESIGN Longitudinal survey study with two follow-up assessments at 6 and 12 months on 188 CPs and 169 HPs. MAIN OUTCOME MEASURES Intensity and frequency of PA. RESULTS A multi-sample analysis indicated the equivalence of almost all the HAPA social cognitive patterns for both patient populations. A latent growth curve model showed strong interrelations among intercepts and slopes of PA, planning and maintenance self-efficacy, but change in planning was not associated with change in PA. Moreover, increase in PA was associated with the value of planning and maintenance self-efficacy reached at the last follow-up Conclusions: These findings shed light on mechanisms often neglected by the HAPA literature, suggesting reciprocal relationships between PA and its predictors that could define a plausible virtuous circle within the HAPA volitional phase. Moreover, the HAPA social cognitive patterns are essentially identical for patients who had a coronary event (i.e. CPs) and individuals who are at high risk for a coronary event (i.e. HPs).
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Affiliation(s)
- P Steca
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - L Pancani
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - F Cesana
- d Cardiology IV, Cardiovascular "A. De Gasperis" Department , Niguarda Ca' Granda Hospital , Milan , Italy.,e Health Science Department , University of Milan - Bicocca , Milan , Italy
| | - F Fattirolli
- b Department of Medical and Surgical Critical Care, Cardiac Rehabilitation Unit , University of Florence and Azienda Ospedaliero-Universitaria Careggi , Florence , Italy
| | - C Giannattasio
- d Cardiology IV, Cardiovascular "A. De Gasperis" Department , Niguarda Ca' Granda Hospital , Milan , Italy.,e Health Science Department , University of Milan - Bicocca , Milan , Italy
| | - A Greco
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - M D'Addario
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - D Monzani
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - E R Cappelletti
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - M E Magrin
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - M Miglioretti
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - M Sarini
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - M Scrignaro
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - L Vecchio
- a Department of Psychology , University of Milan - Bicocca , Milan , Italy
| | - C Franzelli
- c Cardiac Rehabilitation Centre , Istituti Clinici di Perfezionamento Hospital , Milan , Italy
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Magrin ME. [From the psycho-social risk assessment, to well-being promotion]. G Ital Med Lav Ergon 2009; 31:207-211. [PMID: 19827288] [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] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Recent developments in the studies on personal and organizational well-being efficaciously fit the issue of psycho-social risk assessment and its inherent implication for well-being promotion in the workplace. The advance in theory permits to define operative models for health and safety promotion and to project interventions directed to protect and to enhance workers' health and safety conditions. It will then be possible to move from the 'treatment model' to the 'health model' in workplaces. An example of the application of the new model is presented.
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Affiliation(s)
- M E Magrin
- Dipartimento di Psicologia, Università degli Studi di Milano-Bicocca, Milano, Italy.
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Magrin ME. [From resistance [corrected] to resilience: promoting wellbeing in the workplace]. G Ital Med Lav Ergon 2008; 30:A11-A19. [PMID: 18700472] [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] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Research on work stress has focused to date for the most part on the environmental and psychosocial factors inducing stress and great strides have been made in assisting both individuals and organizations in managing distress. This, however, is only half of the battle. As a complement to healing the wounded, there is need to explore models of intervention aimed at the promotion of well-being at work through the development and reinforcement of health-promoting factors. An important contribution toward this goal comes today from Positive Psychology, a new current of research focused on investigating the qualities and predictors that enable individuals to flourish. Within this perspective, health is seen not as the absence of disease and of risk factors but rather as the presence of those resources that underpin wellbeing. Among the new theoretical constructs emerging from Positive Psychology, of particular relevance to the domain of occupational health psychology is the notion of adult resilience. A definition of this notion is proposed and a review given of the main resources of resilience identified in the literature. Particular attention is given to the dimension of meaning, which seems to act as an important health-protector in the work setting. Resilience factors may also play a role in the implementing of interventions oriented both to distress prevention and wellbeing promotion. Establishing and maintaining an effective dialogue between researchers and practitioners in the field of work health promotion is strongly recommended.
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Affiliation(s)
- M E Magrin
- Dipartimento di Psicologia, Università degli studi di Milano-Bicocca, Milano, Italy.
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Magrin ME, D'Orso MI, Latocca R, Viganò V, Cesana G. [The evaluation of work related stress in occupational health: diagnostic experience and therapeutic prospects]. G Ital Med Lav Ergon 2007; 29:352-354. [PMID: 18409721] [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] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
The clinical cases of psychosocial disturbances that the Occupational Doctors find in their daily activity frequently are characterized by difficult differential diagnosis. These cases frequently must be faced with limitations of the work ability not easy to define and with unclear prognosis too. A useful help in the evaluation of these cases can be offered by the Clinical Units for the evaluation of work related stress, for the specialized joined support of Psychologist and of Occupational Doctors these Units can assure. We report the protocols of diagnosis of our clinical unit and the main characteristics of the patients more recently evaluated.
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Affiliation(s)
- M E Magrin
- Dipartimento di Psicologia, Università di Milano, Bicocca.
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