The heart's content: the association between positive psychological well-being and cardiovascular health

This review investigates the association between positive psychological well-being (PPWB) and cardiovascular disease (CVD). We also consider the mechanisms by which PPWB may be linked with CVD, focusing on the health behaviors (e.g., smoking, alcohol consumption, physical activity, sleep quality and quantity, and food consumption) and biological functions (e.g., cardiovascular, inflammatory, and metabolic processes) that are most relevant for cardiovascular health. Because PPWB is a broad concept, not all aspects of PPWB may be associated with cardiovascular health. Thus, we distinguish between eudaimonic well-being, hedonic well-being, optimism, and other measures of well-being when reviewing the literature. Findings suggest that PPWB protects consistently against CVD, independently of traditional risk factors and ill-being. Specifically, optimism is most robustly associated with a reduced risk of cardiovascular events. In general, PPWB is also positively associated with restorative health behaviors and biological function and inversely associated with deteriorative health behaviors and biological function. Cardiovascular health is more consistently associated with optimism and hedonic well-being than with eudaimonic well-being, although this could be due in part to more limited evidence being available concerning eudaimonic well-being. Some similarities were also evident across different measures of PPWB, which is likely due to measurement overlap. A theoretical context for this research is provided, and suggestions for future research are given, including the need for additional prospective investigations and research that includes multiple constructs of psychological well-being and ill-being.     

Environment and Physical Activity Dynamics: The Role of Residential Self-selection

OBJECTIVES: Within the socio-ecologic framework, diet and physical activity are influenced by individual, interpersonal, organizational, community, and public policy factors. A basic principle underlying this framework is that environments can influence an individual's behavior. However, in the vast majority of cross-sectional and even the few longitudinal studies of this relationship, the question of whether individuals select their area of residence based on physical activity-related amenities is ignored. In this paper, we address a critical methodological issue: self-selection of residential location, which is generally not accounted for, and can significantly compromise research on the relationship between environmental factors and physical activity behaviors. METHOD: We define and discuss the problem of residential self-selection in the study of neighborhood influences on health and health behavior, review methods used to control for residential self-selection in the literature, and present our strategy for addressing this potentially important source of bias. CONCLUSION: Existing research has built our understanding of residential self-selection bias, but important gaps remain. Our strategy uses data from a longitudinal cohort study linked to contemporaneous environmental measures to create a multi-equation model system to simultaneously estimate residential choice, environmental influences on physical activity, and downstream health outcomes such as obesity and clinical cardiovascular disease risk factor measures.     

Can discrepancies between impulsive and reflective processes be associated with movement behavior among the elderly? The facilitating role of inhibitory control

Physical activity participation remains a global public health challenge, with 8 out of 10 older adults failing to meet the minimum physical activity recommendations, and it is also associated with an increased risk of cardiovascular disease, cognitive impairment, and mortality. Strategies to promote physical activity are primarily focused on socio-cognitive factors, and their effectiveness is limited. According to dual-process theories, physical activity is related with impulsive/implicit (i.e., emotions) and reflective/explicit (i.e., perceived advantage) processes; however, implicit-explicit discrepancy (IED) may impair movement behavior. In addition, cognitive inhibitory control may have r direct relationship with IED situations since it determines which of these processes predominates in the regulation of individual's behavior. Nonetheless, these outcomes in physical activity behavior among older adults have received little attention. In this study, we associate IED with physical activity and sedentary behavior as measured by accelerometers, and investigate the moderator role of inhibitory control in this association. In this cross-sectional study, 94 older adults were assessed for implicit and explicit attitudes, inhibitory control, and movement behavior using accelerometers over the course of seven days. A higher magnitude of the IED was linked to less moderate-to-vigorous physical activity (MVPA) and daily steps. Interestingly, a higher light physical activity was associated with a direction of the IED with more positive explicit attitudes. Furthermore, in older adults with higher inhibitory control, a direction of the IED with more positive explicit attitudes than implicit attitudes was associated with higher MVPA. Our findings suggest that IED may be important factor in the physical activity behavior of older adults. Furthermore, a higher inhibitory control appears to override an impulsive negative response, enabling a more positive reflective assessment of physical activity to serve as the main driver of an active lifestyle.     

The Role of Religion and Spirituality in Medical Patients in Germany

Using the new developed SpREUK questionnaire (version 1.0b), we examined how German patients (n = 129) with cancer, multiple sclerosis and other diseases view the impact of spirituality and religiosity (SpR) on their health and how they cope with illness. Patients with both a religious and spiritual attitude (32%) had significantly higher values in the sub-scales dealing with the search for meaningful support, and the stabilizing effects of SpR than patients without such attitudes (20%), while patients with a non-spiritual religious attitude (35%) had lower perception of the beneficial effects of their SpR and had significantly lower scores in the search for meaningful support sub-scale. Just half of the non-spiritual religious group and 42% of religious patients are convinced that finding an access to a spiritual source has a positive influence on their illness.     

Autonomy support and diastolic blood pressure: Long term effects and conflict navigation in romantic relationships

Perceiving autonomy support—or encouragement to be oneself—from a romantic partner or other close relationship partners has been shown to yield a variety of psychological health benefits, but it is less clear how perceiving autonomy support from partners is linked to physical health. In two studies we examine the associations between receiving autonomy support in romantic relationships and diastolic blood pressure, an important indicator of cardiovascular health. Results of a longitudinal study found support for a model in which autonomy supportive romantic relationships are linked with lower diastolic blood pressure. Whereas Study 1 showed general longitudinal effects, Study 2 revealed the importance of receiving autonomy support from partners during times of conflict. Implications of the findings will be discussed in the context of self-determination theory.     

Wearable Activity Technology And Action-Planning (WATAAP) to promote physical activity in cancer survivors: Randomised controlled trial protocol

Background/Objective: Colorectal and gynecologic cancer survivors are at cardiovascular risk due to comorbidities and sedentary behaviour, warranting a feasible intervention to increase physical activity. The Health Action Process Approach (HAPA) is a promising theoretical framework for health behaviour change, and wearable physical activity trackers offer a novel means of self-monitoring physical activity for cancer survivors. Method: Sixty-eight survivors of colorectal and gynecologic cancer will be randomised into 12-week intervention and control groups. Intervention group participants will receive: a Fitbit Alta? to monitor physical activity, HAPA-based group sessions, booklet, and support phone-call. Participants in the control group will only receive the HAPA-based booklet. Physical activity (using accelerometers), blood pressure, BMI, and HAPA constructs will be assessed at baseline, 12-weeks (post-intervention) and 24-weeks (follow-up). Data analysis will use the Group x Time interaction from a General Linear Mixed Model analysis. Conclusions: Physical activity interventions that are acceptable and have robust theoretical underpinnings show promise for improving the health of cancer survivors.     

Well-Being and Physical Health: A Mediation Analysis

This paper’s aim is to propose a mediation framework and test whether lifestyle choices and social capital are pathways through which baseline levels of well-being affect subsequent physical health among older adults. Using large-scale panel data for Australia, we find that past levels of well-being have strong direct effects on present physical health. We also show that more frequent socialization and more frequent participation in physical activity are two pathways through which higher levels of well-being lead to better physical health. These mediating effects vary across gender. Our findings highlight a protective role of subjective well-being in physical health. Interventions taking into account not only the direct but also the indirect effects of well-being are promising avenues for physical health maintenance in the older population.

     

Is dispositional optimism or dispositional pessimism predictive of ideal cardiovascular health? The Young Finns Study

Objective: We examined the independent association between dispositional optimism compared to dispositional pessimism and ideal cardiovascular health (defined by the American Heart Association).

Design: A prospective design with a study sample of 1113 participants aged 24–39 years from the longitudinal Young Finns Study.

Main outcome measures: Ideal cardiovascular health (comprised of seven ideal cardiovascular health metrics) was measured in 2001. The ideal cardiovascular health metrics were reassessed in 2007.

Results: Low pessimism rather than high optimism was a better predictor of ideal cardiovascular health in 2007. When examining the association between optimism and pessimism and the seven ideal cardiovascular health metrics in 2007 (BMI, diet, physical activity, smoking status, blood pressure, total cholesterol and plasma glucose), low pessimism predicted non-smoking status, ideal physical activity and eating a healthy diet, while high optimism was associated with eating a healthy diet.

Conclusion: Our findings suggest that low pessimism rather than high optimism is associated with ideal cardiovascular health, especially with health behaviours such as not smoking, being physically active and eating a healthy diet. Socio-economic status was the potential mediating or confounding factor. Future studies should examine the differential meaning of the optimism/pessimism concepts to further clarify their relation to health outcomes.     

Are exercise social-cognitive factors and behaviours different for adults with diabetes? A randomized community sample

Exercise plays a key role in the prevention and delay of the onset of Type 2 diabetes and in the management of this disorder. To determine if there are differences in key social-cognitive determinants of exercise and self-reported physical activity levels between adults with diabetes and those without the condition, a random selected sample of adults was surveyed. A telephone interview assessed physical activity behaviour and key social-cognitive constructs from major health behaviour change theories/models. The mean energy expenditure was not significantly different between the diabetes (n?=?46) and the non-diabetes (n?=?1556) groups. The diabetes group reported significantly lower scores for self-efficacy and perceived behavioural control, but higher for fear of, and vulnerability to, general health and cardiovascular disease threat. The data suggest that it may not be necessary to promote health threat messages, as threat is already high for this diabetes population and studies have shown that excess threat does not promote recommended exercise and health behaviours. Instead, the low levels of self-efficacy and perceived behavioural control among those with diabetes emphasize the importance of designing specific strategies (e.g., skills, incremental success) to increase their self-confidence in undertaking physical activity.     

Global positive expectancies in adolescence and health-related behaviours: longitudinal models of latent growth and cross-lagged effects

Constructs representative of global positive expectancies (GPE) such as dispositional optimism and hope have been theoretically and empirically linked to many positive mental and physical health outcomes. However such expectancies' health implications for adolescents, as well as their trajectory over time, are less well understood than for adult populations. This study tested whether GPE predict the key indicators of adolescents' future physical health status, their health-related behaviours. A prospective longitudinal study design was employed whereby a diverse population-based cohort (N?=?744; mean age at baseline?=?12) completed three surveys over approximately 18 months. Rigorous tests of causal predominance and reciprocal effects were conducted through latent growth and cross-panel structural equation models. Results showed GPE systematically decreased during the course of the study, yet higher initial levels of GPE predicted less alcohol drinking, healthier food choice and greater physical activity over time. GPE's protective relationships towards health protective behaviours (vs. health risk behaviours that also included tobacco smoking) appear more independent from depressive symptomatology, and the primary findings were robust across socio-demographic groups.     

The cost of good fortune: when positive life events produce negative health consequences

Previous research regarding the effects of positive life events on physical health has been inconclusive. We tested the hypothesis that positive life events have a detrimental effect on health only among people with negative self-views. This prediction derives from an identity disruption model of stress, which holds that an accumulation of life events that are inconsistent with the self-concept leads to physical illness. To test the hypothesis, we conducted two prospective studies in which positive life events and self-esteem were used to predict the development of illness over time. In accordance with predictions, both studies showed that desirable life changes were associated with increases in illness only among subjects with low self-esteem; among subjects with high self-esteem, positive life events were linked to better health. Implications for understanding the manner in which life events affect health are considered.     

The relationship between mental vitality and cardiovascular health

Past measurement of vitality has included both emotional and physical components. Since aspects of physical vitality such as fatigue can be indicative of physical illness, the usefulness of existing measures of vitality to predict health is limited. This research was designed to examine the psychometric properties of a new Mental Vitality Scale and to test its associations with measures of cardiovascular health over the course of 2 years. The measure of mental vitality was administered in a two-part study using three different samples. In part 1, the reliability and validity of the scale was assessed with a student and a clinic sample. In part 2, medical data on mental and physical health were abstracted over a two-year period from 1041 patient records from a multi-specialty medical practice, and mental vitality assessed through a mailed questionnaire. The findings indicate that the Mental Vitality Scale is a valid and reliable questionnaire for measuring this construct. Mental vitality was also associated with reduced odds of several cardiovascular outcomes and prospective analyses suggest that mental vitality may serve a protective function in the development of cardiovascular disease. The results lend support for the importance of mental vitality as a construct that may be relevant for considering resilience in relation to cardiovascular disease.     

The Impact of Motor Activity and Inactivity on the Brain: Implications for the Prevention and Treatment of Nervous- System Disorders

ABSTRACT— Since Donald Hebb's pioneering observations in the 1940s, much research has focused on the effects of variations in physical activity and environmental complexity on behavioral performance and brain structure. Beneficial effects on brain health have been linked to physical fitness, skilled training, and exposure to complex environments, though in rodents these effects may be negated by sudden changes in social structure. Such manipulations can alleviate the deficits associated with several nervous-system disorders and aging. But how increased activity produces its beneficial effects is still not fully understood. How does unskilled physical activity (e.g., repetitive exercise) compare to training in skilled activities or exposure to complex environments? In injury states, is task-specific training a better rehabilitative strategy than general exercise? How do changes in motor activity affect specific brain regions, and can the intensity and timing of therapeutic movement be adjusted to produce optimal outcomes? Are the beneficial effects of motor enrichment banked over periods of inactivity and can they be called upon with booster training to treat a later neurological disorder? Are there circumstances in which increased activity is harmful? Enrichment of physical activity shows promise as an easy and healthful means for improving or restoring brain function, and questions like these are now being investigated so that the full potential of increased activity may be harnessed.     

Physical Activity and Physical Self-Concept among Sedentary Adolescent Females; An Intervention Study

PROBLEM: Physical activity has been promoted as a means of enhancing self-concept, yet the evidence for this connection is far from compelling. In particular, experimental research investigating this association during adolescence, a period during which many youth struggle to maintain a positive self-image, is noticeably lacking. This study investigates the impact on self-concept of a 9-month physical activity intervention among sedentary adolescent females. METHOD: Female adolescents who were sedentary at baseline were assigned either to an exercise intervention or a comparison group as part of the controlled trial. The intervention was school-based, and assignment to groups was based on school attended. Intervention participants engaged in supervised activity 4 times per week and received didactic instruction promoting activity outside of school 1 day per week. Self-concept, physical activity participation, and cardiovascular fitness were assessed before, mid-way through, and after the 9-month intervention. RESULTS: The intervention had a significant positive impact on participation in vigorous activity and cardiovascular fitness. The intervention did not significantly influence any of the self-concept dimensions overall. There was, however, a three-way interaction such that there was an increase in global physical self-concept among those intervention participants who increased cardiovascular fitness. CONCLUSIONS: These findings indicate that a physical activity intervention among sedentary adolescent females enhanced global physical self-concept for a subset of intervention participants who manifested positive changes in fitness.     

身体活动对老年认知功能的影响

如何促进老年人的认知功能, 延缓认知老化, 是老年心理学的关键课题之一。大量研究表明不同的身体活动类型、活动强度、活动量以及生命早期的身体活动可能对老年人认知功能的各个方面有积极的影响, 包括执行功能、注意力、认知速度、记忆力等。此外, 选择性提高假说、心血管功能假说以及认知-锻炼模型用来解释这一影响机制。这些发现对维护老年人认知功能, 提高老年人的生命质量, 有效延缓衰老有着重要的意义。     

Psychological mechanisms underlying the relationship between commercial physical activity app use and physical activity engagement

PurposePrevious studies have indicated a relationship between the use of commercial physical activity apps (e.g., Fitbit, Strava) and physical activity engagement. The use of social components of such apps, in particular app-specific communities (connecting with other app users) and existing social networking platforms (e.g., Facebook) have the potential to enhance physical activity. This study aimed to explore the psychological mechanisms underlying the relationship between the use of commercial physical activity apps (and their social components) and physical activity engagement.MethodAn online cross-sectional survey assessed physical activity, use of commercial physical activity apps (and their associated social components), and psychological constructs (social support, self-efficacy, motivation, trait competitiveness, trait social comparison).Results1274 adults aged 18–83 years (M_age = 34.1 ± 13.5 years, 87.6% female) participated. App use was positively associated with physical activity engagement. The relationship between app use and physical activity was fully mediated by social support, self-efficacy, intrinsic motivation and identified regulation. Trait competitiveness, but not trait social comparison, moderated the relationship between app use and physical activity. Most features (e.g., sharing posts, providing or receiving encouragement) of the social components of apps were positively associated with psychological constructs linked to engagement in physical activity. Mediation pathways linking features of existing social networking platforms with physical activity were found. Specifically, sharing posts was linked to higher engagement in physical activity via positive associations with self-efficacy, and receiving encouragement with linked to higher engagement in physical activity via positive associations with both self-efficacy and identified regulation. In addition, engagement in comparisons was associated with lower self-efficacy and higher external regulation, and in turn, lower physical activity.ConclusionsThe relationship between the use of commercial physical activity apps and physical activity is underpinned by social support, self-efficacy and autonomous motivations. The findings highlight the importance of trait competitiveness, which should be taken into consideration when leveraging physical activity apps. Overall, the present study demonstrated that commercial physical activity apps (and their social components) hold great potential to increase physical activity engagement given their associations with psychological constructs strongly linked with physical activity.     

Testing attitudes,social desirability and behavioral regulations as moderators of implicit-explicit exercise discrepancies: A replication study in Iranian students

IntroductionThere is mixed evidence regarding moderators of the relationship between implicitly and explicitly measured constructs. This study examined this issue with evaluations of exercise relative to health or appearance in a sample of Iranian adolescents. Investigaing automatic associations and reflective constructs might provide important implications for developing interventions targeting exercise behavior in a population with different cultural, social, and economic barriers to exercise than European or North American adolescents.MethodsParticipants were 471 students enrolled in grades 9 to 12, of whom 269 (54.9%) were female. Behavioral regulations, explicit attitudes, and social desirability were investigated as possible moderators. All students completed questionnaire measures of physical activity behavior, attitudes, social desieality and behavioral regulation. They also completed two Go/No Go Association tasks to measure automatic associations of exercise with health and apperarance.ResultsAttitude was a significant moderator of discrepancies between automatic associations of exercise with health and health motives. Interjected regulation moderated implicit-explicit appearance discrepancies. Participants with low social desirability and negative automatic appearance associations had the highest appearance motivation.ConclusionsParticipants focused on the potential of achieving positive health outcomes of exercise rather than physical appearance outcomes, which differs from research from other countries. It is possible that, health was strongly linked with exercise by the pervasive societal pressures in Iran to have a healthy body.     

Trauma Exposure and Health: A Review of Outcomes and Pathways

A growing body of literature has established robust relations between trauma and a variety of adverse physical health outcomes. In both retrospective and prospective research, adults with a history of self-reported or court-substantiated maltreatment report significantly more health concerns than those without maltreatment histories, in both clinical and community samples, whether health problems are self-reported or physician-diagnosed. Two pathways by which poor health outcomes are theorized to occur include the biological pathway, which largely implicates severe stress and subsequent dysregulations in central stress-response systems as the underlying cause of health problems, and the behavioral pathway, which suggests that health risk behaviors are largely responsible for the relations between trauma and health. This article reviews the research evaluating the relations between various types of trauma, particularly physical and sexual abuse in childhood, and three such health outcomes: pain, gastrointestinal disorders, and cardiovascular disease. Evidence to support the biological and behavioral pathways is also reviewed.     

Physical activity and psychological well-being in advanced age: a meta-analysis of intervention studies

A meta-analysis examined data from 36 studies linking physical activity to well-being in older adults without clinical disorders. The weighted mean-change effect size for treatment groups (d(C). = 0.24) was almost 3 times the mean for control groups (d(C). = 0.09). Aerobic training was most beneficial (d(C). = 0.29), and moderate intensity activity was the most beneficial activity level (d(C). = 0.34). Longer exercise duration was less beneficial for several types of well-being, though findings are inconclusive. Physical activity had the strongest effects on self-efficacy (d(C).= 0.38), and improvements in cardiovascular status, strength, and functional capacity were linked to well-being improvement overall. Social-cognitive theory is used to explain the effect of physical activity on well-being.     

The influence of body dissatisfaction on cardiovascular and strength-based physical activity by gender: a self-determination theory approach

Abstract

Physical activity—or lack thereof—is one behaviour that may help explain why individuals who are dissatisfied with their bodies experience poor health outcomes. Objective: The purpose of the present study was to examine the mediating role of behavioural regulations (i.e., autonomous and controlled) in the relation between body dissatisfaction and physical activity and to determine whether this mediated relationship was moderated by gender. Additionally, this relation was examined for both cardiovascular and strength-based physical activity. Design: A two-week daily-diary study was conducted. Measures: The Body Shape Satisfaction Questionnaire, the Behavioural Regulation in Exercise Questionnaire – 3, and the International Physical Activity Questionnaire were used to test the main hypotheses. Results: For men and women, body dissatisfaction was related to less frequent cardiovascular and strength-based activity due to lower levels of intrinsic regulation. In women, the relation between body dissatisfaction and activity (cardiovascular and strength-based) was partially mediated by controlled regulations (i.e., external and introjected). That is, women who were dissatisfied exercised more because they were more likely to feel that they had to appease others or themselves. Conclusion: The present study provides direction for targeting physical activity behaviours in college students who are dissatisfied with their bodies.