Previous studies have shown that experiential avoidance (EA) is associated with physical and psychological well-being in medical and non-medical samples. The aims of the present study were to evaluate the reciprocal association between psychological well-being and EA over time among cardiac rehabilitation (CR) patients with moderately to severely low levels of psychological well-being. Pre-CR data on demographic characteristics, measures of psychological well-being, and cardiac-specific EA were collected from 915 CR patients, as well as post-CR psychological well-being and EA data, from 800 of these patients. A cross-lagged model was estimated to examine the relationship between EA and psychological well-being among patients with moderately to severely low levels of psychological well-being based on questionnaire scores. Both EA and psychological well-being significantly changed during CR and were negatively associated with each other at both pre- and post-CR. Results from cross-lagged structural equation modeling supported a nonreciprocal association between EA and psychological well-being during CR. Pre-CR assessment of EA in patients showing low levels of well-being at the beginning of CR could help to identify patients at risk for worse psychological outcomes. EA could be a promising target of psychological treatments administered during CR.

中文翻译：

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心脏特异性体验回避可预测完成心脏康复的患者总体心理健康的变化

先前的研究表明，在医学和非医学样本中，体验回避 (EA) 与身心健康有关。本研究的目的是评估心理健康水平中度至重度低的心脏康复 (CR) 患者心理健康与 EA 随时间推移的相互关联。从 915 名 CR 患者中收集了有关人口统计学特征、心理健康测量和心脏特定 EA 的 CR 前数据，以及来自其中 800 名患者的 CR 后心理健康和 EA 数据。估计一个交叉滞后模型，以根据问卷分数检查 EA 与心理健康水平中度至重度低水平患者的心理健康之间的关系。EA 和心理健康在 CR 期间都发生了显着变化，并且在 CR 前后都呈负相关。交叉滞后结构方程模型的结果支持 EA 与 CR 期间心理健康之间的非互惠关联。在 CR 开始时表现出低健康水平的患者的 EA CR 前评估可能有助于识别有更差心理结果风险的患者。EA 可能是 CR 期间进行心理治疗的一个有希望的目标。在 CR 开始时表现出低健康水平的患者的 EA CR 前评估可能有助于识别有更差心理结果风险的患者。EA 可能是 CR 期间进行心理治疗的一个有希望的目标。在 CR 开始时表现出低健康水平的患者的 EA CR 前评估可能有助于识别有更差心理结果风险的患者。EA 可能是 CR 期间进行心理治疗的一个有希望的目标。