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• W2018575177 abstract "Cardiac rehabilitation is often recommended after experiencing a cardiac event and has been shown to significantly improve health outcomes among patients. Several psychosocial variables have been linked with cardiac rehabilitation program success, including exercise self-efficacy. However, little is known about temporal patterns in patients' exercise self-efficacy after program completion.This study examined changes in exercise self-efficacy among 133 cardiac rehabilitation patients and whether symptoms of depression impacted the rate of change in exercise self-efficacy.Participants completed questionnaires at the beginning and end of cardiac rehabilitation and at 6-month intervals for 2 years.Growth curve analyses showed that exercise self-efficacy levels were highest at the beginning of cardiac rehabilitation, significantly declined 6 months after cardiac rehabilitation, and leveled off over the next 18 months. Results also showed that baseline depressive symptoms interacted with time: Compared with participants with fewer symptoms, participants high in depressive symptoms began cardiac rehabilitation with lower levels of exercise self-efficacy and evidenced significant declines 6 months after cardiac rehabilitation. At no time were they equal to their counterparts in exercise self-efficacy, and their means were lower 2 years after cardiac rehabilitation than before cardiac rehabilitation.Our findings imply that patients show unrealistic optimism surrounding the ease of initiating and maintaining an exercise program and that integrating efficacy-building activities into cardiac rehabilitation, especially for patients who show signs of distress, is advisable." @default.
• W2018575177 created "2016-06-24" @default.
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• W2018575177 date "2014-03-01" @default.
• W2018575177 modified "2023-10-15" @default.
• W2018575177 title "Exercise Self-efficacy and Symptoms of Depression After Cardiac Rehabilitation" @default.
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• W2018575177 doi "https://doi.org/10.1097/jcn.0b013e318282c8d6" @default.
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