{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T16:34:39Z","timestamp":1761755679253,"version":"build-2065373602"},"reference-count":63,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T00:00:00Z","timestamp":1537315200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"FIRB \u201cFuturo in ricerca\u201d [grant number RBFR08YVUL]; Principal Investigator: Prof. Patrizia Steca.","award":["RBFR08YVUL"],"award-info":[{"award-number":["RBFR08YVUL"]}]}],"content-domain":{"domain":["iaap-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Applied Psych Health &amp;amp; Well"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Healthy lifestyles are modifiable risk factors for acute coronary syndrome (\n                      <jats:styled-content style=\"fixed-case\">ACS<\/jats:styled-content>\n                      ) onset and recurrence. While unhealthy lifestyles tend to cluster together within the general healthy population, little is known about the prevalence and clustering of these behaviours in people with\n                      <jats:styled-content style=\"fixed-case\">ACS<\/jats:styled-content>\n                      before and after the first acute event. The aim of this study was to identify lifestyle profiles of patients with\n                      <jats:styled-content style=\"fixed-case\">ACS<\/jats:styled-content>\n                      and to explore their change after their first coronary event.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Three hundred and fifty\u2010six patients completed self\u2010report measures of healthy habits at the beginning of cardiac rehabilitation and 6\u00a0months later. By adopting a person\u2010oriented approach, we analysed lifestyle clustering and its change over time. Differences in depression, anxiety, and negative illness perception among lifestyle profiles were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified seven profiles, ranging from more maladaptive to healthier clusters. Findings showed a strong interrelation among unhealthy habits in patients. We highlighted a moderate individual and group stability of cluster membership over time. Moreover, unhealthier lifestyle profiles were associated with higher levels of depression, anxiety, and negative illness perception.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      These results may have implications for the development and implementation of multimodal interventions addressing wider\u2010ranging improvement in lifestyles by targeting multiple unhealthy behaviours in patients with\n                      <jats:styled-content style=\"fixed-case\">ACS<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aphw.12141","type":"journal-article","created":{"date-parts":[[2018,9,19]],"date-time":"2018-09-19T09:27:14Z","timestamp":1537349234000},"page":"434-456","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Clustering of Lifestyle Risk Factors in Acute Coronary Syndrome: Prevalence and Change after the First Event"],"prefix":"10.1111","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9544-2933","authenticated-orcid":false,"given":"Dario","family":"Monzani","sequence":"first","affiliation":[{"name":"University of Milano \u2013 Bicocca Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7659-885X","authenticated-orcid":false,"given":"Marco","family":"D'Addario","sequence":"additional","affiliation":[{"name":"University of Milano \u2013 Bicocca Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1345-0284","authenticated-orcid":false,"given":"Francesco","family":"Fattirolli","sequence":"additional","affiliation":[{"name":"University of Florence Italy"},{"name":"Azienda Ospedaliero\u2010Universitaria Careggi Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9116-3494","authenticated-orcid":false,"given":"Cristina","family":"Giannattasio","sequence":"additional","affiliation":[{"name":"University of Milano \u2013 Bicocca Italy"},{"name":"Niguarda Ca\u2019 Granda Hospital Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8086-2801","authenticated-orcid":false,"given":"Andrea","family":"Greco","sequence":"additional","affiliation":[{"name":"University of Milano \u2013 Bicocca Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Quarenghi","sequence":"additional","affiliation":[{"name":"Bolognini Hospital Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1373-5802","authenticated-orcid":false,"given":"Patrizia","family":"Steca","sequence":"additional","affiliation":[{"name":"University of Milano \u2013 Bicocca Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,9,19]]},"reference":[{"issue":"4","key":"e_1_2_7_2_1","first-page":"51","article-title":"Smoking status, body composition, exercise, and diet among Navy men","volume":"18","author":"Abood D.A.","year":"1994","journal-title":"Health Values: The Journal of Health Behavior, Education & Promotion"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/03630242.2014.996727"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.13154"},{"volume-title":"SLEIPNER: A statistical package for pattern\u2010oriented analyses. 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