{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T15:58:42Z","timestamp":1765727922771,"version":"build-2065373602"},"reference-count":44,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,4,3]],"date-time":"2021-04-03T00:00:00Z","timestamp":1617408000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["iaap-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Applied Psych Health &amp;amp; Well"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Previous studies have shown that experiential avoidance (EA) is associated with physical and psychological well\u2010being in medical and non\u2010medical samples. The aims of the present study were to evaluate the reciprocal association between psychological well\u2010being and EA over time among cardiac rehabilitation (CR) patients with moderately to severely low levels of psychological well\u2010being. Pre\u2010CR data on demographic characteristics, measures of psychological well\u2010being, and cardiac\u2010specific EA were collected from 915 CR patients, as well as post\u2010CR psychological well\u2010being and EA data, from 800 of these patients. A cross\u2010lagged model was estimated to examine the relationship between EA and psychological well\u2010being among patients with moderately to severely low levels of psychological well\u2010being based on questionnaire scores. Both EA and psychological well\u2010being significantly changed during CR and were negatively associated with each other at both pre\u2010 and post\u2010CR. Results from cross\u2010lagged structural equation modeling supported a nonreciprocal association between EA and psychological well\u2010being during CR. Pre\u2010CR assessment of EA in patients showing low levels of well\u2010being 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.<\/jats:p>","DOI":"10.1111\/aphw.12260","type":"journal-article","created":{"date-parts":[[2021,4,3]],"date-time":"2021-04-03T06:08:46Z","timestamp":1617430126000},"page":"715-727","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Cardiac\u2010specific experiential avoidance predicts change in general psychological well\u2010being among patients completing cardiac rehabilitation"],"prefix":"10.1111","volume":"13","author":[{"given":"Chiara A.M.","family":"Spatola","sequence":"first","affiliation":[{"name":"Psychology Research Laboratory Istituto Auxologico Italiano IRCCS  Verbania Italy"},{"name":"Department of Psychology Catholic University of Milan  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5767-8785","authenticated-orcid":false,"given":"Emanuele Maria","family":"Giusti","sequence":"additional","affiliation":[{"name":"Psychology Research Laboratory Istituto Auxologico Italiano IRCCS  Verbania Italy"},{"name":"Department of Psychology Catholic University of Milan  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giada","family":"Rapelli","sequence":"additional","affiliation":[{"name":"Psychology Research Laboratory Istituto Auxologico Italiano IRCCS  Verbania Italy"},{"name":"Department of Psychology Catholic University of Milan  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Goodwin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; 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