title: Valued Life Activities, Smoking Cessation, and Mood in Post-Acute Coronary Syndrome Patients.
abstract: BACKGROUND
  Continued engagement in valued life activities is a protective factor for depression and has been linked to readiness to quit smoking in medical populations but has never been examined among acute coronary syndrome (ACS) patients.
  
  
  OBJECTIVE
  The purpose of this study is to investigate relationships among valued life activities, mood, and smoking post-ACS.
  
  
  METHODS
  Participants were 54 post-ACS patients who were smoking before ACS hospitalization. Data on mood, smoking status, engagement in valued activities, restriction of valued activities, and satisfactory replacement of restricted activities was collected 1-12 months post-ACS.
  
  
  RESULTS
  Depressive symptoms were associated with both less valued activity engagement and greater valued activity restriction. Positive affect was associated with greater valued activity engagement and negative affect was associated with greater valued activity restriction. Satisfactory replacement of restricted activities was associated with greater positive affect, fewer depressive symptoms, and quitting smoking post-ACS. The majority of these relationships remained significant after controlling for relevant covariates, including physical functioning.
  
  
  CONCLUSIONS
  Valued activity restriction and engagement may contribute to depressed mood and failure to quit smoking in ACS patients. Psychotherapies that target greater engagement in valued life activities deserve further investigation in ACS patients.
authors.affiliation: The Miriam Hospital,Centers for Behavioral & Preventive Medicine, Coro West, Suite 309,164 Summit Ave, Providence, RI, 02906, USA. Andrew_busch@brown.edu.|Warren Alpert Medical School of Brown University, Providence, RI, USA. Andrew_busch@brown.edu.
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Busch
authors.affiliation: Warren Alpert Medical School of Brown University, Providence, RI, USA.|Rhode Island Hospital, Providence, RI, USA.
authors.forename: John
authors.initials: J
authors.lastname: Fani Srour
authors.affiliation: Warren Alpert Medical School of Brown University, Providence, RI, USA.|Rhode Island Hospital, Providence, RI, USA.
authors.forename: James A
authors.initials: JA
authors.lastname: Arrighi
authors.affiliation: Brown University School of Public Health, Providence, RI, USA.
authors.forename: Christopher W
authors.initials: CW
authors.lastname: Kahler
authors.affiliation: The Miriam Hospital,Centers for Behavioral & Preventive Medicine, Coro West, Suite 309,164 Summit Ave, Providence, RI, 02906, USA.|Warren Alpert Medical School of Brown University, Providence, RI, USA.
authors.forename: Belinda
authors.initials: B
authors.lastname: Borrelli
mesh_terms: D054058:Acute Coronary Syndrome / Q000523:psychology*; D000339:Affect; D003863:Depression / Q000453:epidemiology; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D012907:Smoking / Q000453:epidemiology*; D016540:Smoking Cessation / Q000706:statistics & numerical data*
keywords: Activity restriction; Acute coronary syndrome; Coronary heart disease; Depression; Smoking