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. 2026 Sep 15;14:1939161. doi: 10.3389/fpubh.2026.1939161

Table 5.

Association between acute psychological stress evolution trajectories and low cardiac rehabilitation participation in patients with acute myocardial infarction.

Models Shift mode B SE OR 95%CI p-value
Model 1 Persistently low-stress (C1 → C1 → C1) – – 1.000 (Ref) – –
persistently moderate-stress (C2 → C2 → C2) 1.417 0.325 4.124 2.156–7.892 <0.001
Persistently high-stress (C3 → C3 → C3) 2.787 0.342 16.237 8.245–31.987 <0.001
remitting (C3 → C2 → C1) 1.150 0.261 3.156 1.892–5.267 <0.001
Fluctuating (C2 → C3 → C2) 1.830 0.351 6.234 3.145–12.356 <0.001
Worsening (C1 → C2 → C3) 2.258 0.348 9.567 4.823–18.952 <0.001
Model 2 Persistently low-stress (C1 → C1 → C1) – – 1.000 (Ref) – –
Persistently moderate-stress (C2 → C2 → C2) 1.218 0.338 3.381 1.742–6.563 0.002
Persistently high-stress (C3 → C3 → C3) 2.521 0.365 12.445 6.078–25.478 <0.001
remitting (C3 → C2 → C1) 0.982 0.272 2.669 1.568–4.545 0.003
Fluctuating (C2 → C3 → C2) 1.625 0.332 5.078 2.648–9.735 <0.001
Worsening (C1 → C2 → C3) 2.045 0.386 7.732 3.628–16.477 <0.001
Model 3 Persistently low-stress (C1 → C1 → C1) – – 1.000 (Ref) – –
Persistently moderate-stress (C2 → C2 → C2) 1.045 0.315 2.845 1.542–5.248 0.012
Persistently high-stress (C3 → C3 → C3) 2.326 0.351 10.237 5.128–20.415 <0.001
remitting (C3 → C2 → C1) 0.768 0.258 2.156 1.298–3.582 0.006
Fluctuating (C2 → C3 → C2) 1.508 0.288 4.521 2.567–7.965 <0.001
Worsening (C1 → C2 → C3) 1.922 0.376 6.834 3.245–14.385 <0.001

Model 1: uncorrected; Model 2: adjusted for age, gender, marriage, education, occupation, and income; Model 3: The number of comorbidities, number of stents, LVEF, cardiac function classification and T1 cardiac rehabilitation participation were adjusted on the basis of model 2.