# Life history strategy and romantic satisfaction in patients’ behavior

## TL;DR

The study explores how patients' psychological traits and romantic satisfaction influence their active participation in health recovery.

## Contribution

It introduces the role of K fitness strategies and romantic satisfaction in predicting patient activation behavior.

## Key findings

- High-K fitness strategy is linked to increased patient activation behavior.
- Romantic satisfaction moderates the effect of K strategy on patient activation.
- Pain catastrophizing mediates the relationship between K strategy and patient activation.

## Abstract

According to evolutionary psychologists, an individual—consciously or not—who allocates resources for somatic effort focuses on homeostasis and the protection of themselves and others. During health crises, patients must choose between mobilizing their remaining resources to either recover or accepting the disease as inevitable. When patients choose to be proactive in terms of protecting their health, are conscientious, and compliant in the recovery process, a high level of patient activation is achieved. Therefore, we examined (N = 252) whether the patients’ K fitness strategies are predictors for engagement in patient activation-type behavior. In addition, we tested the mediating effect of pain catastrophizing and the moderating effect of romantic satisfaction. We found that people with a medical diagnosis, who were in a romantic relationship, and had high-K fitness were much more likely to be activated patients. Moreover, pain catastrophizing mediated the relationship between high-K fitness strategy and patient activation, while romantic satisfaction moderated this relationship, amplifying its intensity. The findings highlight the importance of identifying patients’ psychological resources (e.g., high-K strategy, romantic satisfaction, or pain perception) to keep them engaged in the health recovery process.