maryam setayesh; mohammad hatami; hassan ahmadi
Abstract
IntroductionOne of the diseases that can cause many physiological and psychological complications is coronary heart disease. According to the predictions of scientific societies, these diseases will be the main cause of death in different countries by 2030. According to the scientific findings published ...
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IntroductionOne of the diseases that can cause many physiological and psychological complications is coronary heart disease. According to the predictions of scientific societies, these diseases will be the main cause of death in different countries by 2030. According to the scientific findings published by the World Health Organization, it is predicted that 8.44% of deaths in Iran will be related to coronary heart disease by 2030. Coronary heart disease is a serious and rapidly growing disease. Coronary heart disease is one of the diseases that lead to increased mortality, lack of self-reliance, increased depression and anxiety in affected people. Several factors such as anxiety and depression, social stress, conflict and hostile behavior can lead to abnormal coronary contraction, increased coronary artery blockage, malignant heart rhythm irregularities and as a result, heart failure. The occurrence of psychological disorders such as depression and anxiety in patients with coronary heart disease causes them to experience less self-efficacy and self-care behaviors. Therefore, the present study was conducted to investigate the effectiveness of acceptance and commitment therapy on the self-efficacy perceived and self-care behaviors of people with coronary heart disease. MethodThe present study was quasi-experimental with a pretest, post-test, control group and two-month follow-up period design. The statistical population of this study included patients with coronary heart disease referred to the heart center of Madain Hospital in Tehran in the second half of 2020. The statistical population included patients with coronary heart disease referred to the heart center of Madayen Hospital in Tehran in the second half of 2020. 34 Patient with coronary heart disease were selected through a voluntary and purposive sampling method and randomly assigned to experimental and control groups (18 patients in the experimental group and 16 patients in the control group). The experimental group received ten seventy-five-minute sessions of acceptance and commitment therapy during One and a half months. The applied questionnaires in this study included the self-efficacy questionnaire (Sherer et al., 1982) and Self-Care Questionnaire (Galiana et al., 2015). The data from the study were analyzed through repeated Mixed ANOVA via SPSS23 statistical software. ResultsThe results showed that acceptance and commitment therapy have a significant effect on the self-efficacy and self-care behaviors of the cardiac people with coronary heart disease. In addition, the results showed that the effect of acceptance and commitment therapy was stable on the self-efficacy and self-care behaviors of the cardiac patients with coronary heart disease with a follow-up stage. After carefully examining the descriptive findings, it was found that acceptance and commitment therapy increase the self-efficacy and self-care behaviors of the cardiac people with coronary heart disease in the post-test and follow-up stages. ConclusionAccording to the findings of the present study, it can be concluded that acceptance and commitment therapy can be used as an efficient intervention to improve the self-efficacy and self-care behaviors of the people with coronary heart disease through employing techniques such as six main processes, including psychological acceptance, context self, communication with the present time, values and committed action.
Mahnaz Bahadori; Mahnaz Mehrabizadeh honarmand; Parviz Askary; Hasan Ahadi; Leila Moradi
Abstract
The purpose of the present study was to compare the effectiveness of compassion focused therapy and positivist psychology with well-being approach on alexithymia, adaptive behavior and adherence to treatment of patients with type 2 diabetes. The research design was a quasi-experimental pretest-posttest ...
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The purpose of the present study was to compare the effectiveness of compassion focused therapy and positivist psychology with well-being approach on alexithymia, adaptive behavior and adherence to treatment of patients with type 2 diabetes. The research design was a quasi-experimental pretest-posttest with control group. The sample size included 45 patients with type 2 diabetes who were selected by purposive sampling. Of these, 15 were assigned to the experimental group of compassion focused therapy, 15 to the experimental group of positivist psychology with well-being approach and 15 to the control group by simple random sampling. To collect research data, the Toronto Alexithymia Scale (Bagby et al., 1994), the Psycho-social Adjustment with Illness Scale (Derogatis, 1990) and the Adherence Questionnaire (Modanloo, 2013) were used. The compassion focused experimental group received 8 sessions of two-hour intervention and the experimental group of positive psychology with well-being approach received 8 two-hour sessions, too. Multivariate Analysis of Covariance (MANCOVA) was used to analyze the data. The results showed that both therapeutic approaches in the post-test phase had a significant effect on alexithymia, adaptive behavior and adherence to treatment of patients with type 2 diabetes (p<0.05). There was no significant difference between the two intervention methods in each of the dependent variables. Based on the findings, it can be said that the application of both therapeutic approaches is effective in reducing alexithymia and increasing the level of adaptive behavior as well as adherence to treatment.
maryam nasri; maryam nasri
Abstract
Transdiagnostic treatment is one of the new therapies that the effect of it on many psychological variables has been established. The purpose of the current study was to examine the effectiveness of Transdiagnostic treatment on cognitive flexibility, emotion regulation and hb factor in patients with ...
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Transdiagnostic treatment is one of the new therapies that the effect of it on many psychological variables has been established. The purpose of the current study was to examine the effectiveness of Transdiagnostic treatment on cognitive flexibility, emotion regulation and hb factor in patients with type 2 diabetes. The research method was experimental (pretest, posttest with control group). In this research, 32 patients with type 2 diabetes randomly assigned to experimental (8 males and 8 female) and control (8 males and 8 female) groups. The Cognitive Flexibility (Dennis & Vander Wal, 2010) and Emotion Regulation Scales (Gross & John, 2003) were used for collecting the data. The ELISA method was used for assessing the Hb factor. Transdiagnostic treatment was administered to experimental group, in 12 one-hour sessions. The data were analyzed using analysis of covariance (ANCOVA). The results indicated that the Transdiagnostic treatment is effective in increasing the cognitive flexibility and emotion reappraisal and decreasing the emotion control (p < 0.01), but, had no effect on hb factor. According to the results, Transdiagnostic treatment was suggested for improving the cognitive flexibility and emotion regulation in patients with type 2 diabetes.
