Effectiveness of behavioral-cognitive group therapy on depression, anxiety, and stress of patients with coronary heart disease

M Aghaei, E Samkhaniyan, A Mahdavi, J Faraji, Z Roshandel, M Aghaei, E Samkhaniyan, A Mahdavi, J Faraji, Z Roshandel

Abstract

Objective. An appropriate psychological intervention to promote the level of mental health of patients with a coronary heart has a great importance. The existing investigation aimed to study the effectiveness of the behavioral-cognitive group therapy on depression, anxiety, and stress of patients with coronary heart disease. Methodology. The current study was quasi-experimental with a pretest-posttest that used a control group. Hence, 30 of the patients with coronary heart disease in Shahid Rajaee heart center in Tehran chose to use the convenience sampling method and were put in an experimental group and a control group. Both groups were pretested by using a demographic questionnaire, and scale of depression, anxiety, and stress DASS-42. Afterwards, the experimental group was trained for eight sessions of cognitive-behavioral club therapy and the control society gained no intervention. Later, both groups were post-tested, and the acquired information were analyzed by using inferential and descriptive statistical methods accompanied by SPSS 21 software. Findings. The results indicated that the cognitive-behavioral group therapy training significantly reduced depression, anxiety, and stress in patients with coronary heart disease. Conclusion. What should be understood from this study is that the cognitive-behavioral group therapy training had a great positive impact on the decrease of depression, anxiety, and tension in patients with coronary heart disease, since it had an economic cost and a great acceptability by the cases, especially when it was performed in a group.

Keywords: anxiety; cognitive-behavioral; coronary heart disease; group therapy; stress.

References

    1. Foxwell R, Morley C, Frizelle D. Illness perceptions, mood, and quality of life: A systematic review of coronary heart disease patients. Journal of Psychosomatic Research. 2013;75(3)
    1. World Health Organization Cardiovascular diseases (CVDs) fact sheet no. 317. 2011
    1. Pelle AJ, Denollet J, Zwisler AD, Pedersen SS. Overlap and distinctiveness of psychological risk factors in patients with ischemic heart disease and chronic heart failure: Are we there yet? Journal of Affective Disorder. 2009;113(1-2)
    1. Douglas P, Zipes M. Braun Wald Heart Disease. 6th Edition. New York: Mc-Graw-Hill; 2005. pp. 2244–2258.
    1. Denollet J, Pederson SS, Vrints CJ, Conraads VM. Usefulness of type-D personality in predicting five-year cardiac events above and beyond concurrent symptoms of stress in patients with coronary heart disease. American Journal of Cardiology. 2006;97(7):970–973.
    1. Hyphantis TN, Tomenso B, Bai M, Tsianos E, Mavreas V, Creed F. Psychological Distress, Somatization, and Defense Mechanisms Associated with Quality of Life in Inflammatory Bowel Disease Patients. Digestive Diseases and Sciences. 2010;55:724–732.
    1. Arnold S, Spertus JA, Ciechanowski PS, Soine LA, Jordan-Keith K, Caldwell JH, et al. Psychosocial modulators of angina response to myocardial ischemia. Circulation. 2009;120,2:126–133.
    1. Patten SB. Depression in MS in the face of overlapping symptoms. International MS Journal. 2012:1–14.
    1. Huffman J, Smith F, Blais M, Januzzi J, Geogory L. Anxiety, independent of depressive symptoms, is associated with in-hospital cardiac complication after acute myocardial infarction. Journal of Psychosomatic Research. 2008;65(6):557–563.
    1. Cully JA, Teten AL. A therapist’s guide to brief cognitive behavioral therapy. Houston: Department of Veterans Affairs; 2008.
    1. Khodaie S, Khazaie K, Kazemi T, Ali Abadi Z. The impact of behavioral-cognitive group therapy on reduction anxiety and depression of patients with myocardial infarction. Modern Care. 2012;9(4):364–370.
    1. Young KS. Treatment outcomes with internet addicts. Journal of Cyberpsychology & Behavior. 2007;10(5):671–679.
    1. Bayazi MH. The effectiveness of the short-term group behavioral-cognitive intervention on depression, anxiety, and tension of patients with chronic coronary heart disease: a randomized controlled trial. Principals of Mental Health. 2012 ;14(54):110–121.
    1. Hanif N, Bahraminezhad N, Mirza Khalil Abadi T, Ahmadi F, Khani M, Taran L. The impact of familiarization programs on stress, anxiety, and depression of patients under coronary angiography. Researchers in Nursing. 2012 ;7(25):1–8.
    1. Bigdeli I, Rahimian Bougar E. The effectiveness of the group is contracting and behavioral activation on marital depression, anxiety, and stress in patients with coronary heart disease. Journal of Clinical Psychology. 2013;2(4):19–27.

Source: PubMed

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