سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

Shojaaddin, Farzaneh, Kazemi, Majid, Alipour, Ahmad, Oraki, Mohammad. (1391). The effect of cognitive behavioral therapy on depression and anxiety in patients with myocardial infarction. , 2(4), 47-55. doi: 10.22038/ebcj.2013.463
Farzaneh Shojaaddin; Majid Kazemi; Ahmad Alipour; Mohammad Oraki. "The effect of cognitive behavioral therapy on depression and anxiety in patients with myocardial infarction". , 2, 4, 1391, 47-55. doi: 10.22038/ebcj.2013.463
Shojaaddin, Farzaneh, Kazemi, Majid, Alipour, Ahmad, Oraki, Mohammad. (1391). 'The effect of cognitive behavioral therapy on depression and anxiety in patients with myocardial infarction', , 2(4), pp. 47-55. doi: 10.22038/ebcj.2013.463
Shojaaddin, Farzaneh, Kazemi, Majid, Alipour, Ahmad, Oraki, Mohammad. The effect of cognitive behavioral therapy on depression and anxiety in patients with myocardial infarction. , 1391; 2(4): 47-55. doi: 10.22038/ebcj.2013.463

The effect of cognitive behavioral therapy on depression and anxiety in patients with myocardial infarction

Evidence Based Care
مقاله 5، دوره 2، شماره 4، فروردین 2013، صفحه 47-55    اصل مقاله (170.12 K)
نوع مقاله: Original Quantitative and Qualitative Research Paper
شناسه دیجیتال (DOI): 10.22038/ebcj.2013.463
نویسندگان
Farzaneh Shojaaddin1؛ Majid Kazemi* 2؛ Ahmad Alipour3؛ Mohammad Oraki4
1MSc in Psychology Tehran Payam Noor University, Tehran, Iran
2Assistant Professor in nursing, School of Nursing and Midwifery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
3Professor in Psychology, Payame Noor University, Tehran, Iran
4Assistant Professor in Psychology, Payame Noor University, Tehran, Iran
چکیده
Background: Anxiety and depression are both predisposing and consequent factor in patients with myocardial infarction (MI). Thus relief of anxiety and depression has an important role in reducing possibility of further MI and also quality of life promotion.
Aim: The aim of the current study was to determine the effect of cognitive behavioral therapy (CBT) on the anxiety and depression in patients with MI.
Methods: In this experimental study 30 patients, hospitalized in the CCU ward were randomly allocated into control (15) and experimental group (15). Subjects in experimental group underwent ten sessions of CBT interventions individually while the control group did not received any intervention. SCL-90 questionnaire which measures both depression and anxiety was completed for both groups in Pre-and post-intervention phases. Data analyzed using statistical tests of Chi-square, Mann-Whitney, and independent T-Test and paired T-Test.
Results: The mean age of participants was 55.69 ± 6.73 years of which 60% were women. The mean scores of depression and anxiety were not significantly different between two groups before treatment (p> 0.05). But t-test showed that mean depression score after intervention in the control group (1.2 ± 0.38) was significantly higher than the treatment group (0.7 ± 0.33). Similarly, the mean anxiety score in the control group (1.09 ± 0.27) was significantly higher than the experimental group (0.63 ±0.27). The subjects who received CBT had fewer depression and anxiety symptoms.
Conclusion: Individual CBT intervention was effective in decreasing the anxiety and depression of MI patients.
کلیدواژه‌ها
Health Cognitive behavioral therapy؛ Anxiety؛ Depression؛ Myocardial infarction
مراجع
  1. Van Spall, H. G. C., A. Chong, et al. (2007). Inpatient Smoking-Cessation Counseling and All-Cause Mortality in Patients with Acute Myocardial Infarction. Am Heart J. 154(2):213-20
  2. Boroujerdi ZS, saddle maker H. Harrison's Principles of Internal Medicine, Cardiovascular Disease. Theran, Boshra. 2010 (Persian).
  3. Biranvand, MR. Lrvnd, A. Alipour Parsa, S and et al. Quality of Life in Latients after a First Acute Myocardial Infarction. Inquiring and March 2011 (Persian).
  4. Nemati Sogolitappeh,f, Mahmood Aliloo,m, Babapur Kheyroddin j . Toufan Tabrizi m. Effectiveness of Group Life Skills Training on Decreasing Anxiety and Depression among Heart Patients, after Bypass Surgery Iranian Journal of Psychiatry and Clinical Psychology, Vol. 15, No. 1, Spring 2009, 50-56 (Persian)
  5. Lane D, Carroll D, Ring C, Beevers DG, Lip GY (2000). Effects of Depression and Anxiety on Mortality and Quality-of-Life 4 Months after Myocardial Infarction. J Psychosom Res.; 49(4):229-38.
  6. Clarke, David M, Christopher J. Cognitive Behavior Therapy. Translation by Kaviani H, October 2008 Mining, pp. 495(Persian).
  7. Dehkordi Hassanpour A, Afzali M. Stress and Coping Strategies in Patients with Myocardial Infarction Admitted to Hospitals in Tehran University of Medical Sciences. Number 1, spring 2008, pp. 15-20 (Persian).
  8. Tofighiyan T. Najar L. Akabery A. Shegarf nakhaee MR. Effect of Individual Counseling on Quality of Life in Patients with Myocardial Infarction. Sabzevar University of Medical Sciences Winter 2010. 206 - 12: (4) (Persian).
  9. Hamid N. Effect of Relaxation Therapy on Anxiety and Cognition in Patients with Myocardial Infarction University Hospitals Ahvaz Medical in 2004. Hormozgan Medical Journal: Eleven years. Number One. Spring 2008. 39 (Persian).
  10. Tousoulis, D., A. Drolias, et al. (2009). Ant Depressive Treatment as a Modulator of Inflammatory Process in Patients with Heart Failure: Effects on Proinflammatory Cytokines and Acute Phase Protein Levels. Int J Cardiol. May 15; 134(2):238-43.
  11. Rivelli, S. and Jiang, W (2007). Depression and Ischemic Heart Disease: What Have We Learned from Clinical Trials? Curr Opin Cardiol. Jul; 22(4):286-91.
  12. Arthur, H. M. (2006). Depression, Isolation, Social Support, and Cardiovascular Disease in Older Adults. J Cardiovasc Nurs.; 21(5 Suppl 1):52-7.
  13. Butler AC, Chapman JE, Forman EM, Beck AT. (2006). The Empirical Status of Cognitive-Behavioral Therapy: a review of meta-analyses. Clin Psychol Rev. 26(1): 17-31.
  14. Sharafi f. The Effect of Relaxation on Anxiety in Myocardial Infarction Patients Admitted to the Cardiac Intensive Care Unit at the University of Hospitals in 1994, Master's thesis of Nursing. Tarbiat modares University. 1994.(Persian).
  15. Yaeghoobi Nasrabadi, M., M. Atefvahid, et al. (2003). The Efficacy of Cognitive-Behavioral Group Therapy in Reducing the Level of Depression and Anxiety in Patients with Mood Disorder. Iranian journal of psychiatry and clinical psychology 9(2): 56-63. (Persian).
  16.  kavian H. Science and Practice of Cognitive Behavior Therapy. Translated to Persian, mehre kavian co. Tehran. 2001. (Persian).
  17. Smeltzer, S. and G. Brenda Bare B (2004). Brunner & Suddarths Textbook of Medical-Surgical Nursing, Philadelphia. Lippincott Co. p: 203.
  18. Cochran, W. G. (2007). Sampling Techniques, John Wiley & Sons.
  19. Fathi Ashtiani A, Dastani M, Psychological Tests: Assessing Personality and Mental Health. Tehran: Besat; 2012. (Persian).
  20. Esmaeili, A. SCL-90-R Standardization of Testing and Comparing the Mental Health of Students at Tehran University to Provide Consulting Services. General Psychology Master's thesis. Allameh Tabatabai University.1998. (Persian).
  21. Mirzaei Roqieh. Evaluate and Test the Reliability of SCL-90. Master's thesis in clinical psychology. Institute of Psychiatry. 1981. (Persian).
  22. Rezapour Muhammad. SCL-90-R Test Standardization on Students of Azad University, Shahid Beheshti and Chamran in Ahvaz, master's thesis. Allameh Tabatabai University. 1998. (Persian).
  23. Salehi Sh, Safavi M and Vafaie M. Level of Anxiety and its Correlation with Some Individual Characteristics in Patients with Myocardial Infarction in Hospitals Related to Islamic Azad University, Tehran Medical Branch (2005-2006). Medical Science Journal of Islamic Azad Univesity Tehran Medical Branch, 2008(Issue 2) (Persian).
  24. Delavare A. Theoretical and Practical Research in the Humanities and Social Sciences. Tehran. Roshd: 2010. Pp: 131 (Persian).
  25.  Roohafza  H,  Sadeghi M,  Attari A,  Afshar H. Serum Lipids in Patients with Mixed Anxiety and Depressive Disorder. Journal of Qazvin University of Medical Sciences. Year 10. No. 4. Winter 2007 (Persian).
  26. Hosseini H, Tabibian, s. samarbakhsh, a. Prevalence and Factors Associated with Depressive Symptoms Following First Myocardial Infarction. Journal of inquiring, 2006. 0.317 Volume 10 - Issue 5, pp. 320 (Persian).
  27. Beraghi n. tonkaboni h. vakili q. Prevalence and Treatment of Anxiety and Depression in Cardiac Patients Admitted to Hospital in 1382 Hormozgan Medical Journal, 2006, Volume 9, Issue 4, pp. 264 (Persian).
  28.  Lane DA, Chong AY, Lip GY (2005). Psychological Interventions for Depression in Heart Failure. Cochrane Database Syst Rev. 25 :(1).
  29. Ranjbar F. Ashktorab T. dadgari A. Effectiveness of Cognitive - Behavioral Therapy on Depression in a Group Manner, Yazd University of Medical Sciences Journal August and September 2010 .306-99: (4) 18 (Persian).
  30. Sheikholeslami F. Effects of Group Therapy on Depression in Patients with Myocardial Infarction in Selected Hospitals of Isfahan University of Medical Sciences. Scientific Journal of Hamadan University of Medical Sciences and Health Services, 2005. Volume 11, No. 2, pp. 48. (Persian).
  31. Jariani M. Effect of Progressive Muscle Relaxation on Anxiety in Patients with Myocardial Infarction. Lorestan University of Medical Sciences Journal. Volume XIII. No. 13. Fall 2011. (Persian).
آمار
تعداد مشاهده مقاله: 4,842
تعداد دریافت فایل اصل مقاله: 2,074