Volume 1, Issue 3 (Summer 2020)
J Vessel Circ 2020, 1(3): 31-39 |
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Izanloo M, Peyvandi P, Borjali A, Sirafi M R, Mohsenzadeh Y. Comparison of the Effectiveness of Compassion-focused Therapy and Mindfulness-based Stress Reduction on Cognitive Emotion Regulation among Patients with Coronary Heart Disease. J Vessel Circ 2020; 1 (3) :31-39
URL: http://jvessels.muq.ac.ir/article-1-54-en.html
URL: http://jvessels.muq.ac.ir/article-1-54-en.html
1- PhD Student of General Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran
2- Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran
3- Professor, Department of Clinical Psychology, Allameh Tabatabaei University, Tehran, Iran
4- Department of Cardiology, Ilam University of Medical Sciences, Ilam, Iran
2- Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran
3- Professor, Department of Clinical Psychology, Allameh Tabatabaei University, Tehran, Iran
4- Department of Cardiology, Ilam University of Medical Sciences, Ilam, Iran
Abstract: (1390 Views)
Background and Aim: Coronary artery disease is one of the psychosomatic diseases that is affected not only by biological factors but also by psychosocial factors. Therefore, this study aimed to compare the effectiveness of compassion-focused therapy (CFT) and mindfulness-based stress reduction (MBSR) on cognitive emotion regulation among patients with coronary heart disease.
Materials and Methods: This quasi-experimental study was conducted based on a pretest-posttest control group design and follow-up. The statistical population of the present study consisted of all heart disease patients referring to the Cardiology Interior Department of Shahid Rajaei Hospital, Karaj, Iran, in 2019. The samples (n=45) were patients with coronary heart disease selected using the convenience sampling method and randomly assigned to three groups, namely CFT, MBSR, and control. Subjects responded to the Cognitive Emotion Regulation Scale for pretest, posttest, and follow-up. Both treatment packages were held in eight 90-minute sessions. The collected data were analyzed in SPSS software (version 24) using the analysis of variance with repeated measures design. The significance levels were considered 0.05 and 0.01.
Results: Based on the results, CFT and MBSR had a significant effect on cognitive regulation of emotion in patients with coronary heart disease. However, it was revealed that there was no difference between the effectiveness of these two methods and their effectiveness continues in the follow-up period (P=0.001).
Conclusion: Compassion-focused therapy and MBSR were both effective on cognitive emotion regulation in patients with coronary heart disease. It is recommended that therapists and healthcare professionals use the training of these two methods to improve the mental and physical health of patients with coronary artery disease.
Materials and Methods: This quasi-experimental study was conducted based on a pretest-posttest control group design and follow-up. The statistical population of the present study consisted of all heart disease patients referring to the Cardiology Interior Department of Shahid Rajaei Hospital, Karaj, Iran, in 2019. The samples (n=45) were patients with coronary heart disease selected using the convenience sampling method and randomly assigned to three groups, namely CFT, MBSR, and control. Subjects responded to the Cognitive Emotion Regulation Scale for pretest, posttest, and follow-up. Both treatment packages were held in eight 90-minute sessions. The collected data were analyzed in SPSS software (version 24) using the analysis of variance with repeated measures design. The significance levels were considered 0.05 and 0.01.
Results: Based on the results, CFT and MBSR had a significant effect on cognitive regulation of emotion in patients with coronary heart disease. However, it was revealed that there was no difference between the effectiveness of these two methods and their effectiveness continues in the follow-up period (P=0.001).
Conclusion: Compassion-focused therapy and MBSR were both effective on cognitive emotion regulation in patients with coronary heart disease. It is recommended that therapists and healthcare professionals use the training of these two methods to improve the mental and physical health of patients with coronary artery disease.
Type of Study: Research |
Subject:
cardiovascular diseases
Received: 2020/11/18 | Accepted: 2021/04/5 | Published: 2020/08/31
Received: 2020/11/18 | Accepted: 2021/04/5 | Published: 2020/08/31
References
1. White CA. Cognitive behaviour therapy for chronic medical problems: a guide to assessment and treatment in practice. New Jersey: John Wiley & Sons Ltd; 2001. Link
2. Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur Heart J 2016;37(29):2315-81. DOI: 10.1093/eurheartj/ehw106 [DOI:10.1093/eurheartj/ehw106]
3. Tung HH, Chen SC, Yin WH, Cheng CH, Wang TJ, Wu SF. Self care behavior in patients with heart failure in Taiwan. Eur J Cardiovasc Nurs 2012;11(2):175-82. DOI: 10.1016/j.ejcnurse.2011.02.002 [DOI:10.1016/j.ejcnurse.2011.02.002]
4. Ahmadkhani L, Rajamand S, Dehghanpour M, Shakerian Z, Nikpour M. The relationship between early maladaptive schemas, cognitive emotion regulation strategies and perfectionism and alexithymia in cardiac patients. J N Adv Behav Sci 2017;2(10):28-42. Link
5. Müller-Nordhorn J, Roll S, Willich SN. Comparison of the short form (SF)-12 health status instrument with the SF-36 in patients with coronary heart disease. Heart 2004;90(5):523-7. DOI: 10.1136/hrt.2003.013995 [DOI:10.1136/hrt.2003.013995]
6. Bekelman DB, Hooker S, Nowels CT, Main DS, Meek P, McBryde C, et al. Feasibility and acceptability of a collaborative care intervention to improve symptoms and quality of life in chronic heart failure: mixed methods pilot trial. J Palliat Med 2014;17(2):145-51. DOI: 10.1089/jpm.2013.0143 [DOI:10.1089/jpm.2013.0143]
7. Salehzadeh A, Rahmatpour P. Self-care behaviors and related factors in patients with heart failure referring to medical & educational center of heart in Rasht. J Holist Nurs Midwifery 2013;23(1):22-9. Link
8. Rozanski A, Blumenthal JA, Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation 1999;99(16):2192-217. DOI: 10.1161/01.cir.99.16.2192 [DOI:10.1161/01.CIR.99.16.2192]
9. Potthoff S, Garnefski N, Miklósi M, Ubbiali A, Domínguez-Sánchez FJ, Martins EC, et al. Cognitive emotion regulation and psychopathology across cultures: a comparison between six European countries. Pers Individ Dif 2016;98:218-24. DOI: 10.1016/j.paid.2016.04.022 [DOI:10.1016/j.paid.2016.04.022]
10. Lee SJ, Kim SR, Han SY, Lee YJ, Chae H. Is the cognitive emotion regulation strategy related to Yin-Yang personality traits? Eur J Integrative Med 2019;26:24-30. DOI: 10.1016/j.eujim.2019.01.004 [DOI:10.1016/j.eujim.2019.01.004]
11. Chavanon ML, Meyer T, Belnap BH, Huang Y, Abebe KZ, Rollman BL, et al. Emotion regulation in patients with heart failure: Its relationship with depressive symptoms and rehospitalization. J Psychosom Res 2019;125:109811. DOI: 10.1016/j.jpsychores.2019.109811 [DOI:10.1016/j.jpsychores.2019.109811]
12. Wilson JM, Weiss A, Shook NJ. Mindfulness, self-compassion, and savoring: factors that explain the relation between perceived social support and well-being. Pers Individ Dif 2020;152:109568. DOI: 10.1016/j.paid.2019.109568 [DOI:10.1016/j.paid.2019.109568]
13. Brophy K, Brähler E, Hinz A, Schmidt S, Körner A. The role of self-compassion in the relationship between attachment, depression, and quality of life. J Affect Disord 2020;260:45-52. DOI: 10.1016/j.jad.2019.08.066 [DOI:10.1016/j.jad.2019.08.066]
14. Fresnics AA, Wang SB, Borders A. The unique associations between self-compassion and eating disorder psychopathology and the mediating role of rumination. Psychiatry Res 2019;274:91-7. DOI: 10.1016/j.psychres.2019.02.019 [DOI:10.1016/j.psychres.2019.02.019]
15. Lienhart C, Caltabiano M. The relationship between mindfulness, self-compassion and body appreciation. APS College of Health Psychologists Conference, Glenelg, SA, Australia; 2019. Link [DOI:10.1016/j.explore.2019.09.003]
16. Gilbert P. The origins and nature of compassion focused therapy. Br J Clin Psychol 2014;53(1):6-41. [DOI:10.1111/bjc.12043]
17. Garnefski N, Kraaij V, Spinhoven P. Manual for the use of the cognitive emotion regulation questionnaire. Leiderdorp, Netherlands: DATEC; 2002. Link [DOI:10.1037/t03801-000]
18. Siamak S, Bahram J. A study on the reliability and validity of the short form of the Depression Anxiety Stress Scale (DASS-21). J Soc Sci Hum Shiraz Univ 2007;26(3):65-77. Link
19. Gilbert P. Introducing compassion-focused therapy. Adv Psychiatr Treat 2009; 15(3):199-208. DOI: 10.1192/ apt.bp.107.005264 [DOI:10.1192/apt.bp.107.005264]
20. Arimitsu K, Hofmann SG. Cognitions as mediators in the relationship between self-compassion and affect. Pers Individ Dif 2015;74:41-8. DOI: 10.1016/j.paid.2014.10.008 [DOI:10.1016/j.paid.2014.10.008]
21. Alicke MD, Sedikides C. Self-enhancement and self-protection: what they are and what they do. Eur Rev Soc Psychol 2009;20(1):1-48. DOI: 10.1080/10463280802613866 [DOI:10.1080/10463280802613866]
22. Ruiz FJ. A review of Acceptance and Commitment Therapy (ACT) empirical evidence: Correlational, experimental psychopathology, component and outcome studies. Int J Psychol Psychol Ther 2010;10(1):125-62. Link
23. Garnefski N, Van Den Kommer T, Kraaij V, Teerds J, Legerstee J, Onstein E. The relationship between cognitive emotion regulation strategies and emotional problems: comparison between a clinical and a non‐clinical sample. Eur J Pers 2002;16(5):403-20. DOI: 10.1002/per.458 [DOI:10.1002/per.458]
24. Aldao A, Nolen-Hoeksema S, Schweizer S. Emotion-regulation strategies across psychopathology: a meta-analytic review. Clin Psychol Rev 2010;30(2):217-37. DOI: 10.1016/j.cpr.2009.11.004 [DOI:10.1016/j.cpr.2009.11.004]
25. Allexandre D, Fox E, Golubic M, Morledge T, Fox JE. Mindfulness, yoga, and cardiovascular disease. Clevel Clin J Med 2010;77(Suppl 3):S85. Link
26. Loucks EB, Schuman-Olivier Z, Britton WB, Fresco DM, Desbordes G, Brewer JA, et al. Mindfulness and cardiovascular disease risk: state of the evidence, plausible mechanisms, and theoretical framework. Curr Cardiol Rep 2015;17(12):112. DOI: 10.1007/s11886-015-0668-7 [DOI:10.1007/s11886-015-0668-7]
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