Chronic diseases such as cancer, diabetes, AIDS, cardiovascular, MS, etc.
Fatemeh Bayanfar; Hengameh Boloorsaz Mashhadi
Abstract
Objective: Hypertension is a common, asymptomatic medical condition. It arises from general or functional disorders and is referred to as primary or essential hypertension. This study aimed to investigate the effectiveness of brief cognitive-behavioral therapy (BCBT) on dysfunctional attitudes, lifestyle, ...
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Objective: Hypertension is a common, asymptomatic medical condition. It arises from general or functional disorders and is referred to as primary or essential hypertension. This study aimed to investigate the effectiveness of brief cognitive-behavioral therapy (BCBT) on dysfunctional attitudes, lifestyle, and distress tolerance in young adults with hypertension.
Methods: This quasi-experimental study used a pre-test-post- test design, a control group, and \ a 45-day follow-up. The population comprised young male patients with hypertension at Moheb Mehr Hospital in Tehran between March and October 2025. From this population, a sample of 30 people was selected using purposive sampling, and they were then randomly assigned to experimental and control groups (n = 15 each). The experimental group received 10 60-minute BCBT sessions over 2.5 months, per Rudd’s protocol (2012). The control group received only routine medical care. Both groups were re-evaluated 45 days after the intervention. Measures included the Dysfunctional Attitudes Questionnaire (Weissman & Beck, 1978), Profile Health-Promoting Lifestyle II (PHPL-II) (Walker et al., 1995), and Distress Tolerance Scale (Simmons & Gaher, 2005). Data were analyzed using repeated-measures ANOVA and Bonferroni post hoc tests in SPSS v26.
Results: BCBT significantly reduced dysfunctional attitudes (F = 32.913, p < 0.004), improved lifestyle (F = 9.665, p < 0.002), and increased distress tolerance (F = 11.313, p < 0.001) of the patients with hypertension. Effect sizes were 0.54, 0.26, and 0.29 for dysfunctional attitudes, lifestyle, and distress tolerance. Improvements persisted at the follow-up stage.
Conclusion: Brief cognitive-behavioral therapy improves behavioral-psychological indices in patients with hypertension. Adding this intervention to rehabilitation programs may enhance patient outcomes.
Psychological interventions in health and diseases
Monirosadat Hosseini; Hengameh Boloorsaz Mashhadi
Abstract
Objective: Hypertension is one of the most prevalent chronic diseases, which, if not properly managed, can lead to numerous psychological and social consequences in addition to physical health issues, ultimately reducing quality of life. The present study aimed to investigate the effectiveness of emotion ...
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Objective: Hypertension is one of the most prevalent chronic diseases, which, if not properly managed, can lead to numerous psychological and social consequences in addition to physical health issues, ultimately reducing quality of life. The present study aimed to investigate the effectiveness of emotion regulation-based therapy on anger rumination and health-related quality of life (HRQoL) in patients with primary hypertension. Method: This semi-experimental study employed a pretest-posttest control group design with a two-month follow-up. The statistical population consisted of all women diagnosed with primary hypertension who were referred to Moheb Hospital in Tehran in 2025. Using convenience sampling, 30 participants were selected and randomly assigned to two equal groups (15 participants each). Data were collected using a demographic information checklist, the Anger Rumination Scale, the Health-Related Quality of Life Questionnaire, and a digital upper arm blood pressure monitor. The intervention group received emotion regulation-based therapy based on Gross’s protocol, delivered in 8 sessions (twice weekly, each session lasting one hour). Data analysis was conducted using repeated measures ANOVA and Bonferroni post hoc tests. All ethical issues were addressed in this study, and the authors declare that they have no conflicts of interest.Results: Emotion regulation-based therapy had a significant effect on reducing anger rumination (F = 89.365, p < 0.015), Reduction in systolic blood pressure (F=22.621 and p<0.011), Reduction in diastolic blood pressure (F=40.076 and p<0.006), and improving health-related quality of life (F = 97.943, p < 0.002) in patients with primary hypertension. The effect sizes for anger rumination and HRQoL were 0.36, Systolic blood pressure 0.40, diastolic blood pressure 0.38, and 0.47, respectively. These effects persisted at the two-month follow-up.Conclusion: The findings indicate that emotion regulation-based therapy can effectively enhance behavioral outcomes, blood pressure, and improve quality of life in individuals with hypertension. It is recommended that such psychological interventions be integrated with pharmacological treatments in rehabilitation and care programs to enhance the psychological and behavioral functioning of these patients.
