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Effectiveness of Emotion Regulation Therapy on Anger Rumination and Health-Related Quality of Life in Women with Primary Hypertension

Document Type : research

Authors

1 School of Educational Studies, Universiti Sains Malaysia 11800 Penang, Malaysia

2 Instructor, Department of Educational Sciences, Payame Noor University, Iran

10.30473/ijohp.2025.75391.1418

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 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.

Keywords

Main Subjects

Article Title [Persian]

اثربخشی درمان مبتنی بر تنظیم هیجان بر نشخوار خشم و کیفیت زندگی مرتبط با سلامت در زنان مبتلا به فشارخون نوع اولیه

Authors [Persian]

  • منیرالسادات حسینی 1
  • هنگامه بلورساز مشهدی 2

1 School of Educational Studies, Universiti Sains Malaysia 11800 Penang, Malaysia

2 Instructor, Department of Educational Sciences, Payame Noor University, Iran

Abstract [Persian]

مقدمه و هدف: فشارخون بالا یکی از شایع‏ترین بیماری‏های مزمن است که اگر به‏ درستی مدیریت نشود، علاوه بر سلامت جسمی با منجر به پیامدهای متعدد روانی-اجتماعی و کیفیت زندگی پایین می‏شود. از این‏رو، پژوهش حاضر با هدف تعیین اثربخشی درمان مبتنی بر تنظیم هیجان بر نشخوار خشم و کیفیت زندگی مرتبط با سلامت در مبتلایان به فشارخون نوع اولیه انجام شد.
مواد و روش‏ها: این پژوهش از نوع نیمه‏تجربی و به‏صورت پیش‏آزمون، پس‏آزمون با دو گروه آزمایش و کنترل و پیگیری دوماهه بود. تمامی زنان مبتلا به فشارخون نوع اولیه مراجعه‏کننده به بیمارستان محب تهران در سال 1404 جمعیت آماری پژوهش را تشکیل دادند، که از بین آن‏ها با نمونه‏گیری در دسترس تعداد 30 نفر انتخاب و در دو گروه مساوی (هر گروه 15 نفر) گمارده شدند. گردآوری داده‏ها علاوه بر چک لیست اطلاعات دموگرافیک با پرسشنامه نشخوار خشم و پرسشنامه کیفیت زندگی مرتبط با سلامت انجام شد. درمان مبتنی بر تنظیم هیجان با توجه به پروتکل Gross طی 8 جلسه(هفته‏ای دو جلسه و هر جلسه به‏مدت 1 ساعت) برای گروه‏ آزمایش اعمال شد. داده با آنالیز واریانس با اندازه‏گیری مکرر و آزمون تعقیبی بن‏فرونی تحلیل شد.
یافته‏ها: درمان مبتنی بر تنظیم هیجان بر کاهش نشخوار خشم (365/89=F و 015/0>P) و بهبود کیفیت زندگی مرتبط با سلامت (943/97=F و 002/0>P) مبتلایان به فشارخون نوع اولیه اثربخش بود. میزان اندازه اثر درمان مبتنی بر تنظیم هیجان بر نشخوار خشم 36/0 و کیفیت زندگی مرتبط با سلامت 47/0 درصد بود و ماندگاری تأثیر درمان تا دوماه پس از آن برقرار بود.
نتیجه‏گیری: نتایج حاکی از آن بود که درمان مبتنی بر تنظیم هیجان می‏تواند بر بهبود وضعیت رفتاری و کیفیت زندگی مبتلایان به فشارخون بالا سودمند باشد. پیشنهاد می‏شود در طرح‏ریزی مداخلات توانبخشی و درمانی جهت ارتقای عملکرد روانی-رفتاری این بیماران در کنار دارودرمانی ار تمرینات مرتبط با درمان تنظیم هیجان بیشتر استفاده گردد.

Keywords [Persian]

  • درمان تنظیم هیجان
  • نشخوار خشم
  • کیفیت زندگی
  • هایپرتانسیون
  • فشار خون اولیه
  • سلامت
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Iranian Journal of Health Psychology
Volume 8, Issue 2 - Serial Number 24
June 2025
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