In collaboration with Payame Noor University and Iranian Health Psychology

Document Type : research

Authors

1 Islamic Azad University Central Tehran Branch Faculty of Psychology ans Educational Science

2 Department of Psychology, Kharazmi University, Tehran, Iran

3 Islamic Azad University Central Tehran Branch

Abstract

Objective: The purpose of the present research was to examine the effect of cognitive-behavioral stress management on health locus of control and resilience in patients with coronary artery disease.
Method:  This research was quasi-experimental with pre-test, post-test and control group. The statistical population of this research consisted of all patients aged 40-65 years with coronary artery disease who were referred to Kasra Hospital in Tehran in 2019. The sample was 90 patients who were selected by targeted sampling method and randomly assigned into the two experimental and control groups. Data were collected using the Multidimensional Health Locus of Control Scale and Resilience Scale. The research data were analyzed using Multivariate analysis of covariance (MANCOVA).
Results: The results showed that the cognitive-behavior stress management significantly increased internal health locus of control and resilience in the experimental group (P<0.01).
Conclusions:  Cognitive-behavioral stress management may lead to a change in one's self-awareness and abilities through cognitive challenge, cognitive error detection and thought replacement, which in turn can increases individual’s sense of containment and cognitive control.

Keywords

Article Title [Persian]

اثربخشی درمان استرس زدایی شناختی- رفتاری بر کانون کنترل سلامت و تاب آوری در بیماران کرونری قلبی

Authors [Persian]

  • فرنوش رافعی 1
  • محمد حاتمی 2
  • آنیتا باغداساریانس 3

1 دانشکده روانشناسی و علوم تربیت دانشگاه آزاد اسلامی واحد تهران مرکزی

2 دانشکده روانشناسی و علوم تربیتی دانشگاه خوارزمی

3 دانشگاه آزاد اسلامی واحد تهران مرکزی

Abstract [Persian]

هدف این پژوهش، بررسی تأثیر درمان استرس زدایی شناختی- رفتاری بر کانون کنترل سلامت و تاب آوری در بیماران کرونری قلبی بود. این پژوهش به شیوه نیمه تجربی و از نوع پیش‌آزمون و پس‌آزمون با گروه کنترل اجرا شد. جامعه آماری شامل کلیه بیماران 65-40 سال مبتلا به کرونری قلبی بود که در بیمارستان کسری شهر تهران در سال 1398 تحت درمان بودند. نمونه پژوهش 90 بیمار مبتلا به کرونری قلبی بود که از میان بیماران شناسایی و به دو گروه آزمایش و گواه گمارده شدند. برای جمع‌آوری داده‌ها از مقیاس‌ چندوجهی کانون کنترل سلامت و مقیاس تاب آوری استفاده گردید. نتایج تحلیل کواریانس چند متغیری نشان داد که درمان استرس زدایی شناختی- رفتاری بر ارتقای کانون کنترل درونی و تاب آوری مؤثر بوده است (001/0>P). مدیریت استرس شناختی - رفتاری می تواند از طریق چالش شناختی ، تشخیص خطای شناختی و جایگزینی افکار موجب تغییر در خودآگاهی و توانایی های فرد شود که به نوبه خود می تواند باعث افزایش احساس مهار و کنترل شناختی گردد.

Keywords [Persian]

  • درمان استرس زدایی شناختی- رفتاری
  • کانون کنترل سلامت
  • تاب آوری
  • بیماران کرونری قلبی
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