نوع مقاله : پژوهشی
نویسندگان
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
چکیده
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.
کلیدواژه‌ها
Adawi, A.; Fathi Marghmaleki, R.; Modmeli, O., (2017). The effect of stress management training by cognitive-behavior method on perceived stress in women with hypertension. Journal of Nursing Education, 6 (1): 56-61.
Antoni MH. Ironson, G., Schneiderman, N. (2007). Cognitive behavioral stress management: workbook, Oxford University Press.
Bergh, C., Udumyan, R., Fall, K., Almroth, H., Montgomery, S. (2015). Stress resilience and physical fitness in adolescence and risk of coronary heart disease in middle age. Heart, 101:623–629. doi: 10.1136/heartjnl-2014-306703.
Blumenthal, J. A., Sherwood, A., Smith, P. J., Watkins, L., Mabe, S., Kraus, W. E., & Hinderliter, A. (2016). Enhancing cardiac rehabilitation with stress management training: a randomized, clinical efficacy trial. Circulation, 133(14), 1341-1350.
Boehm, J., Chen, Y., Williams, D., Ryff, C., Kubzansky, L. (2016). Subjective well-being and cardiometabolic Health: an 8-11-year study of midlife adults. Journal of psychosomatic Research; 85: 1-8.
Chew, H. S. J., Cheng, H. Y., & Chair, S. Y. (2019). The suitability of motivational interviewing versus cognitive behavioural interventions on improving self-care in patients with heart failure: A literature review and discussion paper. Applied Nursing Research, 45, 17-22.
Conner, K.M., & Davidson, J.R.T. (2003). Development of a new resilience scale: The Conner-Davidson Resilience Scale
(CD-RISC). Depression and Anxiety, 18: 76-82.
De Santis JP, Florom-Smith A, Vermeesch A, Barroso S, DeLeon DA. (2013). Motivation, managemen t, and mastery: a theory of resilience in the context of HIV infection. Journal Am Psychiatry Nurses Assoc, 19(1): 36-46.
Doering, L.V., McGuire, A., Eastwood, J.A., Chen, B., Bodán, R.C., Czer, L.S., Irwin, M.R. (2016). Cognitive behavioral therapy for depression improves pain and perceived control in cardiac surgery patients. Eur J Cardiovasc Nurs, 15(6): 417-24.
Du, J., Zhang. D., Yin, Y., Zhang, X., Li, J., Liu, D., et al. (2016). The personality and psychological stress predict major adverse cardiovascular events in patients with coronary heart disease after percutaneous coronary intervention for five years. Medicine (Baltimore), 95(15):e3364.
Freedland, K.E., Carney, R.M. Rich, M.W., Steinmeyer, B.C., Rubin, E.H. (2015). Cognitive Behavior Therapy for Depression and Self-Care in Heart Failure Patients: A Randomized Clinical Trial. JAMA Intern Med, 175(11):1773-82.
Gavin-Breier, L. S. (2017). Accessing Healthfulness through Intrapersonal Communication: The Correlations between Health Locus of Control and Health Outcomes, Behaviors, and Perceptions. Olivet Nazarene University Digital Commons @ Olivet, https://digitalcommons.olivet.edu/edd_diss/106
Giuliano, C., Parmenter, B.J., Baker, M.K., Mitchell, B.L., Williams, A.D., Lyndon, K., and et al. (2017). Cardiac Rehabilitation for Patients with Coronary Artery Disease: A Practical Guide to Enhance Patient Outcomes through Continuity of Care. Clin Med Insights Cardiol, 11: 1179546817710028.
Godfrey, J.R. (2004). Toward optimal health: The experts discuss therapeutic humor. Journal of Women's Health, 13(5): 474- 479.
Hassan Shahi, M. M. and Daraei, M. (2005). The effect of stress management strategies on students' mental health: Effect of modulating psychological stubbornness, Journal of Knowledge and Research in Psychology, Islamic Azad University, Khorasgan Branch, 21:77-98.
Hatamlavi Saadabadi, M., Poursharifi, H., Babapour Khairuddin, J., (2011). The role of the health locus of control in the self-care behaviors of people with type 2 diabetes. Journal of Medical Sciences, Tabriz University of Medical Sciences, 33 (4):17-22.
Huber, D., Henriksson, R., Jakobsson, S., Mooe, T. (2017). Nurse-led telephone-based follow-up of secondary prevention after acute coronary syndrome: One-year results from the randomized controlled NAILED-ACS trial. PLoS One, 12(9): e0183963.
Jia, L.F., Yue, K., Su-Hua, Sh., Yu-ng, C. (2016). Positive correlations between the health locus of control and self-style and mental health care utilization: Findings from a large-scale national survey. Psychiatry research, 229(1-2); 454–461.
Kazemi, M., Noredini, M., Moghadam, M.K. (2015). The Relationship between the Locus of Control and Mental Health in Athlete and Non-athlete Students of Tehran University. International Journal of Basic Sciences & Applied Research, 4:599–605.
Lemos, C.M.M., William Moraes, D., Pellanda, L.C. (2016). Resilience in Patients with Ischemic Heart Disease. Arq Bras Cardiol, 106(2): 130–135.
Liu, N., Liu, S., Yu, N., Peng, Y., Wen, Y., Tang, J., and Kong, L. (2018). Correlations among Psychological Resilience, Self-Efficacy, and Negative Emotion in Acute Myocardial Infarction Patients after Percutaneous Coronary Intervention. Front Psychiatry, 9: 1. doi: 10.3389/fpsyt.2018.00001.
Moshki, M., Ghofranipour, F., Hajizadeh, E., Azadfallah, P. (2007). Validity and reliability of the multidimensional health locus of control scale for college students. BMC Public Health, 7:295.
Nikdanesh, M., Davazdahemami, M. H., Esmail Gheydari, M., Bakhtiari, M., Mohammadi, A., (2017). Emotion Regulation Mindfulness and Existential Anxiety in Patiens with Cardiovascular Diseases: A Comparative Study. The Journal of Urmia university of Medical Sciences, 28 (6):384-393.
Pourhoseinzadeh, M., Gheibizadeh, M., Moradikalboland, M., Cheraghian, B. (2017). The Relationship between Health Locus of Control and Health Behaviors in Emergency Medicine Personnel. Int J Community Based Nurs Midwifery, 5(4): 397–407.
Radmehr, P., Youssefvand, L. (2017). Investigating the effect of mindfulness-based cognitive therapy on reducing perceived stress and increasing hope for survival in women with coronary artery disease. Journal of Health Education and Health Promotion, 5 (3):164-172.
Rajabi, S., Assareh, M., Shiri, E., Keshvari, F., Mikaieli hoor, F., Pour Nikdast, S. (2014). Evaluation of Students’ Mental Health and Relation to Resilience and Copping Styles. Int J School Health, 1(1): e19855.
Rashidi, M., Ahmadian, H., Tabqian, N., and Ahmadi Tahoor Soltani, M. (2017). Correlation between attachment styles and early maladaptive schemas in cardiac patients with personality type D. Military Medicine Journal, 2(2):85-92.
Rideout, A., Tolmie, E., Lindsay, G. (2017). Health locus of control in patients undergoing coronary artery surgery – changes and associated outcomes: a seven-year cohort study. European Journal of Cardiovascular Nursing, 16(1): 46–56.
Safavi Bayat, Z., Taher, M., (2016). Correlation of health locus of control source with self-care and followingdiet in patients with hypertension. Khazar Health and Aging Journal, 1(1):42-48.
Saleh, S. (2017). The Effectiveness of Cognitive-Behavioral Stress Management Training on Quality of Life and Clinical Symptoms of Cardiovascular Patients. Biomed Pharmacology Journal, 10(1): 295-302.
Sarafino, E. (2002). Health Psychology, Translator: Ahmadi Abhari et al. (2017), Tehran: Roshd Publishing.
Schore, J.R., Schore, A.N. (2008). Modern Attachment The-ory: The Central Role of Affect Regulation in Development and Treatment. Clinical Social Work Journal, 36: 9-20.
Sepahmansour, M., Bagheri, F. (2017). Health-promoting lifestyle predictions based on health locus of control and attachment styles. Iranian Journal of Health Psychology, 6 (2): 131-144.
Shields, G.E., Wells, A., Doherty, P., Heagerty, A., Buck, D., and Davies, L.M. (2018). Cost-effectiveness of cardiac rehabilitation: a systematic review.Heart, 104(17): 1403–1410.
Stanton, A.L., Revenson, T.A., Tennen, H. (2007). Health psychology: psychological adjustment to chronic disease. Annu Rev Psychol, 58: 565-92.
Talebi Amri, M., Bahraminasab, M., Samkhaniyan, E., Moini, F., and Kazemi Khobane, Z. (2015). Effectiveness of behavioral-cognitive group therapy on improvement of quality of life of patients with coronary heart disease. Journal Med Life, 8(Spec Iss 4): 301–306.
Thomaes, A., Poorthuis, S., & Nelemans, K. (2011). Self-esteem. Encyclopedia of Adolescence, 316-324S.
Wallston, K.A. (2005). The validity of multidimensional health locus of control scales. J Health Psychol, 10(5): 623-31.
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