In collaboration with Payame Noor University and Iranian Health Psychology

Document Type : research

Authors

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

2 Department of Psychology, Central Tehran Branch, Islamic Azad University

3 Department of Psychology, Kharazmi University, Tehran, Iran

Abstract

Objective: The purpose of the present study was to examine the effect of lifestyle-based stress management program on emotional problems and life satisfaction in patients with myocardial infarction.
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 old with myocardial infarction who were under treatment at Kasra Hospital in Karaj in the first six months of 2019. The study sample consisted of 90 patients with heart attack who were identified among the patients and selected by targeted sampling method and randomly assigned to two experimental and control groups. Data were collected using the Depression, Anxiety and Stress Scale as well as the Satisfaction With Life Scale. The collected data were analyzed using the method of Multivariate analysis of covariance (MANCOVA).
Results: Multivariate analysis of covariance showed that the lifestyle-based stress management program significantly reduced emotional problems and increased life satisfaction in the experimental group (P<0.01).
Conclusions: The stress management program helped patients identify dysfunctional thoughts that trigger anxiety and depression and experience fewer emotional problems by feeling self-control, attention management, changing the assessment system and using cognitive strategies. Also, by identifying and correcting irrational attitudes and beliefs, the subjects were able to better cope with the physical effects of the disease or to deal with its negative psychological complications and have more life satisfaction. These findings have important implications for education and promoting mental health of patients with myocardial infarction.

Keywords

Article Title [Persian]

اثربخشی برنامه مدیریت استرس مبتنی بر سبک زندگی بر مشکلات هیجانی و رضایت از زندگی در بیماران مبتلا به سکته قلبی

Authors [Persian]

  • شمس الدین آق آتابای 1
  • مژگان سپاه منصور 2
  • محمد حاتمی 3

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

2 دانشکده روانشناسی و علوم تربیتی دانشگاه آزاد اسلامی واحد تهران مرکزی

3 دانشکده روانشناسی و علوم تربیتی دانشگاه خوارزمی

Abstract [Persian]

هدف: هدف این پژوهش، بررسی تأثیر برنامه مدیریت استرس مبتنی بر سبک زندگی بر مشکلات هیجانی و رضایت از زندگی در بیماران سکته قلبی بود.
روش: 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 سکته قلبی بود که در بیمارستان کسری شهر کرج در سال 1398 تحت درمان بودند.
نمونه پژوهش 90 بیمار مبتلا به سکته قلبی بود که از میان بیماران شناسایی و به دو گروه آزمایش و گواه گمارده شدند. برای جمع‌آوری داده‌ها از مقیاس افسردگی، اضطراب و استرس و مقیاس رضایت از زندگی استفاده گردید.
نتایج: نتایج تحلیل کواریانس چند متغیری نشان داد که گروه برنامه مدیریت استرس مبتنی بر سبک زندگی در کاهش مشکلات هیجانی و ارتقای رضایت از زندگی مؤثر بوده است (001/0>P).
بحث و نتیجه گیری:برنامه مدیریت استرس به بیماران در شناسایی افکار ناکارآمد که منجر به اضطراب و افسردگی می شوند کمک کرده و با احساس کنترل خود ، مدیریت توجه ، تغییر سیستم ارزیابی و استفاده از راهکارهای شناختی ، مشکلات عاطفی کمتری را تجربه می کنند. همچنین با شناسایی و تصحیح نگرش ها و عقاید غیرمنطقی ، افراد توانستند بهتر با تأثیرات جسمی بیماری و یا عوارض روحی و روانی آن مقابله کنند و رضایت بیشتری از زندگی داشته باشند. این یافته ها پیامدهای مهمی برای آموزش و ارتقاء سلامت روان بیماران مبتلا به سکته قلبی دارد.

Keywords [Persian]

  • برنامه مدیریت استرس مبتنی بر سبک زندگی
  • مشکلات هیجانی
  • رضایت از زندگی
  • بیماران سکته قلبی
Adebayo, S.O., Olunuga, T.O., Durodola, A., Ogah, O.S. (2017). Quality of life in heart failure: A review. Nig J Cardiol, 14:1-8.
Alaour, B., Liew, F., Kaier,T.E. (2018). Cardiac Troponin - Diagnostic Problems and Impact on Cardiovascular Disease. Ann Med, 28: 1-32.
Alipour, A., Rezai, A., Hashemi, T., Yousefpour, N. (2017). The effectiveness of cognitive behavioral therapy focused on lifestyle modification to increase monitoring vital signs and coronary heart disease and psychological well-being. Quarterly Journal of Health Psychology, 5(20), 125-136.
Alsubaie, M., Abbott, R., Dunn, B., Dickens, C., Keil T.F., Henley, W., & Kuyken, W. (2017). Mechanisms of action in mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR) in people with physical and/or psychological conditions: A systematic review. Clin Psychol Rev, 55:74-91.
Asad Zandi M., Sayari R., Ebadi A., Sanainasab H. (2011). Abundance of depression, anxiety and stress in militant Nurses. J Mil Med, 13 (2): 103-108
Barberi, C., van den Hondel, K.E. (2018). The use of cardiac troponin T (cTnT) in the postmortem diagnosis of acute myocardial infarction and sudden cardiac death: A systematic review. Forensic Sci Int, 17: 292, 27-38.
Barlow, D.H., Rapee, R.M., Reisner, L.C. (2001). Mastering Stress: A Lifestyle Approach. American Health Publishing Company.
Baumann, M., Tchicaya, A., Vanderpool, K., Lorentz, N., and Le Bihan, E. (2015). Life satisfaction, cardiovascular risk factors, unhealthy behaviours and socioeconomic inequality, 5 years after coronary angiography. BMC Public Health, 15: 668. DOI 10.1186/s12889-015-2047-0.
Bayani, A.A., Kochaki A.M., Goodarzi, H., (2007). Reliability and validity of life satisfaction scale. Journal of Iranian Psychologists, 11(3): 259-268.
Bayani, A.A., Kouchaki, A.M., Goudarzi, H. (2007) the Reliabiity and Validity of the Satisfaction with Life Scale. Developmental Psychology (Journal of Iranian Psychologists), Volume 3, Number 11; Page(s) 259 To 265.
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.
Celano, C.M., Daunis, D.J., Lokko, H.N., Campbell, K.A., and  Huffman, J.C. (2016). Anxiety disorders and cardiovascular disease. Curr Psychiatry Rep, 18(11): 101.
Cho, K.I. (2016). Women, Stress and Heart Health: Mindfulness-Based Stress Reduction and Cardiovascular Disease. Kosin Medical Journal, 31(2): 103-112.
Dağlı, A., Baysal, N. (2017). Investigating Teachers' Life Satisfaction. Universal Journal of Educational Research, 5(7): 1250-1256.
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.
Gupta, R., & Guptha, S. (2010). Strategies for initial management of hypertension. Indian J Med Res, 132, 531-542.
House, SH. (2011). Epigenetics in adaptive evolution and development: The interplay between evolving species and epigenetic mechanisms. Handbook of Epigenetics, 425-45.
Issazadegan A, Aghayanzade H, Shiekhy S. (2015). Comparison of Cognitive Emotion Regulation Strategies, Optimism and Life Satisfaction among People with Gastrointestinal and Cardiovascular Disease. Nurs Midwifery J., 13 (5): 440-450.
Kala, P., Hudakova, N., Jurajda, M., Kasparek, T., Ustohal, L., Parenica, J., & Kanovsky, J. (2016). Depression and anxiety after acute myocardial infarction treated by primary PCI. PLoS One11(4), e0152367.
Krejcie, R. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and psychological measurement, 30(3), 607-610.
Folkman, S., & Lazarus, R. S. (1984). Stress, appraisal, and coping (pp. 150-153). New York: Springer Publishing Company.
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
Massberg, S., Polzin, A. (2018). Update ESC-Guideline 2017: Dual Antiplatelet Therapy. Dtsch Med Wochenschr, 143(15):1090-1093.
Mohammadian, M., Hosseini, S., Sadeghi, M., Sarrafzadegan, N., Salehiniya, H., Roohafza, H., & et al. (2015). Trends of 28 days case fatality rate after first acute myocardial infarction in Isfahan, Iran, from 2000 to 2009. ARYA atherosclerosis, 11(4): 233.
Mohsenzadeh, Y., Sarokhani, D., Hemmati, F., Sarokhani, M., Akbarzadeh Baghban, A., & Sayehmiri, K. (2016). Quality of life in heart patients in Iran: A systematic review and meta-analysis method. Der Pharma Chemica, 8(18):27-34.
Monir poor, N. (2018). Post coronary heart diseases depression: role of illness perception and copping strategies. Biquarterly Iranian Journal of Health Psychology, 1(1), 51-62.
Moryś, J.M., Bellwon, J., Höfer, S., Rynkiewicz, A., & Gruchała, M. (2016). Quality of life in patients with coronary heart disease after myocardial infarction and with ischemic heart failure. Arch Med Sci, 12(2): 326–333.
Nazari Mehrvarani, Z., (2015). The Effect of Lifestyle Stress Management Program on Modifying Cognitive Schemas and Increasing Students' Feeling of Cohesion. Journal of Cognitive Sciences, 17(2): 12-22.
Nikdanesh M, davazdah emami M H, Gheydari M E, Bakhtiyari M, Mohamadi A. (2017). Emotion regulation, mindfulness and existential anxiety in patients with cardiovascular diseases: a comparative study. Stud Med Sci., 28 (6): 384-393
Nooroddini, A., Sanagoo, A., Jooybari, L., Kavousi, A. (2016). Public Health, Life Satisfaction And Quality Of Life Of Elderly Patients With Coronary Artery Disease Admitted To Hospitals In Gonbad-e Qabus in 2015. Nursing Development in Health, 7 (1): 31-40.
Saleh, S. (2017). The Effectiveness of Cognitive-Behavioral Stress Management Training on Quality of Life and Clinical Symptoms of Cardiovascular Patients. Biomed Pharmacol J, 10(1): 295-302.
Scheen, A.J. (2018). From atherosclerosis to atherothrombosis: from a silent chronic pathology to an acute critical event. Rev Med Liege, 73(5-6): 224-228.
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.
Serpytis, P., Navickas, P., Lukaviciute, L., Navickas, A., Aranauskas, R., Serpytis, R., & et al. (2018). Gender-Based Differences in Anxiety and Depression Following Acute Myocardial Infarction. Arq Bras Cardiol, 111(5):676-683.
Shad, B., Salari, A., Dalvandi, B., Hasandokht, T., Kheirkhah, J., Nourisaeed, A., Javadzadeh Moghtader, A. (2018). Psychological well-being in cardiac patients and healthy people in Guilan. Journal of Fundamentals of Mental Health20(3), 185-193.
Slepecky, M., Kotianova, A., Prasko, J., Majercak, I., Gyorgyova, E., Kotian, M., & et al. (2017). Coping, schemas, and cardiovascular risks – study protocol. Neuropsychiatr Dis Treat, 13: 2599–2605.
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. J Med Life, 8(Spec Iss 4): 301–306.
Vela, J.C., Lerma, E., & Ikonomopoulos, J. (2017). Evaluation of the Life Satisfaction and Subjective Happiness Scales with Mexican American High School and College Students. Hispanic Journal of Behavioral Sciences, 39(1) 34–45.