Clinical Psychology and Personality

Clinical Psychology and Personality

The Effectiveness of Cognitive-Behavioral Therapy on Perceived Stress and Coping Skills in Patients after Myocardial Infarction

Document Type : Original Article

Authors
Azam Nourisaeed 1
Shoheh Ghorban Shiroudi 2
Arsalan Salari 3
1 Department of Psychology, Rasht Branch, Islamic Azad University, Rasht
2 Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.
3 Cardiovascular diseases research center, Department of cardiology, Heshmat Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
10.22070/cpap.2021.13458.1013
Abstract
Introductoin: Acute myocardial infarction is one of the most common causes of admissions and referral in cardiovascular patients. In addition to physiological reasons, psychological factors play a key role in the onset and exacerbation of the disease. The purpose of this study was to evaluate the effectiveness of cognitive-behavioral therapy on perceived stress and coping skills in patients after myocardial infarction.
Method: The present study was a clinical trial based on the experimental design (pre-test, post-test with control, and follow-up group). The statistical population of the study was included 30 discharged patients with a diagnosis of myocardial infarction who referred to the Noor specialized Heart clinic in Rasht in 2018. The patients were divided into experimental (5 females and 10 males) and control groups (8 females and 7 males) with a simple random sampling method. Assessment tools included perceived stress and coping strategies questionnaires that were completed pre, post, and 3 months after the intervention. The experimental group was conducted to educate within eight 90min weekly sessions for two months. Data were analyzed using independent t-test, repeated measures analysis of variance, and Bonferroni test.
Results: The results showed that Cognitive-Behavioral Therapy had a significant difference in the mean perceived stress (F=10.8, p< 0.05), problem solving strategy (F=10.10, p<0.001), and emotion-focused strategy (F=3.43, p<0.05) in the experimental group compared to control group was observed.
Discussion and Conclusion: Cognitive-behavioral intervention is effective on perceived stress and coping skills in patients after myocardial infarction
Keywords
Emotional Schema Therapy
Dialectical Cehavior Therapy
Borderline Personality Disorder
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