اثربخشی آموزش ذهن‌آگاهی بر سرزندگی، بهزیستی روان‌شناختی و فشارخون زنان مبتلا به بیماری‌های قلبی عروقی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 دانشجوی دکتری، گروه روانشناسی، دانشگاه پیام نور، تهران، ایران.

2 استاد، گروه روانشناسی، دانشگاه پیام نور، تهران، ایران.

10.22123/chj.2020.223029.1466

چکیده

مقدمه: زنان مبتلا به بیماری‌های قلبی عروقی با مشکلات فراوانی مواجه هستند و یکی از روش‌های مؤثر در بهبود ویژگی‌های آن‌ها، آموزش ذهن‌آگاهی است. بنابراین، هدف پژوهش حاضر تعیین اثربخشی آموزش ذهن‌آگاهی بر سرزندگی، بهزیستی روان‌شناختی و فشارخون زنان مبتلا به بیماری‌های قلبی عروقی بود.
مواد و روش‌ها: این مطالعه نیمه تجربی با طرح پیش‌آزمون، پس‌آزمون و پیگیری با گروه کنترل بود. جامعه پژوهش زنان مبتلا به بیماری‌های قلبی عروقی مراجعه‌کننده به بیمارستان قلب و عروق شهید رجایی تهران در سال 1398 بودند. نمونه پژوهش 40 نفر بودند که با روش نمونه‌گیری هدفمند انتخاب و با روش تصادفی در دو گروه مساوی جایگزین شدند. گروه آزمایش 8 جلسه 70 دقیقه‌ای، آموزش ذهن‌آگاهی دریافت کردند و گروه کنترل آموزشی ندید. داده‌ها با پرسشنامه‌های سرزندگی و بهزیستی روان‌شناختی و دستگاه فشارخون جمع‌آوری و با آزمون‌های مجذور کای، t مستقل، آنالیز واریانس دوطرفه با اندازه‌گیری‌های مکرر و آزمون تعقیبی بونفرونی تحلیل شدند.
یافته‌ها: گروه‌ها در مرحله پیش‌آزمون از نظر سرزندگی، بهزیستی روان‌شناختی و فشارخون تفاوت معنی‌داری نداشتند، اما در مراحل پس‌آزمون و پیگیری از نظر هر چهار متغیر تفاوت معنی‌دار بود (001/0>p). آموزش ذهن‌آگاهی باعث افزایش سرزندگی (015/0>p، 510/6=F)، بهزیستی روان‌شناختی (001/0>p، 893/12=F) و کاهش فشارخون سیستولیک (010/0>p، 258/7=F) و دیاستولیک (036/0>,p 751/4=F) گردید و نتایج درمان در مرحله پیگیری حفظ شد.
نتیجه‌گیری: نتایج نشان‌دهنده اثربخشی آموزش ذهن‌آگاهی بر بهبود سرزندگی، بهزیستی روان‌شناختی و فشارخون بود. توصیه می‌گردد روانشناسان و درمانگران از آموزش ذهن‌آگاهی در کنار سایر روش‌های درمانی برای بهبود سرزندگی، بهزیستی روان‌شناختی و فشارخون مبتلایان به بیماری‌های قلبی عروقی استفاده نمایند.

کلیدواژه‌ها


عنوان مقاله [English]

The Effectiveness of Mindfulness Training on Vitality, Psychological Well-being, and Blood Pressure in Women with Cardiovascular Disease

نویسندگان [English]

  • R Ranjbaran 1
  • M Aliakbari Dehkordi 2
  • M Saffarinia 2
  • A Alipour 2
1 Ph.D. Student, Dept of Psychology, Payame Noor University, Tehran, Iran.
2 Prof, Dept of Psychology, Payame Noor University, Tehran, Iran.
چکیده [English]

Introduction: Women with cardiovascular diseases have many problems, and one of the effective methods in improving their conditions is mindfulness training. Therefore, the present research aims to determine the effectiveness of mindfulness training on vitality, psychological well-being, and blood pressure in women with cardiovascular diseases.
Materials and Methods: This study was quasi-experimental with a pretest-posttest follow-up design with the control group. The research population consisted of women with cardiovascular diseases referred to Shahid Rajaie Hospital of Tehran in 2019. The research sample was 40 people selected by purposeful sampling method and randomly distributed into two groups. The experimental group received eight face-to-face 70-minutes sessions of mindfulness training, and the control group did not receive any training. Data were collected using questionnaires of vitality and psychological well-being, besides blood pressure device. They were then analyzed using a two-way analysis of variance with repeated measures, together with Chi-square, independent t, and Bonferroni post-hoc tests.
Results: The results showed no significant difference in terms of vitality, psychological well-being, and blood pressure (p>0.565) in the pretest; however, in the posttest and follow-up stages, there was a significant difference in terms of all variables (p < 0.001). This means that mindfulness training increased vitality (F=6.510, p < 0.015) and psychological well-being (F=12.893, p < 0.001) and decreased systolic (F=7.258, p < 0.010) and diastolic (F=4.751, p < 0.036) blood pressure in women with cardiovascular diseases, and the treatment results were maintained in the follow-up stage.
Conclusion: The results indicated the effectiveness of mindfulness training on vitality, psychological well-being, and blood pressure. Therefore, psychologists and therapists are advised to use mindfulness training, besides other educational and therapeutic methods, to improve the vitality, psychological well-being, and blood pressure in patients with cardiovascular diseases.

کلیدواژه‌ها [English]

  • Mindfulness
  • Vitality
  • Well-Being
  • blood pressure
  • Cardiovascular Diseases
Yadollahpour MH, Fazeli CM, Amin K. Comparing the effectiveness of positive psychology with an Islamic approach and acceptance and commitment therapy (ACT) on the psychological capital of cardiovascular patients. CHJ 2019; 13(2):11-22. [Persian]
Grieco P, Gomez-Monterrey I. Natural and synthetic peptides in the cardiovascular diseases: An update on diagnostic and therapeutic potentials. Archives of biochemistry and biophysics 2019;662:15-32.
Shirali S, DashtBozorgi Z. Effect of existential group therapy on distress tolerance, existential anxiety, meta-worry and health worry in elderly women with cardiovascular disease. Iranian Journal of Cardiovascular Nursing 2019;7(4):24-33.
Zhu D, Li X, Macrae VE, Simoncini T, Fu X. Extragonadal effects of follicle-stimulating hormone on osteoporosis and cardiovascular disease in women during menopausal transition. Trends in Endocrinology & Metabolism 2018;29(8):571-80.
Kubzanski LD, Huffman JC, Boehm JK, Hernandez R, Kim ES, Koga HK, et al. Positive psychological well-being and cardiovascular disease: JACC health promotion series. J Am Coll Cardiol 2018; 72(12):1382-96.
Park S, Park K, Hancox J, Castaneda-Gameros D, Koo KC. Physical Activity and Subjective Vitality in Older Adults From Community-and Assisted-Living Settings. Asian Nursing Research 2019;13(5):313-7.
Zangi HA, Haugli L. Vitality training—A mindfulness-and acceptance-based intervention for chronic pain. Patient Education and Counseling 2017;100(11):2095-7.
Kurita N, Akizawa T, Fukuhara S. Vitality measured as self-reported energy level and clinical outcomes in hemodialysis patients: The Japanese Dialysis Outcomes and Practice Pattern Study (J-DOPPS). American Journal of Kidney Diseases 2019;73(4):486-95.
Xia Y, Ma Z. Social integration, perceived stress, locus of control, and psychological wellbeing among Chinese emerging adult migrants: A conditional process analysis. Journal of Affective Disorders 2020;267:9-16.
Lin Z, Chen F. Evolving parent–adult child relations: location of multiple children and psychological well-being of older adults in China. Public Health 2018;158:117-23.
Cai RY, Richdale AL, Dissanayake C, Uljarević M. Resting heart rate variability, emotion regulation, psychological wellbeing and autism symptomatology in adults with and without autism. International Journal of Psychophysiology 2019;137:54-62.
Figueira L, Israel A. Role of cerebellar adrenomedullin in blood pressure regulation. Neuropeptides 2015;54:59-66.
Waguespack DR, Dwyer JP. Assessment of Blood Pressure: Techniques and Implications From Clinical Trials. Advances in chronic kidney disease 2019;26(2):87-91.
Schultz MG. The clinical importance of exercise blood pressure. Artery Research 2018;21:58-62.
Zieff G. Ancient roots–modern applications: mindfulness as a novel intervention for cardiovascular disease. Medical Hypotheses 2017;108:57-62.
Hanley AW, Garland EL. Mindfulness training disrupts Pavlovian conditioning. Physiology & behavior 2019;204:151-4.
MacDonald LA, Oprescu F, Kean BM. An evaluation of the effects of mindfulness training from the perspectives of wheelchair basketball players. Psychology of Sport and Exercise 2018;37:188-95.
Carpenter JK, Sanford J, Hofmann SG. The effect of a brief mindfulness training on distress tolerance and stress reactivity. Behavior therapy 2019;50(3):630-45.
Banth S, Ardebil MD. Effectiveness of mindfulness meditation on pain and quality of life of patients with chronic low back pain. International journal of yoga 2015;8(2):128-33.
Ahmadi SZ, Norouzi A, Hamedi M. effect of mindfulness based cognitive therapy (MBCT) on subjective well-being in anxious students of universities. Journal of Psychology New Ideas 2017;1(2):35-44. [Persian]
Canby NK, Cameron IM, Calhoun AT, Buchanan GM. A brief mindfulness intervention for healthy college students and its effects on psychological distress, self-control, meta-mood, and subjective vitality. Mindfulness 2015;6(5):1071-81.
Zimmermann FF, Burrell B, Jordan J. The acceptability and potential benefits of mindfulness-based interventions in improving psychological well-being for adults with advanced cancer: a systematic review. Complementary therapies in clinical practice 2018;30:68-78.
Hwang Y-S, Bartlett B, Greben M, Hand K. A systematic review of mindfulness interventions for in-service teachers: A tool to enhance teacher wellbeing and performance. Teaching and Teacher Education 2017;64:26-42.
Sedghi P, Cheraghi A. The Effectiveness of The Mindfulness Training on Psychological Well-Being and Resiliency of Female-Headed Household. Journal of Family Research 2019; 14(4):549-62. [Persian]
Pasandideh R, Abolmaaly Kh. The effectiveness of mindful cognitive therapy on enhancement of overall well-being. Thought & Behavior in Clinical Psychology 2016; 10(41):7-16. [Persian]
Márquez PHP, Feliu-Soler A, Solé-Villa MJ, Matas-Pericas L, Filella-Agullo D, Ruiz-Herrerias M, et al. Benefits of mindfulness meditation in reducing blood pressure and stress in patients with arterial hypertension. Journal of human hypertension 2019;33(3):237-47.
Khosravi E, Ghorbani M. Effectiveness of mindfulness-based stress reduction on perceived stress and blood pressure among the hypertensive women. KAUMS Journal (FEYZ) 2016;20(4):361-8. [Persian]
mehrabizadeh honarmand m, ahmadian a, zargar y, shahbazian ha, Khadivi M. The effect of mindfulness cognitive therapy on blood pressure sistolic and diastolic in male patient with blood pressure of Golestan Hospital of Ahvaz. SJIMU 2013;21(4):244-54. [Persian]
Tedder M, Shi L, Si M, Franco R, Chen L. eMindfulness Therapy—A Study on Efficacy of Blood Pressure and Stress Control Using Mindful Meditation and Eating Apps among People with High Blood Pressure. Medicines 2015;2(4):298-309.
Galante J, Dufour G, Benton A, Howarth E, Vainre M, Croudace TJ, et al. Protocol for the Mindful Student Study: a randomised controlled trial of the provision of a mindfulness intervention to support university students' well-being and resilience to stress. BMJ open 2016;6(11):1-8.
Sheikhalizadeh S, Bayrami M, Hashemi T, Vahedi Sh. The Effectiveness of Mindfulness Techniques Training on Academic vitality by moderating roles of Student Social Achievement Goals. Journal of Cognitive Strategies in Learning 2019; 7(12):127-48. [Persian]
Ryan RM, Frederick C. On energy, personality, and health: Subjective vitality as a dynamic reflection of well‐being. Journal of personality 1997;65(3):529-65.
Arabzadeh M. Relationship between basic psychological needs and mental vitality in the elderly. Iranian Journal of Ageing 2017;12(2):170-9. [Persian]
Ryff CD. Psychological well-being in adult life. Current directions in psychological science 1995;4(4):99-104.
Asadzadeh N, Makvandi B, Askary P, Pasha R, Naderi F. The Effectiveness of Acceptance-and Commitment-Based Therapy on Social Adjustment, Psychological Well-Being and Self-Criticism of People with Anxiety Referring to Psychological Clinics in the City of Ahvaz. Community Health Journal 2018;12(3):39-47. [Persian]