تأثیر آموزش مدیریت استرس به شیوه شناختی-رفتاری بر میزان اضطراب، افسردگی و تاب‏آوری مردان مبتلا به بیماری عروق کرونر قلب

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناس ارشد، گروه روانشناسی بالینی، واحد سنندج، دانشگاه آزاداسلامی، سنندج، ایران.

2 استادیار، گروه روانشناسی، واحد سنندج، دانشگاه آزاداسلامی، سنندج، ایران.

3 استادیار، گروه داخلی قلب و عروق، دانشکده پزشکی، دانشگاه علوم پزشکی کردستان، سنندج، ایران.

چکیده

مقدمه: بر اساس آمارهای سازمان بهداشت جهانی، بیماری‏های قلبی عروقی عامل اصلی مرگ‏ومیر می‎باشند و با اصلاح سبک زندگی می‏توان از شیوع بیماری قلبی کاست. هدف این مطالعه بررسی تأثیر آموزش مدیریت استرس به شیوه شناختی-رفتاری بر میزان اضطراب، افسردگی و تاب‏آوری مردان مبتلا به بیماری عروق کرونر بود. 
مواد و روش‌ها: پژوهش از نوع کارآزمایی آموزشی با پیش­آزمون، پس­آزمون و گروه کنترل بود. جامعه آماری پژوهش را تمامی مردان مبتلا به بیماری عروق کرونر قلب مراجعه‏کننده به درمانگاه قلب بیمارستان توحید شهر سنندج در سال 1398 تشکیل دادند. با روش نمونه‏گیری هدفمند، تعداد 30 نفر انتخاب و در گروه­های آزمون (15 نفر) و کنترل (15 نفر) قرار گرفتند و مقیاس تاب‏آوری کانر و دیویدسون و مقیاس افسردگی-اضطراب-فشار روانی لاویبوند و لاویبوند را تکمیل کردند. در گروه آزمون، آموزش مدیریت استرس در 10 جلسه (هفته­ای 1 جلسه به‌مدت 1 ساعت) اجرا گردید. گروه کنترل برنامه آموزشی را دریافت نکرد. پس از پایان آموزش از گروه­ها پس­آزمون گرفته شد. داده­ها با آزمون‏های t (مستقل و زوجی) و تحلیل کوواریانس چندمتغیری تحلیل شدند.  
یافته‌ها: آموزش مدیریت استرس به شیوه شناختی-رفتاری بر کاهش افسردگی و اضطراب گروه آزمون در مرحله پس‏آزمون اثربخش بود (05/0>p). بین میانگین نمره تاب‏آوری آزمودنی‏های دو گروه نیز در مرحله پس‏آزمون تفاوت معنی‎دار بود (05/0>p).
نتیجه‌گیری: یافته‏ها نشان می‏دهد که آموزش مدیریت استرس به شیوه شناختی-رفتاری می‏تواند به عنوان یک شیوه انتخابی و مکمل درمان پزشکی در بیماران قلبی باشد. بنابراین، در نظر گرفتن این نوع درمان به عنوان بخشی از برنامه درمانی بیماران قلبی می‏تواند سودمند باشد.  

کلیدواژه‌ها


عنوان مقاله [English]

The Effect of Cognitive-Behavioral Stress Management Training on Anxiety, Depression, and Resilience Level in Male with Coronary Artery Disease

نویسندگان [English]

  • M Vakili 1
  • H Ahmadian 2
  • N Hadizadeh 3
1 MSc, Dept of Clinical Psychology, Faculty of Psychology and Educational Sciences, Sanandaj Branch, Islamic Azad University, Sanandaj, Iran.
2 Assistant Prof, Dept of Psychology, Faculty of Psychology and Educational Sciences, Sanandaj Branch, Islamic Azad University, Sanandaj, Iran.
3 Assistant Prof, Dept of Internal Cardiovascular, Medical School, Kurdistan University of Medical Sciences, Sanandaj, Iran.
چکیده [English]

Introduction: According to the World Health Organization, heart disease is the leading cause of death, and lifestyle changes can reduce the incidence of heart disease. Therefore, this study aims to determine the effect of cognitive-behavioral stress management training on anxiety, depression, and resilience of coronary heart disease patients.
Material and Methods: This study was an educational trial with pre-test, post-test, and control group design. The statistical population of the study consisted of all men with coronary heart disease referred to the heart clinic of Tohid Hospital in Sanandaj. By purposive sampling method, 30 people were selected and divided into experimental (n=15) and control (n=15) groups, which completed the Resilience Scale and the Depression-Anxiety-Stress Scale. In the experimental group, cognitive-behavioral stress management training was conducted in 10 sessions, a 1-hour session per week; however, the control group did not receive the training program. After training, the groups were retested. Data were analyzed using independent and paired t-tests and multivariate analysis of covariance.
Results: The results showed that the educational intervention of stress management by cognitive-behavioral method had a significant positive effect on reducing depression and anxiety (p < 0.05) in the experimental group in the post-test stage. The difference between the mean resilience scores of the subjects in the two groups in the post-test stage was statistically significant (p < 0.05).
Conclusion: The findings suggest that the cognitive-behavioral stress management intervention can be effective as a selective psychotherapy method and also a supplement in the medical treatments of cardiovascular patients. Therefore, it benefits to consider this kind of option as a part of the treatment plan for patients with cardiovascular diseases.

کلیدواژه‌ها [English]

  • Cognitive-behavioral stress management training
  • anxiety
  • depression
  • Resilience
  • Coronary Artery Disease
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