Community Health Journal

Community Health Journal

Comparing the Effectiveness of Positive Psychology with an Islamic Approach and Acceptance and Commitment Therapy (ACT) on the Psychological Capital of Cardiovascular Patients

Document Type : Original Article

Authors
MH Yadollahpour 1
M Fazeli kebria 2
K Amin 1
1 Associate prof, Dept of Cardiology, Babol University of Medical Sciences, Babol, Iran.
2 PhD, Dept of Psychology, Islamic Azad University of Gorgan, Gorgan, Iran.
10.22123/chj.2019.184822.1285
Abstract
Introduction: Cardiovascular disease is a chronic disease that is extremely costly to the affected individual and society. Positive psychology with an Islamic approach and and acceptance and commitment therapy (ACT) can be effective in improving the psychological conditions of cardiovascular patients. The purpose of this study was to compare the effectiveness of positive psychology with an Islamic approach and acceptance and commitment therapy (ACT) on psychological capital of cardiovascular patients.
Materials and Methods: This quasi-experimental study was performed on cardiovascular patients referring to Babol medical centers in 2017. Using convenience sampling, 36 patients were selected and randomly placed into three groups (positivist psychology with Islamic approach, ACT, and one control group). The participants in the first group (Positive psychology with an Islamic approach) attended 8 training sessions each lasting 90 minutes, and the members of the ACT group participated in 8 training sessions each lasting 100 minutes. The data were collected by the Psychological Capital Questionnaire (Lutans, 2007) that was administered to the participants before, after, and two months after the treatment sessions. The collected data were analyzed using statistical techniques including mean, standard deviation, and multivariate analysis of variance (MANOVA).
Results: There was a significant difference in the linear composition of the psychological capital variables in terms of group membership, the three stages of pre-test, post-test and follow-up, and the interactive effect of the group and time (p=0.001). Besides, the two treatment groups (positivist psychology with an Islamic approach and ACT) showed significant differences with the control group in terms of the components of psychological capital (p<0.05). However, there was no difference between the effectiveness of the two treatment techniques.
Conclusion: Positive psychology training with an Islamic approach and acceptance and commitment therapy (ACT) are effective in improving psychological capital of cardiovascular patients and there is no significant difference between them.
Keywords
Psychological capital
Acceptance and commitment therapy (ACT)
Cardiovascular disease
Positive psychology
  1. Busch LY, Pössel P, Valentine JC. Meta-analyses of cardiovascular reactivity to rumination: A possible mechanism linking depression and hostility to cardiovascular disease. Psych bul 2017;143(12):1378- 1389.
  2. van der Ploeg MM, Brosschot JF, Thayer JF, Verkuil B. The implicit positive and negative affect test: Validity and relationship with cardiovascular stress-responses. Fron psych 2016;7:425.
  3. Tschacher W, Haken H. Intentionality in non-equilibrium systems? The functional aspects of self-organized pattern formation. N Id Psych 2007;25(1):1-5.
  4.  Kones R, Rumana U. Cardiovascular prevention: components, levels, early origins, and metrics. Hos Pra 2014;42(3):84-95.
  5.  An K, Salyer J, Brown RE, Kao HF, Starkweather A, Shim I. Salivary biomarkers of chronic psychosocial stress and CVD risks: a systematic review. Bio res nur 2016;18(3):241-63.
  6. Renshaw TL, Long AC, Cook CR. Assessing adolescents’ positive psychological functioning at school: Development and validation of the Student Subjective Wellbeing Questionnaire. Sch psych quar 2015;30(4):534-548.
  7. Luthans F, Avolio BJ, Avey JB, Norman SM. Positive psychological capital: Measurement and relationship with performance and satisfaction. Per psych 2007;60(3):541-72.
  8. Youssef‐Morgan CM, Luthans F. Psychological capital and well‐being. Str Heal 2015;31(3):180-8.
  9. Baron RA, Franklin RJ, Hmieleski KM. Why entrepreneurs often experience low, not high, levels of stress: The joint effects of selection and psychological capital. J man 2016;42(3):742-68.
  10. Avey JB, Reichard RJ, Luthans F, Mhatre KH. Meta‐analysis of the impact of positive psychological capital on employee attitudes, behaviors, and performance. Hum res devel qua 2011;22(2):127-52.
  11. Waters LE. Strength Based Parenting: A New Avenue of Practise and Research in Positive Psychology. Springer: Cham; 2017: 121-142.
  12. Lambert L, D'Cruz A, Schlatter M, Barron F. Using Physical Activity to Tackle Depression: The Neglected Positive Psychology Intervention. Middle East Journal of Positive Psychology 2016;2(1):42-60.
  13. Lyubomirsky S, Layous K. How do simple positive activities increase well-being?. Current directions in psych sci 2013;22(1):57-62.
  14. Thomas MD, McPherson BJ. Teaching positive psychology using team-based learning. The Journal of Pos Psych 2011;6(6):487-91.
  15. Bolier L, Haverman M, Westerhof GJ, Riper H, Smit F, Bohlmeijer E. Pos psychology interventions: a meta-analysis of randomized controlled studies. BMC public health 2013;13(1):119-131.
  16. Orsillo SM, Batten SV. Acceptance and Commitment Therapy in the treatment of posttraumatic stress disorder. Behav Modif 2005; 29(1): 95-129.
  17. Twohig MP. Acceptance and Commitment Therapy for Treatment-Resistant Posttraumatic Stress Disorder: A Case Study. Cog Behav Pract 2009; 16: 243-52.
  18. Pourfaraj Omran M. The effectiveness of Acceptance and Commitment Group Therapy in social phobia of students.Knl & Heal 2011; 6(2): 1-5. [Persian[
  19.  Gutiérrez O, Luciano C, Rodríguez M, Fink BC. Comparison between an acceptance-based and a cognitive-control-based protocol for coping with pain.Behav Ther 2004; 35(4): 767−83.
  20. Johnston M, Foster M, Shennan J, Starkey N, Johnson A. The effectiveness of an acceptance and commitment therapy self-help intervention for chronic pain. Clin J Pain. 2010; 26(5): 393-402.
  21.  Irandoost F, Safari S, Taher Neshatdoost H, Nadi MA. The effectiveness of Group Acceptance and Commitment Therapy (ACT) on pain related anxiety and depression in women with chronic low back pain. J Behav Sci 2015; 9(1):1-8. [Persian[
  22.  BrinkborgH, Michanek J, Hesser H, Berglund G. Acceptance and commitment therapy for the treatment of stress among social workers: A randomized controlled trial. Behav Res Ther 2011; 49(6): 389-98.
  23. Hosseinaei A, Ahadi H, Fata L, Heidarei A, Mazaheri MM. Effects of group acceptance and commitment therapy (ACT)-based training on job stress and burnout. IJPCP 2013; 19(2): 109-20. [Persian[
  24. Izadi R, Abedi MR. Alleviation of obsessive symptoms in treatment-resistant obsessive compulsive disorder using acceptance and commitment-based therapy. Feyz 2013; 17(3): 275- 86. [Persian[
  25.  Jonbozorgi M, Gharavi M. Principles of Psychotherapy and Consultation with the Legal Approach, Tehran: Samt; 2016: 48-53. [Persian[
  26.  Luthans F, Youssef C, Avolio BJ. "Psychological Capital: Developing the human competitive edge". 19th ed. New York: Oxford University Press; 2007: 218-263.
  27. Saramiprousani, Gh, Akhundi, N, Alipour, A. Etiquette and Investigating the Factor Structure of the Capitalist Questionnaire in Experts of Iran Khodro Diesel Co. Journal of Psychological Studies 2014; 12(1):116-128. [Persian[
  28.  Hayes SC, Strosahl K, Wilson KG. Acceptance and commitment therapy: An experimental approach to behavior change. 11th ed. New York: Guilford Press; 1999: 530-568.
  29.  Kubzansky LD, Huffman JC, Boehm JK, Hernandez R, Kim ES, Koga HK, et al. Positive psychological well-being and cardiovascular disease: JACC health promotion series. Journal of the American College of Cardiology 2018;72(12):1382-96.
  30. Cohn MA, Fredrickson BL. In search of durable positive psychology interventions: Predictors and consequences of long-term positive behavior change. The journal of positive psychology 2010;5(5):355-66.
  31. Huffman JC, Mastromauro CA, Boehm JK, Seabrook R, Fricchione GL, Denninger JW, et al. Development of a positive psychology intervention for patients with acute cardiovascular disease. Hea inter 2011;6(2):44-56.
  32.  DuBois CM, Beach SR, Kashdan TB, Nyer MB, Park ER, Celano CM, et al. Positive psychological attributes and cardiac outcomes: associations, mechanisms, and interventions. Psychoso 2012;53(4):303-18.
  33. Sajjadian I, Rahnama M, Raufi A. The Effectiveness of Acceptance and Commitment Therapy on Psychological Distress and Compliance Therapy in Coronary Heart Disease Patients. NPJ 2017;12(4):69-83.
  34. Spatola CA, Manzoni GM, Castelnuovo G, Malfatto G, Facchini M, Goodwin CL, et al. The ACTonHEART study: rationale and design of a randomized controlled clinical trial comparing a brief intervention based on Acceptance and Commitment Therapy to usual secondary prevention care of coronary heart disease. Hq lif out 2014;12(1):22-37.
  35.  Prevedini AB, Presti G, Rabitti E, Miselli G, Moderato P. Acceptance and commitment therapy (ACT): the foundation of the therapeutic model and an overview of its contribution to the treatment of patients with chronic physical diseases. G Ital Med Lav Ergon 2011;33(1):53-63.