جستجوی مقالات مرتبط با کلیدواژه « بیماری قلبی عروقی » در نشریات گروه « روانشناسی »

The aim of the research was to compare the effectiveness of acceptance and commitment therapy and transdiagnostic therapy on psychosocial adjustment to the disease and self-care in people with cardiovascular disease. The research method was semi-experimental with a pre-test-post-test design with a control group and a two-month follow-up phase.. The statistical population of the study was cardiovascular patients in Isfahan city in 1401, and 51 patients were selected using the purposeful sampling method and randomly assigned to two experimental groups and one control group (17 people in each group). The research tool was the questionnaire of psychosocial adjustment to the disease Dragtis(1986) and self-care by Jarsma et al(2003). Acceptance and commitment therapy was implemented in 9 sessions of 90 minutes and once a week, and transdiagnostic therapy was also implemented in 9 sessions of 90 minutes and once a week, and the control group was waiting for treatment.. Data were analyzed using mixed variance statistical method and Bonferroni post hoc test. The results showed the effectiveness of acceptance and commitment therapy and transdiagnostic therapy on psychosocial adjustment to the disease (Eta = 0.753) and self-care (Eta = 0.362) of cardiovascular patients, so that these effects were maintained in the follow-up phase(P<0.001). The results of the Bonferroni test showed that the effectiveness of acceptance and commitment therapy to self-care of patients was higher. Therefore, both interventions can be used for psychosocial adjustment to the disease and self-care of cardiovascular patients and to improve their quality of life.

Cardiovascular diseases (CVDs) are among the leading causes of morbidity and mortality worldwide, posing significant challenges to public health systems and individuals' well-being. While medical treatments have advanced, there is growing recognition of the importance of psychological factors in influencing the course and outcomes of CVDs. Among these factors, personality traits and anxiety have gained attention for their potential impact on quality of life (QoL) and general health outcomes in cardiovascular patients. Personality type D, characterized by a combination of negative affectivity and social inhibition, has been identified as a relevant personality construct in cardiovascular health research. Individuals with Type D personality traits may experience heightened psychological distress and engage in maladaptive coping strategies, potentially exacerbating the burden of CVDs. Additionally, generalized anxiety, commonly observed in cardiovascular patients, has been associated with adverse health outcomes, including decreased treatment adherence and impaired QoL. Despite increasing recognition of the importance of personality and anxiety in cardiovascular health, there remains a need to understand the mechanisms through which these factors influence patient outcomes. This study aims to investigate the mediating role of generalized anxiety in the relationship between personality type D and QoL and general health in cardiovascular patients. By exploring these relationships, we aim to enhance our understanding of the psychological pathways underlying the impact of personality on cardiovascular health outcomes, with implications for tailored interventions to improve patient well-being and treatment outcomes. This study aimed to explore the mediating role of generalized anxiety in the relationship between Type D personality, QoL, and general health among cardiovascular patients.

This study adopted a fundamental research approach, employing a descriptive and correlational design with structural equation modeling (SEM). The study population consisted of all cardiovascular patients in Mashhad, Iran, during the year 2019. A convenience sampling method utilized to recruit a sample of 180 patients from cardiovascular clinics in Mashhad. Data collected using standardized instruments, including the D-Denolt (2007) personality type questionnaire, the World Health Organization Quality of Life assessment (WHOQOL), and the Generalized Anxiety Inventory developed by Goldberg & Hiller (1972) and Spitzer et al. (2006). Descriptive statistics such as frequency, percentage, mean, and standard deviation utilized for data analysis at the descriptive level, while inferential analyses employed Pearson correlation and structural equation tests.

The results of the study revealed significant associations between Type D personality, generalized anxiety, QoL, and general health among cardiovascular patients. Type D personality demonstrated a significant positive relationship with generalized anxiety (p < 0.001), indicating that individuals with Type D personality traits experienced heightened levels of anxiety. Additionally, Type D personality inversely associated with QoL (p < 0.001) and general health (p < 0.001), suggesting that individuals with Type D personality traits reported lower levels of QoL and general health status. Furthermore, generalized anxiety exhibited significant negative correlations with both QoL (p < 0.001) and general health (p < 0.001), indicating that increased levels of anxiety associated with poorer QoL and general health outcomes among cardiovascular patients. Moreover, path analysis techniques revealed that generalized anxiety played a mediating role in the relationship between Type D personality, QoL and general health outcomes (p < 0.05). This suggests that the presence of generalized anxiety partially explained the adverse effects of Type D personality on health-related outcomes in cardiovascular patients.

In conclusion, this study provides valuable insights into the complex interplay between personality traits, mental health factors, and health outcomes in cardiovascular patients. The findings underscore the importance of considering psychological factors, such as Type D personality and generalized anxiety, in the assessment and management of CVDs. Interventions aimed at addressing anxiety management and maladaptive personality traits may hold promise in improving QoL and general health outcomes among cardiovascular patients. By elucidating the mediating role of generalized anxiety, this study contributes to a deeper understanding of the psychological mechanisms underlying health outcomes in CVDs, thereby informing holistic approaches to patient care and management

The aim of present study was to investigate role of two main process of psychological inflexibility, including Experiential Avoidance (EA) and cognitive Fusion, and health bielifes, in psychological well-being of cardiovascular patients. To this end, 300 individuals with cardiovascular disease, who refered to shahid gholipour medical center Bukan city, were selected by purposive sampling in a correlational design and responded to research instruments. The instruments were including Health Belief Qustionnaire, Acceptance and action-II (AAQ-II), Cognitive Fusion Questionnaire (CFQ), and Ryff Scales of Psychological well-being (short-form (RSPW-SF). Results showed health beliefs, EA and CF were significantly correlated with all subscales and total score of psychological well-being, especially self-acceptance, positive relation with others, personal growth and mastering environment, among cardiovascular patients (p<0.05). Regression analysis indicated severity of harm (subscle of health belief) and EA as a significant predictior of self acceptance; vulnuribility to harm (subscle of health belief) and EA as significant predictor of positive relation with others, personal growth and mastering invironment; vulneriblity to harm as significant predictor of independence, vulneribilty to harm and EA as significant predictor of total psychological well-being. Findingsuggest that psychological inflexibility components, especially EA, and health beliefs have inpact on well-being of patients with cardiovascular disease and weaken their psychological weel-being.

The aim of the research was to determine the effectiveness of the treatment based on acceptance and commitment on sexual performance and emotional safety in people with cardiovascular disease. The research method was quasi-experimental with a pre-test-post-test design with a control group and a two-month follow-up phase. The statistical population of the study was cardiovascular patients in Isfahan city in 2022, and 34 patients were selected using the purposive sampling method and randomly assigned to one experimental group and one control group (17 people in each group). The research tools were Rosen's Male Sexual Performance Questionnaire (2004) and Emotional Safety Questionnaire. Treatment based on acceptance and commitment was implemented in 9 sessions of 90 minutes once a week and the control group was waiting for treatment. The data were analyzed using the statistical method of mixed analysis of variance and Bonferroni post hoc test. The results showed that the effectiveness of treatment based on acceptance and commitment and transdiagnostic treatment was on the components of sexual function and emotional safety in cardiovascular patients (P<0.001). Also, the results showed that these effects had maintained their stability in the follow-up phase (P<0.001). Therefore, both interventions can be used to improve the components of sexual function and emotional safety of cardiovascular patients and improve their quality of life.

The experience of cardiovascular diseases affects various physical, psychological, social and existential aspects of the patient. But, after studying the research background, it was found that Each of the conducted studies have studied only one of these dimensions. Therefore, the absence of a research that examines all the mentioned components in relation to each other is a sign of the existence of a scientific gap in this field.

The present research was conducted with the aim of studying the "disease experience" in people suffering from cardiovascular diseases.

In this qualitative research, interpretive phenomenological method was used. Sampling was done using the purposeful sampling method and in order to collect data, a semi-structured interview based on the axes proposed by Spradley (2016) was conducted individually with 16 cardiovascular patients. The data were analyzed based on the 6-step strategy of Smith, Larkin and Flowers (2021) and using MAXQDA-2020 software.

From the analysis of the findings, the central category of "Disease-caused Transformations" was identified, which includes five main categories of phenomenal body, agency barrier, communication interference, difficult emotional experiences, and existential challenges.

According to the obtained results, it can be said that cardiovascular diseases cause profound changes in various aspects of the patients' personal and social life. Using the categories identified in the current research can be a guide for specialists to evaluate that In which of the categories of "pathological changes" does the cardiovascular patient have more serious problems and as a result, it can help specialists in designing and implementing interventions according to the same category.