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:: Volume 5, Issue 4 (September-October 2017) ::
IJPN 2017, 5(4): 34-43 Back to browse issues page
The Effectiveness of Acceptance and Commitment Therapy on Psychological Distress and Medication Adherence of Coronary Heart Patients
Maral Rahnama , Ilnaz Sajjadian * , Amir Raoufi
Islamic Azad University, Isfahan, Iran , i.sajjadian@khuisf.ac.ir
Abstract:   (9714 Views)
Introduction: Psychological distress and lack of medication adherence is an important problem in patients with coronary artery disease. The aim of this research was to investigate the effectiveness of acceptance and commitment therapy on psychological distress and medication adherence of patients with coronary artery disease in Isfahan.
Methods: The research design was semi-experimental with pre-test and post-test, control group, and a 1-month follow-up. For this purpose, among patients with coronary artery disease, who were referred to cardiovascular clinics of Isfahan in the first 6 months of 2015, 2 clinics were selected and 30 patients were selected by available sampling and distributed in 2 groups of experiment and control, randomly (15 individuals in each group). Participants completed psychological distress and medication adherence scale before and after the intervention and one month later, during follow up. The experimental group participated in 8 sessions (90-minute each) of acceptance and commitment therapy (Hayes, 2010), yet no intervention was carried out for the control group.
Results: Repeated measures analysis showed a significant difference between the 2 groups in psychological distress (depression, anxiety, and stress) and medication adherence (P < 0.05).
Conclusions: According to the results, using acceptance and commitment therapy is useful to improve psychological distress and medication adherence of coronary artery disease patients in Isfahan.

 
Keywords: Psychological Distress, Medication Adherence, Acceptance and Commitment Therapy, Coronary Artery Disease Patient
Full-Text [PDF 279 kb]   (3392 Downloads)    
Type of Study: Research | Subject: Special
Received: 2017/05/13 | Accepted: 2017/10/10 | Published: 2017/10/10 | ePublished: 2017/10/10
References
1. 1.American Heart Association. International Cardiovascular Disease Statistics, Cardiovascular Disease. Avalable at:http://www.sld.cu/galerias/pdf/servicios/hta/international_ cardiovascular_disease_statistics.pdf. Assessed November, 2013.
2. 2. Marmot M, Jenkins D, Bosma H, Hemingway H, Brunner E, Stansfeld S. Contribution of job control and there risk factor to social variations in coronary heart disease incidence. Lancet. 1997; 350(9073):235-239. [DOI:10.1016/S0140-6736(97)04244-X]
3. 3. Stansfeld SA, Fuhrer R, Shipley MJ. Psychological distress as a risk factor for coronary heart disease in the Whitehall II study. Int J Epidemiol. 2002; 31:248–255. [DOI:10.1093/ije/31.1.248] [PMID]
4. 4. Honarmand N, Fahimi M, Jamalomodi N, Izanloo M, Goodarzi P. Comparison of cognitive emotion regulation strategies among coronary artery patients and healthy controls. Journal of Social Issues and Humanities. 2015; 3(2):125-128.
5. 5. Gross J, Levenson R. Hiding Feelings: The acute effects of inhibiting negative and positive emotion. J Abnorm Soc Psychol. 1997;1(7):95-103. [DOI:10.1037/0021-843X.106.1.95]
6. 6. Gross JJ. Emotion regulation: Taking stock and moving forward. Emotion. 2013;13(3):359-365. [DOI:10.1037/a0032135] [PMID]
7. 7. Khoosfi H, Monirpoor B, Birashk B, Peighambari MMA comparative study of pers sonality factors, stressful life events, and social support in coronary heart patients and non-patients. Contemporary Psychology. 2007; 2(1):41-48.
8. 8. Pelle AJM, Denollet J, Zwisler, AD, Pedersen S.S. Overlap and distinctiveness of psychological risk factors in patients with ischemic heart disease and chronic heart failure: are we there yet?. J Affect Disord. 2009;113(12): 150-156. [DOI:10.1016/j.jad.2008.05.017] [PMID]
9. 9. Rasul F, Stansfeld SA, Hart CL, Davey Smith G. Psychological distress, physical illness, and risk of coronary heart disease. J Epidemiol Community Health. 2005;59:140–145. [DOI:10.1136/jech.2004.019786] [PMID] [PMCID]
10. 10. Leyro T, Zvolensky M, Bernstein A. Distress tolerance and psychopathological symptoms and disorders: a review of the empirical literature among adults. Psychological bulletin. 2010; 136(4): 576-578. [DOI:10.1037/a0019712] [PMID] [PMCID]
11. 11. Poshtchaman Z, Jadid Milani M, Atashzadeh Shoorideh F, Akbarzadeh BaghebanA. Assessing patient adherence to treatment after coronary artery bypass graft. J Sabzevar Univ Med Sci. 2014;22(4):668-674.
12. 12. Rafii F, Soleimani M, Naiemeh SFA model of ptient participation with chronic disease in nursing care.J Koomesh. 2011; 3(39):293-304.
13. 13. Zarani F, Besharat MA, Sadeghian S, Sarami Gh. The effectiveness of information motivation behavioral skills model in promoting adherence in CABG patients. J Health Psychol. 2010; 15(6): 828-837. [DOI:10.1177/1359105309357092] [PMID]
14. 14. Maeda U, Shen BJ, Schwaz ER, Farrell KA, Mallon S. Self-efficacy mediates the association of social support and depression with treatment adherence in heart failure patients. Int J Behav Med. 2013;20(1): 88-96. [DOI:10.1007/s12529-011-9215-0] [PMID]
15. 15. Hashem Dabaghian F, Karbaksh M, Soheili Khah S, Sedaghat M. Drug compliance in patients with type 2 diabetes mellitus in Shariati and Imam Khomeini hospitals. J Payesh. 2005;4(2):103-113.
16. 16. Parsa- Yekta Z, Zakeri Moghaddam M, Mehran A. Study of medication compliance of patients with coronary heart diseases and associated factors. J Hayat. 2003; 3(14): 34-41.
17. 17. Rafiee-Vardanjani L, Parvin N, Mahmoodi Shan GH, Molaie E, Shariati A, Hasheminia MA. Adherence to hemodialysis treatment and some related factors in hemodialysis patients admitted in Shahrekord Hajar Hospital. Int. J. Nurs. Midwifery.2013; 2 (4): 17-25.
18. 18. Heydari A, Ziaee ES, Ebrahimzade S. The Frequency of Rehospitalization and Its Contributing Factors in Patient with Cardiovascular Diseases Hospitalized in Selected Hospitals in Mashhad In 2010. Quarterly of Horizon of Medical Sciences. 2011;17(20):65-71.
19. 19 Hayes S C., Luoma J., Bond F., Masuda A., & Lillis J. Acceptance and commitment therapy: Model, processes, and outcomes. Behav Res Ther. 2006; 44(1), 1-25. [DOI:10.1016/j.brat.2005.06.006] [PMID]
20. 20. Sheydayi Aghdam Sh, Shamseddini lory S, Abassi S,Yosefi S, Abdollahi S, Moradi joo, M. The effectiveness of treatment based on acceptance and commitment in reducing distress and inefficient attitudes in patients with MS. J Consult Clin Psychol. 2014; 9 (34): 57-66.
21. 21. Anvari MH, Ebrahimi A, Neshatdoost HT, Afshar H, Abedi A. The Effectiveness of Group-Based Acceptance and Commitment Therapy on Pain-Related Anxiety, Acceptance of Pain and Pain Intensity in Patients with Chronic Pain. J Isfahan Med Sch. 2014; 32(259):1-10.
22. 22. Kakabraee K, and Sabour S. The Effectiveness of Acceptance Cmitment Therapy on Depression, Stress and Indicators on pain in Women with Chronic pain. J Rehabil Res in Nursing. 2016;2(4):1-9.
23. 23. Hor M, Aghaei A, Abedi A, Attari A. The effectiveness of acceptance and commitment therapy on depression in patients with type 2 diabetes. J Res Behav Sci .2013; 11(2): 121-128.
24. 24. Sahebi A, Salary R. Asghari MJ. Validation of Depression Anxiety and Stress Scale (DASS-21) for an Iranian Population. J Iran Psychol. 2005; 4)14):229-312.
25. 25. Lovibond PF, Lovibond SH. The Structure of Negative Emotional States: Comparison of Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther.1995; 33(18): 335-343. [DOI:10.1016/0005-7967(94)00075-U]
26. 26. Morisky DE, Ang A, Krousel-Wood M, Ward H. Predictive validity of a medication adherence measure for hypertension control. J Clin Hypertens.2008; 10(5): 348–54. [DOI:10.1111/j.1751-7176.2008.07572.x]
27. 27.Ghanei Gheshlagh R, Ebadi A,Veisi Raygani AK, Nourozi Tabrizi K, Dalvandi A, Mahmoodi H. Determining Concurrent Validity of the Morisky Medication Adherence Scale in Patients with Type 2 Diabetes. J Rehabil Res in Nursing.2015;1(3):24-32.
28. 28. Hayes SC, Strosahl KDA practical Guide to Acceptance and commitment Therapy. New York. Springer Science and Business Media Inc. 2010; p 395.
29. 29. Baumann LC, Dang TT. Helping patients with chronic conditions overcome barriers to self-care. J Nurse Pract.2012; 37(3): 32-38. [DOI:10.1097/01.NPR.0000411104.12617.64] [PMID]
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Rahnama M, Sajjadian I, Raoufi A. The Effectiveness of Acceptance and Commitment Therapy on Psychological Distress and Medication Adherence of Coronary Heart Patients. IJPN 2017; 5 (4) :34-43
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Volume 5, Issue 4 (September-October 2017) Back to browse issues page
نشریه روان پرستاری Iranian Journal of  Psychiatric Nursing
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