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行为认知团体疗法对冠心病患者抑郁、焦虑和压力的疗效

Effectiveness of behavioral-cognitive group therapy on depression, anxiety, and stress of patients with coronary heart disease.

作者信息

Aghaei M, Samkhaniyan E, Mahdavi A, Faraji J, Roshandel Z

机构信息

Department of Psychology, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran.

Health Psychology, South Tehran University; Student Health Psychology, Department of Education and Psychology, Islamic Azad University, Karaj, Iran.

出版信息

J Med Life. 2015;8(Spec Iss 4):252-257.

Abstract

An appropriate psychological intervention to promote the level of mental health of patients with a coronary heart has a great importance. The existing investigation aimed to study the effectiveness of the behavioral-cognitive group therapy on depression, anxiety, and stress of patients with coronary heart disease. The current study was quasi-experimental with a pretest-posttest that used a control group. Hence, 30 of the patients with coronary heart disease in Shahid Rajaee heart center in Tehran chose to use the convenience sampling method and were put in an experimental group and a control group. Both groups were pretested by using a demographic questionnaire, and scale of depression, anxiety, and stress DASS-42. Afterwards, the experimental group was trained for eight sessions of cognitive-behavioral club therapy and the control society gained no intervention. Later, both groups were post-tested, and the acquired information were analyzed by using inferential and descriptive statistical methods accompanied by SPSS 21 software. The results indicated that the cognitive-behavioral group therapy training significantly reduced depression, anxiety, and stress in patients with coronary heart disease. What should be understood from this study is that the cognitive-behavioral group therapy training had a great positive impact on the decrease of depression, anxiety, and tension in patients with coronary heart disease, since it had an economic cost and a great acceptability by the cases, especially when it was performed in a group.

摘要

采取适当的心理干预措施来提高冠心病患者的心理健康水平具有重要意义。现有调查旨在研究行为认知团体治疗对冠心病患者抑郁、焦虑和压力的有效性。本研究为准实验性研究,采用前测-后测设计并设置了对照组。因此,德黑兰沙希德拉贾伊心脏中心的30名冠心病患者采用便利抽样法被分为实验组和对照组。两组均通过人口统计学问卷以及抑郁、焦虑和压力量表DASS-42进行前测。之后,实验组接受了八节认知行为团体治疗训练,而对照组未接受任何干预。随后,对两组进行后测,并使用SPSS 21软件通过推断性和描述性统计方法对所获得的信息进行分析。结果表明,认知行为团体治疗训练显著降低了冠心病患者的抑郁、焦虑和压力。从本研究中应认识到,认知行为团体治疗训练对降低冠心病患者的抑郁、焦虑和紧张情绪有很大的积极影响,因为它具有经济成本且患者的接受度很高,尤其是在团体形式下进行时。

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