In collaboration with Payame Noor University and Iranian Health Psychology Association

Document Type : Scientific Research

Author

Ph.D. student, Department of clinical Psychology, Semnan University, Semnan, Iran.

Abstract

Objective: The purpose of this study was to compare the effectiveness of EMDR and PC on quality of life in patients with coronary artery bypass graft surgery (CABG). Method: The study was a quasi-experimental that included pre-test, post-test and follow-up. The statistical population included all patients with CABG referred to the rehabilitation clinic of Tehran Heart Center, and were selected using available sampling based on the inclusion and exclusion criteria. Thirty-six randomly selected patients were divided into two experimental groups and one control group. In EMDR group, each patient underwent this treatment individually in six sessions, and the same was carried out for PC. The control group received no treatment. The research instruments included Impact of Event Scale and SF-36, which were performed on patients in all groups in the pre-test, post-test and follow-up. Data analyzed using MANCOVA. Findings: The results in the post-test showed a significant difference between EMDR and the control group in emotional problems and in the follow-up showed a significant difference between the two groups in physical function, emotional problems, energy / fatigue, emotional well-being and pain, and significant differences between the PC and the control group in emotional problems and emotional well-being. Also, the results did not show any significant difference between the effectiveness of the two interventions on the quality of life. Conclusion: It seems that EMDR and PC were both effective in enhancing quality of life. Also, there is no significant differences between the two treatments.

Keywords

پناغی، ل.؛ حکیم شوشتری، م.؛ عطاری مقدم، ج. (1385). اعتباریابی نسخه فارسی مقیاس تجدید نظر یافته تاثیر حوادث. مجله دانشکده پزشکی دانشگاه علوم پزشکی تهران. (3) 64، 60-52.
منتظری، ع.؛ گشتاسبی، آ.؛ وحدانی­نیا م. (1384). ترجمه، تعیین پایایی و روایی گونه فارسی ابزار استاندارد SF-36. فصلنامه پایش. (1) 5، 49-56.
Corsetti MT, Rossi E, Bonvino S, Randazzo P. (2020). Psychological distress and quality of life are improved in autoimmune patients through Tandem-Psychotherapy, combining individual hypnosis and eye movement desensitization and reprocessing (EMDR) treatment for trauma, followed by supportive-expressive group therapy. Clin Rheumatol. 39(4):1331-1339. doi: 10.1007/s10067-019-04862-1.
Gijsberts, C. M., Agostoni, P., Hoefer, I. E., Asselbergs, F. W., Pasterkamp, G., Nathoe, H., Appelman, Y. E., de Kleijn, D. P., & den Ruijter, H. M. (2015). Gender differences in health-related quality of life in patients undergoing coronary angiography. Open heart2(1), e000231. https: //doi.org/10 .1136/ openhrt-2014-000231.
Greenwald , R., Scott, D., McClintock.,  Tyson D. & Bailey (2013). A Controlled Comparison of Eye Movement Desensitization & Reprocessing and Progressive Counting, Journal of Aggression, Maltreatment & Trauma, 22:9, 981-996.
Greenwald R. (2008). Progressive Counting: A New Trauma Resolution Method. Journal of Child & Adolescent Trauma, 1:249–262.
Greenwald R. (2015). Progressive counting facilitates memory reconsolidation. The Neouropsychotherapist, 10: 30-38.
Greenwald R., (2013). Progressive Counting within a phase model of trauma-informed treatment. Routledge.
Greenwald R., Camden A. A., Gamache N.,  Lasser K. A., Chapman R., and Rattner (2021). Intensive trauma-focused therapy with victims of crime. European journal of Trauma & Dissociation. 5 (3). Doi: 10.1016/j.ejtd.2020.100146.
Haji Seyed Javadi, S. A., & Haji Seyed Javadi, T. (2017). Effectiveness of Eye Movement Desensitization and Reprocessing on Quality Of Life in Parents of Children with Cancer. International Clinical Neuroscience Journal4(3), 107-112. https://doi.org /10.22037 /icnj.v4i3.18028.
Le Grand, M., Elliott, P., Murphy, B., Worcester, M., Higgins, R., Ernest, C, et al., (2006). Health related quality of life trajectories and predictors following coronary artery bypass surgery, Health and Quality of Life Outcomes, 4(49), 1186-1477.
Luber M. (2019). EMDR therapy: treating trauma in somatic and medical related conditions. Springer publishing company.
MacDonald, P., Johnstone, D., Rockwood, K., (2000). Coronary artery bypass surgery for the elderly: Is our practice based on evidence or faith? Canadian Medical Association Journal, 162,(7), 1215-1222.
Mazzola, A., Calcagno, M. L., Goicochea, M. T., Pueyrredòn, H., Leston, J., & Salvat, F. (2009). EMDR in the treatment of chronic pain. Journal of EMDR Practice and Research, 3(2), 66–79.  https://doi.org/10.1891/1933-3196.3.2.66.
Pačarić, S., Turk, T., Erić, I., Orkić, Ž., Petek Erić, A., Milostić-Srb, A., Farčić, N., Barać, I., & Nemčić, A. (2020). Assessment of the Quality of Life in Patients before and after Coronary Artery Bypass Grafting (CABG): A Prospective Study. International journal of environmental research and public health17(4), 1417. https://doi .org/10.3390/ijerph17041417.
Pournaghash-Tehrani, S., & Abdoli Bidhendi, MR. (2016). Assessment of Psychological Factors, Erectile Dysfunction, and Quality of Life before and after Revascularization Procedures. Acta Psychopathol, 2(5).
Raboni M. R., Tufik S., & Suchecki D. (2006). Treatment of PTSD by Eye Movement Desensitization Reprocessing (EMDR) Improves Sleep Quality, Quality of life, and Perception of Stress. Ann. N.Y. Acad. Sci. 1071: 508–513.
Schmidt-RioValle, J., Abu Ejheisheh, M., Membrive-Jiménez, M. J., Suleiman-Martos, N., Albendín-García, L., Correa-Rodríguez, M., & Gómez-Urquiza, J. L. (2020). Quality of Life After Coronary Artery Bypass Surgery: A Systematic Review and Meta-Analysis. International journal of environmental research and public health17(22), 8439. https:/ /doi.org/10.3390/ijerph17228439.
Shapiro F. (2001). Eye Movement Desensitization and Reprocessing (EMDR): Basic Principles, Protocols, and Procedures, second edition. ‎The Guilford Press.
Shapiro F. (2014). The Role of Eye Movement Desensitization and Reprocessing (EMDR) Therapy in Medicine: Addressing the Psychological and Physical Symptoms Stemming from Adverse Life Experiences. Perm J., 18(1): 71–77.
Suárez, N. A.,  Pérez, J. M., Ripoll, D. R., & et al (2020). EMDR Versus Treatment-as-Usual in Patients With Chronic Non--Malignant Pain: A Randomized Controlled Pilot Study. Journal of EMDR Practice and Research. 14(4). DOI:10. 1891/EM DR-D-20-00004.
Taghipour, H. R., Naseri, M. H., Safiarian, R., Dadjoo, Y., Pishgoo, B., Mohebbi, H. A., Daftari Besheli, L., Malekzadeh, M., & Kabir, A. (2011). Quality of life one year after coronary artery bypass graft surgery. Iranian Red Crescent medical journal13(3), 171–177.
Wilson, I and Cleary, P. (1995). Linking clinical variables with health related quality of life: a conceptual model of patient outcomes. Journal of American Medical Association. 273(1), 59-65.