stress
Mustafa Bolghan-Abadi
Abstract
Objective: 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 ...
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Objective: 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. Method: 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. Results: 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. Conclusion: 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
A
sara zarieh; Farah Naderi; Saeid Bakhtiarpoor; parviz askari
Abstract
Objective: The present research was aimed to study the effectiveness of emotion-focused therapy in cognitive emotion regulation and ego strength among cardiovascular patients with obesity.Method: The method was semi-experimental with pretest, posttest and 3-month follow-up with control group design. ...
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Objective: The present research was aimed to study the effectiveness of emotion-focused therapy in cognitive emotion regulation and ego strength among cardiovascular patients with obesity.Method: The method was semi-experimental with pretest, posttest and 3-month follow-up with control group design. The statistical population included all cardiovascular patients with obesity in Tehran who referred to Shariati and Rajaei hospitals in 2019-2020. The sampling method was purposive method. Thirty patients were assigned in two groups randomly (15 patients in each group). The experimental group received emotion-focused intevention in 90-minute weekly sessions for eight weeks. The control group were in waitting list. To gather the data, the cognitive emotion regulation (Garnefsk and Kraaij., 2007) and the psychosocial inventory of ego strengths (Markstrom, et al., 1997) questionairs were implemented. The data were analyzed by SPSS-24 via analysis of variance with repeated measures.Results: Results showed that emotion-focused therapy was effective in increasing positive emotional cognitive regulation (p<0.001) and ego strength (p<0.001). The effectiveness of this treatment in negative emotional cognitive regulation was not significant (p>0.05). The interactive effect of time group for the components of hope (P = 0.170, h2 = 0.018), desire (h2=0.182, P = 0.012), goal (h2 = 0.207, P = 0.005), competence (h2=0.141, P=0.042), loyalty h2=0.296, P = 0.001, F = 6.95), love (h2=0.317, P=0.001), care (h2=0.274, P=0.001) and wisdom (h2=0.190, P=0.011) are significant. The results of the Ben Feroni test comparing the effect of time showed that the difference in the average scores of the eight components of my strength in the pre-test-post-test and pre-test-follow-up stages is statistically significant, but the difference in the average scores in the post-test-follow-up stages is not significant.Conclusion: According to the findings, it could be said that emotion-focused therapy was a reliable and a stable method in order to improving the psychological conditions of cardiovascular patients, especially ego strength and positive emotional cognitive regulation. In explaining the effectiveness of emotion-oriented therapy in increasing the strength of cardiovascular patients with obesity, it can be said that emotion-oriented therapy is by processing emotional experiences to cardiovascular patients in regulating their emotional functions and in this way achieve more consistent emotional responses that increase resilience and strength. Achieving adaptive emotional responses by modulating emotional responses and coping with disempowering maladaptive emotions increases my resilience in these individuals.
Paria Esfandyari Nia; Susan Emamipour; Anita Baghdasarians
Abstract
Objective: Considering the importance of cardiovascular diseases andMultiple Sclerosis and increasing attention to control of this disease, it seems that psychological factors play an important role in the emergence and prevention and treatment of these two diseases. Therefore, the purpose of the present ...
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Objective: Considering the importance of cardiovascular diseases andMultiple Sclerosis and increasing attention to control of this disease, it seems that psychological factors play an important role in the emergence and prevention and treatment of these two diseases. Therefore, the purpose of the present study was to Comparison of D personality type and retrospective and prospective memory among patients with MS,cardiovascular and normal people. Method: The research method was available as a causal-comparative study and sampling method. In this regard, 90 subjects (30 patients with MS, 30 patients with cardiovascular disease and 30 patients with accompanying patients) were selected and evaluated by personality type questionnaire and prospective and retrospective memory. Findings: Data analysis using One Way ANOVA and examining the difference between two variables using Tukey's post -hoc test showed that Patients with MS and cardiovascular disease have a higher score in D personality type and a higher score in prospective and retrospective memory than normal people, but there is no significant difference between MS and cardiovascular patients. Conclusion: Cardiovascular patients and MS patients have higher score in D personality type, retrospective/prospective memory, negative affect, and social inhibition than normal people.
Saeid Pournaghash Tehrani; Farinaz Tafteh; Mehdi Saberi; Davood Kazemi Saleh
Volume 5, Issue 17 , July 2016, , Pages 39-50
Abstract
Objective: Stress and other emotional distress are prevalent among cardiovascular patients. This study is performed to investigate the effect of medical counseling on stress and physiological factors of patients after coronary artery bypass graft surgery (CABG) and Percutaneous Transluminal Coronary ...
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Objective: Stress and other emotional distress are prevalent among cardiovascular patients. This study is performed to investigate the effect of medical counseling on stress and physiological factors of patients after coronary artery bypass graft surgery (CABG) and Percutaneous Transluminal Coronary Angioplasty (PTCA). Methods: This study is of experimental type with pre-test, post-test and control group. Our sample consisted of 60 patients selected by a randomly accessible method and placed either into the experimental group or the control group. Stress was measured by Perceived Stress Scale (PSS) and physical factors data were obtained from patients’ files twice, before and after medical intervention. Findings: Findings showed that post-test stress in experimental group was less than that of PCI patients, though not significant. Data were analyzed using SPSS and MANCOVA. Conclusion: Medical counseling lacked any significant effect on stress and physiological factors of these patients. The experience of stress in cardiac patients seems to be unique and different from other people, thus its measurement requires a scale specifically designed for these patients.