Comparison of compassion-focused therapy and dialectical behavior therapy on state-trait anxiety and impulsivity of patients with coronary heart disease
Social Determinants of Health,
Vol. 8 (2022),
1 Dey 2022
,
Page 1-9
https://doi.org/10.22037/sdh.v8i1.36983
Abstract
Background: This study aimed to compare the effectiveness of compassion-focused therapy (CFT) and dialectical behavior therapy (DBT) on state-trait anxiety symptoms and impulsiveness in patients with coronary artery disease.
Methods: This research was a quasi-experimental research method, with pre-test, post-test, and follow-up with a control group. The study population in this study is cardiac patients of Tabriz Madani Hospital. The sample consisted of 60 patients with cardiovascular disease who were selected by voluntary and purposive sampling method and were randomly divided into three groups self-compassion (20 patients), DBT (20), and control group (20). Data were collected using the Bart impulsivity scale (Bart, 1994) and state-trait anxiety log (Spielberger et al., 1970) and analyzed by repeated measure analysis of variance using SPSS software (version 22).
Results: The results showed that the mean of state-trait anxiety symptoms group (p<0.01, F (df=2) =10.17, Eta= 0.26) and impulsivity (p<0.01, F (df=2) =11.81, Eta= 0.28) in the DBT group at the end of post-test was lower than CFT and the control group. In other words, DBT had the highest effect on state-trait anxiety symptoms and impulsivity (p<0.01).
Conclusion: It can be concluded that DBT has a greater effect on state anxiety and impulsivity than CFT and both treatments can be used to improve psychological problems in patients with coronary heart disease.
- Anxiety
- Coronary Artery Disease
- Dialectical Behavior Therapy
- Mental Health
How to Cite
References
Iranpour A, Khanjani N, Mohseni M, Nazari Robati F. Cardiovascular Diseases Risk Factors and the Relationship between Knowledge Level and Preventive Behaviors for cardiovascular Diseases among Women in Kerman. Journal of Health Based Research. 2016;2(2):119-32. [Persian]
Anderson L, Thompson DR, Oldridge N, Zwisler AD, Rees K, Martin N, Taylor RS. Exercise‐based cardiac rehabilitation for coronary heart disease. Cochrane Database of Systematic Reviews. 2016; 2(1):29-38.
Martin CG, Roos LE, Zalewski M, Cummins N. A dialectical behavior therapy skills group case study on mothers with severe emotion dysregulation. Cognitive and Behavioral Practice. 2017;24(4):405-15.
Barake M, Evins AE, Stoeckel L, Pachas GN, Nachtigall LB, Miller KK, Biller BM, Tritos NA, Klibanski A. Investigation of impulsivity in patients on dopamine agonist therapy for hyperprolactinemia: a pilot study. Pituitary. 2014;17(2):150-6.
Wang R, Yang Y, Sheng M, Bu D, Huang F, Liu X, Zhou C, Dai C, Sun B, Zhu J, Qiao Y. Phenotype-genotype association analysis of ACTH-secreting pituitary adenoma and its molecular link to patient osteoporosis. International journal of molecular sciences. 2016;17(10):1654.
Martinez-Urrutia A, Spielberger CD. The relationship between State-Trait Anxiety and intelligent in Puerto Rican psychiatric patients. Revista Interamericana de Psicología/Interamerican Journal of Psychology. 1973;7 (3-4).
Bergen-Cico D, Cheon S. The mediating effects of mindfulness and self-compassion on trait anxiety. Mindfulness. 2014;5(5):505-19.
Johnson SB, Goodnight BL, Zhang H, Daboin I, Patterson B, Kaslow NJ. Compassion‐based meditation in African Americans: Self‐criticism mediates changes in depression. Suicide and Life‐Threatening Behavior. 2018;48(2):160-8.
Skinta MD, Lezama M, Wells G, Dilley JW. Acceptance and compassion-based group therapy to reduce HIV stigma. Cognitive and Behavioral Practice. 2015;22(4):481-90.
Finlay-Jones AL, Rees CS, Kane RT. Self-compassion, emotion regulation and stress among Australian psychologists: Testing an emotion regulation model of self-compassion using structural equation modeling. PloS one. 2015;10(7):e0133481.
Boellinghaus I, Jones FW, Hutton J. The role of mindfulness and loving-kindness meditation in cultivating self-compassion and other-focused concern in health care professionals. Mindfulness. 2014;5(2):129-38.
Williams MJ, Dalgleish T, Karl A, Kuyken W. Examining the factor structures of the five facet mindfulness questionnaire and the self-compassion scale. Psychological assessment. 2014;26(2):407.
Trompetter HR, de Kleine E, Bohlmeijer ET. Why does positive mental health buffer against psychopathology? An exploratory study on self-compassion as a resilience mechanism and adaptive emotion regulation strategy. Cognitive therapy and research. 2017;41(3):459-68.
Hoffart A, Øktedalen T, Langkaas TF. Self-compassion influences PTSD symptoms in the process of change in trauma-focused cognitive-behavioral therapies: a study of within-person processes. Frontiers in psychology. 2015;6:1273.
Newsome S, Waldo M, Gruszka C. Mindfulness group work: Preventing stress and increasing self-compassion among helping professionals in training. The Journal for Specialists in Group Work. 2012;37(4):297-311.
Elaine BC, Hollins M. Exploration of a training programme for student therapists that employs Compassionate Mind Training (CMT) to develop compassion for self and others. The Arts in Psychotherapy. 2016;22:5-13.
Nararro-Haro MV, Hoffman HG, Garcia-Palacios A, Sampaio M, Alhalabi W, Hall K, Linehan M. The use of virtual reality to facilitate mindfulness skills training in dialectical behavioral therapy for borderline personality disorder: a case study. Frontiers in psychology. 2016;7:1573.
Wilks CR, Korslund KE, Harned MS, Linehan MM. Dialectical behavior therapy and domains of functioning over two years. Behaviour research and therapy. 2016;77:162-9.
Linehan MM, Korslund KE, Harned MS, Gallop RJ, Lungu A, Neacsiu AD, McDavid J, Comtois KA, Murray-Gregory AM. Dialectical behavior therapy for high suicide risk in individuals with borderline personality disorder: a randomized clinical trial and component analysis. JAMA psychiatry. 2015;72(5):475-82.
Jamilian HR, Malekirad AA, Farhadi M, Habibi M, Zamani N. Effectiveness of group dialectical behavior therapy (based on core distress tolerance and emotion regulation components) on expulsive anger and impulsive behaviors. Global Journal of Health Science. 2014;6(7):116. [Persian]
Salehi A, Bahrami F, Ahmadi A. The effect of two methods of emotion regulation training based on Gross process model and dialectical behavior therapy on the symptoms of emotional problems. Zahedan Journal of Medical Research. 2012; 14(2), 55-49. [Persian]
Saeidi M, Khalatbari J, Ghorbanshiroudi S, Abolghasemi S. Comparison of the Effect of cognitive-behavioral therapy with Compassion-Focused Therapy on Impulsivity of Women on the Verge of Divorce. Community Health Journal. 2020;14(1):73-83.
Niasti N, Shiroudi SG, Khalatbari J, Tizdast T. The Effectiveness of an Education Package based on Compassion-Focused Therapy, Emotion-Focused Therapy, and Acceptance and Commitment-based Therapy on the Tolerance of Anxiety and Impulsivity of Adolescents with Aggressive Behaviors. Journal of Islamic Life Style Centered on Health Volume. 2021;5(4).
Adibizadeh N, Sajjadian I. The effectiveness of compassion-focused therapy on depression, anxiety and emotion regulation in patients with coronary heart disease. medical journal of mashhad university of medical sciences. 2019;61(1):103-15.
Ghavipanjeh B, Moheb N, Abdi R, Esmaeilpour K. Effectiveness of cognitive therapy based on mindfulness on temptation and impulsivity of opiate addicts. Journal of Modern Psychological Researches. 2020;15(59):198-208.
Mohammadi Nik Z, Nasehi M, Tajeri B, Hassani Abharian P, Kraskian A. The Effectiveness of Memory Reconsolidation Interference by Propranolol on Craving and Emotion in Heroin Abusers. Military Caring Sciences Journal. 2021;8(2):156-68.
Vagg PR, Spielberger CD, O'Hearn Jr TP. Is the state-trait anxiety inventory multidimensional?. Personality and Individual Differences. 1980;1(3):207-14.
Abdoli N, Farnia V, Salemi S, Davarinejad O, Jouybari TA, Khanegi M, Alikhani M, Behrouz B. Reliability and validity of Persian version of state-trait anxiety inventory among high school students. East Asian Archives of Psychiatry. 2020;30(2):44-7.
Mehlum L, Ramberg M, Tørmoen AJ, Haga E, Diep LM, Stanley BH, Miller AL, Sund AM, Grøholt B. Dialectical behavior therapy compared with enhanced usual care for adolescents with repeated suicidal and self-harming behavior: outcomes over a one-year follow-up. Journal of the American Academy of Child & Adolescent Psychiatry. 2016;55(4):295-300.
McCredie MN, Quinn CA, Covington M. Dialectical behavior therapy in adolescent residential treatment: outcomes and effectiveness. Residential Treatment for Children & Youth. 2017;34(2):84-106.
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