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Showing 14 results for Depression
Ali Farhadi, Yazdan Movahedi, Kolsoum Kariminajad, Masume Movahedi,
Volume 2, Issue 4 (3-2014)
Abstract
Abstract Aim. This study examines the effect of mindfulness-based cognitive therapy on depression in male patients with coronary artery disease. Background. After heart events such as acute myocardial infarction, the patient experiences psychological distress. Approximately 65 percent of anxiety symptoms predict poor quality of life reduce return to work and increase risk of mortality. Method.This is an experimental study with two groups and three stages. Forty male patients with coronary artery disease were randomly allocated to either control or trial group after they had been detected as having a "Beck depression inventory" score of one standard deviation higher than the mean score. The mean score of depression was also evaluated in both groups, immediately and two months after the intervention experimental group. The data were analyzed by SPSS Version 19 and covariance analysis. Findings.The results showed a statistically significant difference between groups in terms of depression score, immediately and two months after intervention in experimental group (P<0.0001). Conclusion.Based on the effect of mindfulness-based cognitive therapy on reducing depression in patients with coronary artery disease, it is suggested to implement this method for these patients.
Masoumeh Zakerimoghadam, Shahrzad Ghiasvandian, Pegah Salahshoor, Anooshirvan Kazemnezhad,
Volume 3, Issue 1 (6-2014)
Abstract
Abstract Aim. This study was conducted to examine the effect of supportive nursing program on depression, anxiety and stress of family members of patients during coronary artery bypass graft surgery. Background. patient’s family members experience high levels of depression, anxiety and stress during coronary artery bypass graft surgery. Informational and emotional support of family members during surgery may have significant effect on reducing their psychological distress and enabling them to better support of the patient. Method. This semi-experimental study was conducted on 104 relatives of patients. They were recruited in the study with regard to the inclusion criteria and assigned to either experimental (n=52) or control (n=52) group. The experimental group received supportive nursing program including informational and emotional support. The control group only received routine interventions. Data were collected by demographic form and modified Depression Anxiety and Stress Scale (DASS). The data were analyzed by Chi-squire and T-test using SPSS software, version 21. Findings. There were no statistically significant differences between control and intervention group regarding the mean scores of depression, anxiety and stress before surgery. After intervention (at the end of surgery) experimental group reported significantly lower levels of depression, anxiety and stress (P<0.0001). Conclusion. According to the finding, supportive nursing program could reduce depression, anxiety and stress of family members of patients during coronary artery bypass graft surgery so, we suggest this program as an effective intervention to support family members during coronary artery bypass graft surgery.
Pouya Farokhnezhad-Afshar, Zahra Khajali, Rasoul Azarfarin, Azam Mahmoudi,
Volume 4, Issue 1 (6-2015)
Abstract
Aim. This study examined the effect of white noise on depression of patients in the Cardiac Care Unit (CCU).
Background. Many patients with cardiovascular disease are susceptible to experience depression after admission in Cardiac Care Unit (CCU). Depression can influence patients' recovery.
Method. This was a quasi-experimental study conducted in Shaheed Rajaei Cardiovascular Center, Tehran in 2014. Ninety patients admitted to the cardiac care unit were recruited in the study based on convenience sampling and divided into experimental and control group (45 patients in each group). Depression was measured for 3 consecutive days by depression subscale of DASS-21 questionnaire. In the experimental group, white noise with an intensity of 50 to 60 decibels was played for 30 minutes. Data were analyzed by SPSS , version 17, using independent t-test, paired t-test and chi-square test.
Findings. In control group, no statically significant difference was observed between mean scores of depression, before and after intervention (4.12±4.35 and 3.52±3.74, respectively; p=0.05). In the experimental group, the difference between mean scores of depression, before and after intervention was statistically significant (4.81±4.47 and 3.93±4.48, respectively; p=0.02).
Conclusion. According to the findings, white noise can leads to a significant reduction in depression. This intervention can be used as a simple and low-cost non-pharmacological care for these patients.
Mohammadreza Heidari, Alireza Soltanpour2, Mohsen Naseri, Anooshirvan Kazemnezhad,
Volume 4, Issue 2 (9-2015)
Abstract
Aim. This study was conducted to determine the effect of Lemon Balm (Melissa Officinalis) on depression in patients after coronary artery bypass graft.
Background. Coronary artery bypass grafting (CABG) is the most common operation among patients with coronary artery disease. Many of these patients are faced with depression after cardiac surgery.
Method. In this randomized clinical trial, 80 patients undergoing coronary artery bypass graft were randomly assigned to treatment and placebo groups. Data collection tools included demographic and clinical sheet and the Hospital Anxiety and Depression Scale (HADS). Each patient randomly received either a capsule containing 500 mg lemon balm or a placebo, 3 times a day. After 7 days, depression in both groups was measured and compared. Data analysis was performed using SPSS (version 16).
Findings. After the intervention, herbal balm decreased depression more in intervention group compared with the placebo group (P=0.008).
Conclusion. According to findings , Lemon balm may reduce depression after coronary artery bypass graft.
Meysam Shabani, Masoumeh Zakerimoghadam,
Volume 4, Issue 2 (9-2015)
Abstract
Aim. The aim of this study was to review studies about the cause and development of cardiovascular diseases among people with depression.
Background. Cardiovascular disease and depression are common and the research have shown the comorbidity of these two disorders.
Method. In this review study, different databases such as Google Scholar, PubMed, Springer, AHA journal, Biomed, Scope med, Elsevier, and WHO webpage were searched out by Persian and English forms of keywords like “depression and cardiovascular diseases”, “depression and endothelial system”, “depression and autonomic system”, “depression and inflammatory-immune system”, “depression and platelet activation”, “depression and hypothalamic-pituitary-adrenal (HPA) axis” and “depression in prenatal period”.
Findings. Suggested mechanisms of developing cardiovascular diseases by depression include dysfunction of hypothalamic-pituitary-adrenal axis, inflammatory-immune system, autonomic system, platelet activity, endothelial system and habit pattern changes (metabolic syndrome) and depression in prenatal period.
Conclusion. Findings show that HPA axis dysfunction provides the situation for autonomic system dysfunction. Forming of atheroma and thrombosis are faster in platelet dysfunction, endothelial system dysfunction and inflammatory-immune system dysfunction than the other destructive ways. On the other hand, as depression can cause inflammatory-immune system dysfunction, the process of endothelial system dysfunction can cause this too. No finding has been found about the relationship between severity of depression and development of cardiovascular diseases.
Rasoul Heshmati,
Volume 6, Issue 2 (9-2017)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of Mindfulness-Based Stress Reduction (MBSR) on depression and anxiety in people with coronary artery disease (CAD) treated with coronary artery bypass graft (CABG) surgery.
Background. Depression and anxiety are common in people with CAD treated with CABG. Therefore, it is important to investigate if effective therapeutic models can influence the negative emotions of these patients.
Method. The research method was single-subject and the statistical population of this study included all people with coronary artery disease who referred to Shahid Madani Hospital in Tabriz, Iran, during the second six months of the year 2016 for rehabilitation after surgery. The study sample consisted of four available people with CAD who received eight sessions of MBSR training by the researcher. The subjects were assessed before and after receiving the MBSR training by Beck Depression Inventory, and Beck anxiety Inventory. The data were analyzed through recovery percentage, percent of non-overlapping data (PND), standardized mean difference (SMD) and visual analysis of the charts.
Findings. The findings showed that MBSR training reduced anxiety and depression in people with CAD following treatment with CABG.
Conclusion. Based on these findings, it be can concluded that MBSR is an effective treatment for management of negative emotions of people with CAD treated with CABG.
Zeynab Saremi, Thayebeh Khazaie, Tooba Kazemi, Alireza Saadatjo,
Volume 6, Issue 4 (3-2018)
Abstract
Abstract
Aim. This study compares the effect of foot reflexology and stroke massage on depression in people with acute myocardial infarction.
Background. Depression is a common complication of myocardial infarction and could increase the likelihood of further attacks. Medication as a common therapy for treating depression has many side effects. So interventions performed with minimal risk is of great importance when managing depression in these people.
Method. In this randomized clinical trial (IRCT2016060817756N2), 60 people with myocardial infarction, admitted to CCU in Valiasr hospital in Birjand, were selected using convenience sampling and randomly allocated into three groups; intervention with reflexology (n=20), intervention with stroke massage (n=20), and control group (n=20). Massage therapy was implemented for 5 weeks (three days a week) . Data collection tool was Beck Depression Inventory. Beck Depression Inventory was completed before and after intervention by participants in all three groups. Data were analyzed in SPSS 16 software using Chi-square test, t-test, ANOVA and Tukey.
Findings. Before intervention, there was no statistically significant difference between the groups in the mean score of depression (p=0.453), but a statistically significant difference was found after intervention (p <0.001). Tukey's post hoc test showed that after intervention, the mean scores of depression significantly decreased in foot reflexology group (23.65±3.50) compared with that of stroke massage group (27.55±3.42) (p=0.006) and control group (30.05±4.50) (p<0.001), but not statistically significant difference seen between stroke massage and control groups in terms of mean score of depression. Changes in mean depression scores before and after intervention was significantly higher in the foot reflexology massage group compared with stroke massage and control groups, and also, these changes was significantly higher in the stroke massage group compared with control group.
Conclusion. Both types of massage were effective in reducing depression, and the effect of the foot reflexology was greater. So, it is recommended to apply these interventions in routine nursing care for people with myocardial infarction experiencing depression.
Mohamad Oraki, Masud Janbozorgi, Ahmad Alipor , Fateme Nequee,
Volume 7, Issue 3 (12-2018)
Abstract
Abstract
Aim. This study was conducted to determine the effect of cognitive-behavioral rehabilitation based on stress immunization training on anxiety, stress and depression in patients with coronary artery bypass graft surgery.
Background. Stress, anxiety and depression that play an important role in coronary artery disorders, are being considered as a hindrance to recovery after CABG. Providing the patient with correct coping strategies with stress seems to be helpful in preventing the recurrence.
Method. The study was a quasi-experimental with control group with pretest-posttest design. The statistical population of this study included patients who had coronary artery bypass graft surgery and referred to the Rehabilitation center of Tehran Heart Hospital, Tehran, Iran. Thirty subjects were selected by continuous sampling method and randomly assigned into experimental and control group. The instruments for data collection were “Depression, Anxiety and Stress Scale” (DASS-21), which completed before and after the intervention. The experimental group was exposed to stress immunization training in 10 sessions of 90 minutes. To analyze the data, multivariate covariance analysis, and one-variable covariance analysis were used in SPSS software.
Findings. Stress immunization training significantly influenced the anxiety (p≤0.0001; F=0.39), stress (p≤0.0001; F=0.35), and depression (p≤0.0001; F=0.68) scores of the experimental group compared to the control group.
Conclusion. Stress immunization training plays an important role in reducing negative emotions (anxiety, stress and depression) in patients with coronary artery bypass graft surgery. It is recommended to use this intervention for patients undergoing CABG.
Fateme Nequee, Mohamad Oraki, Masood Janbozorgi, Ahmad Alipoor,
Volume 9, Issue 1 (3-2020)
Abstract
Abstract
Aim. This study was conducted to compare the effect of multidimensional spiritual therapy and stress inoculation training (SIT) on physiological and psychological coordination of heart rate variability (HRV) and depression in patients after coronary artery bypass graft (CABG) surgery.
Background. Depression and other emotional disorders play an important role in reducing the physiological and psychological coordination of heart rate in patients after coronary artery bypass graft (CABG) surgery. Depression and other emotional disorders prevent the person from recovering from the pathologic condition. It seems that preparing the patient for proper coping techniques is helpful in improving emotional disorders and preventing recurrence of disease.
Method. This was a clinical trial with two experimental and one control group. The study population included patients after CABG in Tehran Cardiac Research Center, Tehran, Iran. Thirty patients were randomly selected and assigned into three groups. The instrument of this study was the DASS-21 scale and the evaluation of physiological and psychological coordination of heart rate, which was measured before the intervention and at the end of the 10th session in groups. The first experimental group was exposed to the Meichenbaum stress inoculation training for 10 sessions of 90-minute duration, and the second experimental group received multidimensional spiritual therapy. Data were analyzed using Multivariate analysis of covariance in SPSS.
Findings. Multivariate analysis of covariance showed that SIT and multidimensional spiritual therapy interventions both have a statistically significant effect in reducing depression in one-month and three-month follow-up, compared to the control group, but their effects on reducing depression was significantly different (-2.200, P=0.002). However, no statistically significant difference was observed between experimental groups in terms of changes in physiological and psychological coordination (-0.00133, P=0.1).
Conclusion. SIT intervention seems to be less effective than multidimensional spiritual therapy in reducing depression, but its effect on changes in physiological and psychological coordination is the same as multidimensional spiritual therapy.
Elham Irani, Saeed Moosavipour, Marzieh Sadat Sajadinezhad,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to examine the effect of cognitive-behavioral therapy on depression, anxiety, and stress in patients after coronary artery bypass graft surgery.
Background. Coronary artery bypass graft surgery, like other surgeries, is stressful for the patient, and depression, anxiety, and stress are common important disorders in these patients. In this regard, one of the effective psychotherapy methods to reduce negative psychological factors and prevent recurrence of the disease is cognitive-behavioral therapy.
Method. The design of the present study was quasi-experimental with a pretest-posttest design with a control group. The statistical population of the study included all patients after coronary artery bypass graft surgery in selected AJA hospital in Tehran, Iran. Based on convenience sampling, 30 people were selected and randomly allocated to experimental (n=15) and control (n=15) group. They responded to the Depression, Anxiety and Stress Questionnaire (DASS-21) and underwent 15 sessions of psychotherapy. The experimental and control group were homogeneous in terms of age, education, as well as duration of hospital stay and absence of other chronic diseases. The univariate analysis of covariance was performed using SPSS-23.
Findings. The results showed that depression, anxiety and stress of the experimental group significantly reduced in the post-test compared to those of control group.
Conclusion. In addition to medical interventions, cognitive-behavioral therapy can also be used for patients after coronary artery bypass graft surgery to reduce depression, anxiety and stress and prevent recurrence of the disease. Special attention can also be paid to the psychological factors that cause or exacerbate cardiovascular disease.
Narges Shojaei Kalatebali, Aliakbar Samari, Mahdi Akbarzadeh,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. This study was conducted to examine the effect of couple therapy with well-being therapy method on depression, marital life quality, optimism and social well-being in patients with cardiovascular disease.
Background. Patients with cardiovascular disease experience many problems in their marital life and health, and one of the effective methods for improving the characteristics of marital life and their health is possibly the couple therapy with well-being therapy method.
Method. This study was a semi-experimental pretest- posttest study with control group. The study population was patients with cardiovascular disease referred to Javad Al-Aeme Cardiovascular Hospital in Mashhad city, Iran, in 2021. Thirty patients and their couples were recruited by purposive sampling method based on inclusion criteria and allocated to experimental (n=15 couples) and control (n=15 couples) group by simple random sampling. The experimental group received 8 sessions of 90-minute duration (two sessions per week) couple therapy with well-being therapy method and during this period the control group did not receive any intervention. Data were collected through the self-reported questionnaires of depression, marital life quality, optimism and social well-being and analyzed by Chi-square, independent t-test and multivariate analysis of covariance in SPSS-19 software.
Findings. The findings showed that the experimental and control groups were not significantly different in terms of education, gender, age and duration of cardiovascular disease. Before intervention, there was no statistically significant difference between groups in terms of the mean scores of depression, marital life quality, optimism and social well-being, but after intervention, a statistically significant difference was groups between experimental and control group in the mean scores of all four variables (P≤0.0001). The couple therapy with well-being therapy method led to reduced depression (F=192.046, P≤0.0001) and increased marital life quality (F=329.770, P≤0.0001), optimism (F=230.267, P≤0.0001) and social well-being (F=359.558, P≤0.0001) in patients with cardiovascular disease.
Conclusion. The results of this study indicated the effect of couple therapy with well-being therapy method on reducing depression and increasing marital life quality, optimism and social well-being in patients with cardiovascular disease. Health professionals and therapists can use this method to improve the characteristics of marital life and those related to health.
Maryam Bagholi Kermani, Mohsen Golparvar, Hamid Athashpour, Masoumeh Sadeghi,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to compare the effect of integrative behavioral couple therapy, narrative couple therapy, and couple schema therapy on affective capital and depression among people with coronary artery disease.
Background. Coronary artery disease is one of the heart diseases that can cause problems for couples.
Method. This was a semi-experimental study with a pretest and posttest design and control group. The statistical population consisted of people with coronary artery disease and their spouses out of which 64 couples were selected by purposive sampling method and randomly assigned to three experimental groups and a control group (16 couples in each group). Affective Capital Questionnaire and Depression Inventory of Beck was used to assess dependent variables in two stages. The three intervention groups were each treated for 8 sessions of 90 minutes and the control group did not receive any treatment. The data were analyzed in SPSS by descriptive and inferential statistics.
Findings. In terms of affective capital, there was a statistically significant difference of integrative behavioral couple therapy, narrative couple therapy and couple schema therapy with the control group (p≤0.001), and of integrative behavioral couple therapy with narrative couple therapy and couple schema therapy (p≤0.001). For depression, there was a statistically significant difference of the three intervention groups with the control group, and of integrated behavioral couple therapy and couple schema therapy with couple narrative therapy (p<0.05).
Conclusion. According to the results, integrative behavioral couple therapy, couple schema therapy and narrative couple therapy are effective in increasing affective capital and reducing depression in people with coronary artery disease and their spouses. It is recommended that these three interventions be used for these patients and their spouses in cardiovascular disease centers.
Safoora Asefmehr, Abdolmajid Bahranian, Fatima Shahabizadeh,
Volume 11, Issue 1 (3-2022)
Abstract
Abstract
Aim. The present study was conducted with the aim of comparing the effect of the cognitive behavioral group therapy based on mindful walking with the dialectical behavior therapy on psychological symptoms, quality of life and blood pressure in people with hypertension.
Background. High blood pressure can cause kidney failure and eye problems. High blood pressure is a health problem in industrialized and developing countries due to its high prevalence and association with cardiovascular diseases.
Method. The present study was conducted based on a semi-experimental pre-test post-test design with two experimental groups and one control group. Out of 87 volunteers, 45 patients were allocated to three groups based on random sampling. Data collection tools were the Beck Depression Questionnaires (1960), the Beck Anxiety Questionnaire (1990), and the World Health Organization Quality of Life Questionnaire. Cognitive-behavioral group therapy based on the Leahy Group Conscious Mind Walk (2011) and Dialectical Behavior therapy (Linehan, 1993) were implemented as interventions. Data were collected and analyzed in SPSS version 22 using descriptive and inferential statistics.
Findings. The results indicated a statistically significant difference of the effects of the two interventions with control group in terms of depression, anxiety, quality of life, and blood pressure (P≤0.0001). Also, the cognitive behavioral group therapy based on mindful walking had a greater effect on the quality of life and blood pressure of hypertensive patients compared with the dialectical behavior therapy.
Conclusion. To improve the quality of life and reduce the blood pressure of hypertensive patients, it is better to benefit from the cognitive behavioral group therapy based on mindful walking and to reduce the cognitive symptoms (depression and anxiety) of hypertensive patients, dialectical behavior therapy is beneficial.
Nasim Sedighian, Elham Nomiri, Ali Ghorbani, Shadieh Sadegh Sheykhi,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. The aim of the present study was to investigate the relationship of sleep quality and perceived stress with depression in women with acute myocardial infarction and anxiety symptoms.
Background. Depression is a common disorder with a lifetime prevalence of about 15 percent, and today it is considered the main cause of disability worldwide and ranks fourth among the ten main causes of the global burden of disease, which is characterized by long-term periods, a variety of symptoms. It is accompanied by a high rate of recurrence and many physical and mental disorders.
Method. Descriptive-correlational research design was selected for conducting the study. Statistical population included the women with acute heart attack living in Tehran in year 2022. Seventy people who scored higher than average in the anxiety questionnaire were selected as the research sample. The tools of data collection in this research were anxiety, depression, sleep quality and perceived stress questionnaires.
Findings. The results showed that there was a positive and statistically significant relationship between sleep quality and negative perceived stress and depression, and also a negative and statistically significant relationship was found between positive perceived stress and depression. Sleep quality, negative perceived stress, and positive perceived stress could predict respectively 0.18, 0.20, and 0.08 of changes in depression score.
Conclusions. Sleep problems can cause psychological distress and decrease concentration in people, so it can be expected that an increase in sleep problems can reduce a person's energy, and by increasing anxiety, it can cause an increase in psychological problems such as depression. Therefore, people who suffer from heart disease often endure a high level of anxiety due to the risk of the disease, which can be associated with increased sleep problems, thus leading to depression in them.
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