Comparison of the Effectiveness of Acceptance and Commitment Therapy and Schema Therapy on Resilience among Patients with Cardiovascular Disease: A Pilot Study

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AHMADI FARZANEH; GOODARZI KOUROSH; FARROKHI NOORALI; ROOZBAHANI MEHDI

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Journal: SALAMAT-I IJTIMAI (Community Health) Year:2021 | Volume:8 | Issue:4 Page(s): 17-29

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Title

Comparison of the Effectiveness of Acceptance and Commitment Therapy and Schema Therapy on Resilience among Patients with Cardiovascular Disease: A Pilot Study

Author(s)

AHMADI FARZANEH | GOODARZI KOUROSH | FARROKHI NOORALI | ROOZBAHANI MEHDI | Issue Writer Certificate

Keywords

Acceptance and commitment therapy

Resilience

Schema therapy

Abstract

Background and Objectives: Patients' psychological characteristics can affect how they deal with cardiovascular problems, and any intervention that can improve their mental state will lead to a better response to the disease. The aim of this study was to compare the effectiveness of Acceptance and commitment therapy and Schema therapy on Resilience among patients with cardiovascular diseases. Materials and Methods: This quasi-experimental study was conducted with a pretest-posttest design, including two experimental groups and an unbalanced control group. Participants included 45 patients with cardiovascular diseases who were referred to the Nuclear Medicine Center for diagnostic examinations and cardiac scans in 2017 in Tehran. Participants were selected via convenience sampling method and were randomly assigned to three groups, each including 15 participants: the commitment training group, Schema therapy training group, and the control group. Data were collected via Connor-Davidson Resilience questionnaire. After performing the pretest for all three groups, the experimental groups underwent therapeutic intervention in 12 sessions using the commitment and acceptance therapy protocol and the Schema therapy protocol in 10 sessions. After the intervention, a posttest was performed in all three groups. Data were analyzed using SPSS software version 21 statistical using descriptive tests and multivariate analysis of covariance. Results: Among the participants in the study in the Schema therapy group, 9 (60%) were female, and 6 (40%) were male, in the treatment group based on commitment and acceptance, 8 (53%) were female, and 7 (47%) were male. In the control group, 5 (33%) were female, and 10 (67%) were male. In the Schema therapy experimental group, the mean (SD) Resilience score in the pretest increased from 43. 8 (20. 4) to 58. 5 (23. 9) in the posttest (P=0. 003). In the experimental group based on commitment and acceptance treatment, the mean (SD) Resilience score increased from 43. 7 (20. 3) in the pretest to 84. 5 (22. 8) in the posttest (P=0. 002). No significant changes were seen in the control group. Conclusion: The study showed that both commitment and acceptance therapy interventions and Schema therapy training effectively increased Resilience of individuals with cardiovascular problems, but the effectiveness of commitment and acceptance therapy was more significant than Schema therapy education.

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APA: Copy

AHMADI, FARZANEH, GOODARZI, KOUROSH, FARROKHI, NOORALI, & ROOZBAHANI, MEHDI. (2021). Comparison of the Effectiveness of Acceptance and Commitment Therapy and Schema Therapy on Resilience among Patients with Cardiovascular Disease: A Pilot Study. COMMONITY HEALTH, 8(4 ), 17-29. SID. https://sid.ir/paper/1008863/en

Vancouver: Copy

AHMADI FARZANEH, GOODARZI KOUROSH, FARROKHI NOORALI, ROOZBAHANI MEHDI. Comparison of the Effectiveness of Acceptance and Commitment Therapy and Schema Therapy on Resilience among Patients with Cardiovascular Disease: A Pilot Study. COMMONITY HEALTH[Internet]. 2021;8(4 ):17-29. Available from: https://sid.ir/paper/1008863/en

IEEE: Copy

FARZANEH AHMADI, KOUROSH GOODARZI, NOORALI FARROKHI, and MEHDI ROOZBAHANI, “Comparison of the Effectiveness of Acceptance and Commitment Therapy and Schema Therapy on Resilience among Patients with Cardiovascular Disease: A Pilot Study,” COMMONITY HEALTH, vol. 8, no. 4 , pp. 17–29, 2021, [Online]. Available: https://sid.ir/paper/1008863/en

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