اثربخشی درمان مبتنی بر پذیرش و تعهد بر اضطراب قلبی و انعطاف‌پذیری روان‌شناختی در بیماران مبتلا به بیماری عروق کرونر قلب با سابقه خانوادگی بیماری قلبی

نویسنده
چکیده
بیماری عروق کرونر قلب علاوه بر عوامل زیستی، تحت تأثیر عوامل روان‌شناختی نیز قرار دارد و افراد دارای سابقه خانوادگی بیماری قلبی به دلیل آسیب‌پذیری بیشتر، در معرض سطوح بالاتری از اضطراب قلبی و کاهش انعطاف‌پذیری روان‌شناختی قرار دارند. پژوهش حاضر با هدف تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد (ACT) بر اضطراب قلبی و انعطاف‌پذیری روان‌شناختی در بیماران مبتلا به بیماری عروق کرونر قلب با سابقه خانوادگی بیماری قلبی انجام شد. این پژوهش از نوع نیمه‌آزمایشی با طرح پیش‌آزمون–پس‌آزمون همراه با گروه کنترل بود. جامعه آماری شامل بیماران مبتلا به بیماری عروق کرونر قلب با سابقه خانوادگی بیماری قلبی بود که در سال ۱۴۰۴ به بیمارستان امام حسین (ع) مراجعه کردند. از میان آنان، ۳۰ نفر به روش نمونه‌گیری در دسترس انتخاب و به‌صورت تصادفی در دو گروه مداخله (۱۵ نفر) و کنترل (۱۵ نفر) جایگزین شدند. گروه مداخله طی ۸ جلسه تحت درمان مبتنی بر پذیرش و تعهد قرار گرفت و گروه کنترل مداخله‌ای دریافت نکرد. ابزارهای پژوهش شامل پرسشنامه اضطراب قلبی و پرسشنامه پذیرش و عمل ـ نسخه دوم (AAQ-II) بود. داده‌ها با استفاده از تحلیل واریانس با اندازه‌گیری مکرر تجزیه و تحلیل شدند. یافته‌ها نشان داد که درمان مبتنی بر پذیرش و تعهد موجب کاهش معنادار اضطراب قلبی و افزایش معنادار انعطاف‌پذیری روان‌شناختی در گروه مداخله نسبت به گروه کنترل شد (001/0>P). همچنین، اثرات مداخله در مرحله پیگیری نیز حفظ شد. بر اساس نتایج این پژوهش، درمان مبتنی بر پذیرش و تعهد می‌تواند به عنوان یک مداخله روان‌شناختی مکمل در کنار درمان‌های پزشکی، در کاهش اضطراب قلبی و ارتقای انعطاف‌پذیری روان‌شناختی بیماران مبتلا به بیماری عروق کرونر قلب با سابقه خانوادگی بیماری قلبی مؤثر باشد.
کلیدواژه‌ها

عنوان مقاله English

The Effectiveness of Acceptance and Commitment Therapy (ACT) on Cardiac Anxiety and Psychological Flexibility in Patients with Coronary Artery Disease and a Family History of Heart Disease

نویسنده English

mahrokh Ajorloo
چکیده English

Coronary artery disease (CAD) is influenced not only by biological factors but also by psychological factors. Individuals with a family history of heart disease are particularly vulnerable to elevated cardiac anxiety and reduced psychological flexibility. The present study aimed to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on cardiac anxiety and psychological flexibility in patients with coronary artery disease and a family history of heart disease. This study employed a quasi-experimental design with a pretest–posttest control group. The statistical population consisted of patients with coronary artery disease and a family history of heart disease who were referred to Imam Hossein Hospital in 2025. Thirty eligible participants were selected using convenience sampling and randomly assigned to either an intervention group (n = 15) or a control group (n = 15). The intervention group received eight sessions of Acceptance and Commitment Therapy, whereas the control group received no psychological intervention. Data were collected using the Cardiac Anxiety Questionnaire (CAQ) and the Acceptance and Action Questionnaire-II (AAQ-II). Data were analyzed using repeated-measures analysis of variance. The findings indicated that Acceptance and Commitment Therapy significantly reduced cardiac anxiety and significantly improved psychological flexibility in the intervention group compared with the control group (P < .001). Furthermore, the treatment effects were maintained at the follow-up assessment. The findings suggest that Acceptance and Commitment Therapy can be considered an effective complementary psychological intervention alongside routine medical care for reducing cardiac anxiety and enhancing psychological flexibility in patients with coronary artery disease and a family history of heart disease.

کلیدواژه‌ها English

Acceptance and Commitment Therapy (ACT)
cardiac anxiety
Psychological flexibility
coronary arteries
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