Determining the Effectiveness of Compassion-Based Therapy on State-Trait Anxiety Symptoms and Impulsivity in Patients with Coronary Heart Disease

Rafieian, Solmaz; Ashayeri, Hassan; Babapour, Jalil

doi:10.29252/mejds.0.0.197

Volume 12 - Articles-1401 MEJDS (2022) 12: 235 | Back to browse issues page

‎ 10.29252/mejds.0.0.197

‎ 20.1001.1.23222840.1399.0.0.208.7

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Rafieian S, Ashayeri H, Babapour J. Determining the Effectiveness of Compassion-Based Therapy on State-Trait Anxiety Symptoms and Impulsivity in Patients with Coronary Heart Disease. MEJDS 2022; 12 :235-235
URL: http://jdisabilstud.org/article-1-2207-en.html

Determining the Effectiveness of Compassion-Based Therapy on State-Trait Anxiety Symptoms and Impulsivity in Patients with Coronary Heart Disease

Solmaz Rafieian¹

, Hassan Ashayeri ^*²

, Jalil Babapour³

1- Department of Health Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran
2- Professor of Speech Therapy, Iran University of Medical Sciences, Tehran, Iran
3- Professor, Department of Psychology, University of Tabriz, Tabriz, Iran

Abstract: (1804 Views)

Abstract
Background & Objectives: One of the components affected by coronary heart disease is trait anxiety. State anxiety is associated with the arousal of the autonomic nervous system and is also dependent on specific situations. In contrast, trait anxiety is a stable personality trait related to individuals' readiness and desire to experience anxiety. One of the symptoms that may increase under the influence of disease is the impulsivity of people with coronary heart disease. Impulsivity is defined as an immediate action, lack of focus on the activity at hand, and lack of planning and thinking, as well as being prepared and part of a pattern of behavior and not a single action. It is necessary to help people with coronary artery diseases to know the factors affecting state–trait anxiety and impulsivity. This study aimed to determine the effectiveness of compassion–based therapy on state–trait anxiety and impulsivity symptoms in patients with coronary heart disease.
Methods: The present study was applied research and, in terms of method, quasi–experimental with a pretest–posttest and follow–up design with a control group. The study's statistical population included all patients with confirmed heart diseases hospitalized in Tabriz Madani Cardiovascular Hospital in the internal ward of heart diseases (men and women) between January and March 2017. The study sample included 40 patients with cardiovascular diseases selected by purposive sampling and randomly divided into two groups (self–compassion therapy, 20 patients) and a control group (20 patients). The required number of samples was calculated based on similar studies, considering the effect size of 0.40, confidence level of 0.95, test power of 0.80, and the rate of drop of 10% for each group. The inclusion criteria were as follows: aged 30 to 60 years, sufficient literacy, ability to listen normally, and conscious consent to attend treatment sessions. The exclusion criteria were as follows: the presence of mental disorders requiring immediate treatment, disruption of the normal treatment process, lack of cooperation, and severe physical disability. Data in the pretest, posttest, and follow–up phases in the two groups were obtained using the Impulsivity Scale (Barrat, 1994) and State–Trait Anxiety Inventory–Revised (Spielberger & Vagg, 1984). Compassion–based therapy was implemented in twelve 60–minute sessions once a week for three months based on Gilbert's training package (2009). No intervention was implemented for the control group. After six months, the follow–up test was performed again for both groups. In the descriptive statistics, central and dispersion indicators such as mean and standard deviation were used. In the inferential statistics, the Chi–square test, analysis of variance with repeated measurements, and Bonferroni's post hoc test were calculated using SPSS version 22 software. The significance level of the tests was considered 0.05.
Results: The variance analysis of the impulsivity variable was significant for the effects of group, time, and time*group (p<0.001). The variance analysis of the state–trait anxiety symptom was significant for the effects of group, time, and time*group (p<0.001). The results showed that the impulsivity variable scores in the experimental group in the posttest were significantly lower than those in the pretest (p<0.001). The results revealed that impulsivity in the follow–up phase was significantly different from the pretest (p<0.001). Also, a significant difference was observed between the posttest and follow–up (p<0.001). In addition, the results showed that the variable scores of state–trait anxiety symptoms in the experimental group and in the posttest stage were significantly lower than those in the pretest (p<0.001). Trait–state anxiety symptoms in the follow–up phase differed significantly from the pretest (p<0.001). Also, a significant difference was observed between the two stages of posttest and follow–up (p<0.001). Therefore, the effectiveness of compassion–based therapy was sustained in the follow–up phase for both state–trait anxiety symptoms and impulsivity.
Conclusion: Based on the findings of this study, self–compassion therapy is effective in state–trait anxiety and impulsivity symptoms in patients with coronary heart disease. Self–compassion therapy can improve state–trait anxiety and impulsivity symptoms in patients with coronary heart disease.

Keywords: Compassion–Based therapy, Anxiety, Impulsivity, Heart disease

Full-Text [PDF 429 kb] (254 Downloads)

Type of Study: Original Research Article | Subject: Psychology

References

1. Roth GA, Mensah GA, Johnson CO, Addolorato G, Ammirati E, Baddour LM, et al. Global burden of cardiovascular diseases and risk factors, 1990–2019: update from the GBD 2019 study. Journal of the American College of Cardiology. 2020;76(25):2982-3021. [DOI]

2. Saeed A, Kampangkaew J, Nambi V. Prevention of cardiovascular disease in women. Methodist Debakey Cardiovasc J. 2017;13(4):185–92. [DOI]

3. Vaidya A, Aryal UR, Krettek A. Cardiovascular health knowledge, attitude and practice/behaviour in an urbanising community of Nepal: a population-based cross-sectional study from Jhaukhel-Duwakot Health Demographic Surveillance Site. BMJ Open. 2013;3(10):e002976. [DOI]

4. Barake M, Evins AE, Stoeckel L, Pachas GN, Nachtigall LB, Miller KK, et al. Investigation of impulsivity in patients on dopamine agonist therapy for hyperprolactinemia: a pilot study. Pituitary. 2014;17(2):150–6. [DOI]

5. Wang R, Yang Y, Sheng M, Bu D, Huang F, Liu X, et al. Phenotype-genotype association analysis of ACTH-secreting pituitary adenoma and its molecular link to patient osteoporosis. Int J Mol Sci. 2016;17(10). [DOI]

6. Zhang P. Study of anxiety/depression in patients with coronary heart disease after percutaneous coronary intervention. Cell Biochem Biophys. 2015;72(2):503–7. [DOI]

7. Bergen-Cico D, Cheon S. The mediating effects of mindfulness and self-compassion on trait anxiety. Mindfulness. 2014;5(5):505–19. [DOI]

8. 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 Life Threat Behav. 2018;48(2):160–8. [DOI]

9. 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. [DOI]

10. 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. [DOI]

11. 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. Front Psychol. 2015;6:1273. [DOI]

12. Bluth K, Roberson PNE, Gaylord SA. A pilot study of a mindfulness intervention for adolescents and the potential role of self-compassion in reducing stress. Explore (NY). 2015;11(4):292–5. [DOI]

13. Seekis V, Bradley GL, Duffy A. The effectiveness of self-compassion and self-esteem writing tasks in reducing body image concerns. Body Image. 2017;23:206-13. [DOI]

14. Perez-Blasco J, Sales A, Meléndez JC, Mayordomo T. The effects of mindfulness and self-compassion on improving the capacity to adapt to stress situations in elderly people living in the community. Clinical Gerontologist. 2016;39(2):90-103. [DOI]

15. Pauley G, McPherson S. The experience and meaning of compassion and self-compassion for individuals with depression or anxiety. Psychol Psychother. 2010;83(Pt 2):129-43. [DOI]

16. Wakelin KE, Perman G, Simonds LM. Effectiveness of self‐compassion‐related interventions for reducing self‐criticism: a systematic review and meta‐analysis. Clin Psychol Psychother. 2022:29(1):1-25. [DOI]

17. Van Dam NT, Sheppard SC, Forsyth JP, Earleywine M. Self-compassion is a better predictor than mindfulness of symptom severity and quality of life in mixed anxiety and depression. J Anxiety Disord. 2011;25(1):123-30. [DOI]

18. Diedrich A, Grant M, Hofmann SG, Hiller W, Berking M. Self-compassion as an emotion regulation strategy in major depressive disorder. Behaviour Research and Therapy. 2014;58:43-51. [DOI]

19. Barratt ES. Impulsiveness and aggression. In: Violence and mental disorder: Developments in risk assessment. Chicago, IL, US: The University of Chicago Press; 1994. pp: 61–79.

20. Barati F, Pourshahbaz A, Nosratabadi M, Shiasy Y. Driving behaviors in Iran: comparison of impulsivity, attentional bias, and decision-making styles in safe and high-risk drivers. Iran J Psychiatry. 2020;15(4):312–21. [DOI]

21. Spielberger CD, Vagg PR. Psychometric properties of the STAI: a reply to Ramanaiah, Franzen, and Schill. J Pers Assess. 1984;48(1):95–7. [DOI]

22. Abdoli N, Farnia V, Salemi S, Davarinejad O, Ahmadi Jouybari T, Khanegi M, et al. Reliability and validity of Persian version of state-trait anxiety inventory among high school students. East Asian Arch Psychiatry. 2020;30(2):44–7. [DOI]

23. Gilbert P. Introducing compassion-focused therapy. Advances in Psychiatric Treatment. 2009;15(3):199–208. [DOI]

24. 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. [DOI]