The Effectiveness of Solution-Focused Therapy on Life Orientation, Mental Health, and Meaningfulness of Life in Patients with Cardiovascular Diseases
Background: Taking into account the possible role of psychological factors in cardiovascular diseases (CVDs) and the fact that they interfere with the biological factors that cause CVDs, this research was designed to evaluate the efficacy of solution-focused therapy on mental health, life orientation, mental health, and meaningfulness of life in patients with CVDs.
Methods: This was a quasi-experimental analysis with a pretest-posttest design, follow-up, and a control group. All cardiovascular patients who had referred to the Isfahan Cardiovascular Research Center, Isfahan, Iran, between January and March 2019 and had a history of heart attack or open-heart surgery in the previous month were included in the statistical population of this study. In this study, 30 patients with CVDs wishing to participate in the study were selected using convenience sampling from among patients who had the inclusion criteria and were randomly assigned to experimental and control groups (each group included 15 patients). Data were collected using Life Orientation Test (LOT), Meaning in Life Questionnaire (MLQ), and General Health Questionnaire (GHQ). The collected data were analyzed using repeated measures analysis of variance (ANOVA) and analysis of covariance (ANCOVA) in SPSS software.
Results: The results indicate that there was a significant difference between the solution-focused therapy and control groups in terms of the mean scores of physical symptoms (F = 95.46; P < 0.0001), anxiety (F = 70.36; P < 0.0001), social functional dysfunction (F = 54.11; P < 0.0001), depression (F = 26.70; P < 0.0001), life orientation (F = 22.36; P < 0.0001), and meaningfulness of life (F = 68.21; P < 0.0001).
Conclusion: The findings of this study have shown that solution-focused therapy is beneficial for mental health, life orientation, and meaningfulness of life in patients with CVDs and can be used in treatment centers to enhance the status of these patients.
Baldwin, P., King, G., Evans, J., McDougall, S., Tucker, M. A., & Servais, M. (2013). Solution-focused coaching in pediatric rehabilitation: An integrated model for practice. Phys Occup.Ther Pediatr., 33(4), 467-483. doi:10.3109/01942638.2013.784718 [doi]. Retrieved from PM:23611310
Burrows, N. R., Li, Y., Geiss, L. S., & Gregg, E. W. (2018). Response to Comment on Burrows et al. Declining rates of hospitalization for selected cardiovascular disease conditions among adults aged >/=35 years with diagnosed diabetes, U.S., 1998-2014. Diabetes Care 2018;41:293-302. Diabetes Care, 41(4), e59. doi:41/4/e59 [pii];10.2337/dci17-0062 [doi]. Retrieved from PM:29559458
Carver CS, Scheier MF, Weintraub JK. Assessing coping strategies: a theoretically based approach. Journal of personality and social psychology. 1989 Feb;56(2):267.
Cepeda, L. M., & Davenport, D. S. (2006). Person-centered therapy and solution-focused brief therapy: An integration of present and future awareness. Psychotherapy.(Chic.), 43(1), 1-12. doi:2006-05485-001 [pii];10.1037/0033-3220.127.116.11 [doi]. Retrieved from PM:22121955
de Souza, R. J., Mente, A., Maroleanu, A., Cozma, A. I., Ha, V., Kishibe, T. et al. (2015). Intake of saturated and trans unsaturated fatty acids and risk of all cause mortality, cardiovascular disease, and type 2 diabetes: systematic review and meta-analysis of observational studies. BMJ., 351, h3978. doi:10.1136/bmj.h3978 [doi]. Retrieved from PM:26268692
Ettehad, D., Emdin, C. A., Kiran, A., Anderson, S. G., Callender, T., Emberson, J. et al. (2016). Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis. Lancet., 387(10022), 957-967. doi:S0140-6736(15)01225-8 [pii];10.1016/S0140-6736(15)01225-8 [doi]. Retrieved from PM:26724178
Frels, R. K., Leggett, E. S., & Larocca, P. S. (2009). Creativity and solution-focused counseling for a child with chronic illness. J Creativ Ment Health, 4(4), 308-319.
Gundogdu, R. (2019). The Effect of Solution-Focused Group Counseling with Psychological Counselor Candidates on Solution-Focused Tendency and Satisfaction with Life. Journal of Education and e-Learning Research, 6(1), 26-37.
Gellis, Z. D., & Bruce, M. L. (2010). Problem solving therapy for subthreshold depression in home healthcare patients with cardiovascular disease. Am J Geriatr.Psychiatry, 18(6), 464-474. doi:S1064-7481(12)60056-6 [pii];10.1097/jgp.0b013e3181b21442 [doi]. Retrieved from PM:20871804
Giedd, J. N., Raznahan, A., Alexander-Bloch, A., Schmitt, E., Gogtay, N., & Rapoport, J. L. (2015). Child psychiatry branch of the National Institute of Mental Health longitudinal structural magnetic resonance imaging study of human brain development. Neuropsychopharmacology, 40(1), 43-49. doi:npp2014236 [pii];10.1038/npp.2014.236 [doi]. Retrieved from PM:25195638
Greene, G. J., Kondrat, D. C., Lee, M. Y., Clement, J., Siebert, H., Mentzer, R. A. et al. (2006). A solution-focused approach to case management and recovery with consumers who have a severe mental disability. Fam Soc., 87(3), 339-350.
Hayes, S.C. (2016). Acceptance and Commitment Therapy, Relational Frame Theory, and the Third Wave of Behavioral and Cognitive Therapies – Republished Article. Behav Ther,47(6),869–85.
Ime, Y. (2019). Solution-focused brief therapy and spirituality. Spiritual Psychology and Counseling, 4(2), 143-161.
Jabouin-Monnay, F. (2016). incorporating solution-focused group therapy into a refugee resettlement agency: A participatory action research project with stakeholders [Applied Clinical Project]. Fort Lauderdale, FL: Nova Southeastern University.
Kim, J. S., & Franklin, C. (2015). Understanding emotional change in solution-focused brief therapy: Facilitating positive emotions. Best Pract Ment Health: An International Journal, 11(1), 25-41.
Koorankot, J., Rajan, S., & Ashraf, Z. (2019). Solution-focused versus problem-focused questions: effects on electrophysiological states and affective experiences. Journal of Systemic Therapies, 38(2), 64-78.
Kruse, C. S., Bolton, K., & Freriks, G. (2015). The effect of patient portals on quality outcomes and its implications to meaningful use: a systematic review. J Med Internet.Res, 17(2), e44. doi:v17i2e44 [pii];10.2196/jmir.3171 [doi]. Retrieved from PM:25669240
Lawrence , D., Johnson, S., Hafekost, J., de Haan, K. B., Sawyer, M., Ainley, J. et al. (2015). The mental health of children and adolescents: Report on the second Australian Child and Adolescent Survey of Mental Health and Wellbeing. Sydney, Australia: Commonwealth of Australia.
Lonn, E. M., Bosch, J., Lopez-Jaramillo, P., Zhu, J., Liu, L., Pais, P. et al. (2016). Blood-pressure lowering in intermediate-risk persons without cardiovascular disease. New England Journal of Medicine, 374(21), 2009-2020.
Maljanen, T., Knekt, P., Lindfors, O., Virtala, E., Tillman, P., & Harkanen, T. (2016). The cost-effectiveness of short-term and long-term psychotherapy in the treatment of depressive and anxiety disorders during a 5-year follow-up. J Affect.Disord., 190, 254-263. doi:S0165-0327(15)30247-0 [pii];10.1016/j.jad.2015.09.065 [doi]. Retrieved from PM:26540079
Matto, C., Corcoran, J., & Fassler, A. (2003). Integrating solution-focused and art therapies for substance abuse treatment: Guidelines for practice. Arts Psychother., 30(5), 265-272.
Melton, G. B., Petrila, J., Poythress, N. G., Slobogin, C., Otto, R. K., Mossman, D. et al. (2018). Psychological evaluations for the courts: A handbook for mental health professionals and lawyers (4th ed). New York, NY, US: Guilford Press.
Moss, P., Howlin, P., Savage, S., Bolton, P., & Rutter, M. (2015). Self and informant reports of mental health difficulties among adults with autism findings from a long-term follow-up study. Autism, 19(7), 832-841. doi:1362361315585916 [pii];10.1177/1362361315585916 [doi]. Retrieved from PM:26014841
Nichols, M., Townsend, N., Scarborough, P., & Rayner, M. (2014). Cardiovascular disease in Europe 2014: Epidemiological update. Eur Heart J, 35(42), 2950-2959. doi:ehu299 [pii];10.1093/eurheartj/ehu299 [doi]. Retrieved from PM:25139896
Olson, K. R., Durwood, L., DeMeules, M., & McLaughlin, K. A. (2016). Mental health of transgender children who are supported in their identities. Pediatrics., 137(3), e20153223. doi:peds.2015-3223 [pii];10.1542/peds.2015-3223 [doi]. Retrieved from PM:26921285
Perel, P., Avezum, A., Huffman, M., Pais, P., Rodgers, A., Vedanthan, R. et al. (2015). Reducing premature cardiovascular morbidity and mortality in people with atherosclerotic vascular disease: the world heart federation roadmap for secondary prevention of cardiovascular disease. Glob.Heart, 10(2), 99-110. doi:S2211-8160(15)00142-8 [pii];10.1016/j.gheart.2015.04.003 [doi]. Retrieved from PM:26213297
Plosker, R., & Chang, J. (2014). A Solution-Focused Therapy Group Designed for Caregivers of Stroke Survivors. Journal of Systemic Therapies, 33(2), 35-49.
Rabinovich, A. (2016). Neo-adjuvant chemotherapy for advanced stage endometrial carcinoma: a glimmer of hope in select patients. Arch.Gynecol.Obstet, 293(1), 47-53. doi:10.1007/s00404-015-3841-8 [doi];10.1007/s00404-015-3841-8 [pii]. Retrieved from PM:26288978
Rasquinha, D. M. (2013). Depression among institutionalized and non-institutionalized elderly widows and married women. Indian J Gerontology, 27(3), 468-475.
Reddy, P. D., Thirumoorthy, A., Vijayalakshmi, P., & Hamza, M. A. (2015). Effectiveness of solution-focused brief therapy for an adolescent girl with moderate depression. Indian J Psychol Med, 37(1), 87-89. doi:10.4103/0253-7176.150849 [doi];IJPsyM-37-87 [pii]. Retrieved from PM:25722519
Sabatine, M. S., Giugliano, R. P., Keech, A. C., Honarpour, N., Wiviott, S. D., Murphy, S. A. et al. (2017). Evolocumab and Clinical Outcomes in Patients with Cardiovascular Disease. New England Journal of Medicine, 376(18), 1713-1722. doi:10.1056/NEJMoa1615664 [doi]. Retrieved from PM:28304224
Salome, G. M., Almeida, S., Mendes, B., Carvalho, M., Bueno, J., Massahud, M. et al. (2017). Association of sociodemographic factors with spirituality and hope in patients with diabetic foot ulcers. Adv. Skin Wound Care, 30(1), 34-39.
Smout, M. (2012). Acceptance and commitment therapy: Pathways for general practitioners. Aust Fam Physician, 41(9), 672–6.
Stermensky, G., & Brown, K. S. (2014). The perfect marriage: Solution-focused therapy and motivational interviewing in medical family therapy. J Family Med Prim.Care, 3(4), 383-387. doi:10.4103/2249-4863.148117 [doi];JFMPC-3-383 [pii]. Retrieved from PM:25657948
Souri H, Hasanirad T (2011). Relationship between resilience, optimism and psychological well-being in students of medicine. Procedia-Social and Behavioral Sciences, 1(30), 1541-1544.
Steger MF, Frazier P, Oishi S, Kaler M (2006). The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 2006, 53(1), 80.
Switek, T. (2014). The situations focused model: A map of solution-focused brief therapy used as an open systems approach with clients and in human services. International Journal of Solution-Focused Practices, 2, 40-51.
Twohig, M.P., Crosby, J.M. (2010). Acceptance and Commitment Therapy as a Treatment for Problematic Internet Pornography Viewing. Behav Ther, 41(3), 285–295.
Wichowicz, H. M., Puchalska, L., Rybak-Korneluk, A. M., Gasecki, D., & Wisniewska, A. (2017). Application of Solution-Focused Brief Therapy (SFBT) in individuals after stroke. Brain Inj, 31(11), 1507-1512. doi:10.1080/02699052.2017.1341997 [doi]. Retrieved from PM:28696135
Zatloukal L, Zakovsky D, Bezdickova E. (2019). Utilizing Metaphors in Solution-Focused Therapy. Contemporary Family Therapy, 41(2), 24-36.
How to Cite
Copyright (c) 2020 Sayed Mostafa Abdollahi, Masoumeh Sadeghi, Mounes Tavakoli, Hakimeh Dadras, Parisa Kouchakzadeh
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.