Effectiveness of a Bioenergy Economy-Based Psycho-education Package on Improvement of Vegetative Function, Forgiveness, and Quality of Life of Patients with Coronary Heart Disease: A Randomized Clinical Trial
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Background: Many treatments make the life of coronary heart patients longer, but they require more psychosocial and spiritual support for a meaningful life. The aim of the present study was to determine the effect of a bioenergy economy (BBE)-based psycho-education package on improvement of vegetative function, forgiveness, and quality of life (QOL) of patients with coronary heart disease (CHD).
Methods: In this clinical trial, using convenient sampling, 40 patients were selected from among patients referring to Bohlool Hospital in Gonabad, Iran, and were randomly assigned to the 2 case and control groups. First, the vegetative function checklist, Forgiveness Likelihood Scale, and World Health Organization Quality of Life (WHOQOL)-BREF questionnaire were completed for all the participants. Then, the case group received 8 sessions of group training for 180 minutes. After the training and the 1-month follow-up, both groups completed the questionnaires again. Finally, all data were analyzed using repeated measures analysis of variance (ANOVA) in SPSS software.
Results: The results showed a significant difference in heart rate, forgiveness, and QOL and its physical and psychological dimensions between the case group and control group after training (P < 0.05). The post hoc test showed that heart rate decreased significantly in the posttest compared to the pretest and forgiveness, and QOL and its physical and psychological dimensions increased significantly (P < 0.05). However, heart rate increased significantly in the follow-up compared to the posttest and forgiveness, and QOL and its physical and psychological dimensions decreased significantly (P < 0.05).
Conclusion: It can be concluded that group education based on BEE as a complementary care system was effective on heart rate, forgiveness, and QOL and its physical and psychological dimensions.
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Asgari, M., Alizadeh, H., & Kazemi, M. (2016). The effectiveness of training forgiveness therapy on controlling anger of students. Journal of Psychological Achievements, 22(1), 155-174.
Baxendale, L. M. (1992). Pathophysiology of coronary artery disease. Nurs Clin North Am, 27(1), 143-152. Retrieved from PM:1545986
Brosschot, J. F., Benschop, R. J., Godaert, G. L., Olff, M., De, Smet M., Heijnen, C. J. et al. (1994). Influence of life stress on immunological reactivity to mild psychological stress. Psychosom.Med, 56(3), 216-224. doi:10.1097/00006842-199405000-00007 [doi]. Retrieved from PM:8084967
Caldirola, D., Schruers, K. R., Nardi, A. E., De, Berardis D., Fornaro, M., & Perna, G. (2016). Is there cardiac risk in panic disorder? An updated systematic review. J Affect.Disord, 194, 38-49. doi:S0165-0327(15)31077-6 [pii];10.1016/j.jad.2016.01.003 [doi]. Retrieved from PM:26802506
Cepeda-Valery, B., Cheong, A. P., Lee, A., & Yan, B. P. (2011). Measuring health related quality of life in coronary heart disease: the importance of feeling well. Int J Cardiol., 149(1), 4-9. doi:S0167-5273(10)00763-1 [pii];10.1016/j.ijcard.2010.09.048 [doi]. Retrieved from PM:21035879
Cohen, B. E., Edmondson, D., & Kronish, I. M. (2015). State of the art review: Depression, stress, anxiety, and cardiovascular disease. Am J Hypertens., 28(11), 1295-1302. doi:hpv047 [pii];10.1093/ajh/hpv047 [doi]. Retrieved from PM:25911639
Derakhshan, A., Manshaei, G., Afshar, H., & Goli, F. (2016). Effect of a bioenergy economy program on pain control, depression, and anxiety in patients with migraine headache. Int J Body Mind Culture, 3(1), 30-45.
Dickens, C., Cherrington, A., Adeyemi, I., Roughley, K., Bower, P., Garrett, C. et al. (2013). Characteristics of psychological interventions that improve depression in people with coronary heart disease: a systematic review and meta-regression. Psychosom.Med, 75(2), 211-221. doi:PSY.0b013e31827ac009 [pii];10.1097/PSY.0b013e31827ac009 [doi]. Retrieved from PM:23324874
Dunderdale, K., Thompson, D. R., Miles, J. N., Beer, S. F., & Furze, G. (2005). Quality-of-life measurement in chronic heart failure: do we take account of the patient perspective? Eur. J Heart.Fail., 7 (4), 572-582. doi:S1388-9842(04)00215-6 [pii];10.1016/j.ejheart. 2004.06.006 [doi]. Retrieved from PM:15921797
Fallahi Khoshknab, & Mazaheri, M. (2008). Spirituality, spiritual care and spiritual therapy. Tehran, Iran: University of Social Welfare and Rehabilitation Sciences Publication.
Friedberg, J. P., Suchday, S., & Shelov, D. V. (2007). The impact of forgiveness on cardiovascular reactivity and recovery. Int J Psychophysiol., 65(2), 87-94. doi:S0167-8760(07)00052-9 [pii];10.1016/j.ijpsycho.2007.03.006 [doi]. Retrieved from PM:17466400
Fritzsche, K., Monsalve, S. D., Zanjani, H. A., Goli, F., Chen, F. K.-Y., & Dobos, C. M. (2020). Psycho-cardiology. In K. Fritzsche, S. H. McDaniel, & M. Wirsching (Eds.), Psychosomatic Medicine: An International Guide for the Primary Care Setting (pp. 191-202). Cham: Springer International Publishing.
Ghamari Givi, H., Mohebbi, Z., & Sadeghi, M. (2014). Efficacy of forgiveness therapy in reducing aggression and promoting forgiveness in male juvenile in Tehran correctional and rehabilitation centre. J Mazand Univ Med Sci, 24(114), 163-168.
Goli, F. (2016a). Medical Practice in/with the Semiosphere. In F. Goli (Ed.), Biosemiotic medicine: Healing in the world of meaning (pp. 217-239). Cham: Springer International Publishing.
Goli, F. (2016b). Bioenergy economy: A biosemiotic model of care. Int J Body, Mind Culture, 3(1), 1-7.
Goli, F., Rafieian, S., & Atarodi, S. (2016). an introduction to the semiotic approach to the placebo responses. In F. Goli (Ed.), Biosemiotic medicine: Healing in the world of meaning (pp. 1-21). Cham: Springer International Publishing.
Havik, O. E., Sivertsen, B., Relbo, A., Hellesvik, M., Grov, I., Geiran, O. et al. (2007). Depressive symptoms and all-cause mortality after heart transplantation. Transplantation., 84(1), 97-103. doi:10.1097/01.tp.0000268816.90672.a0 [doi];00007890-200707150-00018 [pii]. Retrieved from PM:17627244
Johansson, P., Brostrom, A., Dahlstrom, U., & Alehagen, U. (2008). Global perceived health and ten-year cardiovascular mortality in elderly primary care patients with possible heart failure. Eur.J Heart.Fail., 10(10), 1040-1047. doi:S1388-9842(08)00304-8 [pii];10.1016/j.ejheart.2008.07.003 [doi]. Retrieved from PM:18693135
Keyvanipour, M., Goli, F., Bigdeli, A., Boroumand, A., Rafienia, P., & Sabahi, P. (2019). The effects of a bioenergy economy based program on attention bias modification in people with high anxiety sensitivity. International Clinical Neuroscience Journal, 6(4), 133-139.
Malekzadeh, A., Ezazi Bojnourdi, E., Shahandeh, A., Vatankhah, H., & Bahadori Jahromi, S. (2017). The effectiveness of forgiveness skill training on marital conflict and aggression in parents of deaf children. Journal of Exceptional Children Empowerment, 8(22), 61-69.
May, R. W., Sanchez-Gonzalez, M. A., Hawkins, K. A., Batchelor, W. B., & Fincham, F. D. (2014). Effect of anger and trait forgiveness on cardiovascular risk in young adult females. Am J Cardiol., 114(1), 47-52. doi:S0002-9149(14)00961-8 [pii];10.1016/j.amjcard. 2014.04.007 [doi]. Retrieved from PM:24819901
Mooney, B., & Timmins, F. (2007). Spirituality as a universal concept: student experience of learning about spirituality through the medium of art. Nurse.Educ.Pract, 7(5), 275-284. doi:S1471-5953(06)00098-9 [pii];10.1016/j.nepr.2006.09.001 [doi]. Retrieved from PM:17689454
Puggina, A. (2016). Spirituality of relatives of patients with disorders of consciousness. Annals of Nursing and Practice, 3(3), 1052.
Rahnavard, Z., Zolfaghari, M., Kazemnejad, A., & Hatamipour, K. (2006). An investigation of quality of life and factors affecting it in the patients with congestive heart failure. tums-hayat, 12(1), 77-86.
Ren, Y., Yang, H., Browning, C., Thomas, S., & Liu, M. (2015). Performance of screening tools in detecting major depressive disorder among patients with coronary heart disease: a systematic review. Med Sci Monit, 21, 646-653. doi:892537 [pii];10.12659/MSM.892537 [doi]. Retrieved from PM:25725615
Russ, T. C., Stamatakis, E., Hamer, M., Starr, J. M., Kivimaki, M., & Batty, G. D. (2012). Association between psychological distress and mortality: individual participant pooled analysis of 10 prospective cohort studies. BMJ., 345, e4933. doi:10.1136/bmj.e4933 [doi]. Retrieved from PM:22849956
Rye, M. S., Loiacono, D. M., Folck, C. D., Olszewski, B. T., Heim, T. A., & Madia, B. P. (2001). Evaluation of the psychometric properties of two forgiveness scales. Current Psychologys, 20(3), 260-277.
Seligman, F., & Nemeroff, C. B. (2015). The interface of depression and cardiovascular disease: therapeutic implications. Ann.N Y.Acad.Sci, 1345, 25-35. doi:10.1111/nyas.12738 [doi]. Retrieved from PM:25809518
Shirinkar, Z., Namdari, K., Jamilian, H. R., & Abedi, A. (2016). Effect of Forgiveness Group Therapy on the Symptoms of Depression and Rumination of Dysthymic Women. Clinical Psychology Studies, 6(22), 1-20.
Shiyasi, L. , & Khayatan, F. (2015). The effect of forgiveness-based group counseling on adjustment and quality of life in women referring to counseling centers in Najafabad Town. Knowledge & Research in Applied Psychology, 16(2), 34-42.
Shore, A. G. (2004). Long-term effects of energetic healing on symptoms of psychological depression and self-perceived stress. Altern.Ther Health Med, 10(3), 42-48. Retrieved from PM:15154152
Soltani Shal, R., & Aghamohammadian Sharbaf, H. (2013). survey the prevalence of psychopathology in coronary heart disease patients: A casual model based on analysis of the role of psychological factors. Jundishapur Journal of Chronic Disease Care, 2(4), 56-71.
Stewart, M., Davidson, K., Meade, D., Hirth, A., & Makrides, L. (2000). Myocardial infarction: survivors' and spouses' stress, coping, and support. J Adv.Nurs, 31(6), 1351-1360. doi:jan1454 [pii];10.1046/j.1365-2648.2000.01454.x [doi]. Retrieved from PM:10849146
Tavakolizadeh, J., Pahlavan, M., Basirimoghadam, M., & Kianmehr, M. (2018). Effects of guided imagery on anxiety and physiological indicators in in-patients with acute coronary syndrome. J. Pharm. Res. Int, 23(5), 1-8.
Toussaint, L. L., Owen, A. D., & Cheadle, A. (2012). Forgive to live: Forgiveness, health, and longevity. J Behav Med, 35 (4), 375-386. doi:10.1007/s10865-011-9362-4 [doi]. Retrieved from PM:21706213
Unruh, A., & Hutchinson, S. (2011). Embedded spirituality: Gardening in daily life and stressful life experiences. Scand.J Caring.Sci, 25(3), 567-574. doi:10.1111/j.1471-6712.2010.00865.x [doi]. Retrieved from PM:21261671
Valente, V. E., Quitério, R. J., Vanderlei, L. C. (2014). Spirituality/religiosity and cardiovascular system. OA Alternative Medicine, 18(2), 2-5.
Van, Biljon L., Nel, P., & Roos, V. (2015). A partial validation of the WHOQOL-OLD in a sample of older people in South Africa. Glob.Health Action., 8, 28209. doi:28209 [pii];10.3402/gha.v8.28209 [doi]. Retrieved from PM:26446286
Williams, M. S. (2012). Platelets and depression in cardiovascular disease: A brief review of the current literature. World J Psychiatry, 2(6), 114-123. doi:10.5498/wjp.v2.i6.114 [doi]. Retrieved from PM:24175177
Zandipur, T., & Yadgari, H. (2008). The relationship between forgiveness and life satisfaction among married non-native female students of Tehran Universities. Womens Studies, 5(3), 109-122.
Zuccarini, D., Johnson, S. M., Dalgleish, T. L., & Makinen, J. A. (2013). Forgiveness and reconciliation in emotionally focused therapy for couples: The client change process and therapist interventions. J. Marital Fam. Ther., 39(2), 148-162.
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