Effectiveness of Emotionally Focused Therapy on Anxiety in Patients with Coronary Artery Disease
Background: Anxiety provides the grounds for coronary heart disease (CHD) or aggravates the symptoms of the disease. The present study was conducted to investigate the effectiveness of emotionally focused therapy (EFT) on anxiety in individuals with CHD.
Methods: The research method was semi-experimental with a pretest-posttest design, control group, and follow-up stages. The statistical population of the study consisted of all heart patients in Tehran, Iran, from among whom 30 participants were selected through convenience sampling method. The study sample was randomly divided into experimental and control groups (15 individuals in each group). The experimental group received EFT training in nine 60-minute sessions, and the control group remained on the waiting list. The Beck Anxiety Inventory (BAI), developed by Beck, Epstein, Brown, and Steer (1988), was utilized to collect data in the pretest and posttest stages. Data analysis was conducted via descriptive and inferential statistics in SPSS software.
Results: According to the obtained results, heart patients in the experimental group showed lower anxiety levels after receiving EFT (P < 0.05).
Conclusion: Based on the results of this research, EFT can be an effective intervention in reducing anxiety in patients with coronary artery disease (CAD).
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: APA.
Angus, L. E., & Greenberg, L. S. (2011). Working with narrative in emotion-focused therapy: Changing stories, healing lives. Washington, DC: American Psychological Association.
Aromaa, A., Raitasalo, R., Reunanen, A., Impivaara, O., Heliovaara, M., Knekt, P. et al. (1994). Depression and cardiovascular diseases. Acta Psychiatr.Scand., 89(s377), 77-82.
Basharpoor, S., Anbari, F., & Mohajeri Aval, N.. (2020). Social Anxiety and Emotion Control Strategies: Can eating disorder symptoms be predicted? Iranian Journal of Health Psychology, 2(2), 71-80.
Behzad, C., Zakeri, S., & Vafaey, H. R. (2019). An evaluation of the risk factors of coronary artery disease in patients undergoing coronary artery bypass graft surgery in Babol. J Babol Univ Med Sci, 21(1), 6-10.
Bos, M. M., de Vries, L., Rensen, P. C., Willems van Djik, K., Blauw, G. J., van Heemst, D. et al. (2021). Apolipoprotein E genotype, lifestyle and coronary artery disease: Gene-environment interaction analyses in the UK Biobank population. Atherosclerosis., 328, 33-37. doi:S0021-9150(21)00250-1 [pii];10.1016/j.atherosclerosis.2021.05.014 [doi]. Retrieved from PM:34082327
Carney, R. M., Freedland, K. E., Rubin, E. H., Rich, M. W., Steinmeyer, B. C., & Harris, W. S. (2019). A Randomized Placebo-Controlled Trial of Omega-3 and Sertraline in Depressed Patients With or at Risk for Coronary Heart Disease. J Clin.Psychiatry, 80(4). doi:10.4088/JCP.19m12742 [doi]. Retrieved from PM:31163106
Chang, Z., Guo, A. Q., Zhou, A. X., Sun, T. W., Ma, L. L., Gardiner, F. W. et al. (2020). Nurse-led psychological intervention reduces anxiety symptoms and improves quality of life following percutaneous coronary intervention for stable coronary artery disease. Aust J Rural.Health, 28(2), 124-131. doi:10.1111/ajr.12587 [doi]. Retrieved from PM:31960537
Christle, J. W., Knapp, S., Geisberger, M., Cervenka, M., Moneghetti, K., Myers, J. et al. (2020). Interval endurance and resistance training as part of a community-based secondary prevention program for patients with diabetes mellitus and coronary artery disease. J Cardiopulm.Rehabil.Prev, 40(1), 17-23. doi:10.1097/HCR.0000000000000426 [doi];01273116-202001000-00004 [pii]. Retrieved from PM:31192806
Ghaznavi Khazarabadi, F., & Niknam, M. (2019). The Effectiveness of emotionally-focused couple therapy on the style of attachment and sexual satisfaction of couples. J Birjand Univ Med Sci, 26(3), 213-225.
Hosseinpour MR, Samiei L, & Nematolahei M. (2016). The relationship between sense of coherence and anxiety in coronary artery disease in Tabriz. Nursing Development in Health, 7(2), 59-67.
Jazayeri, R., Khanehi, D., Bahrami, F., Montazeri, N., & Etemadi, O. (2020). Comparison of the effect of acceptance and commitment therapy (ACT) and emotionally focused therapy (EFT) on marital conflict in cardiac patients with a history of coronary artery bypass. Family Research, 15(60), 519-540.
Johnson, S. M. (2018). Attachment theory in practice: emotionally focused therapy (EFT) with individuals, couples, and families. New York, NY: Guilford Publications.
Karami, J., Bagian, M. J., Momeni, K., & Elahi, A. (2018). Measurement of mental pain: Psychometric properties and confirmatory factor analysis of multidimensional mental pain questionnaire. Health Psychology, 7(25), 146-172.
Nekonam, A., Etemadi, S., & Pornaghash Tehrani, S. (2018). The effectiveness of excited family therapy approach on improving Sexual Satisfaction and Marital stress in patients with Coronary artery bypass graft. Psychological Science, 17(65), 61-77.
Sarmad, Z., Bazargan, A., & Hejazi, E. (2019). Research Methods in Behavioral Sciences. Tehran, Iran: Agah Publications.
Zou, H., Chair, S., & Cao, X. (2020). P191 The effectiveness of mindfulness-based interventions on perceived stress, depression and anxiety in patients with coronary heart disease: A systematic review and meta-analysis. Eur Heart J, 41(Suupl 1), ehz872.066.
How to Cite
Copyright (c) 2021 International Journal of Body, Mind and Culture
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.