Comparing the Effectiveness of Behavioral Therapy and Cognitive Behavioral Therapy on Anxiety Levels of Patients with Heart Attack

Effectiveness of BT and CBT on anxiety levels of patients with heart attack

Heart attack Anxiety Cognitive behavior therapy


  • Bekenova Nazym
    Institute of Natural Sciences and Geography, Abai Kazakh National Pedagogical University, Almaty, Kazakhstan, Kazakhstan
  • Saad Majeed Al-Tamimi Consultant Internist and Cardiologist, College of Medical Technology, Al-Farahidi University, Iraq, Iraq
  • Mukhaled L. Ali Department of Dentistry, Al-Mustaqbal University College, Babylon, Iraq, Iraq
  • Ahmed Muzahem Al-Ani Department of Medical Laboratories Technology, AL-Nisour University College, Baghdad, Iraq, Iraq
  • Ahmed Aziz Ahmed National University of Science and Technology, Dhi Qar, Iraq, Iraq
  • Bashar Shaker Mahmood Department of Anesthesia Techniques, Al Noor University College, Nineveh, Iraq, Iraq
March 12, 2023
March 19, 2023


Background: Anxiety is one of the causes and consequences of a heart attack, and its therapy is critical in lowering the risk of recurrence and improving patients' quality of life. The current study aims to examine the effectiveness of behavioral therapy (BT) and cognitive behavioral therapy (CBT) on the anxiety levels of patients with heart attack.

Methods: In the current experimental study, the statistical population included 387 patients with heart attack who visited Al Budoor Hospital in Baghdad, Iraq, in 2022. A random sample of 150 individuals was selected via simple random sampling. Using a multiple-group pre-test-post-test design, two intervention groups and one control group were examined by the Beck Anxiety Inventory (BAI) (50 people in each group). To analyze the data obtained from the pre-test and post-test for each group, the analysis of covariance (ANCOVA) was used to examine the significance of the results between groups. The SPSS software was used for analyses, and the statistical significance level of the results was deemed to be 0.05.

Results: The one-way analysis of variance (ANOVA) test showed a significant difference between at least two groups (F = 14.90, P < 0.001). Furthermore, Tukey's post hoc test findings revealed that the post-test anxiety scores of both intervention groups were significantly different from the control group (P < 0.001). Moreover, the cognitive behavioral intervention group had lower mean anxiety scores than the behavioral intervention group, but this difference was not significant (P > 0.05).

Conclusion: The findings indicated that BT and CBT methods significantly reduced anxiety in patients with heart attack, with cognitive-behavioral methods being more effective.

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