The Effectiveness of Acceptance and Commitment Therapy on Quality of Life in a Patient with Myocardial Infarction: A Randomized Control Trial

  • leila Ahmadi Ghahnaviyeh ORCID Department of Health Education and Health Promotion, Isfahan University of Medical Sciences, Isfahan, Iran.
  • Reza Bagherian ORCID Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Behavioral Sciences Research Center, Isfahan, Iran.
  • Awat Feizi ORCID Department of Statistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
  • Atefe Afshari ORCID Department of Health Education and Health Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
  • Firoozeh Mostafavi Darani ORCID Mail Department of Health Education and Health Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
Keywords:
Acceptance and Commitment Therapy, Myocardial Infarction, Quality of Life, Randomized Control Trial

Abstract

Objective: Acceptance and commitment therapy (ACT) interventions increase psychological flexibility and improve mental health and quality of life in patients with myocardial infarction.
Study design: A controlled clinical trial study was conducted to evaluate the efficacy of an ACT intervention in improving the quality of life in patients with MI in Isfahan, Iran.
Method: The present controlled clinical trial with a pre and post-test design was conducted on a statistical population consisting of patients with MI admitted to hospitals in Isfahan (n = 60) who were selected through sequential sampling based on the study inclusion criteria and were randomly divided into an intervention and a control group (n1 = n2 = 30). The case group received 8 weekly 90-minute sessions of ACT and the control group received no interventions. The pretest-posttest design was administered in both groups using a demographic questionnaire and the Minnesota Living with Heart Failure Questionnaire (MLHFQ) designed to assess the health status of patients with heart failure in terms of quality of life. The data obtained were analyzed in SPSS-20 using descriptive statistics and the ANCOVA.
Results: In this study, 2 general areas of quality of life, including physical and mental health, were examined in the patients. There was a significant increase in the quality of life and subscales of mental and physical health in the experimental group (p < 0.001).
Conclusion: Considering the effectiveness of ACT in improving quality of life in these patients, this method of intervention can be used as a complementary therapy in health care centers to reduce the side-effects experienced by these patients.

References

References

Raygan F, Khorasanifar H, Momen Heravi M, Arj A, Akbari H. The association between acute myocardial infarction and anti helicobacter pylori antibody. Zahedan Journal of Research in Medical Sciences. 2009, 11(2): 6-22.

Kazemi T, Sharifzadeh G. Changs in risk factors, medical care and rate of acute myocardial infeactions in Birjand (1994-2003). ARYA Atheroscler.2006, 1, 271-274.

Kazemi T, Sharifzadeh GR., Zarban A, Fesharakinia A, Rezvani MR, Moezy SA. Risk factors for premature myocardial infarction: a matched case-control study. J Res Health Sci.2011, 11(2): 77-82.

Andreoli TE, Benjamin I, Griggs RC, Wing EJ, Fitz JG. Andreoli and Carpenter's Cecil essentials of medicine. USA: Elsevier Saunders.2010,153.

Jaarsma T, Halfens R, Abu-Saad HH, Dracup K, Gorgels T, Van Ree J, et al. Effects of education and support on self-care and resource utilization in patients with heart failure. Eur Heart J.1999, 20(9): 673-682.

Petrie KJ, Cameron LD, Ellis CJ, Buick D, John W. (2002). Changing illness percption after myocardial infarction: an early intervention randomized control trial. J Psychosomatic Med.2002, 64: 580-586.

Low-walkre MO. (2004). Relatonship between illness representation and self-efficacy. J Adv Nurs.2004, 48(3): 216-225.

Forman E, Herbert J. New directions in cognitive behavior therapy: Acceptance based therapies. In W. O’donohue, & J. E. Fisher (Eds.), Cognitive behavior therapy: Applying empirically supported treatments in your practice, Hoboken.3th ed. NJ: Wiley,2008.

Anvari MH. The effectiveness of group-based acceptance and commitment therapy on pain index,stress,anxiety,depression,catastrophixing and life satisfaction in patient with chronic pain. [PhD thesis]. University of Isfahan, Faculty of Educational Science and Psychology, Department of Psychology.2013.

Hayes SC, Pistorello J, Levin ME. (2012). Acceptance and commitment therapy as a unified model of behavior change. J Couns Psychol.2012, 40(7); 976-1002.

Thomas N, Shawyer F, Castle DJ, Copolov D, Hayes SC, Farhall J. A randomized controlled trial of acceptance and commitment therapy (ACT) for psychosis: Study protocol. BMC Psychiatry.2014, 14: 198.

Strik JJ, Honig A, Maes M. (2001). Depression and myocardial infarction: Relationship between heart and mind. Prog Neuropsychopharmacol Biol Psychiatry.2001, 25(4): 879-892.

Bazzazian S, Besharat MA. Attachment styles, illness perception and quality of life in patients with type I diabetes. J Contemp Psychol.2010, 5(1): 3-11.

Riegel B, Carlson B. Facilitators and barriers to heart failure self-care. Patient Educ Couns.2002, 46: 287-295.

Ni H, Nauman P, Burgess D, Wise K, Cris Pell K, Hershberger RE. Factors influencing knowledge of and adherence to self-care among patient with heart failure. JAMA Intern Med.1999, 159:1613-1619.

Artinian NT, Mgnan M, Sloan M, Lange P, Michigan D. Self-care behaviors among patient with heart failure. Heart and Lung: J Crit Care.2002, 31: 161-72.

Rector TS, Kubo SH, Cohn JN. Validity of the Minnesota living with heart failure questionnaire as a measure of therapeutic response to enalapril or placebo. Am J Cardiol.1993, 71(12): 1106-1107.

Rajati F, Mostafavi F, Sharifirad GHR, Feizi A, Sadeghi M, Raeesi M. Comparing the quality of life questionnaire for patients with heart failure in cardiac rehabilitation program. Health Sys Res.2014, 10(1), 85-97.

Twohig MP. Acceptance and commitment therapy as a treatment for obsessive-compolsive disorders. [PhD thesis]. University of Nevada, Reno.2013.

Twohig MP, Hayes SC, & Masuda A. A preliminary investigation of acceptance and commitment therapy for chronic skin picking. Behav Res Ther.2006, 44: 1513-1522.

Published
2020-02-10
How to Cite
1.
Ahmadi Ghahnaviyeh leila, Bagherian R, Feizi A, Afshari A, Mostafavi Darani F. The Effectiveness of Acceptance and Commitment Therapy on Quality of Life in a Patient with Myocardial Infarction: A Randomized Control Trial. Iran J Psychiatry. 15(1):1-9.
Section
Original Article(s)