Medical Journal of Mashhad university of Medical Sciences

Medical Journal of Mashhad university of Medical Sciences

Comparison of the effectiveness of cognitive-behavioral therapy and motivational interviews on social psychological adjustment, cortisol hormone and cognitive emotion regulation in coronary heart disease patients

Document Type : Research Paper

Authors
Golnaz Seifollahzadeh 1
Mohammad Hatami 2
Hasan Ahadi 3
Mohammad Ghaffarinejad 4
1 PhD student in Health Psychology, Islamic Azad University (United Arab Emirates) (Author)
2 Department of Clinical Psychology, Kharazmi University
3 professor, Department of Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran
4 , Cardiovascular Surgeon, Shahid Rajaei Cardiovascular Center.
10.22038/mjms.2021.18846
Abstract
Introduction: Cardiovascular disease is a serious, chronic and life-threatening disease in the world. Therefore, this study is designed to evaluate the effectiveness of cognitive-behavioral therapy and motivational interviews on social psychological adjustment, cortisol levels and cognitive emotion regulation in coronary heart disease patients.
Methods: For this purpose, a community of women aged 30 to 50 with cardiovascular disease referred to Shahid Rajaei Medical Center in Tehran, 45 people were selected in an accessible way and randomly in experimental and control groups (each group 15 People) were placed. The dependent variables were measured twice before and after the test using the Social Psychological Adjustment Scale, the IBL salivary cortisol kit, and the Cognitive Emotion Regulation Questionnaire.
Results: Frequent measurement analysis of variance showed that both cognitive-behavioral intervention and motivational interview groups improved psychosocial adjustment, decreased cortisol in patients with coronary heart disease, and improved cognitive emotion regulation compared to the control group in both postoperative stages. Examination and follow-up have been significant.
Conclusion: Both treatments were equally effective in improving patients' psychosocial adjustment, but motivational interviews were more effective in reducing cortisol than cognitive-behavioral therapy, and cognitive-behavioral therapy was more effective than motivational interviews in improving cognitive emotion regulation.
Keywords
Cortisol
cognitive emotion regulation
cognitive-behavioral therapy
coronary heart disease
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Medical Journal of Mashhad university of Medical Sciences
Volume 64, Issue 2
July and August 2021
Pages 3014-3033