The effectiveness of mindfulness-based stress reduction on quality of life and anxiety tolerance of heart patients

Document Type : Research Paper

Authors

1 Department of Clinical Psychology, Islamic Azad University, Khomeini Shahr Branch, Isfahan, Iran

2 Assistant Professor Gonbad Kavous University, Faculty of Humanities, Department of Psychology, Gonbad Kavous.

3 Department of Health Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran.

4 Department of Psychology, Science and Research Branch, Islamic Azad University, Tehran, Iran. (corresponding Athor)

Abstract

Introduction: Cardiovascular diseases are among the chronic diseases. Due to their nature, these types of diseases cause quality of life problems and anxiety in patients. The aim of this study was to determine the effectiveness of mindfulness-based stress reduction on quality of life and anxiety in heart patients.
Method: The research method was quasi-experimental with a pretest-posttest design with a control group. From the statistical population of cardiac patients referred to Tehran Heart Hospital, 32 people were randomly selected and randomly assigned to experimental and control groups. The research questionnaires included the quality of life of the World Health Organization (1996) and Simmons and Gahr (2005). Mindfulness-based stress reduction was applied to the experimental group for ten sessions.
Results: The results of analysis of covariance showed that the post-test scores of quality of life and distress tolerance of heart patients in the experimental group were significantly higher than the control group (P≤0.005).
Conclusion: Based on the results, mindfulness-based stress reduction was effective in improving the quality of life and tolerance of heart patients, so it can be used as a complementary therapy along with medical methods to improve psychological status (increase quality of life and tolerance). Distress) patients used cardiovascular.

Keywords

References

  1. Wang Y, Fu C, Liu Y, Li D, Wang C, Sun R, Song Y. A study on the effects of mindfulness-based cognitive
    therapy and loving-kindness mediation on depression, rumination, mindfulness level and quality of life in
    depressed patients. American journal of translational research. 2021;13(5):4666.
    2. Legler S, Celano CM, Beale EE, Hoeppner BB, Huffman JC. Use of text messages to increase positive affect
    and promote physical activity in patients with heart disease. Current Psychology. 2020 Apr;39(2):648-55.
    3. Freedland KE, Rich MW, Carney RM. Improving quality of life in heart failure. Current cardiology reports.
    2021 Nov;23(11):1-7.
    4. Khodadad Hatkeh Poshti Z, Hassanzadeh R, Emadian S. The Effectiveness of Emotional Schema Therapy on
    Neuroticism and the Life Style of Cardiovascular Patients. JBUMS. 2021; 23 (1) :46-52
    5. Karavidas A, Troganis E, Lazaros G, Balta D, Karavidas IN, Polyzogopoulou E, Parissis J, Farmakis D. Oral
    sucrosomial iron improves exercise capacity and quality of life in heart failure with reduced ejection fraction
    and iron deficiency: a non‐ randomized, open‐ label, proof‐ of‐ concept study. European Journal of Heart
    Failure. 2021 Apr;23(4):593-7.
    6. Dupuis J, Langenberg C, Prokopenko I, Saxena R, Soranzo N, Jackson AU, Wheeler E, Glazer NL, BouatiaNaji N, Gloyn AL, Lindgren CM. New genetic loci implicated in fasting glucose homeostasis and their impact
    on type 2 diabetes risk. Nature genetics. 2010 Feb;42(2):105-16.
    7. Morris AP, Voight BF, Teslovich TM, Ferreira T, Segre AV, Steinthorsdottir V, Strawbridge RJ, Khan H,
    Grallert H, Mahajan A, Prokopenko I. Large-scale association analysis provides insights into the genetic
    architecture and pathophysiology of type 2 diabetes. Nature genetics. 2012 Sep;44(9):981.
    8. Bishop M, Stenhoff DM, Shepard L. Psychosocial Adaptation and Quality of Life in Multiple Sclerosis:
    Assessment of the Disability Centrality Model. Journal of rehabilitation. 2007 Jan 1;73(1).
    9. Borji M, Otaghi M, Kazembeigi S. The impact of Orem’s self-care model on the quality of life in patients with
    type II diabetes. Biomedical and Pharmacology Journal. 2017 Mar 25;10(1):213-20.
    10. Luberto CM, Crute S, Wang A, Yeh GY, Celano CM, Huffman JC, Park ER. Lower distress tolerance is
    associated with greater anxiety and depression symptoms among patients after acute coronary syndrome.
    General hospital psychiatry. 2021 May;70:143.
    11. Leyro TM, Zvolensky MJ, Bernstein A. Distress tolerance and psychopathological symptoms and disorders: a
    review of the empirical literature among adults. Psychological bulletin. 2010 Jul;136(4):576.
    12. Banducci AN, Bujarski SJ, Bonn-Miller MO, Patel A, Connolly KM. The impact of intolerance of emotional
    distress and uncertainty on veterans with co-occurring PTSD and substance use disorders. Journal of anxiety
    disorders. 2016 Jun 1;41:73-81.
    13. Zvolensky MJ, Vujanovic AA, Bernstein A, Leyro T. Distress tolerance: Theory, measurement, and relations
    to psychopathology. Current directions in psychological science. 2010 Dec;19(6):406-10.
    14. Carpenter JK, Sanford J, Hofmann SG. The effect of a brief mindfulness training on distress tolerance and
    stress reactivity. Behavior therapy. 2019 May 1;50(3):630-45.
    15. Anestis MD, Pennings SM, Lavender JM, Tull MT, Gratz KL. Low distress tolerance as an indirect risk factor
    for suicidal behavior: Considering the explanatory role of non-suicidal self-injury. Comprehensive psychiatry.
    2013 Oct 1;54(7):996-1002.
    16. Ellis AJ, Vanderlind WM, Beevers CG. Enhanced anger reactivity and reduced distress tolerance in major
    depressive disorder. Cognitive Therapy and Research. 2013 Jun;37(3):498-509.
    17. Slavich GM, Taylor S, Picard RW. Stress measurement using speech: Recent advancements, validation issues,
    and ethical and privacy considerations. Stress. 2019 Jul 4;22(4):408-13.
    18. Roemer L, Williston SK, Rollins LG. Mindfulness and emotion regulation. Current Opinion in Psychology.
    2015 Jun 1;3:52-7.
    19. Abbott RA, Whear R, Rodgers LR, Bethel A, Coon JT, Kuyken W, Stein K, Dickens C. Effectiveness of
    mindfulness-based stress reduction and mindfulness based cognitive therapy in vascular disease: A systematic
    review and meta-analysis of randomised controlled trials. Journal of psychosomatic research. 2014 May
    1;76(5):341-51.
    20. Kabat-Zinn J. Mindfulness. Mindfulness. 2015 Dec;6(6):1481-3.
    21. Schroevers MJ, Tovote KA, Keers JC, Links TP, Sanderman R, Fleer J. Individual mindfulness-based
    cognitive therapy for people with diabetes: A pilot randomized controlled trial. Mindfulness. 2015
    Feb;6(1):99-110
  2. 22. Oraki M, sami P. The Effect of Mindfulness Integrated BehaviorCognitive Therapy on psychological wellbeing and quality of life among multiple sclerosis patients. Health Psychology. 2017; 3 (5): 34-47.
    23. van Son J, Nyklíček I, Pop VJ, Blonk MC, Erdtsieck RJ, Pouwer F. Mindfulness-based cognitive therapy for
    people with diabetes and emotional problems: long-term follow-up findings from the DiaMind randomized
    controlled trial. Journal of psychosomatic research. 2014 Jul 1;77(1):81-4.
    24. Mahjoubi B, Mirzaei R, Azizi R, Jafarinia M, Zahedi-Shoolami L. A cross-sectional survey of quality of life in
    colostomates: a report from Iran. Health and Quality of Life Outcomes. 2012 Dec;10(1):1-6.
    25. Simons JS, Gaher RM. The Distress Tolerance Scale: Development and validation of a self-report measure.
    Motivation and emotion. 2005 Jun;29(2):83-102.
    26. Alavi Kh, Modares ghoravi M, AminYazdi A, Salehi J. The effectiveness of dialectical behavioral therapy in a
    group manner (based on the components of basic universal consciousness, anxiety tolerance and emotional
    regulation) on the symptoms of depression in students. Principles of Mental Health. 2012; 13 (50): 35-124.
    27. Ghadampour E, Moradizadeh S, Shahkarami M. The Effectiveness of Mindfulness Training on Increasing
    Happiness and Improving Quality of Life in Elderly. Aging Psychology. 2018 May 22;4(1):27-38.
    28. Mallya S, Fiocco AJ. Effects of mindfulness training on cognition and well-being in healthy older adults.
    Mindfulness. 2016 Apr;7(2):453-65.
    29. Moss AS, Reibel DK, Greeson JM, Thapar A, Bubb R, Salmon J, Newberg AB. An adapted mindfulnessbased stress reduction program for elders in a continuing care retirement community: Quantitative and
    qualitative results from a pilot randomized controlled trial. Journal of Applied Gerontology. 2015
    Jun;34(4):518-38.
    30. Greeson JM. Mindfulness research update: 2008. Complementary health practice review. 2009 Jan;14(1):10-8.
    31. Howell, A.N., Leyro, T.M., Hogan, J., Buckner, J.D., & Zvolensky, M.J. Anxiety sensitivity, distress
    tolerance, and discomfort intolerance in relation to coping and confot tit.ty motives for alcohol use and alcohol
    use problems among young adult drinkers. Addictive Behaviors. 2010; 35(12), 1144-1147.
    32. Christina M. Luberto, MA, Alison C. McLeish, PhD, Stephanie A. Robertson, BA, Kimberly M. Avallone,
    MA, Kristen M. Kraemer, BS, Emily R. Jeffries, BA. The Role of Mindfulness Skills in Terms of Distress
    Tolerance: A Pilot Test among Adult Daily Smokers. The American Journal on Addictions.2014; 23: 184–188
    33. Feldman G, Dunn E, Stemke C, Bell K, Greeson J. Mindfulness and rumination as predictors of persistence
    with a distress tolerance task. Personality and individual differences. 2014 Jan 1;56:154-8.
    34. Khajehzadeh P, Sabahi P. The effectiveness of mindfulness training on emotion regulation and distress
    tolerance in non-clinical examples of obsessive-compulsive disorder. Clinical Psychology. 2022; 20: 13 (4).
medical journal of mashhad university of medical sciences
Volume 64, Issue 4
November and December 2021
Pages 3661-3672

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