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The effectiveness of dialectical behavior therapy on adherence to treatment and self-caring behavior in patients with

Fatemeh Tavakoli1, Hamid Kazemi-Zahrani2, Masoumeh Sadeghi3

  • 1Department of Clinical Psychology, Khomeinishahr Branch, Islamic Azad University, Khomeinishahr, Isfahan, Iran.

ARYA Atherosclerosis
|March 25, 2020
PubMed

Insights

Dialectical behavior therapy (DBT) significantly improved treatment adherence and self-care behaviors in coronary heart disease (CHD) patients. This intervention offers a promising approach for enhancing patient management and outcomes in CHD care.

Area of Science:

  • Cardiology
  • Psychology
  • Behavioral Science

Background:

  • Coronary heart disease (CHD) poses significant challenges to patient well-being and treatment management.
  • Adherence to treatment and self-care behaviors are critical for managing CHD effectively.
  • Investigating novel therapeutic interventions is essential for improving patient outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of dialectical behavior therapy (DBT) in enhancing treatment adherence.
  • To assess the impact of DBT on self-caring behaviors among patients with coronary heart disease (CHD).

Main Methods:

  • An experimental study design with pre-test and post-test assessments was employed.
  • 32 CHD patients were randomly assigned to either a control or an experimental group.
  • The experimental group received 8 weekly sessions of DBT, while adherence and self-care were measured using standardized scales.

Main Results:

  • The DBT group demonstrated statistically significant improvements in both treatment adherence and self-care behaviors compared to the control group.
  • Post-intervention analysis, adjusted for baseline measurements, confirmed the significant positive effects of DBT.
  • Statistical analysis (t-test) indicated a highly significant increase in adherence and self-care post-DBT intervention (P < 0.001).

Conclusions:

  • Dialectical behavior therapy (DBT) is an effective intervention for improving treatment adherence in patients with coronary heart disease (CHD).
  • DBT positively impacts self-caring behaviors, suggesting its utility in comprehensive CHD management.
  • The findings support the integration of DBT into clinical practice for patients with CHD to enhance self-management and treatment compliance.
Abstract

Keywords:
Coronary DiseaseDialectical Behavior TherapySelf-CareTreatment Adherence

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