对心血管疾病患者的痛苦,情绪调节和自我同情的接受和承诺疗法的有效性:随机临床试验
Arash Fattahi1, Fatemeh Mazini2, Nasrin Jaberghaderi3
1Department of Psychology, Kermanshah Branch, Islamic Azad University, Kermanshah, Iran.
Trends in psychiatry and psychotherapy
|September 17, 2023
概括
接受和承诺疗法 (ACT) 有效地减少了心血管患者的心理痛苦,并改善了情绪调节和自我同情. 这些积极效应在后续评估中持续存在,这表明ACT是有效的.
科学领域:
- 临床心理学 临床心理学
- 心脏病学 心脏病学
- 行为医学是一种行为医学.
背景情况:
- 心血管疾病 (CVD) 患者经常经历心理困扰,包括抑郁,焦虑和压力.
- 未经治疗的心理问题可能会加剧心血管疾病的进展,并对患者的治疗结果产生负面影响.
- 有效的心理干预对于管理心血管疾病患者的整体健康至关重要.
研究的目的:
- 调查接受和承诺疗法 (ACT) 在缓解心血管疾病患者心理痛苦方面的有效性.
- 评估ACT对这种患者群体情绪调节能力和自我同情水平的影响.
- 评估ACT对心血管疾病患者心理健康的长期影响.
主要方法:
- 采用了随机临床试验设计,包括测试前,测试后和2个月和4个月后的后续评估.
- 参与者填写了经过验证的问卷:抑郁,焦虑和压力量表 (DASS-21),情绪调节问卷 (ERQ) 和自我同情量表 (SCS).
- 实验组接受了ACT干预,而对照组没有;数据使用重复测量ANOVA进行分析.
主要成果:
- 在心血管病患者中,ACT显著降低了抑郁,焦虑和压力水平.
- 这项干预导致自我同情心的显著改善,并增强了情绪调节技能.
- 这些有益效应在2个月和6个月的随访时间持续存在,证明了治疗的持久有效性.
结论:
- 接受和承诺疗法 (ACT) 是一种可行且有效的方法,用于治疗心血管患者的心理并发症.
- 基于ACT的干预措施可以改善管理心血管疾病的个体的心理性和治疗坚持.
- 将ACT整合到心脏护理途径中可以显著提高患者的康复和整体生活质量.
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