محمد حاتمی

The purpose of the present research was to examine the effect of cognitive-behavioral stress management on health locus of control and resilience in patients with coronary artery disease. This research was quasi-experimental with pre-test, post-test and control group. The statistical population of this research consisted of all patients aged 40-65 years with coronary artery disease who were referred to Kasra Hospital in Tehran in 2019. The sample was 90 patients who were selected from the research population and assigned into the two experimental and control groups. Data were collected using the Multidimensional Health Locus of Control Scale and Resilience Scale. The research data were analyzed using Multivariate analysis of covariance (MANCOVA). The results showed that the cognitive-behavior stress management significantly increased internal health locus of control and resilience in the experimental group (P<0.01). Cognitive-behavioral stress management may lead to a change in one's self-awareness and abilities through cognitive challenge, cognitive error detection and thought replacement, which in turn can increases individual’s sense of containment and cognitive control.

Objective: The purpose of the present study was to examine the effect of lifestyle-based stress management program on emotional problems and life satisfaction in patients with myocardial infarction. Method: This research was quasi-experimental with pre-test, post-test and control group. The statistical population of this research consisted of all patients aged 40-65 years old with myocardial infarction who were under treatment at Kasra Hospital in Karaj in the first six months of 2019. The study sample consisted of 90 patients with heart attack who were identified among the patients and selected by targeted sampling method and randomly assigned to two experimental and control groups. Data were collected using the Depression, Anxiety and Stress Scale as well as the Satisfaction With Life Scale. The collected data were analyzed using the method of Multivariate analysis of covariance (MANCOVA). Results: Multivariate analysis of covariance showed that the lifestyle-based stress management program significantly reduced emotional problems and increased life satisfaction in the experimental group (p <0.01). Conclusions: The stress management program helped patients identify dysfunctional thoughts that trigger anxiety and depression and experience fewer emotional problems by feeling self-control, attention management, changing the assessment system and using cognitive strategies. Also, by identifying and correcting irrational attitudes and beliefs, the subjects were able to better cope with the physical effects of the disease or to deal with its negative psychological complications and have more life satisfaction. These findings have important implications for education and promoting mental health of patients with myocardial infarction.

Objective: Coronary Heart Disease (CHD) is a pathological process in the coronary arteries that deserves special attention. This cross-sectional descriptive study aimed to predict the emotion regulation strategies, i.e., cognitive reappraisal and expressive suppression, adopted by patients with Coronary Heart Disease (CHD) using reinforcement sensitivity components, namely Behavioral Approach System (BAS), Behavioral Inhibition System (BIS), fight, flight, and freeze. Methods: To this end, 322 patients with CHD were recruited from three medical centers in Tehran, Iran. Emotion Regulation Questionnaire and Jackson-5 scales of revised Reinforcement Sensitivity Theory were administered to the patients, and the data were analyzed by regression analysis. Results: The results revealed that BAS significantly predicted cognitive reappraisal strategy and also made the strongest contribution to the explanation of expressive suppression strategy; furthermore, flight and freeze were both equally the second most significant predictors of expressive suppression. Conclusion: Therefore, the interaction between emotion regulation and reinforcement sensitivity components should be considered in patients with CHD. Keywords: Coronary Heart Disease (CHD), emotion regulation, reinforcement sensitivity, patients, behavioral activation