Document Type : Original Article

Authors

1 Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan

2 Isfahan Branch of Sciences and Research, Islamic Azad University, Isfahan, Iran

Abstract

Background: Considering the significance of quality of life in chronic diseases and the role of
education in its improvement, this study was performed to investigate the effect of cognitivebehavioral therapy on improving the quality of life of cardiovascular patients in Isfahan city.
Materials and Methods: In this experimental study, 56 patients, who referred to Chamran
Hospital and Isfahan Cardiovascular Research Center, were randomly selected and assigned
to two groups, i.e. experiment and control. The experiment group was trained in eight sessions, each session taking 2 hours. Both groups received MacNew quality of life questionnaire
before and 2 weeks after treatment. Some demographic data were also gathered along with
the questionnaire. Data were analyzed by SPSS software using statistical tests such as independent t-test, Chi-square, and analysis of covariance. Results: Observing the possible effect
of pre-test, cognitive-behavioral therapy had a significant effect on the total score of quality
of life and its three subscales. Conclusion: It seems that along with other medical therapies,
making use of cognitive-behavioral intervention is an appropriate method for improving the
quality of life of cardiovascular patients.

Keywords

1. López-Jaramillo P, Casas JP, Bautista L, Serrano NC, Morillo CA.
An integrated proposal to explain the epidemic of cardiovascular
disease in a developing country. From socioeconomic factors to
free radicals. Cardiology 2001;96:1-6.
2. Lukkarinen H. Quality of life in coronary artery disease. Nurs Res
1998;47:337-43.
3. Higginson IJ, Carr AJ. Measuring quality of life: Using quality of life
measures in the clinical setting. BMJ 2001;322:1297-300.
4. Safizadeh H, Garousi B, Afsharpour S. Quality of life of hemodialysis
patients. Payesh Q J 2005;5:29-35.
5. Katsching H. How useful is the concept of quality of life in
Psychiatry? Curr Opin Psychiatry 1997;10:337-45.
6. Ferrans CE, Powers MJ. Quality of life index: Development and
psychometric properties. Rech Soins Infirm 2007;88:32-7.
7. Carr AJ, Higginson IJ. Are quality of life measures patient centred?
BMJ 2001;322:1357-60.
8. The World Health Organization Quality of Life assessment
(WHOQOL): Position paper from the World Health Organization.
Soc Sci Med 1995;41:1403-9.
9. Gay S. Meeting cardiac patients expectation of caring. Dimens Crit
Care Nurs 1999;18:46-50.
10. Addington-Hall J, Kalra I. Who should measure quality of life? BMJ
2001;322:1417-20.
11. Coelho R, Romas S, Prata J, Bettencourt P. Heart failure and health
related quality of life. Clin Pract Epidemiol Ment Health 2005;1:19.
12. Roy-Byrne PP, Craske MG, Stein MB, Sullivan G, Bystritsky A, Katon
W, et al. A randomized effectiveness trial of cognitive-behavioral
therapy and medication for primary care panic disorder. Arch Gen
Psychiatry 2005;62:290-8.
13. Jafari M. Validation of the quality of life MacNew questionnaire for
cardiac patients. [dessetation]. Isfahan: Khorasgan University; 2004.
14. Free ML. Cognitive therapy in groups: Guidelines and resources
for practice. England: John Wiley and Sons; 1999.
15. Yousefi A, Jafari F, Changiz T. [Translator]. The trainers questionnaire
Kit. Hony P [Athour]. 1st ed. Tehran: Farhange Mardom; 2005.
16. Bahadoran K, Pournaseh M. The path of deep calm. Tehran: Mehre-Kavian Publications; 2003.
17. Gorenstein EE, Papp AA, Keleber MS. Cognitive behavioral
treatment of anxiety in later life. Cogn Behav Pract 1999;9:305-20.
18. Telch MJ, Schmidt NB, Jaimez TL, Jacquin KM, Harrington PJ.
Impact of cognitive-behavioral treatment on quality of life in panic
disorder patients. J Consult Clin Psychol 1995;63:823-30.
19. Branwalld E, Zips DP, Libby P, Bonow R. Braunwald’s heart disease: A
textbook of cardiovascular medicine. 7th ed. London: Saunders; 2004.
20. Durham RC, Turvey AA. Congnitive therapy vs Behavior therapy
in the treatment of chronic general anxiety. Behav Res Ther
1987;25:229-34.