RESUMEN
The present study has investigated the effect of cognitive behavioral group therapy on improving coping styles in patients with acute coronary heart disease. Semi- experimental in type of pretest - posttest with control group seems to be a good design for this study. 22 patients with acute coronary heart disease are admitted in CCU of Mashhad Razavi Hospital and undergo angioplasty heart surgery, 11 in the control and the other 11 in the experimental group. Those in the experimental group receive 12 sessions of cognitive - behavioral group therapy and the ones in the control one are not offered any intervention. Before and after the intervention, CISS-21coping questionnaire is completed by members of the sample. The results of MANCOVA revealed after participating in cognitive behavioral group therapy, problem-oriented coping style of members of the experimental group than in the control group had a significant increase and avoidant coping style of members of the experimental group than in the control group had a significant reduction. Findings confirm that cognitive - behavioral group therapy improve coping styles in patients with acute coronary heart disease. Findings indicate awareness of thinking styles, identifying cognitive errors, doing cognitive homework, reinforcing positive behavior, encouraging acceptance of restrictions, sharing experiences, talking about negative emotions related to illness and the possible consequences
RESUMEN
This study was planned to investigate the effectiveness of a short cognitive behavioral group intervention for coronary heart disease [CBGI-CHD] on stress and depression in patients with chronic coronary heart disease in a randomized controlled trail. Chronic coronary heart patients were randomly assigned to a 12-week [2.5 hours sessions] cognitive behavioral group intervention for coronary heart disease [n=24] or to a control group [n=22] that received usual care by using pre test-post test control group design. The Intervention group patient were under CBGI-CHD program for 3 months [from June up to end of August, 2010] on Mashhad Imam Reza Hospital Heart Division. Depression symptoms were measured using a Persian version of the Beck depression inventory II [BDI-II], Anxiety symptoms were measured using a Persian version of the Zung self-rating anxiety scale [SAS] and stress symptoms were measured using a Persian version of stress subscale from depression, anxiety and stress scales [DASS-42], before and directly after intervention. Analysis of Covariance showed that the intervention group patients had significant decreases in stress at post test, compared with control group [P<0.05]. Although, the intervention was effective in reducing depression and anxiety but it was not significant [P<0.05]. The results indicate that CBGI-CHD can result reductions in stress, depression and anxiety. Moreover, the results are considered a reliable first step in the process of validating CBGI-CHD program designed to reduction coronary heart disease patients' stress, depression, anxiety and type a behavior pattern. CBGI- CHD can be applied for reducing stress, and anxiety and depression in heart coronary patient's but in the case of depression and anxiety it needs revision in content of intervention and increasing depression and anxiety treatment sessions program. The future researches with longer pursuing periods for reviewing efficacy continuation is suggested
RESUMEN
The aim of this study is to compare the effectiveness of group cognitive-behavioral training and reality therapy [based on choice theory] on self-esteem of students. The present study is a quasi-experimental with pre-test and post test analysis and control group. The statistical population includes all female students of high schools in Mashhad [educational year 2009-2010]. Participants were chosen by random selection method and randomly allocated in three groups. Two groups received cognitive-behavioral and reality therapy training for 2 months [8 sessions of 2 hours], while the control group received no training at all. Data were collected by Cooper Smith self-esteem questionnaire scale which was given to the test subjects after completion of the trainings. The collected data was put to one way variance analysis, covariance analysis and Scheffe's test. The study demonstrated that group reality therapy and cognitive-behavioral therapy training had positive effects on the self-esteem improvement in both groups who received interventions [P<0.00001, F=16.06] in comparison to the control group. Actually, both methods were effective in boosting self-esteem. Both cognitive behavioral and reality therapy methods were found effective in increasing self-esteem