Objectives: The present study compared attachment styles in patients with coronary artery disease (CAD) and healthy controls (non-CAD subjects). Methods: This was a descriptive study with an ex-post facto design. The sample included 60 people (30 patients with CAD and 30 healthy controls), attending the office of an interventional cardiologist in Mashhad, selected by a convenience sampling method. They completed the adult attachment questionnaire. Data were analyzed using multivariate analysis of variance. Results:The results of multivariate analysis of variance revealed that there was a significant difference in attachment styles between CAD patients and healthy controls so that healthy controls in the secure attachment style and CAD patients in the insecure attachment styles had a higher score. Conclusions:The findings confirm that attachment styles are more insecure in CAD patients than in healthy people. These results suggest that insecure attachment styles increase the risk of coronary heart disease.
Background: Hepatitis B virus (HBV) infection is a serious global health problem. There is a high prevalence of depression among patients with hepatitis B. Objectives: The aim of the present study was to investigate the effectiveness of cognitive behavior group therapy (CBGT) on depression, hope and adjustment in patients with hepatitis B (HB). Methods:In an experimental study with a pretest-posttest control group design, 28 patients with hepatitis B were selected through convenience sampling method from the Association for the Study of Liver Diseases in Mashhad and were randomly assigned to two experimental and control groups, each containing 14 individuals. The experimental group received cognitive behavioral group therapy in 10 weeks (2 h weekly sessions) and the control group received no treatment. Both groups of participants were evaluated on Beck depression inventory-second edition (BDI-II), adult hope scale (AHS) and bell adjustment inventory (BAI) before and after the intervention. For data analysis, ANCOVA (one-way analysis of covariance) in SPSS version 22 was performed. Results: Results indicated that cognitive behavioral group therapy significantly leads to increased hope (P < 0.001) and adjustment (P < 0.001) compared to the control group. Compared to control group, the experimental group showed greater improvement in reducing depression rate at the end of the intervention. However there were no statistically significant differences between them (P = 1). Conclusions: Cognitive behavioral group therapy sessions substantially contributed to the improvement of hope and adjustment in patients with hepatitis B.
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