Effectiveness of Acceptance and Commitment Therapy in Health Anxiety and Adherence to Treatment in Patients Undergoing Open-Heart Surgery

Nasab, Arezou Gohari; Seyrafi, Mohammadreza; Kraskian, Adis; Golkar, Maryam Kalhornia

doi:10.32592/ajnpp.2021.8.1.100

Cited by 2 publications

(1 citation statement)

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“…For example, Ahmadi Ghahnaviyeh et al's RCT 38 on patients with MI demonstrated an increase in quality of life after an 8-session ACT programme compared with a no-treatment control condition. In another clinical trial, Nasab et al 39 conducted research on a sample of 45 patients who underwent a CABG. They found a decrease in health anxiety and an improvement in adherence to treatment after 12 sessions of ACT compared with a no-treatment condition.…”

Section: Open Accessmentioning

confidence: 99%

Effects of a brief intervention based on Acceptance and Commitment Therapy versus usual care for cardiac rehabilitation patients with coronary heart disease (ACTonHEART): a randomised controlled trial

Spatola,

Rapelli,

Giusti

et al. 2024

BMJ Open

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ObjectivesThe main objective of the study is to investigate the short-term efficacy of Acceptance and Commitment Therapy (ACT) on the simultaneous modification of biological indicators of risk and psychological well-being in patients with coronary heart disease attending cardiac rehabilitation (CR).DesignThis was a two-arm randomised controlled trial comparing a brief, manualised, ACT-based intervention with usual care (UC).SettingThe study was conducted in an outpatient CR unit in Italy. Data collection took place from January 2016 to July 2017.ParticipantsNinety-two patients were enrolled and randomised, following an unbalanced randomisation ratio of 2:1 to the ACT group (n=59) and the control group (n=33). Eighty-five patients completed the ACT (n=54) and the UC (n=31) interventions and were analysed.InterventionsThe control group received UC, a 6 weeks multidisciplinary outpatient CR programme, encompassing exercise training, educational counselling and medical examinations. The experimental group, in addition to UC, participated in the Acceptance and Commitment Therapy on HEART disease (ACTonHEART) intervention encompassing three group sessions based on ACT.OutcomesThe primary outcomes were Low Density Lipoproteins (LDL)cholesterol, resting systolic blood pressure, body mass index (BMI) and psychological well-being measured by the Psychological General Well-Being Index (PGWBI). Outcome measures were assessed at baseline and at the end of CR.ResultsBased on linear mixed models, no significant group × time interaction was observed for either the primary outcomes (β, 95% CI: PGWBI =−1.13, –6.40 to –4.14; LDL cholesterol =−2.13, –11.02 to –6.76; systolic blood pressure =−0.50, –10.76 to –9.76; diastolic blood pressure =−2.73, –10.12 to –4.65; BMI =−0.16, –1.83 to –1.51, all p values >0.05) or the secondary outcomes (all p values >0.05). A significant time effect was found for the PGWBI total (beta=4.72; p=0.03).ConclusionsAlthough analyses revealed null findings, the results can inform the design of future ACT-based CR interventions and can help researchers to strike a balance between the idealised implementation of an ACT intervention and the structural limitations of existing CR programmes.Trial registration numberNCT01909102.

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Section: Open Accessmentioning

confidence: 99%

Effects of a brief intervention based on Acceptance and Commitment Therapy versus usual care for cardiac rehabilitation patients with coronary heart disease (ACTonHEART): a randomised controlled trial

Spatola,

Rapelli,

Giusti

et al. 2024

BMJ Open

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Explaining Health Anxiety in Patients after Open Heart Surgery: A Qualitative Study

Sarhadi,

Rigi,

Abdollahyar

2024

Health and Development Journal

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Background: Health anxiety is one of the most prevalent psychological reactions observed in patients after open heart surgery. Thus, the present study was conducted to explain health anxiety in these patients. Methods: In-depth semi-structured interviews were conducted with 15 patients with a history of open heart surgery in educational hospitals affiliated to Zahedan University of Medical Sciences in 2023-2024. The interviews were immediately transcribed and underwent conventional content analysis. MAXQDA 2022 software was used for data categorization and data were also analyzed using the method proposed by Lundman and Graneheim. Results: According to the current study results, open heart surgery can lead to health anxiety among patients. This anxiety appears as mental turmoil, ineffective psychological reactions to the disease, pathological search for information and treatment, and the incidence of mood disorders. Conclusion: The results of the present research demonstrate that open heart surgery is a stressor and patients develop health anxiety after surgery. Hence, it is suggested that hospitals pay attention to patients’ health anxiety in their educational programs, consultations, and rehabilitation programs and design and implement influential psychological interventions in the form of standard protocols to be used at the level of hospitals and cardiac rehabilitation centers.

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Effectiveness of Acceptance and Commitment Therapy in Health Anxiety and Adherence to Treatment in Patients Undergoing Open-Heart Surgery

Cited by 2 publications

References 0 publications

Effects of a brief intervention based on Acceptance and Commitment Therapy versus usual care for cardiac rehabilitation patients with coronary heart disease (ACTonHEART): a randomised controlled trial

Effects of a brief intervention based on Acceptance and Commitment Therapy versus usual care for cardiac rehabilitation patients with coronary heart disease (ACTonHEART): a randomised controlled trial

Explaining Health Anxiety in Patients after Open Heart Surgery: A Qualitative Study

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