جلد 24، شماره 12 - ( 2-1405 )
جلد 24 شماره 12 صفحات 1116-1103 |
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Ethics code: IR.KAUMS.MEDNT.REC.1402.250
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ُSarani M, Omidi A, Zanjani Z. Investigating the Role of Psychological Flexibility and Mindfulness in Predicting the Quality of Life in Coronary Artery Patients in Kashan, 2023-24: A Descriptive Study. JRUMS 2026; 24 (12) :1103-1116
URL: http://journal.rums.ac.ir/article-1-7822-fa.html
URL: http://journal.rums.ac.ir/article-1-7822-fa.html
سارانی محمد، امیدی عبدلله، زنجانی زهرا. بررسی نقش انعطافپذیری روانشناختی و ذهنآگاهی در پیشبینی کیفیت زندگی بیماران عروق کرونری شهرستان کاشان در سال 1402-1403: یک مطالعه توصیفی. مجله دانشگاه علوم پزشکی رفسنجان. 1405; 24 (12) :1103-1116
گروه روانشناسی بالینی، دانشکده پزشکی، دانشگاه علوم پزشکی کاشان، کاشان، ایران
چکیده: (17 مشاهده)
زمینه و هدف: کیفیت زندگی پایین نقش معناداری در بدتر شدن شرایط بالینی بیماران عروق کرونری و نیز افزایش نرخ مرگ و میر در آنها دارد. بر اساس مطالعات قبلی، انعطافپذیری روانشناختی و ذهنآگاهی میتوانند پیشبینی کننده کیفیت زندگی در بیماران مختلف باشند. هدف از این مطالعه تعیین نقش انعطافپذیری روانشناختی و ذهنآگاهی در پیشبینی کیفیت زندگی بیماران عروق کرونری بود.
مواد و روشها: این مطالعه توصیفی با استفاده از روش نمونهگیری در دسترس بر روی بیماران عروق کرونری مراجعهکننده به بیمارستانهای شهرستان کاشان در سال 1402-1403 صورت گرفت (252=n). برای جمع آوری دادهها از پرسشنامههای کیفیت زندگی سازمان بهداشت جهانی (World Health Organization Quality-of-Life Scale)، پرسشنامه انعطافپذیری روانشناختی (Psychological Flexibility Questionnaire) و مقیاس ذهنآگاهی (Mindful Attention Awareness Scale) استفاده گردید. از روش همبستگی Pearson و رگرسیون خطی چندگانه برای تجزیه و تحلیل دادهها استفاده شد.
یافتهها: انعطافپذیری روانشناختی (778/0=r، 001/0>P) و ذهنآگاهی (607/0=r، 001/0>P) رابطه مثبت و معناداری با کیفیت زندگی بیماران عروق کرونری دارند. هر کدام از متغیرهای پیشبین توانستند به خوبی متغیر ملاک را پیشبینی نمایند. همچنین، با اضافه شدن ذهنآگاهی به انعطافپذیری روانشناختی، توانستند حدود 67 درصد از واریانس کیفیت زندگی را تبیین نمایند.
نتیجهگیری: مطالعه حاضر نشان داد انعطافپذیری روانشناختی و ذهنآگاهی رابطه مثبت و معناداری با کیفیت زندگی بیماران عروق کرونری داشته و به طور قابل توجهی توانستند کیفیت زندگی را پیشبینی نمایند. در نتیجه نیاز است افزایش انعطافپذیری روانشناختی از طریق روشن ساختن ارزشهای زندگی و انجام تمرینات ذهنآگاهی در پروتکلهای درمانی این بیماران مدنظر قرار گیرد.
واژههای کلیدی: بیماری عروق کرونری، انعطافپذیری روانشناختی، ذهنآگاهی، کیفیت زندگی
مواد و روشها: این مطالعه توصیفی با استفاده از روش نمونهگیری در دسترس بر روی بیماران عروق کرونری مراجعهکننده به بیمارستانهای شهرستان کاشان در سال 1402-1403 صورت گرفت (252=n). برای جمع آوری دادهها از پرسشنامههای کیفیت زندگی سازمان بهداشت جهانی (World Health Organization Quality-of-Life Scale)، پرسشنامه انعطافپذیری روانشناختی (Psychological Flexibility Questionnaire) و مقیاس ذهنآگاهی (Mindful Attention Awareness Scale) استفاده گردید. از روش همبستگی Pearson و رگرسیون خطی چندگانه برای تجزیه و تحلیل دادهها استفاده شد.
یافتهها: انعطافپذیری روانشناختی (778/0=r، 001/0>P) و ذهنآگاهی (607/0=r، 001/0>P) رابطه مثبت و معناداری با کیفیت زندگی بیماران عروق کرونری دارند. هر کدام از متغیرهای پیشبین توانستند به خوبی متغیر ملاک را پیشبینی نمایند. همچنین، با اضافه شدن ذهنآگاهی به انعطافپذیری روانشناختی، توانستند حدود 67 درصد از واریانس کیفیت زندگی را تبیین نمایند.
نتیجهگیری: مطالعه حاضر نشان داد انعطافپذیری روانشناختی و ذهنآگاهی رابطه مثبت و معناداری با کیفیت زندگی بیماران عروق کرونری داشته و به طور قابل توجهی توانستند کیفیت زندگی را پیشبینی نمایند. در نتیجه نیاز است افزایش انعطافپذیری روانشناختی از طریق روشن ساختن ارزشهای زندگی و انجام تمرینات ذهنآگاهی در پروتکلهای درمانی این بیماران مدنظر قرار گیرد.
واژههای کلیدی: بیماری عروق کرونری، انعطافپذیری روانشناختی، ذهنآگاهی، کیفیت زندگی
نوع مطالعه: پژوهشي |
موضوع مقاله:
روانپزشكي
دریافت: 1404/6/12 | پذیرش: 1404/11/27 | انتشار: 1405/2/30
دریافت: 1404/6/12 | پذیرش: 1404/11/27 | انتشار: 1405/2/30
فهرست منابع
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5. Varaei S, Shamsizadeh M, Cheraghi MA, Talebi M, Dehghani A, Abbasi A. Effects of a peer education on cardiac self-efficacy and readmissions in patients undergoing coronary artery bypass graft surgery: a randomized-controlled trial. Nurs Crit Care 2017; 22(1): 19–28. [Farsi]
6. Soleimani MA, Zarabadi-Pour S, Huak Chan Y, Allen KA, Shamsizadeh M. Factors Associated with Hope and Quality of Life in Patients with Coronary Artery Disease. J Nurs Res 2022; 30(2): E200. [Farsi]
7. Reed JL, Terada T, Cotie LM, Tulloch HE, Leenen FH, Mistura M, et al. The effects of high-intensity interval training, Nordic walking and moderate-to-vigorous intensity continuous training on functional capacity, depression and quality of life in patients with coronary artery disease enrolled in cardiac rehabilitation: A randomized controlled trial (CRX study). Prog Cardiovasc Dis 2022; 70: 73–83.
8. Figueiras MJ, Maroco J, Monteiro R, Caeiro R, Dias Neto D. Randomized controlled trial of an intervention to change cardiac misconceptions in myocardial infarction patients. Psychol Heal Med 2017; 22(3): 255–65.
9. Khanizadeh T, Bagherian Sararudi R, Ebrahimi A, Feyzi A, Sanei H. The role of psychological flexibility on the quality of life of patients with coronary artery disease mediated by illness perception: Presenting a structural equation model. Journal of Isfahan Medical School 1401; 40(662): 115-23. [Farsi]
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11. Ghahnaviyeh LA, Bagherian R, Feizi A, Afshari A, Darani FM. The effectiveness of acceptance and commitment therapy on quality of life in a patient with myocardial infarction: A randomized control trial. Iran J Psychiatry 2020; 15(1): 1–9. [Farsi]
12. Rose M, Graham CD, O’Connell N, Vari C, Edwards V, Taylor E, et al. A randomised controlled trial of acceptance and commitment therapy for improving quality of life in people with muscle diseases. Psychol Med 2023; 53(8): 3511–24.
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20. Sheibani H, Sheibani KA, Amreei NN, Masrour MJ. An Investigation of the Effects of the Acceptance and Commitment Therapy in Groups on the Cognitive Strategies of Emotion Regulation and Self-Control in Coronary Heart Disease Patients. J Med Life 2019; 2019(4): 361–7. [Farsi]
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23. Zomorrodi S, Tabatabaie SKR, Azadfallah P, Ebrahimidaryani N, Arbabi M. Long term effects of mindfulness on quality of life in irritable bowel syndrome. Iran J Psychiatry 2015; 10(2): 100–5. [Farsi]
24. Khanizadeh, Tavakol and Bagherian Sararudi, Reza and Ebrahimi, Amroleh and Feyzi, Avat and Sanei, Hamid. The role of psychological flexibility on the quality of life of patients with coronary heart disease mediated by illness perception: presenting an equation model. Journal of Isfahan Medical School 1401; 40(662): 115-23. [Farsi]
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27. Ili I, Šipeti S. Psychometric Properties of the World Health Organization’ s Quality of Life (WHOQOL-BREF) Questionnaire in Medical Students. Medicina (Kaunas) 2019; 55(12): 772.
28. Nedjat S, Montazeri A, Holakouie K, Mohammad KMR. Psychometric properties of the Iranian interview-administered version of the World Health Organization’s Quality of Life Questionnaire (WHOQOL-BREF): A population-based study. BMC Heal Serv Res 2008; 8: 1–7. [Farsi]
29. Ben-Itzhak S, Bluvstein Irit MM. The Psychological Flexibility Questionnaire (PFQ): Development, reliability and validity. Webmed Cent Psychol 2014; 5(4).
30. Safarzaei M, Ameri F, Mehrinejad SA, Paivastegar M, Khodabakhsh Pirkalani R. Psychometric properties of the Psychological Flexibility Questionnaire in students. Journal of Research in Psychological Health 2020; 14(2): 50 -65. [Farsi]
31. Brown, K. W., & Ryan, R. M. (2003). Mindful attention awareness scale. Journal of Personality and Social Psychology.
32. Kozasa EH, Cristina I, Souza W De, Ronzani TM. Validity Evidence of the Brazilian Version of the Mindful Attention Awareness Scale (MAAS). Psychol Reflexão e Crítica 2015; 28(1): 87–95.
33. Nooripour R, Ghanbari N, Hassani-Abharian P, Radwin LE, Hosseinian SHS. Validation of Persian Version of Mindful Attention Awareness Scale (MAAS) in Iranian Women with Breast Cancer. Arch Iran Med 2022; 25(5): 300–7. [Farsi]
34. Gareth J, Daniela W, Trevor H, Robert T. An Introduction to Statistical Learning. New York. Springer Science and Business Media. 2017: 39-48.
35. Faqihi A, Zanjani Z, Omidi A, Fakharian E. Prediction of quality of life among people with major depression after traumatic brain injury based on psychological flexibility and depression severity. KAUMS J (FEYZ) 2020; 24(6): 666–75. [Farsi]
36. Panayiotou G, Panteli M, Leonidou C. Coping with the invisible enemy: The role of emotion regulation and awareness in quality of life during the COVID-19 pandemic. J Context Behav Sci 2021; 19(10): 17–27.
37. Zhang Q, Zhao H, Zheng Y. Effectiveness of mindfulness-based stress reduction (MBSR) on symptom variables and health-related quality of life in breast cancer patients—a systematic review and meta-analysis. Support Care Cancer 2019; 27(3): 771–81.
38. Kakoschke N, Hassed C, Chambers R, Lee K. The importance of formal versus informal mindfulness practice for enhancing psychological wellbeing and study engagement in a medical student cohort with a 5-week mindfulness-based lifestyle program. PLoS One 2021; 16(10): 1–15.
39. Panayiotou G, Panteli M, Leonidou C. Coping with the invisible enemy: The role of emotion regulation and awareness in quality of life during the COVID-19 pandemic. J Context Behav Sci 2021; 19(10): 17–27.
40. Gąsiorowski A DJ. Comprehensive rehabilitation in chronic heart failure. Ann Agric Env Med 2013; 20(3): 606-12.
41. Amini M, Zayeri F, Salehi M. Trend analysis of cardiovascular disease mortality, incidence, and mortality-to-incidence ratio: results from global burden of disease study 2017. BMC Public Health 2021; 21(1): 401. [Farsi]
42. Spencer S. Global Burden of Disease 2010 Study: A personal reflection. Glob Cardiol Sci Pract 2013 Nov 1; 2013(2): 115-26.
43. Malakar AK, Choudhury D, Halder B, Paul P, Uddin A, Chakraborty S. A review on coronary artery disease, its risk factors, and therapeutics. J Cell Physiol 2019; 234(10): 16812–23.
44. Varaei S, Shamsizadeh M, Cheraghi MA, Talebi M, Dehghani A, Abbasi A. Effects of a peer education on cardiac self-efficacy and readmissions in patients undergoing coronary artery bypass graft surgery: a randomized-controlled trial. Nurs Crit Care 2017; 22(1): 19–28. [Farsi]
45. Soleimani MA, Zarabadi-Pour S, Huak Chan Y, Allen KA, Shamsizadeh M. Factors Associated with Hope and Quality of Life in Patients with Coronary Artery Disease. J Nurs Res 2022; 30(2): E200. [Farsi]
46. Reed JL, Terada T, Cotie LM, Tulloch HE, Leenen FH, Mistura M, et al. The effects of high-intensity interval training, Nordic walking and moderate-to-vigorous intensity continuous training on functional capacity, depression and quality of life in patients with coronary artery disease enrolled in cardiac rehabilitation: A randomized controlled trial (CRX study). Prog Cardiovasc Dis 2022; 70: 73–83.
47. Figueiras MJ, Maroco J, Monteiro R, Caeiro R, Dias Neto D. Randomized controlled trial of an intervention to change cardiac misconceptions in myocardial infarction patients. Psychol Heal Med 2017; 22(3): 255–65.
48. Khanizadeh T, Bagherian Sararudi R, Ebrahimi A, Feyzi A, Sanei H. The role of psychological flexibility on the quality of life of patients with coronary artery disease mediated by illness perception: Presenting a structural equation model. Journal of Isfahan Medical School 1401; 40(662): 115-23. [Farsi]
49. Haraldstad K, Wahl A, Andenæs R, Andersen JR, Andersen MH, Beisland E, et al. A systematic review of quality of life research in medicine and health sciences. Qual Life Res 2019; 28(10): 2641–50.
50. Ghahnaviyeh LA, Bagherian R, Feizi A, Afshari A, Darani FM. The effectiveness of acceptance and commitment therapy on quality of life in a patient with myocardial infarction: A randomized control trial. Iran J Psychiatry 2020; 15(1): 1–9. [Farsi]
51. Rose M, Graham CD, O’Connell N, Vari C, Edwards V, Taylor E, et al. A randomised controlled trial of acceptance and commitment therapy for improving quality of life in people with muscle diseases. Psychol Med 2023; 53(8): 3511–24.
52. Whitehead L, Rashidi A, Newson L, Astin F, Gill P, Lane DA, et al. The role of acceptance and commitment therapy in cardiovascular and diabetes healthcare: A scoping review. Int J Environ Res Public Health 2021; 18(15): 1–15. [Farsi]
53. Zhang CQ, Leeming E, Smith P, Chung PK, Hagger MS, Hayes SC. Acceptance and commitment therapy for health behavior change: A contextually-driven approach. Front Psychol 2018; 8: 2350.
54. Babaee FE, Habibi M, Ghodrati S. Journal of Research in Psychological Health. RphKhuAcIr 2020; 14: 115–29. [Farsi]
55. Doorley JD, Goodman FR, Kelso KC, Kashdan TB. Psychological flexibility: What we know, what we do not know, and what we think we know. Soc Personal Psychol Compass 2020; 14(12): 1–11.
56. Gloster AT, Block VJ, Klotsche J, Villanueva J, Marcia T, Rinner B, et al. Journal of Contextual Behavioral Science Psy-Flex: A contextually sensitive measure of psychological flexibility. J Context Behav Sci 2021; 22: 13–23.
57. Pyszkowska A, Rönnlund M. Psychological Flexibility and Self-Compassion as Predictors of Well-Being: Mediating Role of a Balanced Time Perspective. Front Psychol 2021; 12: 1–12.
58. McAteer G, Gillanders D. Investigating the role of psychological flexibility, masculine self-esteem and stoicism as predictors of psychological distress and quality of life in men living with prostate cancer. Eur J Cancer Care (Engl) 2019; 28(4): 1–13.
59. Sheibani H, Sheibani KA, Amreei NN, Masrour MJ. An Investigation of the Effects of the Acceptance and Commitment Therapy in Groups on the Cognitive Strategies of Emotion Regulation and Self-Control in Coronary Heart Disease Patients. J Med Life 2019; 2019(4): 361–7. [Farsi]
60. Klussman K, Curtin N, Langer J, Nichols AL. Examining the effect of mindfulness on well-being: Self-connection as a mediator. J Pacific Rim Psychol 2020; 14.
61. Jiménez-Picón N, Romero-Martín M, Ponce-Blandón JA, Ramirez-Baena L, Palomo-Lara JC, Gómez-Salgado J. The relationship between mindfulness and emotional intelligence as a protective factor for healthcare professionals: Systematic review. Int J Environ Res Public Health 2021; 18(10): 1–14.
62. Zomorrodi S, Tabatabaie SKR, Azadfallah P, Ebrahimidaryani N, Arbabi M. Long term effects of mindfulness on quality of life in irritable bowel syndrome. Iran J Psychiatry 2015; 10(2): 100–5. [Farsi]
63. Khanizadeh, Tavakol and Bagherian Sararudi, Reza and Ebrahimi, Amroleh and Feyzi, Avat and Sanei, Hamid. The role of psychological flexibility on the quality of life of patients with coronary heart disease mediated by illness perception: presenting an equation model. Journal of Isfahan Medical School 1401; 40(662): 115-23. [Farsi]
64. Tabachnick BG, Fidell LS. Using multivariate statistics. 7th. New York, NY: Allyn and Bacon; 2019; 139.
65. THE WHOQOL GROUP. Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychological Medicine. 1998; 28(3): 551-8.
66. Ili I, Šipeti S. Psychometric Properties of the World Health Organization’ s Quality of Life (WHOQOL-BREF) Questionnaire in Medical Students. Medicina (Kaunas) 2019; 55(12): 772.
67. Nedjat S, Montazeri A, Holakouie K, Mohammad KMR. Psychometric properties of the Iranian interview-administered version of the World Health Organization’s Quality of Life Questionnaire (WHOQOL-BREF): A population-based study. BMC Heal Serv Res 2008; 8: 1–7. [Farsi]
68. Ben-Itzhak S, Bluvstein Irit MM. The Psychological Flexibility Questionnaire (PFQ): Development, reliability and validity. Webmed Cent Psychol 2014; 5(4).
69. Safarzaei M, Ameri F, Mehrinejad SA, Paivastegar M, Khodabakhsh Pirkalani R. Psychometric properties of the Psychological Flexibility Questionnaire in students. Journal of Research in Psychological Health 2020; 14(2): 50 -65. [Farsi]
70. Brown, K. W., & Ryan, R. M. (2003). Mindful attention awareness scale. Journal of Personality and Social Psychology.
71. Kozasa EH, Cristina I, Souza W De, Ronzani TM. Validity Evidence of the Brazilian Version of the Mindful Attention Awareness Scale (MAAS). Psychol Reflexão e Crítica 2015; 28(1): 87–95.
72. Nooripour R, Ghanbari N, Hassani-Abharian P, Radwin LE, Hosseinian SHS. Validation of Persian Version of Mindful Attention Awareness Scale (MAAS) in Iranian Women with Breast Cancer. Arch Iran Med 2022; 25(5): 300–7. [Farsi]
73. Gareth J, Daniela W, Trevor H, Robert T. An Introduction to Statistical Learning. New York. Springer Science and Business Media. 2017: 39-48.
74. Faqihi A, Zanjani Z, Omidi A, Fakharian E. Prediction of quality of life among people with major depression after traumatic brain injury based on psychological flexibility and depression severity. KAUMS J (FEYZ) 2020; 24(6): 666–75. [Farsi]
75. Panayiotou G, Panteli M, Leonidou C. Coping with the invisible enemy: The role of emotion regulation and awareness in quality of life during the COVID-19 pandemic. J Context Behav Sci 2021; 19(10): 17–27.
76. Zhang Q, Zhao H, Zheng Y. Effectiveness of mindfulness-based stress reduction (MBSR) on symptom variables and health-related quality of life in breast cancer patients—a systematic review and meta-analysis. Support Care Cancer 2019; 27(3): 771–81.
77. Kakoschke N, Hassed C, Chambers R, Lee K. The importance of formal versus informal mindfulness practice for enhancing psychological wellbeing and study engagement in a medical student cohort with a 5-week mindfulness-based lifestyle program. PLoS One 2021; 16(10): 1–15.
78. Panayiotou G, Panteli M, Leonidou C. Coping with the invisible enemy: The role of emotion regulation and awareness in quality of life during the COVID-19 pandemic. J Context Behav Sci 2021; 19(10): 17–27.
79. Gąsiorowski A DJ. Comprehensive rehabilitation in chronic heart failure. Ann Agric Env Med 2013; 20(3): 606-12.
80. Amini M, Zayeri F, Salehi M. Trend analysis of cardiovascular disease mortality, incidence, and mortality-to-incidence ratio: results from global burden of disease study 2017. BMC Public Health 2021; 21(1): 401. [Farsi]
81. Spencer S. Global Burden of Disease 2010 Study: A personal reflection. Glob Cardiol Sci Pract 2013 Nov 1; 2013(2): 115-26.
82. Malakar AK, Choudhury D, Halder B, Paul P, Uddin A, Chakraborty S. A review on coronary artery disease, its risk factors, and therapeutics. J Cell Physiol 2019; 234(10): 16812–23.
83. Varaei S, Shamsizadeh M, Cheraghi MA, Talebi M, Dehghani A, Abbasi A. Effects of a peer education on cardiac self-efficacy and readmissions in patients undergoing coronary artery bypass graft surgery: a randomized-controlled trial. Nurs Crit Care 2017; 22(1): 19–28. [Farsi]
84. Soleimani MA, Zarabadi-Pour S, Huak Chan Y, Allen KA, Shamsizadeh M. Factors Associated with Hope and Quality of Life in Patients with Coronary Artery Disease. J Nurs Res 2022; 30(2): E200. [Farsi]
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