Journal of Health And Care
Volume 27, Issue 3 (Autumn 2025)
JHC 2025, 27(3): 283-296 |
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Ethics code: IR.IAU.URMIA.REC.1402.049
Clinical trials code: IR.IAU.URMIA.REC.1402.049
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Shafei S, Shaker Doulag A, Khademi A. Comparing the Effectiveness of Mindfulness Therapy and Paradox Therapy on Anxiety Sensitivity and Cognitive-Attention Syndrome in Patients with Cardiovascular Disorders. JHC 2025; 27 (3) :283-296
URL: http://hcjournal.arums.ac.ir/article-1-1654-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1654-en.html
Department of Psychology, Ur.C., Islamic Azad University, Urmia, Iran
Abstract: (105 Views)
Background: Heart disease is associated with high levels of anxiety, depression, and stress, and causes cognitive deficits. Therefore, using appropriate psychotherapy methods for these patients is very important. This research was conducted to compare the effectiveness of mindfulness therapy and paradox therapy on anxiety sensitivity and cognitive-attentional syndrome in Patients with Cardiovascular disorders.
Methods: This quasi-experimental study employed a pre-test-post-test design with a control group and a two-month follow-up period. The study population consisted of all patients with coronary heart disease who were referred to Shahid Noorani Hospital in Talesh city in 2023. A total of 60 people were selected through convenience sampling and randomly assigned to three equal groups of 20 people each. Data were collected using a demographic information sheet, anxiety sensitivity index (Reiss et al., 1985), and cognitive-attentional syndrome (Wells, 2009). Each of the experimental groups received mindfulness therapy in 8 sessions or paradox therapy in 6 sessions. Data were analyzed using multivariate analysis of covariance (MANCOVA) using SPSS v26 software.
Results: The total scores of anxiety sensitivity (F=37.28, η²=0.51), cognitive/attentional syndrome (F=42.18, η²=0.74) were significantly greater in the experimental groups compared to the control group, and this effect was stable in the follow-up phase (p<0.05). Furthermore, Bonferroni's post hoc test showed that mindfulness therapy had a greater effect on reducing anxiety sensitivity than paradox therapy (p<0.05). However, both treatment approaches were effective in reducing cognitive-attentional syndrome was the same (p>0.05).
Conclusion: Both treatment approaches had a positive effect on reducing anxiety sensitivity and cognitive-attentional syndrome in patients with cardiovascular disorders. Therefore, it is suggested to use more exercises derived from these approaches in planning rehabilitation and therapeutic interventions to enhance the psychological-behavioral performance of these patients.
Methods: This quasi-experimental study employed a pre-test-post-test design with a control group and a two-month follow-up period. The study population consisted of all patients with coronary heart disease who were referred to Shahid Noorani Hospital in Talesh city in 2023. A total of 60 people were selected through convenience sampling and randomly assigned to three equal groups of 20 people each. Data were collected using a demographic information sheet, anxiety sensitivity index (Reiss et al., 1985), and cognitive-attentional syndrome (Wells, 2009). Each of the experimental groups received mindfulness therapy in 8 sessions or paradox therapy in 6 sessions. Data were analyzed using multivariate analysis of covariance (MANCOVA) using SPSS v26 software.
Results: The total scores of anxiety sensitivity (F=37.28, η²=0.51), cognitive/attentional syndrome (F=42.18, η²=0.74) were significantly greater in the experimental groups compared to the control group, and this effect was stable in the follow-up phase (p<0.05). Furthermore, Bonferroni's post hoc test showed that mindfulness therapy had a greater effect on reducing anxiety sensitivity than paradox therapy (p<0.05). However, both treatment approaches were effective in reducing cognitive-attentional syndrome was the same (p>0.05).
Conclusion: Both treatment approaches had a positive effect on reducing anxiety sensitivity and cognitive-attentional syndrome in patients with cardiovascular disorders. Therefore, it is suggested to use more exercises derived from these approaches in planning rehabilitation and therapeutic interventions to enhance the psychological-behavioral performance of these patients.
Keywords: Mindfulness Therapy, Paradox Therapy, Anxiety Sensitivity, Cognitive/Attention Syndrome, Cardiovascular Disorders
Type of Study: Research |
Subject:
Nursing education
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