Comparison of the Effectiveness of Emotional Self-Regulation Strategies and Pain Coping Strategies on Health Dimensions among Patients with Coronary Heart Disease

Document Type : Original Article

Authors

1 Department of Health Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran

2 Associate Professor, Department of Psychology, Kharazmi University, Tehran, Iran.

3 Assistant Professor, Department of Health Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.

Abstract

Background: Having a healthy heart is essential to human life, and cardiovascular disease is not specific to any age or sex, and everyone of any age and sex may be affected.
objectives: The aim of this study was to compare the effectiveness of strategies to compare the effectiveness of emotional self-regulation strategies and pain coping strategies on health dimensions in coronary heart disease patients.
Methods: This research was applied in terms of purpose and semi-experimental method and pretest-posttest and follow-up designs with a control group. The statistical population consisted of all patients with coronary heart disease from July to October 2019, who referred to Heshmatieh Hospital in Sabzevar, which were randomly selected by 45 patients and randomly divided into three groups (two experimental groups and one control group) and a questionnaire was carried out between three groups. The research instrument was a general health questionnaire (GHQ-28). Data were analyzed using a mixed analysis of variance using SPSS.25 software.
Results: The results showed that emotional self-regulation strategies and pain coping strategies have an effect on health dimensions and reduce physical symptoms, anxiety and insomnia, social dysfunction, and depression in coronary heart disease patients (p <0.001). The results showed that in the post-test and follow-up physical symptoms, the difference between emotional self-regulation strategies and pain coping strategies was significant, and pain coping strategies were more effective (p <0.001).
Conclusion: Therefore, it can be said that training emotional self-regulation strategies and pain coping strategies can improve health dimensions in coronary heart disease patients.

Keywords

References

 References
1.Appleton A, Buka S, Loucks E. Divergent associations
of adaptive and maladaptive emotion regulation
strategies with Inflammation. Health Psychol. 2013; 32:
748-56.
2.Berking M, Wupperman P, Reichardt A, Pejic T,
Dippel A, Znoj H. Emotion regulation skills as a
treatment target in psychotherapy. Behavior Research
and Therapy 2008; 46: 1230-237.
3.Vlachakis C, Dragoumani K, Raftopoulou S, Mantaiou
M, Papageorgiou L, Tsaniras SC, Megalooikonomou V,
Vlachakis D. Human emotions on the onset of
cardiovascular and small vessel related diseases. in vivo.
2018;32(4):859-70.
4.Meeus M. Are pain beliefs, cognitions, and behaviors
influenced by race, ethnicity, and culture in patients with
chronic musculoskeletal pain: a systematic review. Pain
Physician. 2018;21:541-8.
5.Gratz KL, Roemer L. The relationship between
emotion dysregulation and deliberate self‐harm among
female undergraduate students at an urban commuter
university. Cognitive behavior therapy. 2008;37(1):14-
25.
6.Gross J. Emotion regulation: Taking stock and moving
forward. Am Psychol J. 2013; 13: 359-65.
7.John O, Gross J. Healthy and unhealthy emotion
regulation: personality processes, individual differences,
and life span development. J Personality. 2004; 72:
1302-36.
8.Kraaij V, van Emmerik A, Garnefski N, Schroevers
MJ, Lo-Fo-Wong D, van Empelen P, Dusseldorp E,
Witlox R, Maes S. Effects of a cognitive-behavioral selfhelp program and a computerized structured writing
Ebrahimi E et al.
Razavi Int J Med. 2022; 10(1):e1058. 27
intervention on depressed mood for HIV-infected
people: A pilot randomized controlled trial. Patient
Education and Counseling. 2010;80(2):200-4.
9.Kubzansky LD, Thurston R. Emotional vitality and
incident coronary heart disease. Arch Gen Psychiatry.
2007; 64: 1393-1401.
10. Lavie CJ, Milani RV. Cardiac rehabilitation and
exercise training in secondary coronary heart disease
prevention. J Progress in Cardiovascular Diseases.
2012;53(6):397-403.
11. McDermott MJ, Tull MT, Gratz KL, Daughters SB,
Lejuez CW. The role of anxiety sensitivity and
difficulties in emotion regulation in posttraumatic stress
disorder among crack/cocaine dependent patients in
residential substance abuse treatment. Journal of anxiety
disorders. 2009;23(5):591-9.
12. Nakamura S, Kato K, Yoshida A, Fukuma N,
Okumura Y, Ito H, Mizuno K. Prognostic value of
depression, anxiety, and anger in hospitalized
cardiovascular disease patients for predicting adverse
cardiac outcomes. The American journal of cardiology.
2013;111(10):1432-6.
13. Porter A, Fischer MJ, Brooks D, Bruce M, Charleston
J, Cleveland WH, et al. Quality of life and psychosocial
factors in African Americans with hypertensive chronic
kidney disease. J Translational Research. 2012;159(1):4-
11.
14. Smith TW, Deits‐Lebehn C, Williams PG, Baucom
BR, Uchino BN. Toward social psychophysiology of
vagally mediated heart rate variability: Concepts and
methods in self‐regulation, emotion, and interpersonal
processes. Social and Personality Psychology Compass.
2020;14(3):e12516.
15. Stoney C. Stress and pain. handbook of Pain and
Palliative Care 2018 (pp. 361-376). Springer, Cham.
16. Bose C, Bjorling G, Elfström M, Persson H,
Saboonchi F. Implementation of coping effectiveness
training in patients with chronic heart failure :
participants evaluations indicate psychosocial benefits.
Eur J Cardiovasc Nurs. 2015;14(1):10–S10.
17. Jackson JL. Influence of traits, coping, affect, and
illness knowledge on adherence among patients in
cardiac rehabilitation [Internet]. ProQuest Dissertations
and Theses. 2010. Available from:
http://search.proquest.com/docview/758452994?accounti
d=41453
18. Ghannam BM, Hamdan-Mansour AM, Arabiat DH,
Azzeghaiby SN, Abeiat DD Al, Badawi TH Al.
Psychosocial Wellbeing of Patients Diagnosed with
Coronary Artery Disease. Psychology. 2014;5(8):801–7.
19.Jain A, Verma S. Prevalence of Stress and Coping
Strategies Among College Students. J Adv Med Dent Sci
Res |Vol [Internet]. 2016;4(6):6. Available from:
www.jamdsr.com
20. Nasiłowska-Barud A, Fedorovich V, Zapolski T,
Sikorska-Jaroszyńska M, Wysokiński A. Pain-coping
strategies in women with ischemic heart disease. Ann
Agric Environ Med. 2013;20(4):767–72.
21. Zou H, Tian Q, Chen Y, Cheng C, Fan X. Coping
styles mediate the relationship between self-esteem,
health locus of control, and health-promoting behavior in
Chinese patients with coronary heart disease. J
Cardiovasc Nurs. 2017;32(4):331–8.
22. Nissen NK, Jónsdóttir M, Spindler H, Zwisler ADO.
Resistance to change: Role of relationship and
communal coping for coronary heart disease patients and
their partners in making lifestyle changes. Scand J Public
Health. 2018;46(6):659–66.
23. Li Z, Liu T, Han J, Li T, Zhu Q, Wang A.
Confrontation as a Mediator between Sense of
Coherence and Self-management Behaviors among
Elderly Patients with Coronary Heart Disease in North
China. Asian Nurs Res (Korean Soc Nurs Sci).
2017;11(3):201–6.
24. Kähkönen O, Kankkunen P, Miettinen H, Lamidi
ML, Saaranen T. Perceived social support following
percutaneous coronary intervention is a crucial factor in
patients with coronary heart disease. J Clin Nurs.
2017;26(9–10):1264–80.
25. Alhurani AS, Dekker R, Ahmad M, Miller J, Yousef
KM, Abdulqader B, et al. Stress, cognitive appraisal,
coping, and event-free survival in patients with heart
failure. Hear Lung. 2018;47(3):205–10.
26. Nahlén Bose C, Persson H, Björling G, Ljunggren G,
Elfström ML, Saboonchi F. Evaluation of a Coping
Effectiveness Training intervention in patients with
chronic heart failure - A randomized controlled trial. Eur
J Cardiovasc Nurs. 2016;15(7):537–48.
27. Breuninger C, Sláma DM, Krämer M, Schmitz J,
Tuschen-Caffier B. Psychophysiological Reactivity,
Interoception and Emotion Regulation in Patients with
Agoraphobia During Virtual Reality Anxiety Induction.
Cognit Ther Res. 2017;41(2):193–205.
28. Nazifi M, Mokarami HR, Akbaritabar AK,
FarajiKujerdi M, Tabrizi R, Rahi A. Reliability, validity
and factor structure of the persian translation of general
health questionnire (ghq-28) in hospitals of kerman
university of medical sciences. Journal of Fasa
University of Medical Sciences. 2014;3(4):336-42.
29. Najafi Ghezeljeh T, Emami A. Strategies for
recreating normal life: Iranian coronary heart disease
patients’ perspectives on coping strategies. J Clin Nurs.
2014;23(15–16):2151–61. 

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