Effectiveness of Stress Immunization on Resilience, Anger Rumination, and Perceived Stress Among Women with Hypertension

Document Type : Original Article


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

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

3 Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran.



Background: Hypertension is a chronic disease that requires long-term treatment, which, despite being asymptomatic, leads to fatal complaints and complications.
Objective: The aim of this study was to show the effectiveness of stress immunization on resilience and anger rumination and perceived stress in women with hypertension.
Methods: The present study was quasi-experimental research using a pre-test, post-test design with a control group. The statistical population of this study consisted of all women with hypertension in Tehran in 2019. The sample consisted of 30 people who were selected by convenience sampling and randomly assigned to experimental (n=15) and control groups (n=15). Data were obtained using Connor and Davidson Resilience Scale (2003), Anger Rumination Questionnaire (2001), Cohen et al. Perceived Stress Scale (1983), and blood pressure gauge. For data analysis, the Mancova method and variance analysis with repeated measurement and SPSS.22 software was performed.
Results: The results showed that the effectiveness of stress immunization was effective on resilience (P<0.001) and anger rumination (P<0.001) and perceived stress (P<0.001) in women with hypertension.
Conclusion: It can be concluded that stress immunization was effective in increasing resilience, reducing anger rumination, and perceived stress in women with hypertension.


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