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IRCT20170522034081N3 IRCT 2022-07-01 Yazd University of Medical Sciences the effectiveness of logotherapy and mindfulness in patients with coronary heart disease Compare the effectiveness of logotherapy and mindfulness- based stress reduction therapy (MBSR) with routtine treatments on Stress, Anxiety, Depression and Quality of life in patients with coronary heart disease 2018-08-23 anticipated 60 Complete https://irct.ir/trial/33301 interventional Randomization: Randomized, Blinding: Triple blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Simple randomization; Individual unit; A computer-generated random sequence number by SAS software; Build sequences based on numbers generated by SAS software and one of the people unrelated to the Research Project, Blinding description: Until the end of the clinical trial; participants, researchers, outcome assessor, statistical analyst, therapists and monitoring committee will not be aware of the allocation. N/A Heart disease. Intervention 1: Intervention group 1: undergoes mindfulness-based stress reduction therapy (MBSR) treatment protocol in 8 sessions of 90 minutes.The content of the sessions is as follows:Session 1: Introducing the participants, giving explanations about anxiety and depression and its effect on heart disease, raisin eating practice, breathing-focused meditation practice, body check exercise. Session 2: Body check exercise, inviting participants to discuss experiences of mindfulness exercises, examining barriers, examining the characteristics of mindfulness such as non-judgment or abandonment, practicing sitting meditation with a focus on breathing. Session 3: Practice seeing or hearing briefly, sitting meditation on concentration and body senses, three-minute breathing space, practicing conscious body movements. Session 4: practicing sitting meditation with a focus on breathing, discussing stress and the individual's usual reactions to difficult situations and alternative attitudes and reactions, conscious walking. Session 5: practicing sitting meditation with a focus on breathing, discussing the acceptance of the reality of the present situation as you are, practicing the second series of conscious body movements. Session 6: Three-minute breathing space, discussing thoughts that are often not real. Session 7: Practicing sitting meditation and open awareness, discussing the best way to take care of yourself, reviewing pleasant versus unpleasant daily activities, and learning to plan for pleasant activities, practicing love and kindness meditation. Session 8: Body checks exercise, review of trainings, evaluation of education, providing more resources. Intervention 2: Second intervention group: under the group semantic therapy protocol of James C. Cronbach (1973) in 8 sessions of 90 minutes.These goals will be pursued in all sessions:1. Helping participants to clarify values that are particularly meaningful to them. 2. Set reasonable goals. 3. Ensuring that participants' goals achieve meaningful personal values.4. Practical planning to achieve goals. 5. Identify the strengths and weaknesses of the participants that affect the achievement of their goals. 6. Consider strengths and weaknesses in planning to achieve goals that achieve participants' values. Intervention 3: The control group receives the usual treatments of the Cardiac Rehabilitation Clinic, which is Cognitive-Behavioral Therapy (CBT). Cognitive-behavioral therapy will be in twelve sessions of 90 minutes. The structure of the sessions is such that in the first session, evaluation and diagnostic interview will be performed and the second to twelfth sessions will have the same structure as follows. The structure of the first session of treatment: setting the agenda and talking about its logic, examining the patient's mood, a brief overview of the patient's problems and, if necessary, their brief revision, identifying problems objectively and setting treatment goals, teaching the patient cognitive model, review patient expectations about treatment, patient education about their disorder, assigning homework, session summary, and feedback. The structure of the second session of treatment onwards includes a brief review of the previous week and the patient's mood, bridging the previous session, setting the agenda, reviewing the patient's homework, discussing the topics set in the agenda and assigning homework for next week, summarizing, and Feedback. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no more information.
public Mozhgan Hemmati
Cardiac Rehabilitation Center; Afshar hospital; Jomhouri blvd
Yazd Iran (Islamic Republic of) 8917945556 +98 35 3525 8354 mozhganhemmaty@gmail.com Yazd University of Medical Sciences scientific Dr.Mohamad Reza Vafaeenasab
Cardiac Rehabilitation Center; Afshar hospital; Jomhouri blvd
Yazd Iran (Islamic Republic of) 8917945556 +98 35 3525 8354 rzvafaee@yahoo.com Yazd University of Medical Sciences Iran (Islamic Republic of) Age less than 75 years Have the least reading and writing skills Informed consent Type of treatment PCI EF above 40 no limit 75 years Both Cardiac valve disease Cardiac arrhythmia Chronic obstructive pulmonary disease (COPD) Having diabetes complications Being dialysis convulsion Cerebrovascular accident (CVA) High risk In terms of cardiac rehabailitation Having chronic underlying illnesses Not having Heart failure disease (HF) Not having Implantable Cardioverter Defibrillator (ICD) Lack of pharmacotherapy and non-prescriptive therapies for psychiatric illnesses I27 Other pulmonary heart diseases Behavior Behavior Behavior Intervention group 1: undergoes mindfulness-based stress reduction therapy (MBSR) treatment protocol in 8 sessions of 90 minutes.The content of the sessions is as follows:Session 1: Introducing the participants, giving explanations about anxiety and depression and its effect on heart disease, raisin eating practice, breathing-focused meditation practice, body check exercise. Session 2: Body check exercise, inviting participants to discuss experiences of mindfulness exercises, examining barriers, examining the characteristics of mindfulness such as non-judgment or abandonment, practicing sitting meditation with a focus on breathing. Session 3: Practice seeing or hearing briefly, sitting meditation on concentration and body senses, three-minute breathing space, practicing conscious body movements. Session 4: practicing sitting meditation with a focus on breathing, discussing stress and the individual's usual reactions to difficult situations and alternative attitudes and reactions, conscious walking. Session 5: practicing sitting meditation with a focus on breathing, discussing the acceptance of the reality of the present situation as you are, practicing the second series of conscious body movements. Session 6: Three-minute breathing space, discussing thoughts that are often not real. Session 7: Practicing sitting meditation and open awareness, discussing the best way to take care of yourself, reviewing pleasant versus unpleasant daily activities, and learning to plan for pleasant activities, practicing love and kindness meditation. Session 8: Body checks exercise, review of trainings, evaluation of education, providing more resources. Second intervention group: under the group semantic therapy protocol of James C. Cronbach (1973) in 8 sessions of 90 minutes.These goals will be pursued in all sessions:1. Helping participants to clarify values that are particularly meaningful to them. 2. Set reasonable goals. 3. Ensuring that participants' goals achieve meaningful personal values.4. Practical planning to achieve goals. 5. Identify the strengths and weaknesses of the participants that affect the achievement of their goals. 6. Consider strengths and weaknesses in planning to achieve goals that achieve participants' values. The control group receives the usual treatments of the Cardiac Rehabilitation Clinic, which is Cognitive-Behavioral Therapy (CBT). Cognitive-behavioral therapy will be in twelve sessions of 90 minutes. The structure of the sessions is such that in the first session, evaluation and diagnostic interview will be performed and the second to twelfth sessions will have the same structure as follows. The structure of the first session of treatment: setting the agenda and talking about its logic, examining the patient's mood, a brief overview of the patient's problems and, if necessary, their brief revision, identifying problems objectively and setting treatment goals, teaching the patient cognitive model, review patient expectations about treatment, patient education about their disorder, assigning homework, session summary, and feedback. The structure of the second session of treatment onwards includes a brief review of the previous week and the patient's mood, bridging the previous session, setting the agenda, reviewing the patient's homework, discussing the topics set in the agenda and assigning homework for next week, summarizing, and Feedback. Quality of life. Timepoint: Before and after intervention. Method of measurement: Sf-36 Quality of Life Questionnaire. Stress score. Timepoint: Before and after intervention. Method of measurement: SSD Questionnaire. Depression score. Timepoint: Before and after intervention. Method of measurement: Beck Questionnaire depression. Anxiety score. Timepoint: Before and after intervention. Method of measurement: Beck Questionnaire anxiety. Yazd University of Medical Sciences Approved 2018-03-14 Ethics Committee Of Shahid Sadoughi University of Medical Sciences Shahid Sadoughi Blvd., Bahonar Square Yazd Yazd Iran (Islamic Republic of)