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Effectiveness of Emotion Regulation Therapy on Anger Rumination and Health-Related Quality of Life in Women with Primary Hypertension | ||
| Iranian Journal of Health Psychology | ||
| دوره 8، شماره 2 - شماره پیاپی 24، شهریور 2025 | ||
| نوع مقاله: research | ||
| شناسه دیجیتال (DOI): 10.30473/ijohp.2025.75391.1418 | ||
| نویسندگان | ||
| Monirosadat Hosseini* 1؛ Hengameh Boloorsaz Mashhadi2 | ||
| 1School of Educational Studies, Universiti Sains Malaysia 11800 Penang, Malaysia | ||
| 2Instructor, Department of Educational Sciences, Payame Noor University, Iran | ||
| چکیده | ||
| Objective: Hypertension is one of the most prevalent chronic diseases, which, if not properly managed, can lead to numerous psychological and social consequences in addition to physical health issues, ultimately reducing quality of life. The present study aimed to investigate the effectiveness of emotion regulation-based therapy on anger rumination and health-related quality of life (HRQoL) in patients with primary hypertension. Method: This semi-experimental study employed a pretest-posttest control group design with a two-month follow-up. The statistical population consisted of all women diagnosed with primary hypertension who were referred to Moheb Hospital in Tehran in 2025. Using convenience sampling, 30 participants were selected and randomly assigned to two equal groups (15 participants each). Data were collected using a demographic information checklist, the Anger Rumination Scale, the Health-Related Quality of Life Questionnaire, and a digital upper arm blood pressure monitor. The intervention group received emotion regulation-based therapy based on Gross’s protocol, delivered in 8 sessions (twice weekly, each session lasting one hour). Data analysis was conducted using repeated measures ANOVA and Bonferroni post hoc tests. All ethical issues were addressed in this study, and the authors declare that they have no conflicts of interest. Results: Emotion regulation-based therapy had a significant effect on reducing anger rumination (F = 89.365, p < 0.015), Reduction in systolic blood pressure (F=22.621 and p<0.011), Reduction in diastolic blood pressure (F=40.076 and p<0.006), and improving health-related quality of life (F = 97.943, p < 0.002) in patients with primary hypertension. The effect sizes for anger rumination and HRQoL were 0.36, Systolic blood pressure 0.40, diastolic blood pressure 0.38, and 0.47, respectively. These effects persisted at the two-month follow-up. Conclusion: The findings indicate that emotion regulation-based therapy can effectively enhance behavioral outcomes, blood pressure, and improve quality of life in individuals with hypertension. It is recommended that such psychological interventions be integrated with pharmacological treatments in rehabilitation and care programs to enhance the psychological and behavioral functioning of these patients. | ||
| کلیدواژه‌ها | ||
| Emotion Regulation Therapy؛ Anger Rumination؛ Quality of Life؛ Hypertension؛ Health | ||
| عنوان مقاله [English] | ||
| اثربخشی درمان مبتنی بر تنظیم هیجان بر نشخوار خشم و کیفیت زندگی مرتبط با سلامت در زنان مبتلا به فشارخون نوع اولیه | ||
| نویسندگان [English] | ||
| منیرالسادات حسینی1؛ هنگامه بلورساز مشهدی2 | ||
| 1School of Educational Studies, Universiti Sains Malaysia 11800 Penang, Malaysia | ||
| 2Instructor, Department of Educational Sciences, Payame Noor University, Iran | ||
| چکیده [English] | ||
| مقدمه و هدف: فشارخون بالا یکی از شایعترین بیماریهای مزمن است که اگر به درستی مدیریت نشود، علاوه بر سلامت جسمی با منجر به پیامدهای متعدد روانی-اجتماعی و کیفیت زندگی پایین میشود. از اینرو، پژوهش حاضر با هدف تعیین اثربخشی درمان مبتنی بر تنظیم هیجان بر نشخوار خشم و کیفیت زندگی مرتبط با سلامت در مبتلایان به فشارخون نوع اولیه انجام شد. مواد و روشها: این پژوهش از نوع نیمهتجربی و بهصورت پیشآزمون، پسآزمون با دو گروه آزمایش و کنترل و پیگیری دوماهه بود. تمامی زنان مبتلا به فشارخون نوع اولیه مراجعهکننده به بیمارستان محب تهران در سال 1404 جمعیت آماری پژوهش را تشکیل دادند، که از بین آنها با نمونهگیری در دسترس تعداد 30 نفر انتخاب و در دو گروه مساوی (هر گروه 15 نفر) گمارده شدند. گردآوری دادهها علاوه بر چک لیست اطلاعات دموگرافیک با پرسشنامه نشخوار خشم و پرسشنامه کیفیت زندگی مرتبط با سلامت انجام شد. درمان مبتنی بر تنظیم هیجان با توجه به پروتکل Gross طی 8 جلسه(هفتهای دو جلسه و هر جلسه بهمدت 1 ساعت) برای گروه آزمایش اعمال شد. داده با آنالیز واریانس با اندازهگیری مکرر و آزمون تعقیبی بنفرونی تحلیل شد. یافتهها: درمان مبتنی بر تنظیم هیجان بر کاهش نشخوار خشم (365/89=F و 015/0>P) و بهبود کیفیت زندگی مرتبط با سلامت (943/97=F و 002/0>P) مبتلایان به فشارخون نوع اولیه اثربخش بود. میزان اندازه اثر درمان مبتنی بر تنظیم هیجان بر نشخوار خشم 36/0 و کیفیت زندگی مرتبط با سلامت 47/0 درصد بود و ماندگاری تأثیر درمان تا دوماه پس از آن برقرار بود. نتیجهگیری: نتایج حاکی از آن بود که درمان مبتنی بر تنظیم هیجان میتواند بر بهبود وضعیت رفتاری و کیفیت زندگی مبتلایان به فشارخون بالا سودمند باشد. پیشنهاد میشود در طرحریزی مداخلات توانبخشی و درمانی جهت ارتقای عملکرد روانی-رفتاری این بیماران در کنار دارودرمانی ار تمرینات مرتبط با درمان تنظیم هیجان بیشتر استفاده گردد. | ||
| کلیدواژه‌ها [English] | ||
| درمان تنظیم هیجان, نشخوار خشم, کیفیت زندگی, هایپرتانسیون, فشار خون اولیه, سلامت | ||
| مراجع | ||
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