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Effectiveness of Brief Cognitive-Behavioral Therapy (BCBT) on Dysfunctional Attitudes, Lifestyle, and Distress Tolerance in Young Adults with Hypertension | ||
| Iranian Journal of Health Psychology | ||
| دوره 9، شماره 1 - شماره پیاپی 27، خرداد 2026 | ||
| نوع مقاله: research | ||
| شناسه دیجیتال (DOI): 10.30473/ijohp.2026.76295.1430 | ||
| نویسندگان | ||
| Fatemeh Bayanfar* 1؛ Hengameh Boloorsaz Mashhadi2 | ||
| 1Associate Prof., Faculty of Economic and Political Sciences, Shahid Beheshti University, Tehran, Iran | ||
| 2Ph.D. Student in Information Technology Management, Faculty of Management University of Tehran, Iran | ||
| چکیده | ||
| Objective: Hypertension is a common, asymptomatic medical condition. It arises from general or functional disorders and is referred to as primary or essential hypertension. This study aimed to investigate the effectiveness of brief cognitive-behavioral therapy (BCBT) on dysfunctional attitudes, lifestyle, and distress tolerance in young adults with hypertension. Methods: This quasi-experimental study used a pre-test-post- test design, a control group, and \ a 45-day follow-up. The population comprised young male patients with hypertension at Moheb Mehr Hospital in Tehran between March and October 2025. From this population, a sample of 30 people was selected using purposive sampling, and they were then randomly assigned to experimental and control groups (n = 15 each). The experimental group received 10 60-minute BCBT sessions over 2.5 months, per Rudd’s protocol (2012). The control group received only routine medical care. Both groups were re-evaluated 45 days after the intervention. Measures included the Dysfunctional Attitudes Questionnaire (Weissman & Beck, 1978), Profile Health-Promoting Lifestyle II (PHPL-II) (Walker et al., 1995), and Distress Tolerance Scale (Simmons & Gaher, 2005). Data were analyzed using repeated-measures ANOVA and Bonferroni post hoc tests in SPSS v26. Results: BCBT significantly reduced dysfunctional attitudes (F = 32.913, p < 0.004), improved lifestyle (F = 9.665, p < 0.002), and increased distress tolerance (F = 11.313, p < 0.001) of the patients with hypertension. Effect sizes were 0.54, 0.26, and 0.29 for dysfunctional attitudes, lifestyle, and distress tolerance. Improvements persisted at the follow-up stage. Conclusion: Brief cognitive-behavioral therapy improves behavioral-psychological indices in patients with hypertension. Adding this intervention to rehabilitation programs may enhance patient outcomes. | ||
| کلیدواژهها | ||
| Brief cognitive-behavioral therapy (BCBT)؛ Dysfunctional Attitudes؛ Lifestyle؛ Distress Tolerance؛ Hypertension | ||
| عنوان مقاله [English] | ||
| اثربخشی درمان شناختی رفتاری کوتاه مدت بر نگرشهای ناکارآمد، سبک زندگی و تحمل پریشانی در جوانان مبتلا به پر فشاری خون | ||
| نویسندگان [English] | ||
| فاطمه بیان فر1؛ هنگامه بلورساز مشهدی2 | ||
| 1دانشیار گروه روان شناسی دانشگاه پیام نور-تهران -ایران | ||
| 2Ph.D. Student in Information Technology Management, Faculty of Management University of Tehran, Iran | ||
| چکیده [English] | ||
| مقدمه: هدف از این مطالعه بررسی اثربخشی رفتاردرمانی شناختی کوتاه مدت بر نگرشهای ناکارآمد، سبک زندگی و تحمل پریشانی در جوانان مبتلا به پر فشاری خون بود. روش: روش پژوهش نیمهآزمایشی از نوع پیشآزمون – پسآزمون با گروه کنترل و دوره پیگیری بود. جامعه آماری تمامی بیماران مرد جوان مبتلا به پر فشاری خون مراجعه کننده به بیمارستان محب مهر تهران بین فروردین تا مهر 1404 بود. از این جامعه نمونهای به حجم 30 نفر به روش نمونه گیری هدفمند، انتخاب و به صورت تصادفی در دو گروه آزمایش (15 نفر) و کنترل (15 نفر) گمارده شدند. گروه آزمایش درمان شناختی رفتاری کوتاهمدت (2012)Rudd را دریافت کرد. گروه کنترل فقط مراقبتهای معمول پزشکی را دریافت نمود. 45 روز پس از مداخله هر دو گروه مورد ارزیابی قرار گرفتند. ابزارهای پژوهش شامل نگرش ناکارآمدWeissman& Beck ، (1978)، سبک زندگی Walker et al (1995)، تحمل پریشانی Simmons& Gaher (2005) بودند. برای تجزیه وتحلیل دادهها از آنالیز واریانس با اندازهگیری مکرر و آزمون تعقیبی بونفرونی استفاده شد. یافتهها: درمان شناختی رفتاری کوتاهمدت بر نگرش ناکارآمد (913/32=F ،004/0>p) ، سبک زندگی (665/9=F ،002/0>p) و تحمل پریشانی (313/11=F ،001/0>p) مبتلایان به پر فشاری خون اثربخش بود. میزان اندازه اثر شناختدرمانی کوتاهمدت بر نگرش ناکارآمد 54/0، سبک زندگی 26/0 و تحمل پریشانی 29/0 درصد بود. این تأثیرات مثبت در مرحله پیگیری نیز پایدار ماند. نتیجهگیری: رفتاردرمانی شناختی کوتاه مدت میتواند بر بهبود شاخصهای رفتاری-روانی مبتلایان به پر فشاری خون سودمند باشد. پیشنهاد میشود در طرحریزی مداخلات توانبخشی جهت ارتقای عملکرد این بیماران مورد استفاده قرار گیرد. | ||
| کلیدواژهها [English] | ||
| رفتاردرمانی شناختی کوتاه مدت, نگرش ناکارآمد, سبک زندگی, تحمل پریشانی, پر فشاری خون | ||
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