Comparison the effectiveness of Acceptance and Commitment therapy with Mindfulness-Based Cognitive therapy on Cognitive Emotion Regulation in Heart Failure Patients

Abstract

Background and Aim: Consequences of heart failure are along with experiencing more stressful situations for patients and increasing negative emotions in cardiovascular disease, is accompanied by a worsening of the course of the disease and in general, cardiovascular patients use more maladaptive and less adaptive strategies of cognitive emotion regulation strategies than the normal group; Therefore, the aim of this study was to compare the effectiveness of mindfulness-based cognitive therapy with acceptance and commitment therapy on cognitive emotion regulation in patients with heart failure.  Methods: The design of this research is a quasi-experimental design with pre-test, post-test, control group and 3 months follow-up. The statistical population included all 35 to 55 years old males with heart failure who referred to medical centers in Isfahan in 1400.In this research, 45 people were selected by targeted sampling method to form 3 groups; and 15 people were randomly selected in the mindfulness-based cognitive therapy group, 15 people in the acceptance and commitment therapy group and 15 people in the control group. The data were collected by Cognitive Emotion Regulation Questionnaire, Garnefski, Kraaij, & Spinhoven (2001); and mindfulness-based cognitive therapy Segal, et al. (2013) and acceptance and commitment therapy Hayes & Strosahl (2010) were performed for 8 sessions of 90 minutes for the experimental groups. Data analysis was performed by descriptive statistics and mixed analysis of variance with repeated measures using SPSS-25. Results: The results showed that in comparison with the control group, both interventions significantly reducing the use of maladaptive and increasing the use of adaptive cognitive emotion regulation strategies (P= 0.05); Also, there was no significant difference between the effect of the interventions on cognitive emotion regulation strategies (P=0.05). Conclusion: According to the results, mindfulness-based cognitive therapy and acceptance and commitment therapy can use to reduce the use of maladaptive and increase the use of adaptive cognitive emotion regulation strategies in with heart failure patients and can use as effective complementary interventions along with medical treatments