The Effect of Two Methods of Relaxation and Prayer Therapy on Anxiety and Hope in Patients with Coronary Artery Disease: A Quasi‑Experimental Study

Soudabeh Sadeghimoghaddam, Mousa Alavi, Tayebeh Mehrabi, AmirHosein Bankpoor‑fard

Abstract


Background: Mental health problems such as anxiety and disappointment are common in patients with heart disease, resulting in poor outcomes. The purpose of this study was to compare the effectiveness of two methods of relaxation and prayer therapy on anxiety and hope in patients with coronary artery disease (CAD).

Materials and Methods: A quasi‑experimental study was conducted in three groups of 25 subjects (i.e., two groups of relaxation and prayer therapy and one control group) and two stages (i.e., pretest and posttest) in hospitals affiliated to Isfahan University of Medical Sciences, Iran. Data collection instrument consisted of three parts: (a) demographic and individual characteristics of the subjects, (b) Beck Anxiety Inventory, and (c) Snyder’s Hope Scale. The interventions consisted of Benson’s relaxation and prayer therapy. Data were analyzed using descriptive and inferential statistics.

Results: The results showed that there was a significant difference between the mean score of anxiety after intervention in the three groups which was related to each of the relaxation and prayer therapy group with the control group. Also, the result of analysis of covariance with controlling the effect of pretest revealed significant between‑subject effects of interventions on posttest scores of hope (F(2, 71) = 8.55, p = 0.012, ηp2 = 0.12) and anxiety (F(2, 71) = 4.71, p < 0.001, ηp2 = 0.19).

Conclusions: Both relaxation and prayer therapy interventions are effective in promoting hope and reducing anxiety in patients with CAD and provide optimal, short‑term, and easy‑to‑follow options for the health team.

 


Keywords


Anxiety, coronary disease, hope, relaxation, religion

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References


Sarrafzadegan N, Rabiei K, Alavi M, Abedi H, Zarfeshani S. How can the results of a qualitative process evaluation be applied in management, improvement and modification of a preventive community trial? The IHHP Study. Arch Public Health 2011;69:1‑7.

Gersh BJ, Sliwa K, Mayosi BM, Yusuf S. Novel therapeutic concepts the epidemic of cardiovascular disease in the developing world: Global implications. Eur Heart J 2010;31:642‑8.

Rabiei K, Kelishadi R, Sarrafzadegan N, AbediHA, Alavi M, Heidari K, et al. Process evaluation of a community‑based program for prevention and control of non‑communicable disease in a developing country: The Isfahan Healthy Heart Program, Iran. BMC Public Health 2009;9:57.

Nasiłowska‑Barud A, Zapolski T, Barud M, Wysokiński A. Overt and covert anxiety as a toxic factor in ischemic heart disease in women: The link between psychological factors and heart disease. Med Sci Monit 2017;23:751.

Ciric‑Zdravkovic SV, Zikic OV, Stanojevic DM, Petrovic‑Nagorni SM. Anxiety in patients with acute coronary syndromes. Eur J Psychiatry 2014;28:165‑71.

Doyle F, Rutkowska A, McGee H, Conroy R. Exhaustion, depression and hopelessness in cardiac patients: A unidimensional hierarchy of symptoms revealed by Mokken scaling. Ir J Psychol Med 2011;28:29‑31.

Alavi M, Irajpour A, Giles T, Rabiei K, Sarrafzadegan N. Barriers to education in cardiac rehabilitation within an Iranian society: A qualitative descriptive study. Contemp Nurs 2013;44:204‑14.

Nikrahan GR, Suarez L, Asgari K, Beach SR, Celano CM, Kalantari M, et al. Positive psychology interventions for patients with heart disease: A preliminary randomized trial. Psychosomatics 2016; 57:348‑58.

Lv J, Zhang X, Ou S, Gu S, Su Z, Tong S, et al. Influence of cognitive behavioral therapy on mood and quality of life after stent implantation in young and middle‑aged patients with coronary heart disease. Int Heart J 2016;57:167‑72.

Beckie TM, Mendonca MA, Fletcher GF, Schocken DD, Evans ME, Banks SM. Examining the challenges of recruiting women into a cardiac rehabilitation clinical trial. J Cardiopulm Rehab Prev 2009;29:13‑23.

Davis CM. Complementary Therapies in Rehabilitation: Evidence for Efficacy in Therapy, Prevention, and Wellness: SLACK; 2009.

Safara M, Bhatia M. Prayer therapy. Delhi Psychiatry J 2009;12:67‑73.

Benson H, Proctor W. Relaxation Revolution: The Science and Genetics of Mind Body Healing. Scribner; 2011.

Payne RA, Donaghy M. Relaxation Techniques E‑Book: A Practical Handbook for the Health Care Professional. Elsevier Health Sciences; 2010.

Abbasi B, Mirzakhany N, Oshnari LA, Irani A, Hosseinzadeh S, Tabatabaei SM, et al. The effect of relaxation techniques on edema, anxiety and depression in post‑mastectomy lymphedema patients undergoing comprehensive decongestive therapy: A clinical trial. PLoS ONE 2018;13:e0190231.

Tsitsi T, Charalambous A, Papastavrou E, Raftopoulos V. Effectiveness of a relaxation intervention (progressive muscle relaxation and guided imagery techniques) to reduce anxiety and improve mood of parents of hospitalized children with malignancies: A randomized controlled trial in Republic of Cyprus and Greece. Eur J Oncol Nurs 2017;26:9‑18.

Mahdavi A, Gorji MAH, Gorji AMH, Yazdani J, Ardebil MD. Implementing benson’s relaxation training in hemodialysis patients: Changes in perceived stress, anxiety, and depression. N Am J Med Sci 2013;5:536.

Zakerimoghadam M, Shaban M, Mehran A, Hashemi S. Effect of muscle relaxation on anxiety of patients undergo cardiac catheterization. tums‑hayat 2010;16:64‑71.

Hamid N. The effect of relaxation and mental imagery and relaxation therapy on anxiety and hopefulness in women with breast cancer in Ahvaz. Asian J Med Pharm Res 2012;2:10‑5.

Davies P, Taylor F, Beswick A, Wise F, Moxham T, Rees K, et al. Promoting patient uptake and adherence in cardiac rehabilitation. Cochrane Database Syst Rev 2010(7):CD007131‑CD.

Jors K, Büssing A, Hvidt NC, Baumann K. Personal prayer in patients dealing with chronicillness: A review of the research literature. Evid Based Complement Alternat Med 2015;2015:927973.

Yucel S. Prayer and Healing in Islam. Tughra Books; 2010.

Vallurupalli MM, Lauderdale MK, Balboni MJ, Phelps AC, Block SD, Ng AK, et al. The role of spirituality and religious coping in the quality of life of patients with advanced cancer receiving palliative radiation therapy. J Support Oncol 2012;10:81.

Porterfield J. Islamic Customs and Culture. Rosen Pub.; 2009.

Carvalho CC, Chaves EdCL, Iunes DH, Simão TP, Grasselli CdSM, Braga CG. Effectiveness of prayer in reducing anxiety in cancer patients. Rev Esc Enferm USP 2014;48:684‑90.

Benson H, Klipper MZ. The Relaxation Response. Harper Collins; 2009.

Steer RA, Beck AT. Beck Anxiety Inventory. 1997.

Snyder CR, Sympson SC, Ybasco FC, Borders TF, Babyak MA, Higgins RL. Development and validation of the State Hope Scale. J Pers Soc Psychol 1996;70:321.

Kaviani H, Mousavi A. Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI). Tehran Univ Med J 2008;66:136‑40.

Otaghi M, Borji M, Bastami S, Solymanian L. The effect of Benson’s relaxation on depression, anxiety and stress in patients undergoing hemodialysis. Int J Med Res Health Sci 2016;5:76‑83.

Boelens PA, Reeves RR, Replogle WH, Koenig HG. The effect of prayer on depression and anxiety: Maintenance of positive influence one year after prayer intervention. Int J Psychiatry Med 2012;43:85‑98.

Koenig HG. Religion, spirituality, and health: The research and clinical implications. ISRN Psychiatry 2012;2012:278730.

Nadi MA, Ghahremani N. The relationship between dimensions of religiosity/spirituality with mental health and hope for future between staff of public hospitals in Shiraz. J Educ Health Promot 2014;3:20.

Ottaviani AC, Souza ÉN, Drago NdC, Mendiondo MSZd, Pavarini SCI, Orlandi FdS. Hope and spirituality among patients with chronic kidney disease undergoing hemodialysis: A correlational study. Rev Lat Am Enfermagem 2014;22:248‑54.

Roger VL, Go AS, Lloyd‑Jones DM, Benjamin EJ, Berry JD, Borden WB, et al. Executive summary: heart disease and stroke statistics – 2012 update: A report from the American Heart Association. Circulation 2012;125:188‑97.


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