Top

Trials

Published in:

Open Access 01-12-2022 | Myocardial Infarction | Research

Effects of acceptance and commitment therapy on self-management skills and psychological resilience of young and middle-aged patients underwent percutaneous transluminal coronary intervention for primary myocardial infarction: a pilot study

Authors: Jiaoyu Cao, Panpan Sun, Lixiang Zhang, Xia Chen, Wenjuan Gui, Anping Ou, Kaibing Chen, Likun Ma

Published in: Trials | Issue 1/2022

Abstract

Background

Acceptance and commitment therapy (ACT) is an intervention focusing on altering how patients relate to their thoughts. This study aimed to investigate the effects of ACT on self-management ability and psychological resilience of young and middle-aged patients undergoing percutaneous transluminal coronary intervention (PCI) for primary myocardial infarction (MI).

Methods

This pilot study included 98 young and middle-aged patients who underwent PCI for primary MI using a convenient sampling method. The patients were divided into a control group and an ACT group using the random number table method. The patients in the control group received routine nursing, while those in the ACT group received routine nursing combined with ACT.

Results

The psychological resilience and self-management ability scores were significantly higher in the ACT group than in the control group 3 months after the intervention (P < 0.001 and < 0.05, respectively). In addition, compared to the baseline scores of psychological resilience and self-management ability, these scores were significantly higher in the ACT group at 3 months post-intervention (P < 0.001 and < 0.05, respectively).

Conclusion

ACT could enhance the psychological resilience and self-efficacy and improve the self-management ability of young and middle-aged patients who underwent PCI for primary MI.

Trial registration

China Clinical Trial Center ChiCTR2000029775. Registered on 13 February 2020. Registration title:Study on the popularization and application of rotational atherectomy for the treatment of severely calcified coronary lesions.

Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R, et al. Heart disease and stroke statistics-2017 update: a report from the American Heart Association. Circulation. 2017;135(10):e146–603. https://doi.org/10.1161/CIR.0000000000000485.CrossRefPubMedPubMedCentral

Généreux P, Madhavan MV, Mintz GS, Maehara A, Palmerini T, Lasalle L, et al. Ischemic outcomes after coronary intervention of calcified vessels in acute coronary syndromes. Pooled analysis from the HORIZONS-AMI (Harmonizing Outcomes With Revascularization and Stents in Acute Myocardial Infarction) and ACUITY (Acute Catheterization and Urgent Intervention Triage Strategy) trials. J Am Coll Cardiol. 2014;63(18):1845–54. https://doi.org/10.1016/j.jacc.2014.01.034.CrossRefPubMed

Liang JJ, Huang H, Yang B, Wan J, Tang YH, Bao MW, et al. A cross-sectional survey on the prevalence of anxiety symptoms in Chinese patients with premature ventricular contractions without structural heart disease. Chin Med J (Engl). 2012;125:2466–71.

Crumb SR, Cook SC, Cheatham JP, Galantowicz M, Feltes TF, Phillips A, et al. Quality outcomes of ACHD patients undergoing cardiovascular procedures and hospital admissions in a free-standing children’s hospital. Int J Cardiol. 2011;146(3):326–9. https://doi.org/10.1016/j.ijcard.2009.07.007.CrossRefPubMed

Du R, Wang P, Chen C. Investigation of health needs and analysis of influencing factors in patients who have returned to work after myocardial infarction. Zhong Guo Quan Ke Yi Xue. 2019;22:586–90.

Hayes SC, Levin ME, Plumb-Vilardaga J, Villatte JL, Pistorello J. Acceptance and commitment therapy and contextual behavioral science: examining the progress of a distinctive model of behavioral and cognitive therapy. Behav Ther. 2013;44(2):180–98. https://doi.org/10.1016/j.beth.2009.08.002.CrossRefPubMed

Dindo L, Van Liew JR, Arch JJ. Acceptance and commitment therapy: a transdiagnostic behavioral intervention for mental health and medical conditions. Neurotherapeutics. 2017;14(3):546–53. https://doi.org/10.1007/s13311-017-0521-3.CrossRefPubMedPubMedCentral

Powers MB, Vording MBZVS, Emmelkamp PM. Acceptance and commitment therapy: a meta-analytic review. Psychother Psychosom. 2009;78(2):73–80. https://doi.org/10.1159/000190790.CrossRefPubMed

Friborg O, Barlaug D, Martinussen M, Rosenvinge JH, Hjemdal O. Resilience in relation to personality and intelligence. Int J Methods Psychiatr Res. 2005;14(1):29–42. https://doi.org/10.1002/mpr.15.CrossRefPubMed

10.

Huang CJL, Huiyi L, et al. Acceptance and commitment therapy combined with paroxetine in the treatment of postpartum depression after painless delivery: a clinical study. Guang Zhou Yi Ke Da Xue Xue Bao. 2019;47:74–6.

11.

Zhang CQ, Leeming E, Smith P, Chung PK, Hagger MS, Hayes SC. Acceptance and commitment therapy for health behavior change: a contextually-driven approach. Front Psychol. 2017;8:2350. https://doi.org/10.3389/fpsyg.2017.02350.CrossRefPubMed

12.

Hayes SC. Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies - republished article. Behav Ther. 2016;47(6):869–85. https://doi.org/10.1016/j.beth.2016.11.006.CrossRefPubMed

13.

Di Giacomo D, Ranieri J, Donatucci E, Perilli E, Cannita K, Passafiume D, et al. Emotional “patient-oriented” support in young patients with I-II stage breast cancer: pilot study. Front Psychol. 2018;9:2487. https://doi.org/10.3389/fpsyg.2018.02487.CrossRefPubMedPubMedCentral

14.

Min JA, Yoon S, Lee CU, Chae JH, Lee C, Song KY, et al. Psychological resilience contributes to low emotional distress in cancer patients. Support Care Cancer. 2013;21(9):2469–76. https://doi.org/10.1007/s00520-013-1807-6.CrossRefPubMed

15.

Herth K. Abbreviated instrument to measure hope: development and psychometric evaluation. J Adv Nurs. 1992;17(10):1251–9. https://doi.org/10.1111/j.1365-2648.1992.tb01843.x.CrossRefPubMed

16.

Snyder CR, Harris C, Anderson JR, Holleran SA, Irving LM, Sigmon ST, et al. The will and the ways: development and validation of an individual-differences measure of hope. J Pers Soc Psychol. 1991;60(4):570–85. https://doi.org/10.1037/0022-3514.60.4.570.CrossRefPubMed

17.

Xinqiong Zhang XW, Shiyu H. Longitudinal study on predictors of resilience in patients with gastric cancer during chemotherapy. Zhong Guo Xin Li Wei Sheng Za Zhi. et al., 2019;33:695–700.

18.

Lulu Lv HG, Xu X, et al. Study on resilience and influencing factors of the main caregivers of stroke patient. Hu Li Guan Li Za Zhi. 2017;17:384–6.

19.

von Känel R, Hari R, Schmid JP, Saner H, Begré S. Distress related to myocardial infarction and cardiovascular outcome: a retrospective observational study. BMC Psychiatry. 2011;11(1):98. https://doi.org/10.1186/1471-244X-11-98.CrossRef

20.

Prevedini AB, Presti G, Rabitti E, Miselli G, Moderato P. Acceptance and commitment therapy (ACT): the foundation of the therapeutic model and an overview of its contribution to the treatment of patients with chronic physical diseases. G Ital Med Lav Ergon. 2011;33(1 Suppl A):A53–63.PubMed

21.

Serfaty M, Armstrong M, Vickerstaff V, Davis S, Gola A, McNamee P, et al. Acceptance and commitment therapy for adults with advanced cancer (CanACT): a feasibility randomised controlled trial. Psychooncology. 2019;28(3):488–96. https://doi.org/10.1002/pon.4960.CrossRefPubMed

22.

Sauer C, Maatouk I. Development and evaluation of an acceptance and commitment therapy (ACT)-based group intervention for cancer patients with psychological burden. Psychother Psychosom Med Psychol. 2021;71(2):90–98. https://pubmed.ncbi.nlm.nih.gov/32634840/.

23.

Chau PH, Moe G, Lee SY, Woo J, Leung AYM, Chow CM, et al. Low level of knowledge of heart attack symptoms and inappropriate anticipated treatment-seeking behaviour among older Chinese: a cross-sectional survey. J Epidemiol Community Health. 2018;72(7):645–52. https://doi.org/10.1136/jech-2017-210157.CrossRefPubMed

24.

Gonzalez JS, Tanenbaum ML, Commissariat PV. Psychosocial factors in medication adherence and diabetes self-management: implications for research and practice. Am Psychol. 2016;71(7):539–51. https://doi.org/10.1037/a0040388.CrossRefPubMedPubMedCentral

Title: Effects of acceptance and commitment therapy on self-management skills and psychological resilience of young and middle-aged patients underwent percutaneous transluminal coronary intervention for primary myocardial infarction: a pilot study
Authors: Jiaoyu Cao
Panpan Sun
Lixiang Zhang
Xia Chen
Wenjuan Gui
Anping Ou
Kaibing Chen
Likun Ma
Publication date: 01-12-2022
Publisher: BioMed Central
Keyword: Myocardial Infarction
Published in: Trials / Issue 1/2022
Electronic ISSN: 1745-6215
DOI: https://doi.org/10.1186/s13063-021-05923-0

Study protocol

Zhizhu Kuanzhong Capsule in treating patients with functional dyspepsia postprandial distress syndrome: study protocol for a multicenter, randomized, double-blind, placebo-controlled, parallel-group clinical trial

Correction

Correction: Benefits of Aldosterone Receptor Antagonism in Chronic Kidney Disease (BARACK D) trial–a multi-centre, prospective, randomised, open, blinded end-point, 36-month study of 2,616 patients within primary care with stage 3b chronic kidney disease to compare the efficacy of spironolactone 25 mg once daily in addition to routine care on mortality and cardiovascular outcomes versus routine care alone: study protocol for a randomized controlled trial

Study protocol

Promoting the adoption of local governmental policy on the reimbursement of chronic disease medicines (PAPMed): study protocol of a field-based cluster randomized trial in rural Nantong, China

Study protocol

Effect of early stellate ganglion block in cerebral vasospasm after aneurysmal subarachnoid hemorrhage (BLOCK-CVS): study protocol for a randomized controlled trial

Study protocol

Evaluation of the safety and efficacy of a Fuling-Zexie decoction for people with asymptomatic hyperuricemia: protocol for a prospective, double-blinded, randomized, placebo-controlled clinical trial

Study protocol

A behavior change wheel-based interactive pictorial health education program for hypertensive patients with low blood pressure health literacy: study protocol for a randomized controlled trial

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Effects of acceptance and commitment therapy on self-management skills and psychological resilience of young and middle-aged patients underwent percutaneous transluminal coronary intervention for primary myocardial infarction: a pilot study

Abstract

Background

Methods

Results

Conclusion

Trial registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Trial registration

Please log in to get access to this content

Other articles of this Issue 1/2022

Zhizhu Kuanzhong Capsule in treating patients with functional dyspepsia postprandial distress syndrome: study protocol for a multicenter, randomized, double-blind, placebo-controlled, parallel-group clinical trial

Promoting the adoption of local governmental policy on the reimbursement of chronic disease medicines (PAPMed): study protocol of a field-based cluster randomized trial in rural Nantong, China

Effect of early stellate ganglion block in cerebral vasospasm after aneurysmal subarachnoid hemorrhage (BLOCK-CVS): study protocol for a randomized controlled trial

Evaluation of the safety and efficacy of a Fuling-Zexie decoction for people with asymptomatic hyperuricemia: protocol for a prospective, double-blinded, randomized, placebo-controlled clinical trial

A behavior change wheel-based interactive pictorial health education program for hypertensive patients with low blood pressure health literacy: study protocol for a randomized controlled trial