مقایسه تأثیر روش‌های درمان رفتاری و شناختی- رفتاری

Background and Aim: In addition to medical care, psychological support is needed to treat depression in rehabilitated cardiac patients. In this study we have compared the effectiveness of two different methods i.e. behavior-intervention and cognitive management in decreasing intensity of depression in rehabilitated cardiac patients. Materials and methods: All cardiac patients who had undergone surgery Coronary Artery Bypass Graft (CABG) during 2005-2006 in Khatam-al–Anbia general hospital of Zahedan were included in the study. Sixty seven patients fulfilling the criteria for inclusion were divided randomly into three groups, each comprising of 15 patients, two groups as experimental and one group as control. We used dual therapeutic methods of behavioral management and cognitive management in the two experimental groups, no intervention was done in the control group and multi group dependent variables were defined as the degree of depression in rehabilitated cardiac patients which was assessed by scale of light depression. Beck depression test was utilized for data collection for pre and post–tests unilateral variance analysis (ANOVA) was used for data analysis. Results: The average score of depression in both test groups showed remarkable difference before and after intervention, whilst subjects in the control groups did not show any intervention. Cognitive method proved more efficient in lessening the intensity of depression. Conclusion: We can apply psychotherapeutic intervening procedures in order to enhance cure and improve to deal with psychological issues in such patients. Keywords: Effectiveness Cognitive Behavioral Therapy Depression Cardiac Rehabilitated Patients. *[email protected] ng Author: Dr. Seyed Abdolmajid Bahreinian Department of Clinical Psychology, Shahid Beheshti Medical University, Tehran, Iran Email: majid.