The Effectiveness of Cognitive-Behavioral Therapy on Perceived Stress and Adaptive Performance in Patients with Hypertension

Document Type : Original Article

Authors

1 Department of Health Psychology, UAE Branch, Islamic Azad University, Dubai. United Arab Emirates

2 Department of Clinical Psychology, Garmsar Branch, Islamic Azad University, Garmsar, Iran

3 Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran

10.22075/jcp.2024.35094.2964

Abstract

Introduction: Hypertension, as a common chronic illness, can affect not only the physical well-being of patients but also their psychological functioning. Therefore, this study aimed to investigate the effectiveness of cognitive-behavioral therapy (CBT) on perceived stress and adaptive performance in patients with hypertension.
Methods: This semi-experimental study employed a pretest-posttest design with a three-month follow-up. The statistical sample included 36 patients with hypertension who visited medical centers in Tehran in 2023. They were selected through purposive sampling and were randomly assigned to two groups of 18, one experimental and one control group. The research instruments included the Perceived Stress Scale (PSS) and the Adaptive Performance Scale (APS).
Results: The results of repeated measures ANOVA showed that CBT, after the last therapy session, was able to reduce perceived stress (F = 16.53) and increase adaptive performance (F = 27.15) in patients with hypertension. Also, the effect of CBT was also lasting in patients three months after the last therapy session (P < 0.001).
Conclusion: The findings indicate the positive impact of CBT in reducing psychological stress and enhancing adaptive performance in patients with hypertension. Therefore, it is recommended to use this psychotherapy alongside routine medical treatment to improve the mental health of these patients.

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History

  • Receive Date: 21 August 2024
  • Revise Date: 27 November 2024
  • Accept Date: 20 January 2025

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