The effectiveness of emotion-regulation skills training on blood pressure control and quality of life in patients with hypertension
Keywords:Emotion Regulation, Hypertension, Quality of Life
BACKGROUND: Hypertension is a common chronic disease that is affected by several factors. The aim of this study is to evaluate the effectiveness of emotion regulation skills training on blood pressure control and quality of life (QOL) in patients with hypertension.
METHODS: The present study was a quasi-experimental design with pre-test and post-test evaluations to compare the experimental group with a control group. 60 patients with high blood pressure who received medical treatment and referred to the health centers and clinics affiliated to Isfahan University of Medical Sciences, Isfahan, Iran were randomly selected and assigned to either the experimental group (30 patients) or the control group
(30 patients). The experimental group received eight training sessions (two 2-hour sessions weekly) on emotional regulation. In each group, the blood pressure was measured before and after the intervention. Data for the QOL were collected using the 36-Item Short Form Health Survey (SF-36).
RESULTS: The findings showed that in the post-test evaluation, systolic blood pressure (SBP) of the patients in the experimental group was reduced in comparison to the control group (P ≤ 0.050). In addition, in the experimental group compared to the control group, the QOL in the patients increased after the intervention. However, the diastolic blood pressure (DBP) did not show a significant difference.
CONCLUSION: Emotion regulation skills training was effective in patients with hypertension. It is suggested that the emotion regulation skills training be considered along with medical treatments.
Chockalingam A, Campbell NR, Fodor JG. Worldwide epidemic of hypertension. Can J Cardiol 2006; 22(7): 553-5.
Sadeghi R, Mohseni M, Khanjani N. The effect of an educational intervention according to hygienic belief model in improving care and controlling among patients with hypertension. J Rafsanjan Univ Med Sci 2014; 13(4): 383-94. [In Persian].
Tabrizi JS, Sadeghi-Bazargani H, Farahbakhsh M, Nikniaz L, Nikniaz Z. Prevalence and associated factors of prehypertension and hypertension in Iranian population: The lifestyle promotion project (LPP). PLoS One 2016; 11(10): e0165264.
Amiri S, Gharewisi S, Ghasemigheshlagh M. Effects of positive and negative emotional induction on biological reactions (heart rate and blood pressure) in chronic cancer patients. J Shaheed Sadoughi Univ Med Sci 2016; 24(6): 449-59. [In Persian].
Berking M, Wupperman P, Reichardt A, Pejic T, Dippel A, Znoj H. Emotion-regulation skills as a treatment target in psychotherapy. Behav Res Ther 2008; 46(11): 1230-7.
Pourmoghaddas A, Gharipour M, Garakyaraghi M, Yousefy A. Association between uncontrolled hypertension status and quality of life in hypertensive patients. Iran Heart J 2014; 15(2): 6-11.
Gross JJ, John OP. Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. J Pers Soc Psychol 2003; 85(2): 348-62.
Gross JJ. Handbook of emotion regulation. New York, NY: Guilford Publications; 2006.
Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992; 30(6): 473-83.
Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Qual Life Res 2005; 14(3): 875-82.
Fekri A, Issazadegan A, Michaeli Manee F. Comparison of cognitive emotion regulation strategies and alexithymia in individuals with and without essential hypertension. Contemporary Psychology 2015; 10(1): 85-94. [In Persian].
Bagheri M, Azizpour L. Comparative study of cognitive-emotional adjustment in patients with hypertension with healthy people in Ilam city. Proceedings of the 2nd International Conference on Behavioral Science and Social Studies; 2016 Mar. 18; Istanbul, Turkey.
Suwito J, Najib M, Muafiro A. Affirmation-tapping as a model of emotion management to help achieve the targeted-therapy blood pressure in hypertensive patients. The Proceeding of 7th International Nursing Conference: Global Nursing Challenges in the Free Trade Era; 2016 Apr. 8-9; Surabaya, Indonesia.
Gross JJ. Emotion regulation: Conceptual and empirical foundations. In: Gross JJ, Editor. Handbook of emotion regulation. New York, NY: Guilford Publications; 2015.
Ghamari Kivi H, Mohebbi Z, Maleki A. The effectiveness of stress inoculation training and drug therapy on blood pressure and quality of life in woman suffering from hypertension. International Journal of Behavioral Sciences 2015; 8(4): 405. [In Persian].