التفاصيل البيبلوغرافية
العنوان: |
A psychological intervention based on cognitive‐behavioural therapy reduces psychopathological symptoms that indirectly influence the heart rate via cortisol in hypertensive patients: Preliminary results of a pilot study. |
المؤلفون: |
Giordano, Francesca, Guidotti, Sara, Gelo, Omar Carlo Gioacchino, Salerno, Clemente, Pruneti, Carlo |
المصدر: |
Counselling & Psychotherapy Research; Jun2024, Vol. 24 Issue 2, p572-581, 10p |
مصطلحات موضوعية: |
HYPERTENSION & psychology, PSYCHOTHERAPY, SOMATOFORM disorders, PEARSON correlation (Statistics), REPEATED measures design, PSYCHOLOGICAL distress, SYMPTOM Checklist-90-Revised, PARANOIA, T-test (Statistics), RESEARCH funding, PILOT projects, BLOOD collection, CLINICAL trials, PSYCHOEDUCATION, HYDROCORTISONE, TREATMENT effectiveness, SEVERITY of illness index, ANXIETY, DESCRIPTIVE statistics, HEART beat, LONGITUDINAL method, OBSESSIVE-compulsive disorder, SERUM, PRE-tests & post-tests, RESEARCH methodology, ANALYSIS of variance, COGNITIVE therapy, DATA analysis software, PATHOLOGICAL psychology, MENTAL depression, BLOOD pressure measurement |
مستخلص: |
Objective: This study aimed at assessing the effectiveness of cognitive‐behavioural therapy (CBT) integrated with psychoeducation in a group of hypertensive patients with clinically significant psychopathological symptoms. Methods: One hundred hypertensive patients completed the Symptom Checklist‐90‐Revised. Of them, 17 scored above the clinical range (cut‐off = 0.75) on the Global Severity Index and were included in the study. Psychological distress was assessed again after the intervention (T1) and 6 months after the end of treatment (T2). In addition, the cortisol dosage and the heart rate (HR) measurement were collected at both T0 and T2. Then, mediation analyses were carried out to calculate whether psychopathological distress might predict HR through elevated serum cortisol levels, at both T0 and T2. Results: The psychological intervention (CBT integrated with psychoeducation) reduced most of the psychopathological symptoms (anxiety, depression, somatisations, obsessions and compulsions, hostility, interpersonal sensitivity and paranoid ideation) but not cortisol dosage and HR measurement. However, psychological distress indirectly predicted HR via cortisol at T0 but not at T2. Conclusion: These results suggest and encourage the replicability of data in larger sample sizes and the comparison with a control group. Nevertheless, these results highlight a need for a multidimensional assessment of disorders affecting the mental and physical spheres of patients to support their overall well‐being. [ABSTRACT FROM AUTHOR] |
|
Copyright of Counselling & Psychotherapy Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
قاعدة البيانات: |
Complementary Index |