| Title | A pilot randomized controlled trial to assess the effect of Islamic spiritual intervention and of breathing technique with heart rate variability feedback on anxiety, depression and psycho-physiologic coherence in patients after coronary artery bypass surgery. | ||
| Author | Amjadian, Mohiadin; Bahrami Ehsan, Hadi; Saboni, Kaivan; Vahedi, Siamak; Rostami, Reza; Roshani, Daem | ||
| Journal | Ann Gen Psychiatry | Publication Year/Month | 2020 |
| PMID | 32817752 | PMCID | PMC7425359 |
| Affiliation | 1.Clinical Psychology Department, Kurdistan University of Medical Sciences, Sanandaj, Iran. GRID: grid.484406.a. ISNI: 0000 0004 0417 6812;Psychology Department, University of Tehran, Tehran, Iran. GRID: grid.46072.37. ISNI: 0000 0004 0612 7950;Surgery Department, Medical Sciences University of Kurdistan, Sanandaj, Iran. GRID: grid.411189.4. ISNI: 0000 0000 9352 9878;Cardiology Department, Kurdistan University of Medical Sciences, Sanandaj, Iran. GRID: grid.484406.a. ISNI: 0000 0004 0417 6812;Psychology Department, University of Tehran, Tehran, Iran. GRID: grid.46072.37. ISNI: 0000 0004 0612 7950;Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran. GRID: grid.484406.a. ISNI: 0000 0004 0417 6812;Department of Epidemiology and Biostatistics, Medical School, Kurdistan University of Medical Sciences, Sanandaj, Iran. GRID: grid.484406.a. ISNI: 0000 0004 0417 6812. | ||
BACKGROUND: This study investigated the effects of Islamic religious and breathing techniques with heart rate variability (HRV) biofeedback therapies on HRV and psycho-physiologic coherence (resonance frequency), depression and anxiety in coronary artery bypass graft surgery (CABG) patients. METHODS: Sixty CABG patients were chosen and randomly assigned to religious, breathing techniques and control groups. The experimental groups received 8 weeks of treatments; a 2-h session with home works in each week. The control group received only their normal hospital interventions. The groups\' depression, anxiety, HRV and psycho-physiologic coherence levels were assessed before and after the interventions by DASS-21 for depression and anxiety, and em-wave desktop software for HRV and psycho-physiologic coherence. The data were analyzed using ANCOVA with Bonferroni Comparison test and descriptive tests in SPSS software. RESULTS: The findings showed that there were significant differences in psycho-physiologic coherence (HRV), depression and anxiety scores among the three groups in the post-tests. In fact, depression and anxiety were reduced more in the religious group, while psycho-physiologic coherence raised more in the breathing with the HRV feedback group. CONCLUSION: The results showed that both Islamic religious and breathing techniques with HRV biofeedback therapies can be used in rehabilitation programs for CABG patients in clinics and hospitals.