Abstract
Background:Coronary heart disease is the most important cause of death and inability in all communities. Depressive symptoms are frequent among post-myocardial infarction (MI) patients and may cause negative effects on cardiac prognosis. This study was conducted to identify efficacy of EMDR on depression of patients with MI.Methods:This study is a clinical trial. Sixty patients with MI were selected by simple sampling, and were separated randomly into experimental and control groups. To collect data, demographic questionnaire and Beck Depression Questionnaire were used. In experimental group, EMDR therapy were performed in three sessions alternate days for 45–90 minutes, during four months after their MI. Depression level of patients was measured before, and a week after EMDR therapy. Data were analyzed using paired –t- test, t–test, and Chi-square.Results:The mean depression level in experimental group 27.26± 6.41 before intervention, and it was 11.76 ± 3.71 after intervention. Hence, it showed a statistically significant difference (P<0.001). The mean depression level in control group was 24.53 ± 5.81 before intervention, and it was 31.66± 6.09 after intervention, so it showed statistically significant difference (P<0.001). The comparison of mean depression level at post treatment, in both groups showed statistically significant difference (P<0.001).Conclusion:EMDR is an effective, useful, efficient, and non-invasive method for treatment and reducing depression in patients with MI.
Highlights
Coronary disease is the most important cause of death and inability in all communities
Depression was measured before and after using the therapeutic method by Beck Depression Questionnaire. This therapeutic method was performed at three sessions per 45–90 min for one week to experimental group during four months, after their myocardial infarction (MI) in Heart and Vessel Clinic, and after one week, their depression score studied again
The results of this study showed that the two groups indicate no significant statistical difference, and were homogenous in terms of demographic properties, such as, gender, education level, marital status, except two groups, which had significant difference in terms of smoking (P < 0.001)
Summary
Coronary disease is the most important cause of death and inability in all communities. World Health Organization of the United Nations (WHO) notified the depression as 4th generalized health problem (Modabernia et al, 2001). According to these studies, the depression following MI is an independent and potential serious reason of mortality, among the patients with MI. The gross risk (without controlling other agents of the risk) of the mortality, six-months after MI, in patients with depression is six times more than those without it This high risk of the mortality is observed until 18 months after MI. Coronary heart disease is the most important cause of death and inability in all communities. Depressive symptoms are frequent among post-myocardial infarction (MI) patients and may cause negative effects on cardiac prognosis. This study was conducted to identify efficacy of EMDR on depression of patients with MI
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