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Efficacy of Mindfulness-Based Cognitive Therapy on the Quality of Life and Perceived Stress of People With Coronary Heart Disease

Azam Ashori, Hamzeh Ahmadian Ahmadian, Shahram Homayonfar

DOAJ (DOAJ: Directory of Open Access Journals) September 1, 2026 DOI: 10.22059/japr.2024.360100.644637 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Semi-experimental pre-test-post-test design with control group and two-month follow-up Peer reviewed
Sample size 27
Population Patients with coronary heart disease referred to a heart center in Hamadan in spring 2023
Intervention Mindfulness-based cognitive therapy
Duration Eight weeks of 90-minute sessions, with a two-month follow-up
Measures quality of life questionnaire (QLQ), perceived stress Questionnaire (PSQ)
Topics Meditation
Key findings Mindfulness-based cognitive therapy was reported to significantly improve quality of life (F=32.11) and reduce perceived stress (F=46.67) in patients with coronary heart disease compared with a control group. The authors conclude the approach is highly effective, attributing the gains to mindful activities and attitudes and to addressing difficult feelings, emotions, and cognitions.

Abstract

The objective of the current study was to evaluate the effectiveness of mindfulness-based cognitive therapy in improving the quality of life and perceived stress of individuals with coronary heart disease. The current research was conducted with a semi-experimental method, a pre-test-post-test design, a control group, and a two-month follow-up period, with a practical purpose. The statistical population of this research consisted of patients with coronary heart disease who were referred to the heart center in Hamadan during the spring season of 2023. The experimental and control groups were randomly assigned to 14 patients in the experimental group and 13 patients in the control group, respectively. The patients with coronary heart disease were selected through a voluntarily sampling method. Mindfulness-based cognitive therapy was administered to the experimental group's patients over the course of eight weeks, with each session lasting 90 minutes. The applied questionnaires in this study included quality of life questionnaire (QLQ) and perceived stress Questionnaire (PSQ). The data from the study were analyzed through repeated Mixed ANOVA and post hoc Bonferroni test via SPSS23 statistical software. The findings indicated that mindfulness-based cognitive therapy has significant effect on the quality of life (F=32.11) and perceived stress (F=46.67) of individual with coronary heart disease. The results of the current study suggest that mindfulness-based cognitive therapy is a highly effective approach to improving the quality of life and reducing the perceived stress of individuals with coronary heart disease. This is achieved by engaging in mindful activities and attitudes, as well as addressing feelings and problem-making emotions and cognitives.

Comparable studies

Other experimental studies on meditation, most cited first.

Study Year Design Participants
The benefits of being present: Mindfulness and its role in psychological well-being. Cancer patients (clinical intervention study) 2003 Mixed methods: scale development, correlational, quasi-experimental, laboratory, experience-sampling, and clinical intervention study
Loving-kindness meditation increases social connectedness. 2008 Controlled laboratory experiment
Mindfulness and mind-wandering: Finding convergence through opposing constructs. 2012 Two studies: correlational study and experimental study
Mental Training Enhances Attentional Stability: Neural and Behavioral Evidence 2009 Experimental study
Mindfulness meditation and substance use in an incarcerated population. Incarcerated population 2006 Quasi-experimental with treatment-as-usual control condition

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