Effect of Counseling Based on Acceptance and Commitment Approach on Reducing the Emotional of Depression after Open-Heart Surgery

Anxiety and depression can increase the risk of cardiovascular disease healthy subjects and adverse outcomes in people with cardiovascular disease increase. Recently there have been a lot of discussions about the third wave of cognitive and behavioral approaches especially in treatment of depression. This study aims to investigate the effectiveness of counseling based on acceptance and commitment approach on reducing the emotional of depression after open heart surgery. The population was all women and men with coronary artery disease who were hospitalized in two hospitals in Isfahan, Chamran and Sina, for coronary artery bypass graft that four people, two ۶۲-and-۶۴-year-old women, and two ۶۰-and-۶۲-year-old men who have a criterion for entry into the study purposive sampling were selected. The research methodology is based on single A-B case. The rate of depression surgery in heart patients was performed by Hare’s (۱۹۹۲) depression questionnaire. Patients were followed after three baseline sessions, eight ۹۲-minute sessions of consulting based on acceptance and commitment and one month after intervention in two sessions under follow test. The findings were analyzed based on visual analysis charts and descriptive statistics and showed consulting with the acceptance and commitment approach the emotional dimension of depression (pleasure ،habit and despair) has impact in three of four patients with the index of PND non overlapping data more than ۵۰%.