The Comparison of the Effectiveness of Cognitive-Behavioral Therapy, Music Therapy and Relaxation Therapy on Reducing Anxiety and Depression in Coronary Artery Disease Patients

Anxiety and depression are a disabling condition in patients with coronary artery disease. This disorder has been reported in 20% of patients with coronary artery disease and has a significant relationship with increased mortality and complications of cardiovascular disease. The purpose of this study was to investigate and to compare three non-cognitive-behavioral therapies, music therapist and relaxation therapy on this common disorder.

In this research, a pseudo-experimental design was used with experimental and control groups. The statistical population of the study included all patients with coronary artery disease hospitalized in Imam Ali Hospital in Kermanshah in 2017-2018. Sampling in this study was carried out in two stages. A sample of 50 eligible individuals was selected. They were then randomly assigned to three treatment groups and one control group. Each test group received a specified number of 2-hour therapeutic sessions. Data was collected by Beck anxiety and depression Inventory. Data was analyzed using manso and mancoa analysis in SPSS20 software.

The results of this study showed that all three therapeutic methods have an effective effect on the level of anxiety and depression in patients, but the effect of CBT treatments on anxiety and depression in patients is more than that of relaxation therapy and music therapy after CBT, relaxation has the greatest impact on anxiety and depression, and music therapy is in third place with a slight difference.

The results showed that the effectiveness of Cognitive-Behavioral Therapy on decreasing anxiety and depression in coronary artery disease patients was more than music therapy and behavioral relaxation.