17th European Heart Disease and Heart Failure Congress
Title: Treating heart disease by managing marital conflict among female patients with CHD through cognitive behavioural couple therapy
Biography: Sarwat Sultan
Statement of the Problem: The purpose of this study was to assess the effectiveness of cognitive behavioral couple therapy (CBCT) in treating heart disease by managing marital conflict among female patients with coronary heart disease.
Methodology: This study was completed using repeated measure design with a sample of 20 female cardiac patients approached at Institute of Cardiology Multan who were matched on the characteristics of age, education and economic class. This sample was then randomly assigned to the intervention (n=10) and control groups (n=10). CBCT was administered to the intervention group (n-10) while control group was on medication only. Data were collected on measures of Kansas Marital Satisfaction (KMS) Scale, Revised Dyadic Adjustment Scale (RDAS) and coronary heart disease symptoms check list (CHDS) from both groups before and after the administration of CBCT to intervention group. The data were analyzed by employing Kolmogorov-Smirnov test, Mann-Whitney U test and Wilcoxon W test.
Findings: Significant differences were found in pre and post scores on marital satisfaction scale, dyadic adjustment scale and symptoms of CHD for intervention group. The CBCT was found to be effective in increasing stability and satisfaction in the marital relationship of females. Female Patients after CBCT also reported a decrease in their symptoms of CHD.
Conclusion: From the present findings, CBCT seems very effective in resolving conflicts and decreasing severity of symptoms of CHD among female cardiac patients.
Recommendations: CBCT can be considered as practicable method in managing marital conflicts associated with CHD.
1: World Health Organization. Global Tuberculosis Report 2013. Geneva; 2013.
2: Maartens G, Wilkinson RJ. Tuberculosis. Lancet. 2007 Dec 15; 370(9604):2030-43.
3: Mayosi BM, Burgess LJ, Doubell AF. Tuberculous pericarditis. Circulation. 2005 Dec 6; 112(23):3608-16.
4: Strang G, Latouf S, Commerford P, Roditi D, Duncan-Traill G, Barlow D et al. Bedside culture to confirm tuberculous pericarditis. Lancet. 1991 Dec 21-28; 338(8782-8783):1600-1.
5: Pandie S, Peter JG, Kerbelker ZS. Diagnostic accuracy of quantitative PCR (Xpert MTB/RIF) for tuberculous pericarditis compared to adenosine deaminase and unstimulated interferon-γ in a high burden setting: a prospective study. BMC Medicine. 2014;12:101. doi:10.1186/1741-7015-12-101.