The Effectiveness of Schema Therapy Integrated with Rehabilitation on Cognitive Emotion Regulation and Existential Anxiety in Patients with Congestive Heart Failure

Patients with congestive heart failure (CHF) are faced with various physical and psychological stressful factors, which ‎leads to decreased quality of life. Considering the relationship between cognitive emotion regulation (CER) and existential anxiety with early maladaptive schemas, one of the methods capable of assisting the rehabilitation of the patients with CHF is the schema therapy. The current study aimed at determining the effectiveness of schema therapy integrated with rehabilitation on CER and existential anxiety in patients with CHF. The study was a true experimental with pretest/posttest design and a control group. The study sample was consisted of 25 patients with CHF in Guilan Province, Iran, 2017, selected by the convenience sampling method and assigned into two groups (one experimental and one control). To collect the data, cognitive emotion regulation questionnaire (CERQ) and existential anxiety inventory (EAI) were used before and after the intervention. A ten-session young schema therapy was implemented for the experimental group. Two-way ANOVA was used for data analysis and Cohen’s d test measured effect extent. The results of analysis showed that the group schema therapy integrated with rehabilitation improved CER and existential anxiety in patients with CHF (p < 0.001). According to the findings of the research, schema therapy can improve the cognitive and emotional symptoms in patients with CHF.