Sarwat Sultan, Sana Khurram, Samreen Kanwal.
Effect of stress inoculation training on emotional states and symptoms of illness in patients of coronary heart disease.
Pak Heart J Jan ;49(1):06-15.

Objective: To assess the effectiveness of Stress Inoculation Training (SIT)on emotional states and severity of symptoms of coronary heart disease (CHD) among cardiac patients. Methodology: This cross sectional study was conducted at Institute of Cardiology Multan from January 2015 to August 2015. The cardiac patients were randomly assigned to the intervention (n=41) and control groups (n=42). Pre and post data on measures of profile of mood states(POMS) and coronary heart disease symptoms check list (CHDS) were collected from both groups before and after the administration of SIT. The data was analyzed by employing independent and paired sample t-tests. Results: About 83 patients were included in the study. Significant differences were found in pre and post scores on emotional states and symptoms of CHD for intervention group (t = 3.68, p< .001 and t =8.81, p< .001 respectively) while insignificant findings were found for control group. The SIT was found efficient for individual emotional states of depression, anxiety, hostility, inertia, confusion, and vigor at p< .001.Patients after SIT also reported a decrease in their symptoms of CHD at p<.001. Conclusion: From the present findings, SIT seems absolutely effective in decreasing the negative emotional states and severity of symptoms of CHD among cardiac patients. SIT can be considered as practicable method to reduce the stress level associated with CHD.

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