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Behnam Moghadam A, Mahmoudi A, Maredpour A R, Zadeh Bagheri F, Behnam Moghadam M. Studying the Effect of Eye Movement Desensitization and Reprocessing on Improvement of Active Memory in Patients with Myocardial Infarction: A Randomized Clinical Trial Study. MEJDS 2024; 14 :48-48
URL: http://jdisabilstud.org/article-1-2998-en.html
Studying the Effect of Eye Movement Desensitization and Reprocessing on Improvement of Active Memory in Patients with Myocardial Infarction: A Randomized Clinical Trial Study
Aziz Behnam Moghadam1 , Armin Mahmoudi *2 , Ali Reza Maredpour2 , Fatemeh Zadeh Bagheri3 , Mohammad Behnam Moghadam4
1- PhD Student, Department of Psychology, Yasuj Branch, Islamic Azad University, Yasuj, Iran
2- Assistant Professor, Department of Psychology, Yasuj Branch, Islamic Azad University, Yasuj, Iran
3- Assistant Professor, Department of Internal Medicine, School of Medicine, Yasuj University of Medical Sciences, Yasuj, Iran
4- PhD Student, Department of Critical Care Nursing, School of Nursing, Yasuj University of Medical Sciences, Yasuj, Iran
Abstract:   (973 Views)

Abstract
Background & Objectives: Patients with myocardial infarction experience trauma. This physical damage accumulates and consolidates anxiety and negative death–related thoughts in the patient's memory, leads to changes in their thinking and cognition process, and provides grounds for memory failure and cognitive deficits. Strengthening active memory can play an essential role in improving the quality of life, adaptation, and coping of patients with myocardial infarction in stressful and difficult conditions, reducing the probability of subsequent myocardial attacks, accelerating the return to work, and strengthening mental health. However, there has been little research on strengthening the active memory of this group. In this regard, the challenge of desensitization with eye movements and reprocessing is a cognitive method that can strengthen cognitive functions as a challenging stimulus. So, this study investigated the effect of the Eye Movement Desensitization and Reprocessing (EMDR) method on the active memory of patients with myocardial infarction.
Methods: This clinical trial was conducted in 2021–2022. Using the convenience sampling method, sampling started after obtaining the code of ethics from Yasuj Islamic Azad University, Ethics Committee. Also, the study was registered in the Clinical Trial Center of Iran. A total of 60 patients with myocardial infarction who were eligible volunteers were selected from the medical centers of Yasuj City, Iran. They were randomly selected and divided equally into two groups: intervention and control, using random block allocation. The demographic information questionnaire and the Wechsler Working Memory Scale (Wechsler, 1945) were used for data collection. The EMDR method was implemented for the intervention group during six treatment sessions. The control group patients received only the usual medical care and no therapeutic intervention. The EMDR was performed in the consultation room of the cardiac department and the therapeutic and educational environment of the hospital and counseling centers with the consultation and coordination of the treatment group of the researcher and consultant cardiologist. Data analysis was performed using descriptive (mean, standard deviation, table, graph) and inferential statistics (univariate and multivariate covariance) in SPSS software version 21 at a significance level of 0.05.
Results: The results indicated that after removing the pretest effect, there was a significant difference in the working memory variable between the two groups in the posttest (p<0.001). The analysis of each dependent variable (direct and reverse memory) was determined alone after removing the effect of the pretest. In the posttest, these two variables showed significant differences between the two groups. As the comparison of means showed, the mean of direct memory (p<0.001) and reverse memory (p<0.001) were significantly higher in the experimental group than in the control group.
Conclusion: Based on the findings of the study, the desensitization treatment with EMDR is effective in strengthening and increasing active memory and its components, including direct memory and reverse memory in patients with heart attack.


Keywords: Eye movement desensitization and reprocessing, Working memory, Myocardial infarction
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Type of Study: Original Research Article | Subject: Psychology
References
1. Naghavi S, Faraji P, Nemati B. Memory functioning and negative emotions in patients undergoing heart bypass surgery with and without the use of cardiopulmonary pump. Journal of Research in Psychological Health. 2020;13(4):15–28. [Persian] [Article]
2. Mousavi MS, Riazi GH. The role of the heart in consciousness and cognitive performance. Science Cultivation. 2017;7(2):116–21.
3. Leto L, Feola M. Cognitive impairment in heart failure patients. J Geriatr Cardiol. 2014;11(4):316–28. [DOI]
4. Van Buchem MA, Biessels GJ, Brunner La Rocca HP, De Craen AJM, Van Der Flier WM, Ikram MA, et al. The heart-brain connection: a multidisciplinary approach targeting a missing link in the pathophysiology of vascular cognitive impairment. J Alzheimers Dis. 2014;42(s4):S443–51. [DOI]
5. Bauer LC, Johnson JK, Pozehl BJ. Cognition in heart failure: an overview of the concepts and their measures: cognition in heart failure. J Am Acad Nurse Pract. 2011;23(11):577–85. [DOI]
6. Wolters FJ, Segufa RA, Darweesh SKL, Bos D, Ikram MA, Sabayan B, et al. Coronary heart disease, heart failure, and the risk of dementia: a systematic review and meta‐analysis. Alzheimers Dement. 2018;14(11):1493–504. [DOI]
7. Abete P, Della-Morte D, Gargiulo G, Basile C, Langellotto A, Galizia G, et al. Cognitive impairment and cardiovascular diseases in the elderly. A heart–brain continuum hypothesis. Ageing Res Rev. 2014;18:41–52. [DOI]
8. Harvey PD. Domains of cognition and their assessment. Dialogues Clin Neurosci. 2019;21(3):227-37. [DOI]
9. DoustdarTousi SA, Golshani S. Effect of resilience in patients hospitalized with cardiovascular diseases. J Mazandaran Univ Med Sci. 2014;24(116):102–9. [Persian] [Article]
10. Doustdar Tousi SA, Dabbaghi P. Evaluating relation the resiliency and memory in patients with cardiovascular diseases. Middle Eastern Journal of Disability Studies. 2016;6:8. [Persian] [Article]
11. Rezayi S, Khanjani M. The effectiveness of eye movement desensitization and cognitive reprocessing intervention (EMDR) on improving the quality of life and reducing the guilt feeling in parents of children with low-functioning autism. Journal of Family Research. 2017;13(3):461–75. [Persian] [Article]
12. Alamdar Baghini A, Mohammad Tehrani H, Behbodi M, Kiamanesh AR. Comparison of effectiveness of eye movement desensitization and reprocessing, cognitive behavioral therapy, and emotional freedom technique in reducing anxiety in patients with post-traumatic stress disorder. Quarterly of Applied Psychology. 201913(4):625–50. [Persian] [Article]
13. Fereidouni Z, Behnammoghadam M, Jahanfar A, Dehghan A. The effect of eye movement desensitization and reprocessing (EMDR) on the severity of suicidal thoughts in patients with major depressive disorder: a randomized controlled trial. Neuropsychiatr Dis Treat. 2019;15:2459–66. [DOI]
14. Moghadam B, Moradi M, Zeighami R. The effect of eye movement desensitization and reprocessing on anxiety in patients with myocardial infarction. Iranian Journal of Psychiatric Nursing. 2013;1(1):1–9. [Persian] [Article]
15. Rathschlag M, Memmert D. Reducing anxiety and enhancing physical performance by using an advanced version of EMDR: a pilot study. Brain Behav. 2014;4(3):348–55. [DOI]
16. Shapiro F. The role of eye movement desensitization and reprocessing (emdr) therapy in medicine: addressing the psychological and physical symptoms stemming from adverse life experiences. Perm J. 2014;18(1):71–7. [DOI]
17. Wechsler D. A standardized memory scale for clinical use. J Psychol. 1945;19(1):87–95. [DOI]
18. Saed O, Roshan R, Moradi A. Investigating psychometric properties of Wechsler memory scale-third edition for the students of Tehran Universities. Clinical Psychology & Personality. 2008;6(2):57–70. [Persian] [Article]
19. Wechsler D. WMS-R: Wechsler memory scale-revised. Psychological Corp; 1987.
20. Orangi M, Atefvahid MK, Ashayeri H. Standardization of the revised Wechsler memory scale in Shiraz. Iranian Journal of Psychiatry and Clinical Psychology. 1381;7(4):56–66. [Persian] [Article]
21. Shapiro F. The role of eye movement desensitization and reprocessing (EMDR) therapy in medicine: addressing the psychological and physical symptoms stemming from adverse life experiences. Perm J. 2014;18(1):71–7. [DOI]
22. Hokmabadi ME, Bigdeli I, Asadi J, Asghari Ebrahim Abad MJ. The effectiveness of acceptance and commitment therapy (ACT) on personality type D and adherence to treatment in patients with coronary artery disease: the modulatory role of working- and prospective memory performance. Journal of Health Psychology. 2018;6(24):138–61. [Persian] [Article]
23. Song R, Xu H, Dintica CS, Pan KY, Qi X, Buchman AS, et al. Associations between cardiovascular risk, structural brain changes, and cognitive decline. J Am Coll Cardiol. 2020;75(20):2525–34. [DOI]
24. Habibi R, Bahadori Khosroshahi J. The role of selective attention, test anxiety and cognitive performance in students' working memory. Neuropsychology. 2016;2(6):27–44. [Persian] [Article]
25. Hosseini FS, Omidvar Y, Abbasi N. The role of executive functions and negative automatic thoughts in difficulties of emotion regulation in adolescent. Quarterly of Clinical Psychology Studies. 2017;7(26):83–111. [Persian]
26. George SA, Rodriguez-Santiago M, Riley J, Abelson JL, Floresco SB, Liberzon I. Alterations in cognitive flexibility in a rat model of post-traumatic stress disorder. Behav Brain Res. 2015;286:256–64. [DOI]
27. Marko M, Riečanský I. Sympathetic arousal, but not disturbed executive functioning, mediates the impairment of cognitive flexibility under stress. Cognition. 2018;174:94–102. [DOI]
28. Abdi N, Mohamadi K, Bashti S, Zaj P. The effect of eye movement desensitization and reprocessing on patient anxiety while waiting cardiac catheterization. Iran Journal of Nursing. 2016;28(98):21–30. [Persian] [DOI]
29. Gerhardt A, Leisner S, Hartmann M, Janke S, Seidler GH, Eich W, et al. Eye movement desensitization and reprocessing vs. treatment-as-usual for non-specific chronic back pain patients with psychological trauma: a randomized controlled pilot study. Front Psychiatry. 2016;7:1–10. [DOI]
30. Jelveh M. The effectiveness of eye movement desensitization and reprocessing (EMDR) in reducing anxiety in covid-19 patients admitted to ICU. Journal of Assessment and Research in Applied Counseling. 2021;3(2):27–37. [Persian] [DOI]
31. Park H, Kim D, Jang EY, Bae H. Desensitization of triggers and urge reduction for paruresis: a case report. Psychiatry Investig. 2016;13(1):161. [DOI]
32. Sadatmadani S, Tavallaii Zavareh A, Tavallaii V. Effectiveness of regular eye movement desensitization and reprocessing in therapy and reducing the symptoms of anxiety. Health Research Journal. 2018;3(1):37–43. [Persian] [DOI]
33. Zeighami R, Behnammoghadam M, Moradi M, Bashti S. Comparison of the effect of eye movement desensitization reprocessing and cognitive behavioral therapy on anxiety in patients with myocardial infarction. Eur J Psychiatry. 2018;32(2):72–6. [DOI]
34. Shapiro F. Eye movement desensitization and reprocessing (EMDR) therapy: basic principles, protocols, and procedures. Guilford Press; 2017.
35. Clond M. Emotional freedom techniques for anxiety: a systematic review with meta-analysis. J Nerv Ment Dis. 2016;204(5):388–95. [DOI]
36. Hernandez DF, Waits W, Calvio L, Byrne M. Practice comparisons between accelerated resolution therapy, eye movement desensitization and reprocessing and cognitive processing therapy with case examples. Nurse Educ Today. 2016;47:74–80. [DOI]
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