research paper: effectiveness of act vs guided imagery on emotional regulation of cardiac patients

Background: the present study aimed to compare the effectiveness of acceptance andcommitment therapy (act) and guided imagery (gi) in the emotional regulation (er) ofcardiovascular patients referred to a cardiac rehabilitation department.methods: this was an experimental study with a pre-test, post-test design and a 45-day followup.using the purposive sampling method, 45 patients with cardiovascular diseases were selectedamong those who referred to the cardiac rehabilitation ward of imam reza hospital, mashhadcity, iran, from march to august 2017; the patients were then assigned into three groups. theintervention groups received act or gi programs. also, the patients completed the cognitiveemotion regulation questionnaire in three stages of pre-test, post-test, and follow-up.results: the obtained data indicated a significant difference between the act and gi groups,concerning positive and negative er. also, the analysis of variance suggested the effectiveness of bothinterventions in the studied subjects (p<0.001). besides, the effectiveness of act was significantlygreater than that of gi in increasing positive and negative er among the studied patients.conclusion: the present findings reveal that experiential avoidance—as one of the main coresof psychological inflexibility in act—is significantly and negatively correlated with adaptiveer strategies. one of the main goals of act is to reduce avoidance, thus, act can improveadaptive er strategies. accordingly, act is more effective than gi in increasing positive erstrategies in patients with cardiovascular diseases.