Effectiveness of Intensive Short-Term Dynamic Psychotherapy on Perceived Stress in Patients with Hypertension

Authors

    MahmoudReza Hashemvarzi Department of Psychology, Shk.C., Islamic Azad University, Shahrekord, Iran
    Ahmad Ghazanfari * Department of Psychology, Shk.C., Islamic Azad University, Shahrekord, Iran ahmadghazanfari1964@iau.ac.ir

Keywords:

Stress, Intensive Short-Term Dynamic Psychotherapy, Hypertension

Abstract

Purpose: The present study was conducted to examine the effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) on perceived stress in patients diagnosed with hypertension.

Materials and Methods: This study was an applied research project using a quasi-experimental design with pre-test and post-test and a control group. The research population included all patients with hypertension who visited comprehensive health service centers in Sari County in 2023. The research sample consisted of 45 individuals diagnosed with hypertension, selected through purposive sampling and randomly assigned to experimental and control groups. The Perceived Stress Scale developed by Cohen et al. (1983) and an 11-session protocol of Intensive Short-Term Dynamic Psychotherapy were used for data collection. Ethical considerations were fully observed. Data analysis was performed using SPSS version 26.

Findings: The results of the study indicated that Intensive Short-Term Dynamic Psychotherapy approaches significantly reduce perceived stress in patients with hypertension (p<0.01).

Conclusion: Given the increasing prevalence of hypertension, the necessity of implementing effective psychological interventions in this domain is evident. Based on the findings of this study, providing ISTDP training programs for professionals and medical assistants who interact with hypertensive patients may enhance the quality of care and improve patient outcomes.

Downloads

Download data is not yet available.

References

Balali Dehkordi, N., & Fatehizade, M. (2022). Comparison of the effectiveness of Emotion-focused Therapy and Intensive short-term dynamic psychotherapy on marital adjustment of married women with experience of complex childhood trauma. Counseling Culture and Psycotherapy, 13(51), 31-57. https://doi.org/10.22054/qccpc.2022.65682.2871

Caldiroli, A., Capuzzi, E., Riva, I., Russo, S., Clerici, M., Roustayan, C., Abbass, A., & Buoli, M. (2020). Efficacy of intensive short-term dynamic psychotherapy in mood disorders: A critical review. Journal of affective disorders, 273, 375-379. https://doi.org/10.1016/j.jad.2020.04.002

Fooladi, F., Kavyani borujeni, M., & Ranjbar Sudejani, Y. (2018). Effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) on the Social Anxiety of Mothers of Children with Asperger Syndrome. Research-Institute-for-Education, 18(2), 55-64. http://joec.ir/article-1-645-en.html

Jafari, S., Kazemian Moghadam, K., & Gholavand, F. (2024). The Effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) on Depression, Health Anxiety, and Physical Symptoms in Patients with Coronary Artery Bypass. Research in Clinical Psychology and Counseling, 14(1), 223-242. https://tpccp.um.ac.ir/article_45804.html

Jahangasht Aghkand, Y., Abbasi, G., & Hasanzadeh, R. (2021). The Effects of Intensive Short-Term Dynamic Psychotherapy on Interpersonal Problems in Women with Social Anxiety [Original Research Article]. Middle Eastern Journal of Disability Studies­­­, 11(0), 169-169. http://jdisabilstud.org/article-1-2140-en.html

Kashefi, F., Azkhosh, M., Khanjani, M. S., & Aghae, H. (2024). The Effectiveness of Intensive Short Term Dynamic Psychotherapy on Sensation Seeking and Tendency to Marital Infidelity in Married Women. Journal of Applied Psychological Research. https://doi.org/10.22059/japr.2024.360977.644655

Kashefi, F., Azkhosh, M., Khanjani, M. S., & Aghaei, H. (2023). The Effectiveness of Intensive Short-Term Dynamic Psychotherapy on Self-Differentiation and Attachment Behavior in Couple Relationships in Women with Tendency to Marital Infidelity. Iranian Journal of Psychiatric Nursing, 11(1), 0-0. https://mail.ijpn.ir/article-1-2100-en.pdf

Kudari, S. M., & Annapurna, R. A. (2025). Effectiveness of Ayurveda and Lifestyle Modifications in Managing Pregnancy-Induced Hypertension: A Case Study. Journal of Neonatal Surgery, 14(6S), 698-706. https://doi.org/10.52783/jns.v14.2319

Kwan, Y. H., Yoon, S., Tai, B. C., Tan, C. S., Phang, J. K., Tan, W. B., Tan, N. C., Tan, C. Y. L., Koot, D., Quah, Y. L., Teo, H. H., & Low, L. L. (2024). Empowering Patients With Comorbid Diabetes and Hypertension Through a Multi-Component Intervention of Mobile App, Health Coaching and Shared Decision-Making: Protocol for an Effectiveness-Implementation of Randomised Controlled Trial. PLoS One, 19(2), e0296338. https://doi.org/10.1371/journal.pone.0296338

Mahdavi, A., Mosavimoghadam, S. R., Madani, Y., Aghaei, M., & Abedin, M. (2019). Effect of Intensive Short-term Dynamic Psychotherapy on Emotional Expressiveness and Defense Mechanisms of Women With Breast Cancer. Archives of Breast Cancer, 35-41. https://doi.org/10.32768/abc.20196135-41

Mami, S., Safarnia, A., Tardast, L., & Abbasi, B. (2021). Effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) to Reducing Alexithymia in Women Applicant for Divorce. Journal of Psychological Studies, 16(4), 127-142. https://doi.org/10.22051/psy.2018.21331.1690

Mehboodi, K., Mohammadi, N., Rahimi, C., & Sarafraz, M. R. (2022). The efficacy of intensive short-term dynamic psychotherapy (ISTDP) on self-esteem, emotion regulation, and defense mechanisms in men with social anxiety disorder [Research]. Journal of Psychological Science, 21(111), 461-474. https://doi.org/10.52547/jps.21.111.461

Nabizadeh, A., Farhadi, M., Rashid, K., & Kordnoghabi, R. (2019). The Effectiveness of Tactical Defenses Neutralization in Intensive Short-Term Dynamic Psychotherapy on Defensive Styles, Anxiety, and Fear of Intimacy in Non-Clinical Sample. Journal of Research in Psychological Health, 13(1), 24-39. https://rph.khu.ac.ir/browse.php?a_id=3442&sid=1&slc_lang=fa&ftxt=1

Nakhaei Moghadam, R., Bahrainian, S. A., & Nasri, M. (2024). The effectiveness of intensive and short-term dynamic psychotherapy on attachment styles, somatization and health anxiety in patients with chronic pain. Journal of Assessment and Research in Applied Counseling (JARAC), 6(1). https://journals.kmanpub.com/index.php/jarac/article/view/1287

Qiu, H., & Piskorz-Ryń, O. (2024). Understanding Patient Adherence to Hypertension Management Guidelines. KMAN Counseling & Psychology Nexus, 2(1), 70-76. https://doi.org/10.61838/kman.psychnexus.2.1.11

Rabipour, F., Hoseini-Nasab, S. D., & Salari, A. (2024). The effectiveness of mindfulness-based therapy on working memory indices in patients with hypertension: A randomized clinical trial. Feyz Journal of Medical Sciences, 27(5), 501-511. http://feyz.kaums.ac.ir/browse.php?a_id=4995&sid=1&slc_lang=en

Rahmani, F., Abbass, A., Hemmati, A., Mirghaed, S. R., & Ghaffari, N. (2020). The Efficacy of Intensive Short-Term Dynamic Psychotherapy for Social Anxiety Disorder. The Journal of Nervous and Mental Disease, 208(3), 245-251. https://doi.org/10.1097/nmd.0000000000001097

Ranjbar Bahadori, S., Taklavi, S., & Kazemi, R. (2022). The effectiveness of intensive short-term dynamic psychotherapy on emotional expressiveness and differentiation betrayed women. frooyesh, 11(1), 113-124. http://frooyesh.ir/article-1-3219-en.html

Rezaei, S., Mojtabaei, M., & Shomali Oskoei, A. (2023). Comparison of the Effectiveness of Intensive Short-Term Dynamic Psychotherapy and Schema Therapy on Depression, Anxiety in Mothers with Autistic Children. Journal of Applied Psychology, 17(4), 143-168. https://www.magiran.com/paper/2658910

Rocco, D., Calvo, V., Agrosì, V., Bergami, F., Busetto, L. M., Marin, S., Pezzetta, G., Rossi, L., Zuccotti, L., & Abbass, A. (2021). Intensive Short-Term Dynamic Psychotherapy Provided by Novice Psychotherapists: Effects on Symptomatology and Psychological Structure in Patients With Anxiety Disorders. Research in Psychotherapy Psychopathology Process and Outcome, 24(1). https://doi.org/10.4081/ripppo.2021.503

Roggenkamp, H., Abbass, A., Town, J. M., Kisely, S., & Johansson, R. (2021). Healthcare cost reduction and psychiatric symptom improvement in posttraumatic stress disorder patients treated with intensive short-term dynamic psychotherapy. European Journal of Trauma & Dissociation, 5(3), 100122. https://doi.org/10.1016/j.ejtd.2019.100122

Rohmah, M., Pratiwi, A., & Edmaningsih, Y. (2023). The Effect of Spirizomacare Therapy on Anxiety Level in Hypertension Patients. 86-91. https://doi.org/10.2991/978-94-6463-186-9_12

Salehian, N., & Moradi, S. (2022). The Effect of Intensive Short-Term Dynamic Psychotherapy (ISTDP) on the Mental well-being of Individuals with Antisocial Personality Disorder (ASPD) [Research]. Journal of Psychology New Ideas, 14(18), 1-18. http://jnip.ir/article-1-803-en.html

Sarafraz, M., & Moradi, S. (2022). The effect of intensive short-term dynamic psychotherapy (ISTDP) on attachment styles in women with marital conflicts [Research]. Journal of Psychology New Ideas, 14(18), 1-20. http://jnip.ir/article-1-802-en.html

Sarlaki, A., Farokhzad, M., Khanzadeh, F., Younesi Sinaki, M., Razavi Mahdian, S. Z., & Tayyar Parvin, M. (2024). Effectiveness of Intensive Short-Term Dynamic Psychotherapy on Object Relations, Anger, and Guilt in Women with Major Depressive Disorder. Psychological Achievements, 30(1), 89-102. https://psychac.scu.ac.ir/article_18967.html

Shams, S., Ghelichkhan, N., Yousefi, N., & Alijani, S. (2022). Comparison of the Effectiveness of Short Term Intensive Dynamic Psychotherapy and Mentalization Based Therapy on Emotional Dysregulation, Defense Mechanisms and Insecure Attachment Styles in Women Who Have Experienced the Trauma of Marital Infidelity. International Journal of Psychology and Counselling, 10(1), 106-121. http://ijpn.ir/article-1-1964-en.html

Downloads

Published

2025-09-20

Submitted

2025-03-11

Revised

2025-06-18

Accepted

2025-06-27

Issue

Section

Articles

How to Cite

Hashemvarzi , M. . (2025). Effectiveness of Intensive Short-Term Dynamic Psychotherapy on Perceived Stress in Patients with Hypertension. Iranian Journal of Neurodevelopmental Disorders, 1-9. https://maherpub.com/jndd/article/view/565