Page No 122-129
Sengupta, U. and Singh, A. R.
Ranchi Institute of Neuro-Psychiatry and Allied Sciences (RINPAS)
Ray, H. N.
Rajendra Institute of Medical Sciences (RIMS), Ranchi
This study has assessed the impact of Cognitive Behavior Therapy (CBT) on the
Nightmares of a patient having Coronary Artery Disease (CAD). This is a Single case
experimental design of an adult male. Anxiety, depression, stress and locus of control
have been studied as mediating factors in the index patient. Hospital anxiety and
depression scale, Perceived stress scale, Rotter’s Locus of control scale measured
the psychological aspects baseline condition, post-intervention and post follow-up along
with Type A/B Behavior Pattern Scale. The intervention focused on disentangling the
patient’s dream content in order to understand his psychological distress and its impact
on the occurrence of coronary artery disease. The frequency of cardiac events decreased
in the patient with decrease in frequency of nightmares accompanied by reduction in
anxiety, depression and stress. Psychodynamic-informed CBT is effective in intervening
upon the psychological distress of patients having Coronary Artery Disease