Page No: 321-329
Sengupta, U., Singh, A. R., Ray, H. N.
Rajendra Institute of Medical Sciences (RIMS), Ranchi
Coronary artery disease (CAD) is associated with increased psychological distress
and Nightmares have an impact on cardiac health as it worsens emotional regulation
and increases distress. This study assesses the impact of Cognitive Behavior Therapy
(CBT) on the Nightmares of a male patient having Coronary Artery Disease. This is a
Single case experimental design. Anxiety, depression, stress, locus of control and
personality have been studied as mediating factors in the patient using Hospital anxiety
and depression scale, Perceived stress scale, Rotter’s Locus of control scale and
Type A/B Behavior Pattern Scale. The intervention disentangled the dream content to
understand the psychological distress and its impact on cardiac outcome. Frequency
of cardiac events decreased with decrease in frequency of nightmares and reduction in
anxiety, depression and stress. Psychodynamic-informed CBT could successfully
intervene upon the psychological distress of a middle-aged patient having Coronary
Artery Disease.