Key result
Islamic intervention and HRV biofeedback markedly improve coherence and reduce depression vs standard care after CABG.
Why the study?
The study investigated the effects of Islamic religious therapy and breathing techniques with heart rate variability biofeedback on heart rate variability, psycho-physiologic coherence, depression, and anxiety in coronary artery bypass graft surgery patients.
Does Islamic spiritual intervention or breathing techniques with HRV feedback improve psycho-physiologic coherence, depression, and anxiety in patients after CABG surgery?
RCT (n=60)
Open-label
Randomly assigned
No
Does Islamic spiritual intervention or breathing techniques with HRV feedback improve psycho-physiologic coherence, depression, and anxiety in patients after CABG surgery?
Effect estimate: Mean difference 0.576 (95% CI 0.18-0.95)
Absolute Event Rate: 0.911% vs 0.335%
p-value: p=<0.001
Islamic spiritual intervention and breathing techniques with HRV biofeedback significantly reduce depression and anxiety and improve psycho-physiologic coherence in patients recovering from CABG surgery.
Supports adjunctive culturally tailored interventions after CABG; extends RCT evidence for integrative approaches in cardiac recovery.
BACKGROUND: This study investigated the effects of Islamic religious and breathing techniques with heart rate variability (HRV) biofeedback therapies on HRV and psycho-physiologic coherence (resonance frequency), depression and anxiety in coronary artery bypass graft surgery (CABG) patients. METHODS: Sixty CABG patients were chosen and randomly assigned to religious, breathing techniques and control groups. The experimental groups received 8 weeks of treatments; a 2-h session with home works in each week. The control group received only their normal hospital interventions. The groups' depression, anxiety, HRV and psycho-physiologic coherence levels were assessed before and after the interventions by DASS-21 for depression and anxiety, and em-wave desktop software for HRV and psycho-physiologic coherence. The data were analyzed using ANCOVA with Bonferroni Comparison test and descriptive tests in SPSS software. RESULTS: The findings showed that there were significant differences in psycho-physiologic coherence (HRV), depression and anxiety scores among the three groups in the post-tests. In fact, depression and anxiety were reduced more in the religious group, while psycho-physiologic coherence raised more in the breathing with the HRV feedback group. CONCLUSION: The results showed that both Islamic religious and breathing techniques with HRV biofeedback therapies can be used in rehabilitation programs for CABG patients in clinics and hospitals.
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Amjadian et al. (2020) conducted an RCT in Coronary artery bypass graft surgery (CABG) (n=60). Breathing techniques with HRV feedback and Islamic religious intervention vs. Normal hospital interventions (control) was evaluated on Psycho-physiologic coherence (HRV) (Mean difference 0.576, 95% CI 0.18-0.95, p=<0.001). Islamic religious intervention and breathing techniques with HRV biofeedback significantly reduced depression and anxiety and increased psycho-physiologic coherence compared to standard care in CABG patients.
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